Cerebrovascular accidents association between serum trace elements and toxic metals level, a case-control study.
<h4>Background</h4>Cerebrovascular accidents (CVAs) are among the most common complications of patients today. As the prevalence of ischemic CVAs rises, detecting related risk factors is crucial. Metal concentration has previously been considered a major risk factor in several neural com...
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2025-01-01
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author | Khosro Jamebozorgi Alireza Kooshki Mahbobeh Saljoughi Mohamadjavad Sanjari Zahra Ahmadi Seyed Mohammad Mosavi Mirzaei |
author_facet | Khosro Jamebozorgi Alireza Kooshki Mahbobeh Saljoughi Mohamadjavad Sanjari Zahra Ahmadi Seyed Mohammad Mosavi Mirzaei |
author_sort | Khosro Jamebozorgi |
collection | DOAJ |
description | <h4>Background</h4>Cerebrovascular accidents (CVAs) are among the most common complications of patients today. As the prevalence of ischemic CVAs rises, detecting related risk factors is crucial. Metal concentration has previously been considered a major risk factor in several neural complications, and in this study, we will investigate this.<h4>Methods</h4>In this case-control study, 70 CVA (clinically approved ischemic stroke cases by imaging and NIH Stroke Scale (NIHSS)) and 70 individuals with no history of CVA controls were enrolled as the control group. The serum level of several metals, including Fe (Iron), Co (Cobalt), Ni (Nickel), Cu (copper), Zn (Zinc), Mn (Manganese), Pb (lead), Hg (Mercury), has been assessed using Inductively coupled plasma mass spectrometry (ICP-MS) method. Logistic regression (LR) has also been used to determine the association between metals' levels and CVA occurrence.<h4>Results</h4>As the mean age of the CVA group was 48.68 ± 15.25 years and for the non-CVA group was 47.89 ± 9.65 years, the result indicated that the serum level of Cu and Pb has been statically higher in the CVA group (respectively; P < 0.001 and P = 0.002) and Ni level was significantly lower (P = 0.003). Other measured metals' levels (Fe, Co, Ni, Mn, Hg) were not significantly different between CVA and non-CVA groups. In the LR model, all Cu, Pb, and Zn metals had a P value of 0.03 and an odd ratio (OR) and confidence interval (CI) of 1.34 (1.02-1.75), 1.19 (1.01-1.39) and 1.01 (1.001-1.02) respectively.<h4>Conclusion</h4>Given that some metals are associated with a higher risk of CVA, researchers and physicians must better understand the risk factors and causes of the burden of CVA. However, further studies with a larger population and investigation of the exact pathogenesis of these metals are needed. |
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institution | Kabale University |
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language | English |
publishDate | 2025-01-01 |
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spelling | doaj-art-bc6937e6cf764c0fb07ffbba9cb56d8b2025-02-09T05:30:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031773110.1371/journal.pone.0317731Cerebrovascular accidents association between serum trace elements and toxic metals level, a case-control study.Khosro JamebozorgiAlireza KooshkiMahbobeh SaljoughiMohamadjavad SanjariZahra AhmadiSeyed Mohammad Mosavi Mirzaei<h4>Background</h4>Cerebrovascular accidents (CVAs) are among the most common complications of patients today. As the prevalence of ischemic CVAs rises, detecting related risk factors is crucial. Metal concentration has previously been considered a major risk factor in several neural complications, and in this study, we will investigate this.<h4>Methods</h4>In this case-control study, 70 CVA (clinically approved ischemic stroke cases by imaging and NIH Stroke Scale (NIHSS)) and 70 individuals with no history of CVA controls were enrolled as the control group. The serum level of several metals, including Fe (Iron), Co (Cobalt), Ni (Nickel), Cu (copper), Zn (Zinc), Mn (Manganese), Pb (lead), Hg (Mercury), has been assessed using Inductively coupled plasma mass spectrometry (ICP-MS) method. Logistic regression (LR) has also been used to determine the association between metals' levels and CVA occurrence.<h4>Results</h4>As the mean age of the CVA group was 48.68 ± 15.25 years and for the non-CVA group was 47.89 ± 9.65 years, the result indicated that the serum level of Cu and Pb has been statically higher in the CVA group (respectively; P < 0.001 and P = 0.002) and Ni level was significantly lower (P = 0.003). Other measured metals' levels (Fe, Co, Ni, Mn, Hg) were not significantly different between CVA and non-CVA groups. In the LR model, all Cu, Pb, and Zn metals had a P value of 0.03 and an odd ratio (OR) and confidence interval (CI) of 1.34 (1.02-1.75), 1.19 (1.01-1.39) and 1.01 (1.001-1.02) respectively.<h4>Conclusion</h4>Given that some metals are associated with a higher risk of CVA, researchers and physicians must better understand the risk factors and causes of the burden of CVA. However, further studies with a larger population and investigation of the exact pathogenesis of these metals are needed.https://doi.org/10.1371/journal.pone.0317731 |
spellingShingle | Khosro Jamebozorgi Alireza Kooshki Mahbobeh Saljoughi Mohamadjavad Sanjari Zahra Ahmadi Seyed Mohammad Mosavi Mirzaei Cerebrovascular accidents association between serum trace elements and toxic metals level, a case-control study. PLoS ONE |
title | Cerebrovascular accidents association between serum trace elements and toxic metals level, a case-control study. |
title_full | Cerebrovascular accidents association between serum trace elements and toxic metals level, a case-control study. |
title_fullStr | Cerebrovascular accidents association between serum trace elements and toxic metals level, a case-control study. |
title_full_unstemmed | Cerebrovascular accidents association between serum trace elements and toxic metals level, a case-control study. |
title_short | Cerebrovascular accidents association between serum trace elements and toxic metals level, a case-control study. |
title_sort | cerebrovascular accidents association between serum trace elements and toxic metals level a case control study |
url | https://doi.org/10.1371/journal.pone.0317731 |
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