2021
DOI: 10.1371/journal.pone.0250744
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Association between urinary arsenic, blood cadmium, blood lead, and blood mercury levels and serum prostate-specific antigen in a population-based cohort of men in the United States

Abstract: Exposures to heavy metals have been linked to prostate cancer risk. The relationship of these exposures with serum prostate-specific antigen (PSA), a marker used for prostate cancer screening, is unknown. We examined whether total urinary arsenic, urinary dimethylarsonic acid, blood cadmium, blood lead, and total blood mercury levels are associated with elevated PSA among presumably healthy U.S. men. Prostate cancer-free men, aged ≥40 years, were identified from the 2003–2010 National Health and Nutrition Exam… Show more

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Cited by 15 publications
(17 citation statements)
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“…The PSA is mainly excreted from the normal epithelium of prostate tissue and its level rises slightly with age as the prostate gland grows bigger. However, a number of other factors can also affect PSA levels, including lifestyle and metal(loid) exposure [ 8 , 9 , 10 , 11 , 12 , 13 ].…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…The PSA is mainly excreted from the normal epithelium of prostate tissue and its level rises slightly with age as the prostate gland grows bigger. However, a number of other factors can also affect PSA levels, including lifestyle and metal(loid) exposure [ 8 , 9 , 10 , 11 , 12 , 13 ].…”
Section: Introductionmentioning
confidence: 99%
“…In addition, several of these metal(loid)s are recognized as endocrine disruptor chemicals (EDCs) [ 16 , 21 , 22 , 23 , 24 ] that interfere with estrogen and androgen signaling pathways affecting the expression of genes involved in the growth and the secretory function of the prostate gland and contributing to prostate carcinogenesis [ 25 , 26 ]. Although the scanty epidemiologic data available indicate a possible contribution of several individual metal(loid)s to an increased risk of prostate cancer, only a few studies investigated their contribution to the increased PSA levels in presumably healthy men [ 10 , 12 , 13 , 27 ].…”
Section: Introductionmentioning
confidence: 99%
“…Sociodemographic variables included age (year), poverty to income ratio, race/ethnicity (Mexican American, other Hispanic, non-Hispanic white, non-Hispanic black, others), an education level (less than high school, high school, more than high school), marital status (married, single, living with a partner). Variables of laboratory data included blood urea nitrogen (mmol/L), uric acid (umol/L), creatinine (umol/L) (41,49,50). The LX20 modular chemistry (BUNm) and timed endpoint method were used to quantitatively determine the concentration of blood urea nitrogen and uric acid in serum or plasma.…”
Section: Other Variablesmentioning
confidence: 99%
“…In order to verify our hypothesis, we explored the U.S. National Health and Nutrition Examination Survey (NHANES) for secondary analysis. According to previous articles (38)(39)(40)(41)(42)(43), we controlled the potential confounders including, age, race, education level, marital status, poverty to income ratio, BMI, alcohol drinks, smoking, diabetes, physical activity, blood urea nitrogen, uric acid, creatinine which might be related to both the exposure as well as the outcome. Then we constructed models to clarify the comprehensive relationship between the volatile organic compounds (VOCs) and prostate-specific antigen (PSA).…”
Section: Introductionmentioning
confidence: 99%
“…Toxicity from arsenic is currently a public health concern [8]. When arsenic is ingested, it causes skin hypo-pigmentation, peripheral vascular diseases such as black foot disease, gangrene, and high blood pressure [9].…”
Section: Introductionmentioning
confidence: 99%