Serum Cadmium Levels in Pancreatic Cancer Patients from the East Nile Delta Region of Egypt
Identifieur interne : 000886 ( Main/Exploration ); précédent : 000885; suivant : 000887Serum Cadmium Levels in Pancreatic Cancer Patients from the East Nile Delta Region of Egypt
Auteurs : Alison M. Kriegel [États-Unis] ; Amr S. Soliman [États-Unis] ; Qing Zhang [États-Unis] ; Nabih El-Ghawalby [Égypte] ; Farouk Ezzat [Égypte] ; Ahmed Soultan [Égypte] ; Mohamed Abdel-Wahab [Égypte] ; Omar Fathy [Égypte] ; Gamal Ebidi [Égypte] ; Nadia Bassiouni [Égypte] ; Stanley R. Hamilton ; James L. Abbruzzese [États-Unis] ; Michelle R. Lacey [États-Unis] ; Diane A. Blake [États-Unis]Source :
- Environmental Health Perspectives [ 0091-6765 ] ; 2005.
Abstract
The northeast Nile Delta region exhibits a high incidence of early-onset pancreatic cancer. It is well documented that this region has one of the highest levels of pollution in Egypt. Epidemiologic studies have suggested that cadmium, a prevalent pollutant in the northeast Nile Delta region, plays a role in the development of pancreatic cancer.
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Url:
DOI: 10.1289/ehp.8035
PubMed: 16393667
PubMed Central: 1332665
Affiliations:
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Le document en format XML
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<author><name sortKey="Abdel Wahab, Mohamed" sort="Abdel Wahab, Mohamed" uniqKey="Abdel Wahab M" first="Mohamed" last="Abdel-Wahab">Mohamed Abdel-Wahab</name>
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<author><name sortKey="Fathy, Omar" sort="Fathy, Omar" uniqKey="Fathy O" first="Omar" last="Fathy">Omar Fathy</name>
<affiliation wicri:level="1"><nlm:aff id="af4-ehp0114-000113">Gastrointestinal Surgery Center, Mansoura University, Mansoura, Egypt</nlm:aff>
<country xml:lang="fr">Égypte</country>
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<author><name sortKey="Ebidi, Gamal" sort="Ebidi, Gamal" uniqKey="Ebidi G" first="Gamal" last="Ebidi">Gamal Ebidi</name>
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<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Gastrointestinal Surgery Center, Mansoura University, Mansoura</wicri:regionArea>
<wicri:noRegion>Mansoura</wicri:noRegion>
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<author><name sortKey="Bassiouni, Nadia" sort="Bassiouni, Nadia" uniqKey="Bassiouni N" first="Nadia" last="Bassiouni">Nadia Bassiouni</name>
<affiliation wicri:level="1"><nlm:aff id="af4-ehp0114-000113">Gastrointestinal Surgery Center, Mansoura University, Mansoura, Egypt</nlm:aff>
<country xml:lang="fr">Égypte</country>
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<wicri:noRegion>Mansoura</wicri:noRegion>
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<author><name sortKey="Hamilton, Stanley R" sort="Hamilton, Stanley R" uniqKey="Hamilton S" first="Stanley R." last="Hamilton">Stanley R. Hamilton</name>
<affiliation><nlm:aff wicri:cut=", and" id="af5-ehp0114-000113">Division of Pathology and Laboratory Medicine</nlm:aff>
</affiliation>
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<author><name sortKey="Abbruzzese, James L" sort="Abbruzzese, James L" uniqKey="Abbruzzese J" first="James L." last="Abbruzzese">James L. Abbruzzese</name>
<affiliation wicri:level="2"><nlm:aff id="af6-ehp0114-000113">Department of Gastrointestinal Medical Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Gastrointestinal Medical Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
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<author><name sortKey="Lacey, Michelle R" sort="Lacey, Michelle R" uniqKey="Lacey M" first="Michelle R." last="Lacey">Michelle R. Lacey</name>
<affiliation wicri:level="2"><nlm:aff id="af7-ehp0114-000113">Department of Mathematics, Tulane University, New Orleans, Louisiana, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Mathematics, Tulane University, New Orleans, Louisiana</wicri:regionArea>
