Disinfection byproducts (DBPs) are compounds unintentionally produced from the reactions of natural organic matter with disinfectants during water disinfection (Richardson and Kimura, 2016; Wang et al., 2016). Over 700 DBPs have been detected in drinking water; of those, trihalomethanes (THM) and haloacetic acid (HAA) have been strictly regulated due to awareness of their high health risks in humans (Saleem et al., 2019). Halobenzoquinones (HBQs), as emerging DBPs not currently regulated, are attracting increasing attention due to frequent detection in drinking water and high toxicity. Via quantitative structural toxicity relationship modeling, toxicity of HBQs is demonstrated to be 1000 times higher than that of regulated DBPs such as THM and HAA (Bull et al. (2007). It was shown that HBQs exert higher cytotoxicity, genotoxicity, and developmental toxicity than that of regulated DBPs (Li et al., 2015; Li et al., 2016; Wang et al., 2018). Therefore, the presence of HBQs in drinking water is an emerging threat to public health.
Up to now, 12 kinds of HBQs were identified in drinking water. Of these, 2,6-dichlorobenzoquinone (2,6-DCBQ) was detected at the highest concentrations and proved to be the most toxic HBQs (Zhao et al., 2010; Huang et al., 2013). Exposure to 2,6-DCBQ has been linked with DNA damage in Escherichia coli cells (Chen et al., 2015), cell cycle arrest of human neural stem cells (Fu et al., 2017), and oxidative damage in zebrafish (Sun et al., 2019a). However, the toxic effects of 2,6-DCBQ in mammals has not yet been demonstrated in vivo.
Several studies showed that 2,6-DCBQ-induced reactive oxygen species (ROS) are a primary contributor to its toxicity. Under normal circumstances, there is a balance between oxidative stress and antioxidant responses in organisms. When xenobiotic compounds such as 2,6-DCBQ induce increase of ROS, the organism correspondingly increases antioxidant capacity to counteract the ROS (Sun et al., 2020). Superoxide dismutase (SOD) and catalase (CAT) are the first line of antioxidant enzymes activated in the presence of ROS, and thus have been considered markers of oxidative stress (Cheng et al., 2020; Zhang et al., 2020). Another crucial component involved in counteracting excessive ROS is nuclear factor-erythroid 2-related factor 2 (Nrf2), a redox-sensitive transcription factor (Zhang and Donna, 2006). Under normal conditions (i.e., not under oxidative stress), Nrf2 is maintained at very low levels through negative regulation by Kelch-like ECH associated protein 1 (Keap1), while oxidative stress-induced de-repression causes it to upregulate a series of antioxidant genes.
Genes activated by Nrf2 include Heme oxygenase-1 (HO-1), NADPH quinone oxidoreductase 1 (NQO1), and glutamate-L-cysteine ligase catalytic subunit (GCLC). HO-1 is a stress response enzyme, which can eliminate oxidative stress via providing biliverdin (Bostick et al., 2017). NQO1 is an endogenous molecule with a conjugated double bond system, which is responsible for maintaining redox homeostasis (Gray et al., 2016). GCLC is a rate-limiting enzyme for glutathione synthesis (Yang et al., 2011; Liu et al., 2018), and has been considered an indicator of oxidative stress. HO-1, NQO1, and GCLC are considered standard indicators of an antioxidant response due to higher capacity in eliminating oxidative stress (Hu et al., 2019). When ROS levels exceed the antioxidant capacity of an organism, a series of detrimental effects occur; of them, lipid peroxidation is the direct outcome. Malondialdehyde (MDA), as a final product of tissue lipid peroxidation, is used as an indicator of oxidative damage (Sun et al., 2019b).
In this study, mice were employed as a mammalian model to explore the oxidative stress and damage caused by 2,6-DCBQ. The objectives were to: (1) determine the oxidative stress caused by 2,6-DCBQ; (2) determine the oxidative damage in mice caused by 2,6-DCBQ; (3) determine the response of key genes in the Nrf2-Keap1 pathway to 2,6-DCBQ-induced oxidative stress. The results from this study provide new insights into the toxicity of 2,6-DCBQ in higher animals and are thus an important step towards elucidating its toxic effects on humans.