Evidence map›Paper›PMID 42353295›Full record

ReviewInternational journal of molecular sciences2026

The Thyroid Under Pressure: Heavy Metals, Endocrine Disruptors and Translational Insights into Carcinogenesis and Thyroid Dysfunctions.

Marco Capezzone, Gabriella Pellegriti, Anna Ronchi, Fiorenza Gianì, Andrea Corsello, Rosa Maria Paragliola

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Marco CapezzoneUOSD of Endocrinology, Misericordia Hospital, I-58100 Grosseto, Italy.ORCID 0000-0001-8624-5831
Gabriella PellegritiMedical Oncology, Department of Clinical and Experimental Medicine, University of Catania, I-95123 Catania, Italy.ORCID 0000-0001-6102-379X
Anna RonchiPavia Poison Control Centre-National Toxicology Information Centre-Clinical and Experimental Lab, Toxicology Unit, Istituti Clinici Scientifici Maugeri IRCCS, I-2700 Pavia, Italy.
Fiorenza GianìDepartment of Medicine and Surgery, "Kore" University, I-94100 Enna, Italy.
Andrea CorselloUnit of Endocrine Surgery, Ospedale Isola Tiberina-Gemelli Isola, I-00186 Rome, Italy.ORCID 0000-0001-8167-4338
Rosa Maria ParagliolaDepartmental Faculty of Medicine, UniCamillus-Saint Camillus International University of Health Sciences, I-00131 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The thyroid gland is particularly vulnerable to the effects of environmental pollutants, due to its high vascularization, dependence on iodine uptake, and intrinsic oxidative environment required for hormone biosynthesis. Therefore, environmental exposure to heavy metals (HMs) and endocrine-disrupting chemicals (EDCs) has emerged as a potential contributor to thyroid dysfunction and carcinogenesis. Despite increasing interest, the clinical relevance of these exposures remains incompletely defined. Available epidemiological data suggest heterogeneous associations across EDCs and HMs classes. While evidence is more consistent for some pollutants, for other compounds it remains limited. Furthermore, while experimental studies provide strong mechanistic support for the key pathways linking environmental exposure to thyroid dysfunction and carcinogenesis, the clinical interpretation of epidemiological data is constrained by important methodological limitations. This narrative review aims to integrate current epidemiological and experimental evidence on the role of HMs and EDCs in thyroid diseases, including both non-neoplastic disorders and thyroid cancer, examining their environmental distribution, exposure pathways, and biological effects.

Indexed as

CarcinogenesisEndocrine DisruptorsEnvironmental PollutantsMetals, HeavyThyroid DiseasesThyroid GlandThyroid NeoplasmsAnimalsEnvironmental ExposureHumansEndocrine DisruptorsEnvironmental PollutantsMetals, Heavyendocrine-disrupting chemicalsenvironmental pollutantsheavy metalsthyroidthyroid cancerthyroid dysfunction

Identifiers

PMID42353295
PMCPMC13300168

What OpenQuestion holds

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LicenceCC BY
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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.