Evidence map›Paper›PMID 30783770›Full record

ArticleEnvironmental monitoring and assessment2019

Refined assessment of heavy metal-associated health risk due to the consumption of traditional animal medicines in humans.

Tian-Tian Zuo, Yao-Lei Li, Huai-Zhen He, Hong-Yu Jin, Lei Zhang, Lei Sun, Fei Gao, Qi Wang, Yuan-Jun Shen, Shuang-Cheng Ma and 1 more

Abstract read
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In one paragraph

Article in Environmental monitoring and assessment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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.

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

16 citing papers in PubMed.

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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

11 authors.

Tian-Tian ZuoXi'an Jiaotong University, No. 28 Xianning Xi Road, Xi'an, 710049, Shanxi, China.
Yao-Lei LiNational Institutes for Food and Drug Control, No. 2 Tiantan Xili, Dongcheng District, Beijing, 100050, China.
Huai-Zhen HeXi'an Jiaotong University, No. 28 Xianning Xi Road, Xi'an, 710049, Shanxi, China.
Hong-Yu JinNational Institutes for Food and Drug Control, No. 2 Tiantan Xili, Dongcheng District, Beijing, 100050, China.
Lei ZhangChina National Center for Food Safety Risk Assessment, Beijing, China.
Lei SunNational Institutes for Food and Drug Control, No. 2 Tiantan Xili, Dongcheng District, Beijing, 100050, China.
Fei GaoNational Institutes for Food and Drug Control, No. 2 Tiantan Xili, Dongcheng District, Beijing, 100050, China.
Qi WangNational Institutes for Food and Drug Control, No. 2 Tiantan Xili, Dongcheng District, Beijing, 100050, China.
Yuan-Jun ShenCollege of Pharmacy, University of Rhode Island, South Kingstown, RI, 02881, USA.
Shuang-Cheng MaNational Institutes for Food and Drug Control, No. 2 Tiantan Xili, Dongcheng District, Beijing, 100050, China. masc@nifdc.org.cn.
Lang-Chong HeXi'an Jiaotong University, No. 28 Xianning Xi Road, Xi'an, 710049, Shanxi, China. helc@mail.xjtu.edu.cn.

Funding

Project for Medicine and Medical Instruments Review and Approval System Reform ZG2016-1Significant New Drugs Development 2014ZX09304307-002
6 · The paper itself

Abstract

Little is known about the extent of heavy metal accumulation in traditional Chinese medicines (TCMs). In this study, the levels of lead (Pb), cadmium (Cd), arsenic (As), and mercury (Hg) in traditional animal medicines were monitored using inductively coupled plasma mass spectroscopy (ICP-MS). Additionally, for the first time, a heavy metal risk assessment strategy was used to evaluate the potential risks of traditional animal medicines by calculating estimated daily intake (EDI), target hazard quotient (THQ), and cancer risk (CR). To obtain a refined risk assessment, the frequency of exposure to traditional animal medicines was determined from questionnaire data, and the safe factor for TCM was applied. Based on the standard levels for leech, it was found that earthworm, hive, scorpion, and leech accumulated high levels of heavy metals. The combined THQ (cTHQ) values indicated that ingestion of most traditional animal medicines would not pose a risk to the health of either male or female human beings. However, it was indicated that attention should be paid to the potential risk associated with cicada slough, earthworm, scorpion, turtle shells, and hive. Among heavy metals, As and Hg contributed to a major extent to the risk to human health. The CR assessment for Pb and As indicated that, with the exception of earthworm, the cancer risk was less than the acceptable lifetime risk for both males and females. Owing to the higher body weight, both THQ and CR were generally lower for males than for females.

Indexed as

Medicine, Chinese TraditionalAnimalsArsenicEnvironmental MonitoringFemaleHumansMaleMateria MedicaMetals, HeavyRisk AssessmentArsenicMateria MedicaMetals, HeavyCancer risk (CR)Estimated daily intake (EDI)Heavy metalsRisk assessmentTarget hazard quotient (THQ)Traditional animal medicine

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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.