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甲状腺癌患者与健康供体头皮头发中必需和有毒金属失衡的研究。

Study of Essential and Toxic Metal Imbalances in the Scalp Hair of Thyroid Cancer Patients in Comparison with Healthy Donors.

机构信息

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

出版信息

Biol Trace Elem Res. 2021 Feb;199(2):500-512. doi: 10.1007/s12011-020-02186-9. Epub 2020 May 14.

Abstract

Thyroid cancer is among the most common type of head and neck cancer; diet, age, gender and environmental factors play vital roles in its malignancy. The present study was carried out to assess the imbalances in the contents of trace metals due to onset and progression of thyroid cancer. Scalp hair was used as matrix for the evaluation of toxic and trace metals. Quantification of the metals was done through atomic absorption spectrometry. In comparison with healthy subjects, the thyroid cancer patients revealed significantly higher median levels of Mn (71%), Co (64%), Cr (55%), K (49%), Fe (45%), Mg (42%), Pb (36%), Na (30%), and Ni (26%), while the median level of Zn was considerably lower in the patients. The correlation coefficients among the metals in the patients demonstrated significantly different communal relationships compared with the healthy counterparts. Multivariate methods exhibited noticeably dissimilar apportionment among the metals in the patients than the controls. Significant disparities in the metal levels were also noticed for various types (anaplastic thyroid cancer, follicular thyroid cancer, papillary thyroid cancer, and medullary thyroid cancer) as well as stages (I, II, III, and IV) among the thyroid cancer patients. Majority of the metals revealed perceptible disparities in their contents based on gender, habitat, dietary habits, and smoking habits of the patients and controls. Overall, the study showed significantly divergent distribution and associations of the essential and toxic metal levels in the scalp hair of the patients in comparison with the levels in controls.

摘要

甲状腺癌是头颈部最常见的癌症类型之一;饮食、年龄、性别和环境因素在其恶性程度中起着至关重要的作用。本研究旨在评估由于甲状腺癌的发生和进展导致的痕量金属含量的失衡。头皮头发被用作评估有毒和痕量金属的基质。通过原子吸收光谱法对金属进行定量。与健康受试者相比,甲状腺癌患者的 Mn(71%)、Co(64%)、Cr(55%)、K(49%)、Fe(45%)、Mg(42%)、Pb(36%)、Na(30%)和 Ni(26%)中位数水平显著更高,而 Zn 的中位数水平在患者中明显较低。与健康对照组相比,患者之间金属之间的相关系数表现出明显不同的公共关系。多元方法显示,与对照组相比,患者之间的金属分配明显不同。在甲状腺癌患者中,不同类型(间变性甲状腺癌、滤泡性甲状腺癌、乳头状甲状腺癌和髓样甲状腺癌)和不同阶段(I、II、III 和 IV)的金属水平也存在显著差异。大多数金属的含量根据患者和对照组的性别、栖息地、饮食习惯和吸烟习惯存在明显差异。总体而言,与对照组相比,研究表明患者头皮头发中的必需和有毒金属水平的分布和相关性明显不同。

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