Evidence map›Paper›PMID 29592863›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2018

Cadmium in tobacco smokers: a neglected link to lung disease?

Koustav Ganguly, Bettina Levänen, Lena Palmberg, Agneta Åkesson, Anders Lindén

Open access · diamondAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 2 syntheses or guidelines pooled it, 178 citations in OpenAlex.

  1. Pooled it
  2. Toxic metal exposure as a possible risk factor for COVID-19 and other respiratory infectious diseases.Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2020
    Pooled it
  3. Article
  4. Cadmium toxicity-related metabolic bone disease: a clinical conundrum of five cases.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  11. Review
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  14. Dietary influence on lung injury and immune modulation in cadmium-exposed mice.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  15. Article
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Koustav GangulyUnit for Lung and Airway Research, Institute of Environmental Medicine (IMM), Karolinska Institutet, Stockholm, Sweden.
Bettina LevänenUnit for Lung and Airway Research, Institute of Environmental Medicine (IMM), Karolinska Institutet, Stockholm, Sweden.
Lena PalmbergUnit for Lung and Airway Research, Institute of Environmental Medicine (IMM), Karolinska Institutet, Stockholm, Sweden.
Agneta ÅkessonUnit of Nutritional Epidemiology, Institute of Environmental Medicine (IMM), Karolinska Institutet, Stockholm, Sweden.
Anders LindénUnit for Lung and Airway Research, Institute of Environmental Medicine (IMM), Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cadmium in tobacco smoke may contribute to the development of pulmonary emphysema. However, there is poor understanding of the mechanisms behind the pathogenic role of cadmium in this and other smoking-related lung diseases. The traditional focus on the total body burden of cadmium, estimated through analysis of urine, may not fully reflect the local burden of cadmium, since it is inhaled by smokers. Thus, assessing the local accumulation of cadmium in the lungs appears more relevant, given that there is tissue-specific retention of cadmium.In this review, we outline the principal sources of cadmium exposure and the clinical effects of occupational exposure. In addition, we review evidence on local cadmium and its association with alterations in innate immunity in tobacco smokers. Moreover, we scrutinise the data on cadmium as a cause of lung disease in translational models.We conclude that cadmium may contribute to smoking-related lung diseases, possibly

Indexed as

AnimalsBody BurdenCadmiumFood ContaminationHumansInhalation ExposureLungLung DiseasesOccupational ExposureRisk AssessmentRisk FactorsSmokeTobacco SmokingCadmiumSmoke

Identifiers

PMID29592863
PMCPMC9488953
OpenAlexW2794681534

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.