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Thyroid dysfunction: how concentration of toxic and essential elements contribute to risk of hypothyroidism, hyperthyroidism, and thyroid cancer

  • Maryam Rezaei
  • Seyed Yoosef Javadmoosavi
  • Borhan MansouriEmail author
  • Nammam Ali Azadi
  • Omid Mehrpour
  • Samaneh Nakhaee
Research Article
  • 68 Downloads

Abstract

This study was conducted to evaluate the levels of trace metals Fe, Cr, Co, Cd, Cu, Ni, Hg, Zn, and Pb in healthy individuals and patients with thyroid disease (hyperthyroidism, hypothyroidism, and cancerous). The serum levels of 110 participants living in Birjand City, east of Iran, were collected and analyzed using ICP-MS (Agilent 7900). Results showed that the concentration levels of Cr, Co, Zn, Cd, and Pb were significantly higher at case-patients (p < 0.05), but the levels of Fe, Ni, and Hg were similar between healthy and patient subjects (p > 0.05). In patients with high or low thyroid activity, strong mutual correlations between Cr, Ni, and Fe were noticeable (p < 0.05). In hypothyroid patients, no significant correlation between Zn and Hg, Co, and Cd was found, but Zn was moderately and positively correlated with other trace metals. The moderate negative correlations between Cd-Cr (p = − 0.46) and Cd-Fe (p = − 0.43) were also observed. Logistic regression analysis showed that the effect of Cr, Co, Pb, Cu, Zn, and Cd was significant in developing hyperthyroidism and hypothyroidism; whereas, in patients with thyroid cancer, the effect of Cr, Cd, and Pb was found to be significant. In conclusion, our findings suggest that toxic metals such as Pb, Cd, and Cr can increase the risk of developing hypothyroidism and thyroid cancer, but more research is needed to evaluate the potential toxicity mechanisms of Pb, Cd, and Cr.

Keywords

Thyroid diseases Lead Chromium Cadmium Copper Zinc Cobalt 

Notes

Acknowledgment

The authors would like to appreciate M Amirabadizadeh and H Ataei, who provided logistic for chemicals and samples. Moreover, the authors thank Dr. J Afrifa for their nice comments in improving the manuscript.

Funding information

This study has been carried out with financial support from Birjand University of Medical Sciences (Grant number: 1397/4809).

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Medical Toxicology and Drug Abuse Research Center (MTDRC)Birjand University of Medical SciencesBirjandIran
  2. 2.Student Research CommitteeBirjand University of Medical SciencesBirjandIran
  3. 3.Substance Abuse Prevention Research Center, Health InstituteKermanshah University of Medical SciencesKermanshahIran
  4. 4.Biostatistics Department, Faculty of Public HealthIran University of Medical SciencesTehranIran
  5. 5.Rocky Mountain Poison and Drug CenterDenverUSA

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