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肺癌患者与对照组头皮毛发和指甲中选定金属的比较评估。

Comparative assessment of selected metals in the scalp hair and nails of lung cancer patients and controls.

作者信息

Qayyum Muhammad Abdul, Shah Munir H

机构信息

Department of Chemistry, Quaid-i-Azam University, Islamabad, 45320, Pakistan.

出版信息

Biol Trace Elem Res. 2014 Jun;158(3):305-22. doi: 10.1007/s12011-014-9942-6. Epub 2014 Mar 27.

Abstract

Lung cancer is seriously threatening human health and exposure to trace metals is the most important aetiology for lung cancer. Selected essential/toxic metals (Ca, Mg, Na, K, Fe, Zn, Cu, Sr, Li, Co, Mn, Ni, Cr, Cd and Pb) are measured in the scalp hair and nails of lung cancer patients and controls by atomic absorption spectrophotometric method employing nitric acid-perchloric acid-based wet digestion. Average concentrations of Pb, Cd, Mn, Co and Cu are found to be significantly higher (p < 0.05) in the scalp hair and nails of lung cancer patients compared with the controls, however, appreciably higher concentrations of Zn, Ca, Na, Mg and Cr are noted in the scalp hair of the controls. Most of the metal levels reveal higher dispersion and asymmetry in the scalp hair/nails of the patients compared with the controls. Average metal levels are also compared to investigate probable differences based on sex, abode, food and smoking habits. The correlation study shows significantly diverse mutual variations of the metals in the scalp hair and nails of the patients and controls. Considerable variations in the metal levels are also noted for various stages and types of lung cancer (adenocarcinoma, squamous cell carcinoma, large cell carcinoma and small cell lung cancer). Multivariate apportionment of the metals in the scalp hair and nails of the patients and controls are also significantly diverse. The study reveals considerably divergent variations in the metal levels in lung cancer patients in comparison with healthy subjects.

摘要

肺癌严重威胁着人类健康,接触微量金属是肺癌最重要的病因。采用硝酸 - 高氯酸湿法消解的原子吸收分光光度法,测定肺癌患者和对照组头皮毛发和指甲中选定的必需/有毒金属(钙、镁、钠、钾、铁、锌、铜、锶、锂、钴、锰、镍、铬、镉和铅)。结果发现,与对照组相比,肺癌患者头皮毛发和指甲中铅、镉、锰、钴和铜的平均浓度显著更高(p < 0.05),然而,对照组头皮毛发中锌、钙、钠、镁和铬的浓度明显更高。与对照组相比,患者头皮毛发/指甲中的大多数金属水平显示出更高的离散度和不对称性。还比较了平均金属水平,以研究基于性别、居住地点、饮食和吸烟习惯的可能差异。相关性研究表明,患者和对照组头皮毛发和指甲中金属的相互变化存在显著差异。对于肺癌的不同阶段和类型(腺癌、鳞状细胞癌、大细胞癌和小细胞肺癌),金属水平也存在相当大的差异。患者和对照组头皮毛发和指甲中金属的多变量分配也存在显著差异。该研究表明,与健康受试者相比,肺癌患者的金属水平存在相当大的差异。

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