Department of Civil-Environmental Engineering and Architecture, University of Cagliari, Via Marengo 3, 09123, Cagliari, Italy,
Environ Geochem Health. 2014 Feb;36(1):79-98. doi: 10.1007/s10653-013-9520-4. Epub 2013 Apr 9.
Complex multifactorial disorders usually arise in individuals genetically at risk in the presence of permissive environmental factors. For many of these diseases, predisposing gene variants are partly known while the identification of the environmental component is much more difficult. This study aims to investigate whether there are correlations between the incidence of two complex traits, multiple sclerosis and type 1 diabetes, and some chemical elements and compounds present in soils and stream sediments in Europe. Data were obtained from the published literature and analyzed by calculating the mean values of each element and of disease incidence for each Country, respectively, 17 for multiple sclerosis and 21 for type 1 diabetes. Correlation matrices and regression analyses were used in order to compare incidence data and geochemical data. R correlation index and significance were evaluated. The analyses performed in this study have revealed significant positive correlations between barium and sodium oxide on one hand and multiple sclerosis and diabetes incidences on the other hand that may suggest interactions to be evaluated between silicon-rich lithologies and/or marine environments. The negative correlations shown by cobalt, chromium and nickel (typical of silicon-poor environment), which in this case can be interpreted as protective effects against the two diseases onset, make the split between favorable and protective environments even more obvious. In conclusion, if other studies will confirm the involvement of the above elements and compounds in the etiology of these pathologies, then it will be possible to plan strategies to reduce the spread of these serious pandemics.
复杂的多因素疾病通常发生在遗传上易患的个体中,同时存在许可的环境因素。对于许多这些疾病,易感基因变异部分已知,而环境因素的识别则更加困难。本研究旨在调查欧洲土壤和溪流沉积物中存在的某些化学元素和化合物与两种复杂特征(多发性硬化症和 1 型糖尿病)的发病率之间是否存在相关性。数据来自已发表的文献,并通过分别计算每个元素和每个国家疾病发病率的平均值进行分析,多发性硬化症有 17 个国家,1 型糖尿病有 21 个国家。使用相关矩阵和回归分析来比较发病率数据和地球化学数据。评估了 R 相关指数和显著性。本研究进行的分析表明,钡和氧化钠与多发性硬化症和糖尿病发病率之间存在显著的正相关,这可能表明需要评估富硅岩系和/或海洋环境之间的相互作用。钴、铬和镍(典型的贫硅环境)显示出的负相关,可以解释为对这两种疾病发病的保护作用,使有利和保护环境之间的差异更加明显。总之,如果其他研究证实上述元素和化合物参与这些病理的病因,那么就有可能制定策略来减少这些严重大流行的传播。