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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Main Authors: Khosro Jamebozorgi, Alireza Kooshki, Mahbobeh Saljoughi, Mohamadjavad Sanjari, Zahra Ahmadi, Seyed Mohammad Mosavi Mirzaei
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0317731
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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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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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