Analysis of trace elements in the fingernails of breast cancer patients using instrumental neutron activation analysis

Study of toxic and essential elemental imbalances at more advance stage of breast carcinoma patients

Delayed diagnosis and limited access to healthcare resources are leading to advanced stage breast carcinoma posing a formidable health challenge to modern medical science. Avoiding the occurrence of breast carcinoma is only possible by ascertaining the risk factors contributing to the progression of this fatal malignancy. Among other factors, exposure to trace elements plays a decisive role in progression of breast carcinoma development. The purpose of this investigation was to evaluate the harmful traces and vital components (Pb, Ca, Mn, Cd, Na, Cr, Cu, Mg, Sr, K, Fe, Zn, Co, Li, Se, Ag, Hg, As, Al and Ni) contents in the blood (n = 161), scalp hair (n = 149) and nails (n = 135) of stage IV breast carcinoma patients and female controls by atomic absorption spectrometry. The results revealed that mean Cr, Cu, Pb and Cd levels were elevated significantly (p < 0.05) in the nails and blood, while Ni, Co, Cr, Pb and Cd levels (p < 0.05) were elevated in the scalp hair of stage IV breast carcinoma patients than the female controls. Based on pathological breast cancer types, Pb and Cd were elevated in invasive ductal carcinoma, while Cu and Co were higher in invasive lobular carcinoma patients. Multivariate analysis was applied for the source of identification and apportionment of toxic trace elements in both donor groups. Most of the factors showed significant differences between the malignant and control groups' dietary, housing, and tobacco use/nonuse behaviors. The correlation analysis revealed significantly different association patterns for toxic trace elements in patients and controls and has an influential effect on cancer risk. Overall, the current study indicates a potential role of toxic trace elements in the development of breast carcinoma and these findings could be significant in the predicting diagnosis/prognosis of breast malignancy.

Elemental Composition of Women's Fingernails: A Comparative Analysis Between Cervical Cancer Patients and Healthy Individuals

This study investigates elemental composition differences in fingernails between cervical cancer patients and healthy individuals using the Total Reflection X-ray Fluorescence (TXRF) method. A total of 43 fingernail samples from women diagnosed with cervical cancer and 40 from age-matched healthy controls were analyzed. The results revealed significantly higher concentrations of essential elements (Mn, Fe, and Cu) and toxic elements (Cr, As, Br, and Pb) in cancer patients. In contrast, essential elements such as Ca, Zn, and Se were found at lower levels in cancerous patients. The deficiencies in Ca, Zn, and Se are likely influenced by dietary factors, whereas the elevated levels of Cr, Mn, Fe, Cu, As, Br, and Pb may be linked to environmental pollution. Strong positive correlations of elements in the fingernails of cancer patients were found between K-As, Ca-Se, Ti-Cr, Ti-Fe, Ti-Cu, Ti-Pb, Cr-Fe, Cr-Pb, Fe-Pb, Cu-Pb, As-Pb, and Sb-Ba. In contrast, strong negative correlations were observed between Ca-Ti, Ca-Pb, Cr-Zn, Fe-Zn, Cu-Zn, Cu-Se, Zn-Pb, and Se-Pb. Meanwhile, a strong positive correlation between Zn-Se and a strong negative correlation between K-Se were observed in the fingernails of healthy controls. Principal component analysis (PCA) showed the essential and toxic elements shift between cancer patients and healthy controls. The study showed significant differences in element distribution patterns and interrelationships in the fingernails of cancer patients compared to the controls. It was concluded that the considerable changes in fingernail element concentrations were associated with disease risk, specifically cervical cancer. Monitoring and regulating the intake of essential elements while controlling exposure to toxic elements could be beneficial for cervical cancer patients.

Relationship Between Arsenic in Biological Media and Breast Cancer: A Systematic Review and Meta-Analysis

Arsenic (As) is an environmental pollutant with carcinogenic effects and breast cancer (BC) is a prevalent malignant tumor in women. The goal of this meta-analysis was to establish a connection between biological sample As levels and the risk of developing BC. Pub Med, Web of Science, Scopus, and Elsevier were used to systematically screen the literature published between 1990 and 2023. The Newcastle-Ottawa scale was also used in assessing the quality of publications. A random-effects model was used to assess the pertinent data that was gleaned from these articles. Using the I2 index the heterogeneity of studies was performed. Egger's test and funnel plots were used to look at publication bias. We identified 16 epidemiologic studies that included 2713 women with BC and 5347 healthy individuals. The results showed that the difference between the case group and the control group was 0.72 [95% confidence interval (CI) 0.30 to 1.14]. According to subgroup analysis, the value for blood was 0.18 [95% CI 0.01 to 0.35], whereas the value for hair was 3.08 [95% CI 0.19 to 5.97]. The present meta-analysis suggested that As levels were significantly higher in BC patients than in controls. This systematic review and meta-analysis provide evidence supporting a positive relationship between arsenic levels in biological media and BC risk. These findings highlight the importance of further research to investigate the mechanisms of this association and explore potential preventive strategies to reduce the adverse effects of arsenic exposure on BC.

