Evidence map›Paper›PMID 34845007›Full record

ArticleBMJ open respiratory research2021

Trajectory of inhaled cadmium ultrafine particles in smokers.

Einat Fireman Klein, Ilan Klein, Omer Ephrat, Yoram Dekel, Aharon Kessel, Yochai Adir

Open access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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

6 authors at 1 institution in 1 country.

Einat Fireman Klein *B. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel einatfire@gmail.com.ORCID 0000-0001-8669-1874
Ilan Klein *B. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.
Omer EphratB. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.
Yoram DekelB. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.
Aharon KesselB. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.
Yochai AdirB. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.
Technion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTobacco smoking is a significant source of cadmium exposure among smokers. Most of inhaled heavy metals, including cadmium, are attached to ultrafine particles (UFPs) surface. A low inhaled UFP content in exhaled breath condensate reflects a high inflammatory status of airways. Increased respiratory epithelial permeability and translocation to the circulation is the proposed mechanism. UFP recovered from smokers' airways have high levels of cadmium compared with the airways of non-smokers.

methodsUrine was collected from 22 smokers subjects and 43 non-smokers. Samples were analysed for UFP and cadmium content. UFP were measured in urine samples by means of the NanoSight LM20 system (NanoSight, UK). A Niton XL3 X-ray fluorescence spectrometer analyzer (Thermo Fischer Scientific, Germany) quantified heavy metal contents in the urine samples.

resultsSmokers had elevated UFP and cadmium content in urine compared with non-smokers (4.6 E8/mL and 20.6 ppm vs 3.4 E8/mL and 18.5 ppm, p=0.05 and p=0.05, respectively). Smokers had elevated levels of lead and rubidium compared with non-smokers (8.9 ppm and 27 ppm vs 7.8 ppm and 2 ppm, p=0.05 and p=0.04, respectively) DISCUSSION: We suggest that the trajectory of cadmium-related UFP in smokers begins by its inhalation into the airways. The UFPs induce inflammation and oxidative stress in the small airways, are subsequently translocated from the interstitium to the circulation and are finally detected and secreted in urine.

Indexed as

CadmiumParticulate MatterGermanyHumansOxidative StressSmokersCadmiumParticulate Matterairway epitheliumexhaled airway markerstobacco and the lung

Identifiers

PMID34845007
PMCPMC8633997
OpenAlexW3217772157

What OpenQuestion holds

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Registered trials

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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.