Evidence map›Paper›PMID 38347295›Full record

SynthesisBiometals : an international journal on the role of metal ions in biology, biochemistry, and medicine2024

Heavy metals in biological samples of cancer patients: a systematic literature review.

Donatella Coradduzza, Antonella Congiargiu, Emanuela Azara, Ismaeil Mohammed Abulkahar Mammani, Maria Rosaria De Miglio, Angelo Zinellu, Ciriaco Carru, Serenella Medici

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07383454 (Lung Cancer Screening in Population Who Had Never Smoked and the Validation of Lung Cancer Risk Prediction Model), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
21.7field-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.

NCT07383454 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Lung Cancer Screening in Population Who Had Never Smoked and the Validation of Lung Cancer Risk Prediction Model

TypeinterventionalSponsorChung Shan Medical UniversityRan2026 to 2034Enrolled2,500ConditionsLung Cancer (Diagnosis), Non-Small Cell Lung Cancer, Small Cell Carcinoma of Lung, Screening StrategyArmsLow dose computed tomography
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Chelation treatment in a novel sub-toxic multi-metal model in rats.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Article
  3. The role of metals in cancer and the use of metal chelators as a potential treatment strategy.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Review
  4. Heavy metal levels in malignant salivary gland tumours: a case-control study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  5. Article
  6. Circulating CD28Journal of translational medicine · 2026
    Article
  7. Article
  8. Genetic Polymorphisms and Antioxidant Reactions in Prostate Cancer.International journal of molecular sciences · 2026
    Review
  9. Assessment of metal exposure in fingernails of patients with nasopharyngeal cancer: a case study in Vietnamese men.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. A Heavy Metal and Trace Element Biomonitoring Study in a Young Cohort (Aged 18-24) in Istanbul, Turkey.International journal of environmental research and public health · 2026
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

8 authors at 3 institutions in 2 countries.

Donatella CoradduzzaDepartment of Biomedical Sciences, University of Sassari, Viale San Pietro 43/B, 07100, Sassari, Italy. donatella.coradduzza0@gmail.com.
Antonella CongiargiuDepartment of Biomedical Sciences, University of Sassari, Viale San Pietro 43/B, 07100, Sassari, Italy.
Emanuela AzaraInstitute of Biomolecular Chemistry, National Research Council, Sassari, Italy.
Ismaeil Mohammed Abulkahar MammaniCollege of Health Sciences, University of Duhok, Duhok, Iraq.
Maria Rosaria De MiglioDepartment of Medical, Surgery and Experimental Sciences, University of Sassari, Sassari, Italy.
Angelo ZinelluDepartment of Biomedical Sciences, University of Sassari, Viale San Pietro 43/B, 07100, Sassari, Italy.
Ciriaco CarruDepartment of Biomedical Sciences, University of Sassari, Viale San Pietro 43/B, 07100, Sassari, Italy. carru@uniss.com.
Serenella MediciDepartment of Chemistry and Pharmacy, University of Sassari, Vienna 2, 07100, Sassari, Italy.
University of Sassari · ITNational Research Council · ITUniversity of Duhok · IQ

Funding

This research was funded by FAR 2019 of Serenella Medici and Ciriaco Carru FAR 2019
6 · The paper itself

Abstract

The majority of the so-called heavy metals are suspected to be involved in a number of pathologies and play a role in human carcinogenesis. Some of them (i.e. arsenic (As), cadmium (Cd), chromium (Cr), lead (Pb), mercury (Hg) and nickel (Ni)) have been defined as carcinogens, increasing the susceptibility of tumor development and progression in humans. Moreover, Ni, Cr, Cd, Hg, and Pb together with zinc (Zn) and iron (Fe), may be capable of stimulating the progression of breast cancer and reducing a patient's sensitivity to treatment through alterations to DNA methylation. In patients with gastric cancers, levels of various heavy metals are augmented and hypothesized to amplify the expression of the human epidermal growth factor receptor type 2 gene. Cd may increase the risk of lung cancer development and have a negative impact on the overall survival of lung cancer patients. To investigate the relation between heavy metals in biological samples and risk, occurrence and survival cancer individuals, a comprehensive review work was performed, with a focus on breast, lung, prostate and gastric cancers. An extensive search strategy was devised to ensure relevant literature could be identified, with the PECO framework being adopted to facilitate this and identify key search terms. As evidenced in this review, there is substantial data to support the hypothesis that heavy metals influence tumor development and progression. Unluckily the number of papers dealing with the determination of metals directly in samples from cancer tissues is still rather limited, so we decided to expand the scope of this review also to analyses carried out on other biological samples, as urine, plasma, hair, nail, etc. The studies reviewed showed that several limitations and current knowledge gaps are present in the literature that require further investigation to improve our comprehension of the impact of different heavy metals on tumorigenesis.

Indexed as

Metals, HeavyNeoplasmsStomach NeoplasmsArsenicBreast NeoplasmsCadmiumChromiumFemaleHumansLung NeoplasmsMaleProstatic NeoplasmsArsenicCadmiumChromiumMetals, HeavyBreast cancerGastric cancerHeavy metalsLung cancerProstate cancerTrace elements

Identifiers

PMID38347295
PMCPMC11254964
OpenAlexW4391743232

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.