Pallidal index as biomarker of manganese brain accumulation and associated with manganese levels in blood: a meta-analysis.

<h4>Objective</h4>The current study was designed to evaluate the sensitivity, feasibility, and effectiveness of the pallidal index (PI) serving as a biomarker of brain manganese (Mn) accumulation, which would be used as an early diagnosis criteria for Mn neurotoxicity.<h4>Methods&l...

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Main Authors: Shao-Jun Li, Li Jiang, Xue Fu, Shuang Huang, Yan-Ni Huang, Xiang-Rong Li, Jing-Wen Chen, Yong Li, Hai-Lan Luo, Fang Wang, Shi-Yan Ou, Yue-Ming Jiang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0093900&type=printable
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author Shao-Jun Li
Li Jiang
Xue Fu
Shuang Huang
Yan-Ni Huang
Xiang-Rong Li
Jing-Wen Chen
Yong Li
Hai-Lan Luo
Fang Wang
Shi-Yan Ou
Yue-Ming Jiang
author_facet Shao-Jun Li
Li Jiang
Xue Fu
Shuang Huang
Yan-Ni Huang
Xiang-Rong Li
Jing-Wen Chen
Yong Li
Hai-Lan Luo
Fang Wang
Shi-Yan Ou
Yue-Ming Jiang
author_sort Shao-Jun Li
collection DOAJ
description <h4>Objective</h4>The current study was designed to evaluate the sensitivity, feasibility, and effectiveness of the pallidal index (PI) serving as a biomarker of brain manganese (Mn) accumulation, which would be used as an early diagnosis criteria for Mn neurotoxicity.<h4>Methods</h4>The weighted mean difference (WMD) of the PI between control and Mn-exposed groups was estimated by using a random-effects or fixed-effects meta-analysis with 95% confidence interval (CI) performed by STATA software version 12.1. Moreover, the R package "metacor" was used to estimate correlation coefficients between PI and blood Mn (MnB).<h4>Results</h4>A total of eight studies with 281 occupationally Mn-exposed workers met the inclusion criteria. Results were pooled and performed with the Meta-analysis. Our data indicated that the PI of the exposed group was significantly higher than that of the control (WMD: 7.76; 95% CI: 4.86, 10.65; I2 = 85.7%, p<0.0001). A random effects model was used to perform meta-analysis. These findings were remarkably robust in the sensitivity analysis, and publication bias was shown in the included studies. Seven out of the eight studies reported the Pearson correlation (r) values. Significantly positive correlation between PI and MnB was observed (r = 0.42; 95% CI, 0.31, 0.52).<h4>Conclusions</h4>PI can be considered as a sensitive, feasible, effective and semi-quantitative index in evaluating brain Mn accumulation. MnB can also augment the evaluation of brain Mn accumulation levels in the near future. However, the results should be interpreted with caution.
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spelling doaj-art-a4d3252b70584be79cb3cfc4cf374d952025-08-20T03:00:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0194e9390010.1371/journal.pone.0093900Pallidal index as biomarker of manganese brain accumulation and associated with manganese levels in blood: a meta-analysis.Shao-Jun LiLi JiangXue FuShuang HuangYan-Ni HuangXiang-Rong LiJing-Wen ChenYong LiHai-Lan LuoFang WangShi-Yan OuYue-Ming Jiang<h4>Objective</h4>The current study was designed to evaluate the sensitivity, feasibility, and effectiveness of the pallidal index (PI) serving as a biomarker of brain manganese (Mn) accumulation, which would be used as an early diagnosis criteria for Mn neurotoxicity.<h4>Methods</h4>The weighted mean difference (WMD) of the PI between control and Mn-exposed groups was estimated by using a random-effects or fixed-effects meta-analysis with 95% confidence interval (CI) performed by STATA software version 12.1. Moreover, the R package "metacor" was used to estimate correlation coefficients between PI and blood Mn (MnB).<h4>Results</h4>A total of eight studies with 281 occupationally Mn-exposed workers met the inclusion criteria. Results were pooled and performed with the Meta-analysis. Our data indicated that the PI of the exposed group was significantly higher than that of the control (WMD: 7.76; 95% CI: 4.86, 10.65; I2 = 85.7%, p<0.0001). A random effects model was used to perform meta-analysis. These findings were remarkably robust in the sensitivity analysis, and publication bias was shown in the included studies. Seven out of the eight studies reported the Pearson correlation (r) values. Significantly positive correlation between PI and MnB was observed (r = 0.42; 95% CI, 0.31, 0.52).<h4>Conclusions</h4>PI can be considered as a sensitive, feasible, effective and semi-quantitative index in evaluating brain Mn accumulation. MnB can also augment the evaluation of brain Mn accumulation levels in the near future. However, the results should be interpreted with caution.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0093900&type=printable
spellingShingle Shao-Jun Li
Li Jiang
Xue Fu
Shuang Huang
Yan-Ni Huang
Xiang-Rong Li
Jing-Wen Chen
Yong Li
Hai-Lan Luo
Fang Wang
Shi-Yan Ou
Yue-Ming Jiang
Pallidal index as biomarker of manganese brain accumulation and associated with manganese levels in blood: a meta-analysis.
PLoS ONE
title Pallidal index as biomarker of manganese brain accumulation and associated with manganese levels in blood: a meta-analysis.
title_full Pallidal index as biomarker of manganese brain accumulation and associated with manganese levels in blood: a meta-analysis.
title_fullStr Pallidal index as biomarker of manganese brain accumulation and associated with manganese levels in blood: a meta-analysis.
title_full_unstemmed Pallidal index as biomarker of manganese brain accumulation and associated with manganese levels in blood: a meta-analysis.
title_short Pallidal index as biomarker of manganese brain accumulation and associated with manganese levels in blood: a meta-analysis.
title_sort pallidal index as biomarker of manganese brain accumulation and associated with manganese levels in blood a meta analysis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0093900&type=printable
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