“…This ATP formation in Glycolysis is inhibited while bypassing the phosphoglycerate kinase (Moreover, the formation of2,3-bisphosphoglycerate in erythrocytes might be affected, followed by a higher oxygen affinity of hemoglobin and subsequently enhanced cyanosis).As shown by Gresser(1981),sub mitochondrial particles synthesize adenosine-5 ' -diphosphate-arsenate from ADP and arsenate in presence of succinate. Thus, by a variety of mechanisms arsenate leads to an impairment of cell respiration and subsequently diminished ATP formation [41].Experiments demonstrated enhanced arterial thrombosis in rat animal model, elevation of serotonin levels, thromboxane A [2] and adhesion proteins in platelets, while human platelets showed similar responses [42].The effect on vascular endothelium may eventually be mediated by arsenicinduced formation of nitric oxide. It was demonstrated that +3 As concentrations substantially lower than concentrations required for inhibition of lysosomal protease cathepsin L in B cell line TA3 were sufficient to trigger apoptosis in same B cell line, while latter could be mediating immunosuppressive effects [43].…”