Abstract
The role of heavy metals and trace elements (HMTE) in the development of some cancers has been previously reported. Bladder carcinoma is a frequent malignancy of the urinary tract. The most common risk factors for bladder cancer are exposure to industrial carcinogens, cigarette smoking, gender, and possibly diet. The aim of this study was to evaluate HTME concentrations in the cancerous and adjacent non-cancerous tissues and compare them with those of normal cadaveric bladder. This prospective study included 102 paired samples of full-thickness cancer and adjacent non-cancerous bladder tissues of radical cystectomy (RC) specimens that were histologically proven as invasive bladder cancer (MIBC). We used 17 matched controls of non-malignant bladder tissue samples from cadavers. All samples were processed and evaluated for the concentration of 22 HMTE by using Inductively Coupled Plasma Optical Emission Spectrometry (ICP-OES). Outcome analysis was made by the Mann-Whitney U, chi-square, Kruskal-Wallis, and Wilcoxon signed ranks tests. When compared with cadaveric control or cancerous, the adjacent non-cancerous tissue had higher levels of six elements (arsenic, lead, selenium, strontium, zinc, and aluminum), and when compared with the control alone, it had a higher concentration of calcium, cadmium, chromium, potassium, magnesium, and nickel. The cancerous tissue had a higher concentration of cadmium, lead, chromium, calcium, potassium, phosphorous, magnesium, nickel, selenium, strontium, and zinc than cadaveric control. Boron level was higher in cadaveric control than cancerous and adjacent non-cancerous tissue. Cadmium level was higher in cancerous tissue with node-positive than node-negative cases. The high concentrations of cadmium, lead, chromium, nickel, and zinc, in the cancerous together with arsenic in the adjacent non-cancerous tissues of RC specimens suggest a pathogenic role of these elements in BC. However, further work-up is needed to support this conclusion by the application of these HMTE on BC cell lines.
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Abbreviations
- HTME:
-
Heavy metals and trace elements
- UC:
-
Urothelial carcinoma
- SCC:
-
Squamous cell carcinoma
- ICP-OES:
-
Inductively coupled plasma optical emission spectrometry
- RC:
-
Radical cystectomy
- BC:
-
Bladder cancer
- MIBC:
-
Muscle invasive bladder cancer
References
MacVicar AD (2000) Bladder cancer staging. BJU Int 86:111–122
Wynder EL, Goldsmith R (1977) The epidemiology of bladder cancer: a second look. Cancer 40:1246–1268
Zeegers MP, Kellen E, Buntinx F, van den Brandt PA (2004) The association between smoking, beverage consumption, diet and bladder cancer: a systematic literature review. World J Urol 21:392–401
Cole P, Hoover R, Friedell GH (1972) Occupation and cancer of the lower urinary tract. Cancer 29:1250–1260
Golka K, Wiese A, Assennato G, Bolt HM (2004) Occupational exposure and urological cancer. World J Urol 21:382–391
Volanis D, Kadiyska T, Galanis A, Delakas D, Logotheti S, Zoumpourlis V (2010) Environmental factors and genetic susceptibility promote urinary bladder cancer. Toxicol Lett 193:131–137
Morales KH, Ryan L, Kuo TL, Wu MM, Chen CJ (2000) Risk of internal cancers from arsenic in drinking water. Environ Health Perspect 108:655–661
Guo KF, Zhang Z, Wang JY, Gao SL, Liu J, Zhan B, Chen ZP, Kong CZ (2012) Variation of urinary and serum trace elements (Ca, Zn, Cu, Se) in bladder carcinoma in China. Asian Pac J Cancer Prev 13:2057–2061
Dawood SD, Ashoor ZF (2010) A study of serum zinc, iron, selenium, and copper levels in patients with bladder cancer. Iraqi J Cancer Med Genet 3:40–45
