Adult Cancer Risk Research Articles

Association between being breastfed in infancy and adult colorectal cancer risk among Japanese men and women

It has been postulated that being breastfed in infancy affects not only health status in childhood but also disease risk in adulthood. To investigate the association of being breastfed with the risks of adult colorectal cancer and benign tumor, we conducted a case–control study including 1190 colorectal cancer and 1585 benign tumor cases and 5301 controls, admitted to a single hospital in Miyagi Prefecture, Japan, between 1997 and 2013. History of having been breastfed was assessed using a self-administered questionnaire, and odds ratios (ORs) were estimated using unconditional logistic regression. There was no association between being breastfed and colorectal cancer risk (breastfed versus formula-only fed, OR = 1.21; 95% CI 0.87–1.67). There was also no association with the risk of benign tumor (OR = 1.04). On the other hand, analyses stratified by sex and birth year found heterogeneous associations. Women born after 1950 who had been breastfed tended to have increased risks of colorectal cancer (OR = 1.58) and benign tumor (OR = 1.51) relative to those who had been formula-only fed, although not statistically significant. In men born after 1950, being breastfed was associated with a significantly decreased risk of benign tumor (OR = 0.57; 95% CI 0.33–0.98).

Association of Ideal Cardiovascular Health in Youth with Cancer Risk in Adulthood: A Cardiovascular Risk in Young Finns Study.

Lifestyle factors may affect cancer risk. This study aimed to identify whether the American Heart Association ideal cardiovascular health (ICH) score and its individual variables in youth are associated with subsequent cancer incidence. This study comprised participants of the Cardiovascular Risk in Young Finns Study free of cancer at the analysis baseline in 1986 (n = 1,873). The baseline age was 12 to 24 years, and the follow-up occurred between 1986 and 2018. Among 1,873 participants (mean age 17.3 ± 4.1 years; 53.4% females at baseline), 72 incident cancer cases occurred during the follow-up (mean follow-up time 31.4 ± 3.4 years). Baseline ICH score was not associated with future cancer risk (HR, 0.96; 95% confidence interval, 0.78-1.12 per 1-point increment). Of individual ICH score variables, ideal physical activity (PA) was inversely associated with cancer incidence [age- and sex-adjusted HR, 0.45 (0.23-0.88) per 1-category change (nonideal/ideal)] and remained significant in the multivariable-adjusted model, including body mass index, smoking, diet, and socioeconomic status. A continuous PA index at ages 9 to 24 years and moderate-to-vigorous PA in youth were also related to decreased cancer incidence (P < 0.05). Body mass index, smoking, diet, total cholesterol, glucose, and blood pressure were not related to cancer risk. Of the dietary components, meat consumption was associated with cancer incidence (P = 0.023). These findings indicate that higher PA levels in youth are associated with a reduced subsequent cancer incidence, whereas the American Heart Association's ICH score in youth does not. This finding supports efforts to promote a healthy lifestyle and encourages PA during childhood, yielding a subsequent healthier life.

Exposure assessment and risk characterisation of aflatoxins in randomly collected rice samples from local markets of Hyderabad, India

Aflatoxin (AF) poisoning of staple foods, such as rice, is caused by fungal contamination by Aspergillus species. These AFs are genotoxic, carcinogenic and suppress the immune system. Hence, the present study was conducted to elucidate the prevalence of AF contamination in rice samples collected from local markets of Hyderabad, Telangana, India. The rice samples collected were analysed for AF by using HPLC-fluorescence detection (HPLC-FLD). Based on AF contamination levels and dietary intake of rice, the health risk was assessed by the margin of exposure (MOE) and liver cancer risk in adults, adolescence and children. The percentage detected contamination with AFB1 and AFB2 of rice samples was 54% and 34%, with the concentration ranging between 0–20.35 µg/kg and 0–1.54 µg/kg, respectively. Three rice samples exceeded the Food Safety and Standards Authority of India (FSSAI) total AF acceptable limit of 15 µg/kg. The average MOE values were 53.73, 50.58 and 35.69 (all <10,000) for adults, adolescence and children, respectively. The average liver cancer risk associated with rice consumption in the population of Hyderabad was found to be 0.27, 0.28 and 0.40 hepatocellular carcinoma (HCC) cases/year/100,000 individuals in adults, adolescence and children, respectively. This study revealed an adverse health risk to population of Hyderabad due to consumption of AF contaminated rice.