<placeName><region type="state">Louisiane</region>
</placeName>
</affiliation>
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<author><name sortKey="Blake, Diane A" sort="Blake, Diane A" uniqKey="Blake D" first="Diane A." last="Blake">Diane A. Blake</name>
<affiliation wicri:level="2"><nlm:aff id="af1-ehp0114-000113">Department of Biochemistry, Tulane University Health Sciences Center, New Orleans, Louisiana, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Biochemistry, Tulane University Health Sciences Center, New Orleans, Louisiana</wicri:regionArea>
<placeName><region type="state">Louisiane</region>
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<series><title level="j">Environmental Health Perspectives</title>
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<front><div type="abstract" xml:lang="en"><p>The northeast Nile Delta region exhibits a high incidence of early-onset pancreatic cancer. It is well documented that this region has one of the highest levels of pollution in Egypt. Epidemiologic studies have suggested that cadmium, a prevalent pollutant in the northeast Nile Delta region, plays a role in the development of pancreatic cancer.</p>
<p>O<sc>bjective</sc>
: We aimed to assess serum cadmium levels as markers of exposure in pancreatic cancer patients and noncancer comparison subjects from the same region in Egypt.</p>
<p>D<sc>esign and Participants</sc>
: We assessed serum cadmium levels of 31 newly diagnosed pancreatic cancer patients and 52 hospital comparison subjects from Mansoura, Egypt.</p>
<p>E<sc>valuation/Measurements</sc>
: Serum cadmium levels were measured using a novel immunoassay procedure.</p>
<p>R<sc>esults</sc>
: We found a significant difference between the mean serum cadmium levels in patients versus comparison subjects (mean ± SD, 11.1 ± 7.7 ng/mL vs. 7.1 ± 5.0 ng/mL, respectively; <italic>p</italic>
= 0.012) but not in age, sex, residence, occupation, or smoking status. The odds ratio (OR) for pancreatic cancer risk was significant for serum cadmium level [OR = 1.12; 95% confidence interval (CI), 1.04–1.23; <italic>p</italic>
= 0.0089] and farming (OR = 3.25; 95% CI, 1.03–11.64; <italic>p</italic>
= 0.0475) but not for age, sex, residence, or smoking status.</p>
<p>C<sc>onclusions</sc>
: The results from this pilot study suggest that pancreatic cancer in the East Nile Delta region is significantly associated with high levels of serum cadmium and farming.</p>
<p>R<sc>elevance to</sc>
C<sc>linical</sc>
P<sc>ractice</sc>
/P<sc>ublic</sc>
H<sc>ealth</sc>
: Future studies should further investigate the etiologic relationship between cadmium exposure and pancreatic carcinogenesis in cadmium-exposed populations.</p>
</div>
</front>
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<author><name sortKey="Stanley, Dj" uniqKey="Stanley D">DJ Stanley</name>
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<author><name sortKey="Park, R" uniqKey="Park R">R Park</name>
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<author><name sortKey="Marmor, M" uniqKey="Marmor M">M Marmor</name>
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<author><name sortKey="Maizlish, N" uniqKey="Maizlish N">N Maizlish</name>
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<author><name sortKey="Mirer, F" uniqKey="Mirer F">F Mirer</name>
</author>
</analytic>
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<author><name sortKey="El Ghawalby, N" uniqKey="El Ghawalby N">N El-Ghawalby</name>
</author>
<author><name sortKey="Ezzat, F" uniqKey="Ezzat F">F Ezzat</name>
</author>
<author><name sortKey="Bondy, Ml" uniqKey="Bondy M">ML Bondy</name>
</author>
<author><name sortKey="Soultan, A" uniqKey="Soultan A">A Soultan</name>
</author>