Gecit I, Kavak S, Demir H, Gunes M, Pirincci N, Cetin C, Ceylan K, Benli E, Yildiz I (2011) Serum trace element levels in patients with bladder cancer. Asian Pac J Cancer Prev 12:3409–3413
Golabek T, Darewicz B, Borawska M, Socha K, Markiewicz R, Kudelski J (2012) Copper, zinc, and Cu/Zn ratio in transitional cell carcinoma of the bladder. Urol Int 89:342–347
Feki-Tounsi M, Olmedo P, Gil F, Mhiri MN, Rebai A, Hamza-Chaffai A (2014) Trace metal quantification in bladder biopsies from tumoral lesions of Tunisian cancer and controls subjects. Environ Sci Pollut Res Int 21:11433–11438
Axtell CD, Ward EM, McCabe GP, Schulte PA, Stern FB, Glickman LT (1998) Underlying and multiple cause mortality in a cohort of workers exposed to aromatic amines. Am J Ind Med 34:506–511
Golabek T, Darewicz B, Borawska M, Markiewicz R, Socha K, Kudelski J (2009) Lead concentration in the bladder tissue and blood of patients with bladder cancer. Scand J Urol Nephrol 43:467–470
Golabek T, Darewicz B, Kudelski J, Socha K, Markiewicz-Zukowska R, Chlosta P, Okoń K, Borawska M (2014) Cadmium in urothelial carcinoma of the bladder. Pol J Pathol 65:55–59
Jensen TJ, Wozniak RJ, Eblin KE, Wnek SM, Gandolfi AJ, Futscher BW (2009) Epigenetic mediated transcriptional activation of WNT5A participates in arsenical-associated malignant transformation. Toxicol Appl Pharmacol 235:39–46
Kellen E, Zeegers MP, Hond ED, Buntinx F (2007) Blood cadmium may be associated with bladder carcinogenesis: the Belgian case-control study on bladder cancer. Cancer Detect Prev 31:77–82
Darewicz G, Malczyk E, Darewicz J (1998) Investigations of urinary cadmium content in patients with urinary bladder carcinoma. Int Urol Nephrol 30:137–139
Amaral AF, Cymbron T, Gärtner F, Lima M, Rodrigues AS (2009) Trace metals and over-expression of metallothioneins in bladder tumoral lesions: a case-control study. BMC Vet Res 5:24
Amaral AF, Cantor KP, Silverman DT, Malats N (2010) Selenium and bladder cancer risk: a meta-analysis. Cancer Epidemiol Biomark Prev 19:2407–2415
Korgali E, Dundar G, Coşkun KA, Akyol M, Tutar Y, Ayan S, Gokce G, Gültekin EY (2014) Effect of strontium chloride on experimental bladder inflammation in rat. Int Sch Res Not 2014:6
Theriault G, Tremblay C, Cordier S, Gingras S (1984) Bladder cancer in the aluminum industry. Lancet 1:947–950
Taiwo OA, Slade MD, Cantley LF, et al. (2015) Bladder cancer in aluminum smelter workers. JOEM 57:421–427
Capiod T, Shuba Y, Skryma R, Prevarskaya N (2007) Calcium signaling and cancer cell growth. Subcell Biochem 45:405–427
Englander V, Sjöberg A, Hagmar L, Attewell R, Schütz A, Möller T, Skerfving S (1988) Mortality and cancer morbidity in workers exposed to sulphur dioxide in a sulphuric acid plant. Int Arch Occup Environ Health 61:157–162
Wei J, Cheang T, Tang B, Xia H, Xing Z, Chen Z, Fang Y, Chen W, Xu A, Wang S, Luo J (2013) The inhibition of human bladder cancer growth by calcium carbonate/CaIP6 nanocomposite particles delivering AIB1 siRNA. Biomaterials 34:1246–1254
Mao S, Huang S (2013) Zinc and copper levels in bladder cancer: a systematic review and meta-analysis. Biol Trace Elem Res 153:5–10
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Abdel-Gawad, M., Elsobky, E., Shalaby, M.M. et al. Quantitative Evaluation of Heavy Metals and Trace Elements in the Urinary Bladder: Comparison Between Cancerous, Adjacent Non-cancerous and Normal Cadaveric Tissue. Biol Trace Elem Res 174, 280–286 (2016). https://doi.org/10.1007/s12011-016-0724-1
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DOI: https://doi.org/10.1007/s12011-016-0724-1