Plasma Nickel Levels Correlate with Low Muscular Strength and Renal Function Parameters in Patients with Prostate Cancer

Nickel is associated with cancer in occupational exposure. However, few studies have been devoted to analyzing the effects of nickel at environmental concentrations in cancer patients. In this work, the concentration of nickel in blood samples from patients with prostate cancer (PCa) was evaluated b...

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Main Authors: Antoni Alegre-Martínez, María Isabel Martínez-Martínez, José Rubio-Briones, Omar Cauli
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Diseases
Subjects:
Online Access:https://www.mdpi.com/2079-9721/10/3/39
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author Antoni Alegre-Martínez
María Isabel Martínez-Martínez
José Rubio-Briones
Omar Cauli
author_facet Antoni Alegre-Martínez
María Isabel Martínez-Martínez
José Rubio-Briones
Omar Cauli
author_sort Antoni Alegre-Martínez
collection DOAJ
description Nickel is associated with cancer in occupational exposure. However, few studies have been devoted to analyzing the effects of nickel at environmental concentrations in cancer patients. In this work, the concentration of nickel in blood samples from patients with prostate cancer (PCa) was evaluated because this metal displays androgenic and estrogenic effects that play a crucial role in prostate carcinogenesis and treatment. We, therefore, compared blood nickel concentration in patients with PCa (non-occupationally exposed) (<i>n</i> = 46) with those in control age-matched individuals (<i>n</i> = 46). We also analyzed if there was any association between sociodemographic factors, clinical variables, geriatric evaluation assessment results, blood cell counts, or biochemical, androgen and estrogen concentrations. Using inductively coupled plasma-mass spectroscopy on the plasma samples, we observed a mean nickel level of 4.97 ± 1.20 µg/L in the PCa group and 3.59 ± 0.49 µg/L in the control group, with a non-significant effect (<i>p</i> = 0.293) between the two groups. The nickel concentration was significantly correlated with patient age (<i>p</i> = 0.005) and reduced handgrip strength (<i>p</i> = 0.003). Regarding biochemical parameters, significant associations were found with the renal glomerular filtration rate (<i>p</i> = 0.024) and blood urea levels (<i>p</i> = 0.016). No significant correlations were observed with other blood analytical parameters or testosterone or estradiol levels. These specific renal function and muscle strength effects were observed at environmental nickel exposure levels believed to be safe or at least far from the high concentrations observed after occupational exposure. Therefore, these parameters deserve further study, given that they could help pinpoint further public health concerns regarding nickel exposure in the general population.
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spelling doaj.art-85e5b829bf874463a54294a0614ca9362023-11-23T15:51:31ZengMDPI AGDiseases2079-97212022-06-011033910.3390/diseases10030039Plasma Nickel Levels Correlate with Low Muscular Strength and Renal Function Parameters in Patients with Prostate CancerAntoni Alegre-Martínez0María Isabel Martínez-Martínez1José Rubio-Briones2Omar Cauli3Frailty and Cognitive Impairment Organized Group (FROG), University of Valencia, 46010 Valencia, SpainFrailty and Cognitive Impairment Organized Group (FROG), University of Valencia, 46010 Valencia, SpainDepartment of Urology, Fundación Instituto Valenciano de Oncologia, 46009 Valencia, SpainFrailty and Cognitive Impairment Organized Group (FROG), University of Valencia, 46010 Valencia, SpainNickel is associated with cancer in occupational exposure. However, few studies have been devoted to analyzing the effects of nickel at environmental concentrations in cancer patients. In this work, the concentration of nickel in blood samples from patients with prostate cancer (PCa) was evaluated because this metal displays androgenic and estrogenic effects that play a crucial role in prostate carcinogenesis and treatment. We, therefore, compared blood nickel concentration in patients with PCa (non-occupationally exposed) (<i>n</i> = 46) with those in control age-matched individuals (<i>n</i> = 46). We also analyzed if there was any association between sociodemographic factors, clinical variables, geriatric evaluation assessment results, blood cell counts, or biochemical, androgen and estrogen concentrations. Using inductively coupled plasma-mass spectroscopy on the plasma samples, we observed a mean nickel level of 4.97 ± 1.20 µg/L in the PCa group and 3.59 ± 0.49 µg/L in the control group, with a non-significant effect (<i>p</i> = 0.293) between the two groups. The nickel concentration was significantly correlated with patient age (<i>p</i> = 0.005) and reduced handgrip strength (<i>p</i> = 0.003). Regarding biochemical parameters, significant associations were found with the renal glomerular filtration rate (<i>p</i> = 0.024) and blood urea levels (<i>p</i> = 0.016). No significant correlations were observed with other blood analytical parameters or testosterone or estradiol levels. These specific renal function and muscle strength effects were observed at environmental nickel exposure levels believed to be safe or at least far from the high concentrations observed after occupational exposure. Therefore, these parameters deserve further study, given that they could help pinpoint further public health concerns regarding nickel exposure in the general population.https://www.mdpi.com/2079-9721/10/3/39prostate cancerendocrine effectsmetalenvironmentestrogensandrogens
spellingShingle Antoni Alegre-Martínez
María Isabel Martínez-Martínez
José Rubio-Briones
Omar Cauli
Plasma Nickel Levels Correlate with Low Muscular Strength and Renal Function Parameters in Patients with Prostate Cancer
Diseases
prostate cancer
endocrine effects
metal
environment
estrogens
androgens
title Plasma Nickel Levels Correlate with Low Muscular Strength and Renal Function Parameters in Patients with Prostate Cancer
title_full Plasma Nickel Levels Correlate with Low Muscular Strength and Renal Function Parameters in Patients with Prostate Cancer
title_fullStr Plasma Nickel Levels Correlate with Low Muscular Strength and Renal Function Parameters in Patients with Prostate Cancer
title_full_unstemmed Plasma Nickel Levels Correlate with Low Muscular Strength and Renal Function Parameters in Patients with Prostate Cancer
title_short Plasma Nickel Levels Correlate with Low Muscular Strength and Renal Function Parameters in Patients with Prostate Cancer
title_sort plasma nickel levels correlate with low muscular strength and renal function parameters in patients with prostate cancer
topic prostate cancer
endocrine effects
metal
environment
estrogens
androgens
url https://www.mdpi.com/2079-9721/10/3/39
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