Investigation of imbalances in essential/toxic metal levels in the blood of laryngeal cancer patients in comparison with controls

Biometals. 2023 Feb;36(1):111-127. doi: 10.1007/s10534-022-00464-8. Epub 2022 Nov 12.

Abstract

Laryngeal carcinoma is one of the common types of head and neck cancer, with men being more likely than women to develop it. Diet, age, gender, smoking habits, and environmental factors play important roles in its development. The goal of this study was to ascertain if there were imbalances in essential and toxic trace metals owing to the initiation and progression of laryngeal cancer. Atomic absorption spectrometry was employed to quantify selected macroelements, and essential/toxic trace metals in blood of the cancerous patients and matching controls. Significantly higher concentrations of Pb, Cu, Fe, and Sr while substantially lower levels of Na, K, Ca, and Mg were observed in the cancer patients compared with the controls. Considerably disparate mutual relationships among the macroelements, and essential/toxic trace metals in the patients and controls were manifested by their correlation coefficients. Similarly, multivariate apportionment of the metal levels showed appreciably diverse associations and grouping in the patients and controls. The laryngeal cancer patients exhibited significant disparities in the metal levels among various sub-types (supraglottic, subglottic, transglottic, and glottic cancer) and stages (I, II, III, and IV) of the disease. Most of the metals revealed distinct differences based on the gender, habitat, age, eating preferences, and smoking habits in both donor groups. Overall, the study demonstrated significant imbalances among the macroelements, and essential/toxic trace metal levels in the blood of laryngeal cancer patients compared to the controls.

Keywords: Blood; FAAS; Laryngeal cancer; Pakistan; Toxic metal.

MeSH terms

  • Diet
  • Female
  • Humans
  • Laryngeal Neoplasms*
  • Male
  • Metals
  • Spectrophotometry, Atomic
  • Trace Elements* / analysis

Substances

  • Metals
  • Trace Elements