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铬作为乳腺癌的危险因素:一项荟萃分析。

Chromium as a Risk Factor for Breast Cancer: A Meta-Analysis.

机构信息

Department of Clinical Laboratory and Visual Diagnostics, West Kazakhstan Marat Ospanov Medical University, Aktobe, Republic of Kazakhstan.

Department of Molecular Biology and Medical Genetics, West Kazakhstan Marat Ospanov Medical University, Aktobe, Republic of Kazakhstan.

出版信息

Asian Pac J Cancer Prev. 2022 Dec 1;23(12):3993-4003. doi: 10.31557/APJCP.2022.23.12.3993.

Abstract

BACKGROUND

Chromium (Cr) is a transition metal, natural element. Chromium is the 21st most abundant element in Earth's crust. Cr is found in soil, rocks and living organisms. It may have various oxidation states, from -2 to +6, but most of these states are too unstable to exist in any significant quantities. The purpose of this review and meta-analysis is to critically assess the scientific evidence on the carcinogenic effects of chromium (Cr) and to determine whether there is currently sufficient evidence to suggest that that there is a link between chromium levels in hair and blood serum and breast cancer in women.

MATERIAL AND METHODS

Research on the relationship between heavy metal chromium and the risk of developing breast cancer has been searched in PubMed, EMBASE, Web of Science, Scopus among papers published between January 2000 and September 2020. The search used the following terms (MeSH): breast cancer, women, trace elements, metals, chromium, chemically-induced, hair, serum using additional terms.

RESULTS

In the second group of comparisons of women from "ecologically clean" districts of Aktobe Region, there were significantly lower indicators of the microelements in tumor tissue. The amount of Fe ranges from 38.46 to 65.39 ug/g (average 49.56±5.81 ug/g), Cu from 2.8 to 6.69 ug/g (average 5.06±1.01 ug/g), Zn from 1.89 to 5.38 ug/g (average 3.88±0.89 ug/g), Cr from zero to 6,1 ug/g (average 2.13±1.29 ug/g), Ni from 0.11 to 0.42 ug/g (average 0.28±0.067 ug/g) и Pb from zero to 0.19 ug/g (average 0.098±0.06 ug/g).

CONCLUSION

The article established that women who live or work in ecologically polluted areas or have problems with micronutrient exchange need in-depth screening and more frequent screening for early detection of pre- and breast cancer.

摘要

背景

铬(Cr)是一种过渡金属,天然元素。铬是地壳中第 21 丰富的元素。Cr 存在于土壤、岩石和生物体中。它可能具有各种氧化态,从-2 到+6,但这些状态大多数都太不稳定,无法大量存在。本综述和荟萃分析的目的是批判性地评估铬(Cr)致癌作用的科学证据,并确定目前是否有足够的证据表明头发和血清中的铬水平与女性乳腺癌之间存在关联。

材料和方法

在 2000 年 1 月至 2020 年 9 月期间发表的论文中,在 PubMed、EMBASE、Web of Science、Scopus 中搜索了重金属铬与患乳腺癌风险之间的关系研究。搜索使用了以下术语(MeSH):乳腺癌、妇女、微量元素、金属、铬、化学诱导、头发、血清,并用了其他术语。

结果

在阿克托贝地区“生态清洁”区妇女的第二组比较中,肿瘤组织中的微量元素指标明显较低。Fe 的量范围从 38.46 到 65.39ug/g(平均 49.56±5.81ug/g),Cu 从 2.8 到 6.69ug/g(平均 5.06±1.01ug/g),Zn 从 1.89 到 5.38ug/g(平均 3.88±0.89ug/g),Cr 从零到 6.1ug/g(平均 2.13±1.29ug/g),Ni 从 0.11 到 0.42ug/g(平均 0.28±0.067ug/g),Pb 从零到 0.19ug/g(平均 0.098±0.06ug/g)。

结论

本文确定,生活或工作在生态污染地区或有微量元素交换问题的妇女需要深入筛查和更频繁的筛查,以早期发现乳腺癌前和乳腺癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eec6/9971475/c3407fe128de/APJCP-23-3993-g001.jpg

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