<author><name sortKey="Abdel Wahab, M" uniqKey="Abdel Wahab M">M Abdel-Wahab</name>
</author>
</analytic>
</biblStruct>
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</author>
<author><name sortKey="Kleiner, He" uniqKey="Kleiner H">HE Kleiner</name>
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<author><name sortKey="Shen, J" uniqKey="Shen J">J Shen</name>
</author>
<author><name sortKey="Eissa, S" uniqKey="Eissa S">S Eissa</name>
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<author><name sortKey="Seifeldin, I" uniqKey="Seifeldin I">I Seifeldin</name>
</author>
</analytic>
</biblStruct>
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<author><name sortKey="Wegman, Dh" uniqKey="Wegman D">DH Wegman</name>
</author>
</analytic>
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</author>
<author><name sortKey="Pramar, Yv" uniqKey="Pramar Y">YV Pramar</name>
</author>
<author><name sortKey="Heyer, Lr" uniqKey="Heyer L">LR Heyer</name>
</author>
<author><name sortKey="Steward, Cm" uniqKey="Steward C">CM Steward</name>
</author>
</analytic>
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<biblStruct><analytic><author><name sortKey="Waalkes, Mp" uniqKey="Waalkes M">MP Waalkes</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Waalkes, Mp" uniqKey="Waalkes M">MP Waalkes</name>
</author>
<author><name sortKey="Coogan, Tp" uniqKey="Coogan T">TP Coogan</name>
</author>
<author><name sortKey="Barter, Ra" uniqKey="Barter R">RA Barter</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Wormser, U" uniqKey="Wormser U">U Wormser</name>
</author>
<author><name sortKey="Calp, D" uniqKey="Calp D">D Calp</name>
</author>
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<li>États-Unis</li>
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<region><li>Louisiane</li>
<li>Michigan</li>
<li>Texas</li>
</region>
</list>
<tree><noCountry><name sortKey="Hamilton, Stanley R" sort="Hamilton, Stanley R" uniqKey="Hamilton S" first="Stanley R." last="Hamilton">Stanley R. Hamilton</name>
</noCountry>
<country name="États-Unis"><region name="Louisiane"><name sortKey="Kriegel, Alison M" sort="Kriegel, Alison M" uniqKey="Kriegel A" first="Alison M." last="Kriegel">Alison M. Kriegel</name>
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<name sortKey="Blake, Diane A" sort="Blake, Diane A" uniqKey="Blake D" first="Diane A." last="Blake">Diane A. Blake</name>
<name sortKey="Lacey, Michelle R" sort="Lacey, Michelle R" uniqKey="Lacey M" first="Michelle R." last="Lacey">Michelle R. Lacey</name>
<name sortKey="Soliman, Amr S" sort="Soliman, Amr S" uniqKey="Soliman A" first="Amr S." last="Soliman">Amr S. Soliman</name>
<name sortKey="Zhang, Qing" sort="Zhang, Qing" uniqKey="Zhang Q" first="Qing" last="Zhang">Qing Zhang</name>
</country>
<country name="Égypte"><noRegion><name sortKey="El Ghawalby, Nabih" sort="El Ghawalby, Nabih" uniqKey="El Ghawalby N" first="Nabih" last="El-Ghawalby">Nabih El-Ghawalby</name>
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<name sortKey="Abdel Wahab, Mohamed" sort="Abdel Wahab, Mohamed" uniqKey="Abdel Wahab M" first="Mohamed" last="Abdel-Wahab">Mohamed Abdel-Wahab</name>
<name sortKey="Bassiouni, Nadia" sort="Bassiouni, Nadia" uniqKey="Bassiouni N" first="Nadia" last="Bassiouni">Nadia Bassiouni</name>
<name sortKey="Ebidi, Gamal" sort="Ebidi, Gamal" uniqKey="Ebidi G" first="Gamal" last="Ebidi">Gamal Ebidi</name>
<name sortKey="Ezzat, Farouk" sort="Ezzat, Farouk" uniqKey="Ezzat F" first="Farouk" last="Ezzat">Farouk Ezzat</name>
<name sortKey="Fathy, Omar" sort="Fathy, Omar" uniqKey="Fathy O" first="Omar" last="Fathy">Omar Fathy</name>
<name sortKey="Soultan, Ahmed" sort="Soultan, Ahmed" uniqKey="Soultan A" first="Ahmed" last="Soultan">Ahmed Soultan</name>
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</record>
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