Papillary thyroid cancer (PTC) has inflicted huge threats to the health of mankind. Metal pollution could be a potential risk factor of PTC occurrence, but existing relevant epidemiological researches are limited. The current case-control study was designed to evaluate the relationships between exposure to multiple metals and the risk of PTC. A total of 262 histologically confirmed PTC cases were recruited. Age- and gender-matched controls were enrolled at the same time. Urine samples were used as biomarkers to reflect the levels of environmental exposure to 13 metals. Conditional logistic regression models were adopted to assess the potential association. Single-metal and multi-metal models were separately conducted to evaluate the impacts of single and co-exposure to 13 metals. The increased concentration of urinary Cd, Cu, Fe, and Pb quartiles was found significant correlated with PTC risk. We also found the decreased trends of urinary Se, Zn, and Mn quartiles with the ORs for PTC. These dose-response associations between Pb and PTC were observed in the single-metal model and remained significant in the multi-metal model (OR25-50th=1.39, OR50-75th=3.32, OR>75th=7.62, p for trend <0.001). Our study suggested that PTC was positively associated with urinary levels of Cd, Cu, Fe, Pb, and inversely associated with Se, Zn, and Mn. Targeted public health policies should be made to improve the environment and the recognition of potential risk factors. These findings need additional studies to confirm in other population.
Spatial variations of Cr, Cu, Hg, Ni, Pb, and Zn in the surface sediments from 34 stations of the Kaohsiung coastal zone southwestern Taiwan were studied to address the current pollution status, sediment quality, and potential ecological risk. The study revealed that the concentrations of sediment metals in Kaohsiung Harbor were alarmingly high compared to the other region of Kaohsiung coast. The concentrations of Cr, Cu, Hg, Ni, Pb, and Zn in the harbor sediments were as high as 351, 247, 1.93, 61.8, 60.9, and 940 mg kg−1, respectively. The current situation of metal pollution was assessed by different pollution indices and results showed moderate to severe enrichment of Cu, Hg, and Zn in the harbor sediments. According to the degree of contamination, pollution load index, and contamination severity index, the sediments from the inner Kaohsiung Harbor show high degree and high severity of metal contamination, while the rest of Kaohsiung coastal areas show uncontaminated or low-level pollution. Results of mean ERM quotient and potential ecological risk index also indicated that the harbor sediments posed a 49% probability of biological toxicity and very high ecological risk. The toxic units indicated that the negative biological effects of the six metals in the harbor sediments were Zn > Cu > Cr > Ni > Hg > Pb. In contrast to Kaohsiung Harbor as a trap where considerable amount of anthropogenic metal loadings accumulated in sediments, low metal concentrations were observed in most Kaohsiung coastal sediments. It probably resulted from the limited fine-grained sediment deposition. In the wave-dominated Kaohsiung coastal zone, fine-grained sediments associated with polluted metals tend to be easily resuspended and transported offshore via waves and wave-induced currents. The results of this study can provide valuable information for river and coastal zone management.
