Evidence map›Paper›PMID 22945569›Full record

ReviewExperientia supplementum (2012)

Heavy metal toxicity and the environment.

Paul B Tchounwou, Clement G Yedjou, Anita K Patlolla, Dwayne J Sutton

Registry-linked trialAbstract readReview
In one paragraph

Review in Experientia supplementum (2012). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03495492 (Dermal Chelation Lowers White Blood Cell Count in Chronic Lymphocytic Leukemia), which is not on this map. Cited by 1,615 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,615citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03495492 naunknown statusnot on this map

Dermal Chelation Lowers White Blood Cell Count in Chronic Lymphocytic Leukemia

TypeinterventionalSponsorOptimum Health, Natural Healthcare CenterRan2018 to 2019Enrolled50ConditionsChronic Lymphocytic LeukemiaArmsDermal Chelation, Nutritional Therapy
3 · Its place in the literature

Who cites it

1,615 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Airborne contaminant exposure and bone development: a systematic review and meta-analysis.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Platinum accumulation in chemotherapy: toxicity mechanisms, challenges, and mitigation strategies.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

1,555 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Paul B TchounwouNIH-RCMI Center for Environmental Health, College of Science, Engineering and Technology, Jackson State University, 1400 Lynch Street, 18750, Jackson, MS, 39217, USA, paul.b.tchounwou@jsums.edu.
Clement G Yedjou
Anita K Patlolla
Dwayne J Sutton

Funding

TRANSCRIPTOMICS OF GIARDIA LAMBLIAG12RR013459 · NCRR · JACKSON STATE UNIVERSITY · PI GAO, RUOMEI · 1998 to 2011
$18.0M
RCMI-Center for Environmental HealthG12MD007581 · NIMHD · JACKSON STATE UNIVERSITY · PI TCHOUNWOU, PAUL B. · 2012 to 2017
$11.2M
NCRR NIH HHS 2G12RR013459NCRR NIH HHS G12 RR013459NIMHD NIH HHS G12 MD007581
6 · The paper itself

Abstract

Heavy metals are naturally occurring elements that have a high atomic weight and a density at least five times greater than that of water. Their multiple industrial, domestic, agricultural, medical, and technological applications have led to their wide distribution in the environment, raising concerns over their potential effects on human health and the environment. Their toxicity depends on several factors including the dose, route of exposure, and chemical species, as well as the age, gender, genetics, and nutritional status of exposed individuals. Because of their high degree of toxicity, arsenic, cadmium, chromium, lead, and mercury rank among the priority metals that are of public health significance. These metallic elements are considered systemic toxicants that are known to induce multiple organ damage, even at lower levels of exposure. They are also classified as human carcinogens (known or probable) according to the US Environmental Protection Agency and the International Agency for Research on Cancer. This review provides an analysis of their environmental occurrence, production and use, potential for human exposure, and molecular mechanisms of toxicity, genotoxicity, and carcinogenicity.

Indexed as

AnimalsCarcinogensEnvironmental ExposureEnvironmental PollutantsHeavy Metal PoisoningHumansMetals, HeavyPoisoningCarcinogensEnvironmental PollutantsMetals, Heavy

Identifiers

PMID22945569
PMCPMC4144270

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.