Risk Assessments of Polycyclic Aromatic Hydrocarbons in the Surface Sediments of Drinking Water Sources in Ifite Ogwari, South-East Nigeria

ABSTRACT Surface water is the main source of drinking water in Ifite Ogwari, Anambra State, South-East Nigeria. In aquatic environments, sediment functions as both a source and a sink of polycyclic aromatic hydrocarbons (PAHs). To determine the level of pollution, health concerns to people and the environment, and potential sources of PAHs in the surface water sediments in Ifite Ogwari, sediment samples were collected from 9 surface water sources used for drinking by Ifite Ogwari people and were analyzed using a Gas Chromatography/Flame Ionization Detector (GC-FID). In all sediment samples, only 11 PAHs out of 16 United States Environmental Protection Agency (USEPA) priority PAHs were detected while 5 were below detectable limits. The concentration of benzo[a]anthracene was high but detected in only 2 sediment samples while fluoranthene has a relatively close concentration across all samples. Benzo[k]fluoranthene has the highest concentration compared to other PAHs in the samples while benzo[a]pyrene has the lowest concentration across all samples. Atammele sediment was analyzed as the most carcinogenic followed by Isiachala with concentrations of 84.23 ng/µL and 51.92 ng/µL respectively. Ube stream sediment has the lowest concentration of PAHs (11.74 ng/µL). Ecological risk of the PAHs revealed a sediment-to-sediment variation in the risk profile. Human health risk assessment depicts that hazard index and total cancer risk for adults and children ranged from 2.3E-07 - 2.57E-05 and 4.85E-07 - 5.43E-05 respectively. Pyrogenic activities are the main source of PAHs in the sediments. The results provide a guide for monitoring PAHs pollution and protecting drinking water sources.

Microplastics, their abundance, and distribution in water and sediments in North Chennai, India: An assessment of pollution risk and human health impacts

Plastic particles, measuring <5 mm in size, mainly originate from larger plastic debris undergoing degradation, fragmenting into even smaller fragments. The goal was to analyze the spatial diversity and polymer composition of microplastics (MPs) in North Chennai, South India, aiming to evaluate their prevalence and features like composition, dimensions, color, and shape. In 60 sediment samples, a combined count of 1589 particles were detected, averaging 26 particles per 5 g−1 of dry sediment. The water samples from the North Chennai vicinity encompassed a sum of 1588 particles across 71 samples, with an average of 22 items/L. The majority of MPs ranged in size from 1 mm to 500 μm. The ATR-FTIR results identified the predominant types of MPs as polystyrene, polyvinyl chloride, polyethylene, polyethylene terephthalate, and polypropylene in sediment and water. The spatial variation analysis revealed high MPs concentration in landfill sites, areas with dense populations, and popular tourist destinations. The pollution load index in water demonstrated that MPs had contaminated all stations. Upon evaluating the polymeric and pollution risks, it was evident that they ranged from 5.13 to 430.15 and 2.83 to 15,963.2, which is relatively low to exceedingly high levels. As the quantity of MPs and hazardous polymers increased, the level of pollution and corresponding risks also escalated significantly. The existence of MPs in lake water, as opposed to open well water, could potentially pose a cancer risk for both children and adults who consume it. Detecting MPs in water samples highlights the significance of implementing precautionary actions to alleviate the potential health hazards they create.

