Heavy metals and metalloids exposure and liver function in Chinese adults - A nationally representative cross-sectional study

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved..

BACKGROUND: In China, the effects of heavy metals and metalloids (HMMs) on liver health are not consistently documented, despite their prevalent environmental presence.

OBJECTIVE: Our research assessed the association between HMMs and liver function biomarkers in a comprehensive sample of Chinese adults.

METHODS: We analyzed data from 9445 participants in the China National Human Biomonitoring survey. Blood and urine were evaluated for HMM concentrations, and liver health was gauged using serum albumin (ALB), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) metrics. Various statistical methods were employed to understand the relationship between 11 HMMs and liver function, adjusting for multiple factors. We also explored interactions with alcohol intake, gender, and age.

RESULTS: Among HMMs, selenium in blood [weighted geometric mean (GM) = 95.56 μg/L] and molybdenum in urine (GM = 46.44 μg/L) showed the highest concentrations, while lead in blood (GM = 21.92 μg/L) and arsenic in urine (GM = 19.80 μg/L) had the highest levels among risk HMMs. Manganese and thallium consistently indicated potential risk factor to liver in both sample types, while selenium displayed potential liver protection. Blood HMM mixtures were negatively associated with ALB (β = -0.614, 95% CI: -0.809, -0.418) and positively with AST (β = 0.701, 95% CI: 0.290, 1.111). No significant associations were found in urine HMM mixtures. Manganese, tin, nickel, and selenium were notable in blood mixture associations, with selenium and cobalt being significant in urine. The relationship of certain HMMs varied based on alcohol consumption.

CONCLUSION: This research highlights the complex relationship between HMM exposure and liver health in Chinese adults, particularly emphasizing metals like manganese, thallium, and selenium. The results suggest a need for public health attention to low dose HMM exposure and underscore the potential benefits of selenium for liver health. Further studies are essential to establish causality.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:252

Enthalten in:

Environmental research - 252(2024), Pt 2 vom: 20. März, Seite 118653

Sprache:

Englisch

Beteiligte Personen:

Wang, Shiyu [VerfasserIn]
Lyu, Yuebin [VerfasserIn]
Ji, Saisai [VerfasserIn]
Liu, Nankun [VerfasserIn]
Wu, Bing [VerfasserIn]
Zhao, Feng [VerfasserIn]
Li, Zheng [VerfasserIn]
Qu, Yingli [VerfasserIn]
Zhu, Yuanduo [VerfasserIn]
Xie, Linna [VerfasserIn]
Li, Yawei [VerfasserIn]
Zhang, Zheng [VerfasserIn]
Song, Haocan [VerfasserIn]
Hu, Xiaojian [VerfasserIn]
Qiu, Yidan [VerfasserIn]
Zheng, Xulin [VerfasserIn]
Zhang, Wenli [VerfasserIn]
Yang, Yanwei [VerfasserIn]
Li, Fangyu [VerfasserIn]
Cai, Jiayi [VerfasserIn]
Zhu, Ying [VerfasserIn]
Cao, Zhaojin [VerfasserIn]
Tan, Feng [VerfasserIn]
Shi, Xiaoming [VerfasserIn]

Links:

Volltext

Themen:

China national human Biomonitoring
Heavy metal
Journal Article
Liver function
Metalloids

Anmerkungen:

Date Revised 24.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.envres.2024.118653

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM37008473X