Article ; Online: Elucidating the link between thyroid cancer and mercury exposure: a review and meta-analysis.
Environmental science and pollution research international
2024 Volume 31, Issue 9, Page(s) 12841–12855
Abstract: Mercury (Hg) is a widely distributed and bioavailable metal of public health concern, with many known human toxicities, but data regarding mercury's influence on thyroid cancer (TC) is scarce. Mercury is known to impact several molecular pathways ... ...
Abstract | Mercury (Hg) is a widely distributed and bioavailable metal of public health concern, with many known human toxicities, but data regarding mercury's influence on thyroid cancer (TC) is scarce. Mercury is known to impact several molecular pathways implicated in carcinogenesis, and its proclivity for bioaccumulation in the thyroid suggests a potential modulatory effect. We conducted a literature/systematic review of studies between 1995-2022 intending to define better and establish relationships between these two entities, congregate the evidence for mercury's potential role in thyroid carcinogenesis, and identify populations of interest for further study. Insufficient evidence precludes definitive conclusions on dietary mercury as a TC risk factor; however, several common mechanisms affected by mercury are crucial for TC development, including biochemical, endocrine, and reactive oxygen species effects. Quantitative analysis revealed associations between TC risk and mercury exposure. In three mercury studies, average urine levels were higher in TC patients, with a mean difference of 1.86 µg/g creatinine (95% CI = 0.32-3.41). In two studies investigating exposure to elevated mercury levels, the exposed group exhibited a higher risk of developing TC, with a relative risk of 1.90 (95% CI = 1.76-2.06). In three thyroid tissue studies, mercury levels (ppm) were higher in TC patients, averaging 0.14 (0.06-0.22) in cancerous cases (N = 178) and 0.08 (0.04-0.11) in normal thyroids (N = 257). Our findings suggest an association between mercury exposure and TC risk, implying a possible predisposing factor. Further research is necessary to reveal the clinical relevance of dietary and environmental mercury exposures in TC pathogenesis. |
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MeSH term(s) | Humans ; Mercury/analysis ; Environmental Exposure/analysis ; Carcinogenesis ; Thyroid Neoplasms/chemically induced ; Thyroid Neoplasms/epidemiology |
Chemical Substances | Mercury (FXS1BY2PGL) |
Language | English |
Publishing date | 2024-01-26 |
Publishing country | Germany |
Document type | Meta-Analysis ; Journal Article ; Review |
ZDB-ID | 1178791-0 |
ISSN | 1614-7499 ; 0944-1344 |
ISSN (online) | 1614-7499 |
ISSN | 0944-1344 |
DOI | 10.1007/s11356-024-32031-8 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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