Evidence map›Paper›PMID 41617951›Full record

ArticleScientific reports2026

Clinical relevance of tissue copper, selenium, and cadmium alterations in colorectal cancer.

Michał Kiełbus, Julia Wojnicka, Andrzej Prystupa, Grzegorz Józef Nowicki, Agnieszka Urbańczyk, Bartłomiej Prystupa, Paweł Kiciński, Wojciech Myśliński, Barbara Ślusarska, Agnieszka Szmagara and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Michał KiełbusDepartment of Biochemistry and Molecular Biology, MUL, 1 Chodźki Street, Lublin, 20- 093, Poland. michal.kielbus@umlub.pl.
Julia WojnickaDepartment of Pathobiochemistry and Interdisciplinary Applications of Ion Chromatography, Chair of Biomedical Sciences, MUL, 1 Chodźki Street, Lublin, 20-093, Poland.
Andrzej PrystupaDepartment of Family and Geriatric Nursing, MUL, 4 Staszica Street, Lublin, 20-081, Poland.
Grzegorz Józef NowickiDepartment of Family and Geriatric Nursing, MUL, 4 Staszica Street, Lublin, 20-081, Poland.
Agnieszka UrbańczykIndependent Public Health Care Centre in Puławy, 1 Józefa Bema Street, Puławy, 24-100, Poland.
Bartłomiej PrystupaMedical Students' Associations, Medical University of Lodz, Łódź, Poland, 90-419, al. Tadeusza Kościuszki 4.
Paweł KicińskiDepartment of Hematology and Bone Marrow Transplantation, Center of Oncology of the Lublin Region St. Jana z Dukli, 7 Jaczewskiego Street, Lublin, 20-090, Poland.
Wojciech MyślińskiDepartment of Family and Geriatric Nursing, MUL, 4 Staszica Street, Lublin, 20-081, Poland.
Barbara ŚlusarskaDepartment of Family and Geriatric Nursing, MUL, 4 Staszica Street, Lublin, 20-081, Poland.
Agnieszka SzmagaraInstitute of Biological Sciences, Department of Chemistry, The John Paul II, Catholic University of Lublin, 1J Konstantynow Street, Lublin, 20-708, Poland.
Anna BłażewiczDepartment of Pathobiochemistry and Interdisciplinary Applications of Ion Chromatography, Chair of Biomedical Sciences, MUL, 1 Chodźki Street, Lublin, 20-093, Poland. anna.blazewicz@umlub.pl.

Funding

Uniwersytet Medyczny w Lublinie DS 162Uniwersytet Medyczny w Lublinie DS 653
6 · The paper itself

Abstract

Imbalances in essential elements and altered levels of toxic elements are thought to play a role in colorectal cancer (CRC) development. This study assessed the concentrations of selected elements in CRC tissues and explored their associations with clinical parameters. Paired samples of tumor tissue and adjacent noncancerous tissue were collected from 62 patients with confirmed CRC. After microwave-assisted acid digestion, ten elements (Al, Cr, Mn, Fe, Ni, Cu, Zn, Se, Sr, Cd) were quantified using ICP-MS. Statistical analyses and machine-learning methods were applied to identify features discriminating clinical and demographic subgroups. Significant differences between tumor and healthy tissues were observed for Mn, Cu, Zn, Se, Sr, and Cd, with further variation linked to Tumor Node Metastasis (TNM) classification, clinical stage, and place of residence. Cadmium levels were higher in the healthy tissues of women (p_adj = 0.021), while selenium concentrations showed a decreasing trend with advancing disease (Stage I vs. III; p = 0.017, p_adj = 0.051). Boruta analysis identified lymph node status, TNM stage, and elevated tumor copper levels as key features associated with CRC. Elemental profiles in CRC tissues differ markedly from those in adjacent healthy tissues and exhibit meaningful associations with disease stage and sex. The distinctive copper pattern observed in tumor samples, together with clinical parameters, suggests that elemental profiling may complement standard diagnostic approaches and contribute to a deeper understanding of CRC biology.

Indexed as

CadmiumColorectal NeoplasmsCopperSeleniumAgedFemaleHumansMaleMiddle AgedNeoplasm StagingTrace ElementsCadmiumCopperSeleniumTrace ElementsBoruta algorithmCancer stagingColorectal cancer (CRC)Feature selectionMachine learningTrace elements

Identifiers

PMID41617951
PMCPMC12913983

What OpenQuestion holds

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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.