Toenail arsenic species and metallome profiles associated with breast, cervical, prostate, and skin cancer prevalence in the Atlantic Partnership for Tomorrow's Health cohort

Introduction

Chronic exposure to arsenic through drinking water has been linked to several cancers. The metabolism of arsenic is thought to play a key role in arsenic-related carcinogenesis as metabolites of varying toxicity are produced and either stored in or excreted from the body. Atlantic Canada has the highest age-standardized incidence rates of all cancers in the country. This may be due to its high levels of environmental arsenic and the prevalence of unregulated private wells for water consumption. Here, we aimed to characterize the profiles of arsenic species and metallome in the toenails of four cancer groups, compare them to healthy participants (N = 338), and assess potential associations between the profiles with cancer prevalence.

Methods

This study employed a case-control design. Toenail samples and questionnaire data from cases (breast, cervical, prostate, and skin cancers) and controls were sourced from the Atlantic Partnership for Tomorrow's Health (PATH) cohort study. The levels of arsenic species were measured using Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) paired with High Performance Liquid Chromatography (HPLC) and total concentrations of metallome (23 metals) were determined by ICP-MS separately. Multivariate analyses were conducted to compare cases with controls within each cancer group.

Results

Arsenic speciation profiles varied by cancer type and were significantly different between cases and controls in the breast (p = 0.0330), cervical (p = 0.0228), and skin (p = 0.0228) cancer groups. In addition, the profiles of metallome (nine metals) were significantly differentiated in the prostate (p = 0.0244) and skin (p = 0.0321) cancer groups, with higher zinc concentrations among cases compared to controls.

Conclusion

History of cancer diagnosis was associated with specific profiles of arsenic species and metallome. Our results indicate that arsenic methylation and zinc levels, as measured in toenails, may be an important biomarker for cancer prevalence. Further research is needed to use toenails as a prognostic measure of arsenic-and other metal-induced cancer.

Assessment of X-ray fluorescence capabilities for nail and hair matrices through zinc measurement in keratin reference materials

BACKGROUND

Novel and emerging biomarkers of zinc status are being developed to help study and address zinc deficiency around the world. Two potential biomarkers, nail and hair, involve the measurement of zinc from easily accessible keratin-based components of the body. Portable X-ray fluorescence (XRF) is a relatively new approach to the assessment of zinc in nail or hair, and has a number of compelling advantages compared with other techniques. The aim of the current study was to test the ability of XRF to measure zinc in keratinized reference materials (RMs) designed to simulate nail and hair.

METHODS

Four Keratin Matrix RMs were prepared and characterized for numerous trace elements by the New York State Department of Health's Wadsworth Center. The Keratin Matrix RMs consisted of powdered samples of caprine (goat) horns pooled from several animals. Concentrations of zinc, as assessed by inductively coupled plasma mass spectrometry (ICP-MS), were similar to what would be expected from human nail or hair tissues. Repeat measurements of the RMs were made using a portable XRF system. The XRF zinc results were compared with the ICP-MS zinc concentrations. Three different approaches to quantifying the zinc content by XRF were performed: (1) zinc signal to total signal ratio, (2) zinc signal to sulfur signal ratio, and (3) system output zinc concentration.

RESULTS

The portable XRF results from a given RM were found to be consistent across repeat trials under all three approaches to XRF quantitation. Precision, calculated as the relative standard deviation of repeat measurements ranged from an average result of 0.8 % (using the system output zinc concentration method) to 6.1 % (using the zinc signal to sulfur signal ratio method). Measurement of the RMs provided XRF zinc results which scaled well with ICP-MS zinc concentration, particularly when using the XRF zinc to total and system zinc concentration methods. A Bland-Altman plot showed that the XRF system zinc concentration output exceeded the ICP-MS zinc concentration by, on average, 10.2 % ± 1.2 %.

CONCLUSION

Overall, both accuracy and precision of measurement were found to be promising for portable XRF, provided appropriate conversions to concentration are introduced. The results of this study indicate that portable XRF is an effective and dependable method of assessing zinc concentration in keratinized tissue RMs. This will have implications for the future use of portable XRF to monitor zinc status in humans through measurements of nail and hair.

Analysis of the soil to food crops transfer factor and risk assessment of multi-elements at the suburban area of Ho Chi Minh city, Vietnam using instrumental neutron activation analysis (INAA)

The contamination of heavy metals in agricultural ecosystem is one of the most important problems in developing countries as Vietnam. In this study, we investigated the multi-element concentrations in soil, vegetables, soil-to-plant transfer factors and target hazard quotient (THQ) due to the consumption of heavy metals in Ho Chi Minh City, Vietnam. In general, the element concentrations in soil and plants were similar to different studies in the world and in the range of allowable values provided by WHO and the Ministry of Health of Vietnam. The transfer factors indicated the influence of element characteristics and plant genotypes on the accumulation and translocation of elements from soil to plants. It is found that I. batatas, B. alba, A, tricolor, O. basilicum, and B. juncea could be potential candidates for phytoremediation in soil contaminated of heavy metals. The results of individual and total THQ were below unity for Cr, Mn, Fe, Co, Zn, As, and Sb. The total THQ is in the range from 0.11 for R. sativus to 0.84 for B. alba with the average value of 0.43, in which Mn and As are the major contributions to the total THQ with the average values of 75% and 18%, respectively. The safety assessment based on national regulations and THQ indicated that the consumption of investigated vegetables poses no risk to the consumers.