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诊断为乳腺癌的女性的组织镉含量 - 病例对照研究。

Cadmium tissue level in women diagnosed with breast cancer - A case control study.

机构信息

Health Center Kosovska Mitrovica, 38220, Kosovska Mitrovica, Serbia; Department of Toxicology ″Akademik Danilo Soldatović″, Faculty of Pharmacy, University of Belgrade, 11211, Belgrade, Serbia.

Department of Toxicology ″Akademik Danilo Soldatović″, Faculty of Pharmacy, University of Belgrade, 11211, Belgrade, Serbia.

出版信息

Environ Res. 2021 Aug;199:111300. doi: 10.1016/j.envres.2021.111300. Epub 2021 May 18.

Abstract

Breast cancer is at the forefront of female malignancy and the leading cause of cancer death among women. Gender, age, hormone therapy, smoking, exposure to endocrine disruptors and family history are significant breast cancer risk factors according to epidemiological data. Considering metalloestrogenic Cd property and a plethora of research work on hormone involvement in breast cancer the study aimed to determine Cd concentration in three compartments of breast cancer patients in relation to their blood hormone status. Further, as oxidative stress is a critical mechanism of Cd toxicity, the objective of this study was to determine potential changes in oxidative status homeostasis. The study enrolled 55 patients with breast cancer diagnosis and 41 healthy women with benign breast changes. Concentration of Cd was determined using graphite furnace atomic absorption spectrometry. Cadmium concentration in tumor tissue was significantly higher than control and almost four times higher than Cd concentration in the healthy surrounding tissue. Strong positive correlation was observed between Cd concentrations in changed breast tissue and FSH and LH levels, while the correlation was negative with estradiol level. Cancer patients had significantly increased blood total antioxidative status while total oxidative status did not significantly differ between study groups. The study revealed Cd implication in breast cancer onset following a significant odd ratio for Cd levels in changed tissue samples. Moreover, presented data confirmed sex hormone and oxidative status imbalance caused by Cd presence, closely related to cancer development.

摘要

乳腺癌是女性恶性肿瘤的前沿,也是女性癌症死亡的主要原因。根据流行病学数据,性别、年龄、激素治疗、吸烟、暴露于内分泌干扰物以及家族史是乳腺癌的重要危险因素。考虑到镉的类雌激素金属性质以及大量关于激素参与乳腺癌的研究工作,本研究旨在确定乳腺癌患者三个部位的镉浓度与其血液激素状况的关系。此外,由于氧化应激是镉毒性的关键机制,本研究的目的是确定氧化状态平衡的潜在变化。本研究纳入了 55 名乳腺癌诊断患者和 41 名良性乳腺改变的健康女性。使用石墨炉原子吸收光谱法测定镉浓度。肿瘤组织中的镉浓度明显高于对照组,几乎是健康周围组织中镉浓度的四倍。在改变的乳腺组织和 FSH 和 LH 水平之间观察到强正相关,而与雌二醇水平呈负相关。癌症患者的血液总抗氧化状态显著增加,而研究组之间的总氧化状态没有显著差异。该研究揭示了镉在乳腺癌发病中的作用,改变组织样本中的镉水平具有显著的优势比。此外,所提供的数据证实了由镉存在引起的性激素和氧化状态失衡,这与癌症的发展密切相关。

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