Polychlorinated biphenyls (PCBs) in sediments and fish from dredged tributaries and creeks of river Ethiope, South-South, Nigeria: sources, risk assessment and bioaccumulation

Polychlorinated biphenyls (PCBs) are persistent organic pollutants that are ubiquitous in nature. In this study, the levels of PCBs were evaluated in sediments and fish samples obtained from dredged tributaries and creeks of River Ethiope. The work also assessed the possible relationship between the parameters and risks posed by polychlorinated biphenyls via several pollution indices. The mean concentrations of \sum PCBs on the sediments spanned from 645 – 3,977 µg/kg (wet season) to 252 – 1,219 µg/kg (dry season) dry weight. The concentrations of PCBs in fishes were 1,688 µg/kg (wet season) and 557 µg/kg (dry season). Higher bioaccumulation factors were observed with lower molecular weight PCBs than the higher ones (9 – Hexa – PCB, 8- Tetra- PCB). The results of the ecological risk (160 \leq Eri &lt; 320), and human health risk (\geq 10-4 to 10-3-\leq 10-6), showed moderately to very high contamination and also moderately to very high cancer risk for children and adults. The strong positive correlation between PCB-114 and PCB-77, PCB-81, PCB-105 (r2 = 1.00, 0.99 &amp; 1.00, p &lt; 0.01) and the risks assessment values which ranged from 6.10 × 10-3 to 1.47 × 10-2 for children and 6.30 × 10-4 to 1.11 × 10-3 for adults (wet season), 1.04 × 10-3 to 2.99 × 10-2 for children and 7.80 × 10-5 to 5.61 × 10-1 for adults (dry season), showed rarely to adversely high potential ecological risk, biological effect and human health risk across the environment. The data show that higher levels of PCBs were observed in sediments and fish samples when compared with available standards. Considering the ILCR, hazard index, toxic equivalent, the sediments and fish obtained from these sites would be considered risky for humans. Dredging activities are majorly responsible for the high levels of PCBs across the sites. These have contributed significantly to the environmental status of the studied area.

Entropy-weighted water quality index, hydrogeochemistry, and Monte Carlo simulation of source-specific health risks of groundwater in the Morava River plain (Serbia)

Population growth, urbanization, industry, floods, and agriculture globally degrade groundwater in river plains, necessitating action for its quality assessment and management. Hence, a comprehensive methodology, including hydrogeochemical facies (Piper, Gibbs), irrigation indices (SAR, Wilcox), entropy-weighted water quality index (EWQI), positive matrix factorization (PMF), and Monte Carlo simulation of source-specific health risks was used in this study to analyze groundwater in the Morava river plain (Serbia). The results revealed a prevalent Ca–Mg–HCO3 groundwater type, influenced by water–rock interactions. Although groundwater was found suitable for irrigation, only 66.7 % of the samples were considered drinkable. Agricultural activities, natural processes, and municipal wastewater were identified as primary pollution sources. The incremental lifetime cancer risk (ILCR) and hazard index (HI) threshold exceedance for adults and children ranged from 8.5 % to 39 % of the samples, with arsenic identified as the most risk-contributing contaminant. These findings provide valuable insights for researchers studying groundwater vulnerability in river plains.

Abstract 6088: Predicting the risk of any-type cancer in asymptomatic adults using noninvasive glycosaminoglycan profiling

Abstract Background: Early detection of cancers through screening can reduce mortality. However, screening excludes individuals not considered at an increased risk of developing cancer, as determined by age, sex, or tobacco use. No molecular biomarker is routinely used to predict risk. Here, we investigated urine glycosaminoglycan profiles (GAGomes) as noninvasive biomarkers for any-cancer risk prediction. Methods: In this population-based case-control study, we included adults aged over 18 years from the Lifelines Cohort Study, Netherlands who were presumed healthy at baseline. All cases who self-reported any-type cancer or died by the 5-year study visit were confirmed in the Dutch Cancer Registry and matched 1:3 to randomly selected controls (1:1 for the interim analysis). We first developed a logistic regression reference model, including age, sex, and clinical variables to predict any-type cancer. Next, we added urine GAGomes (as a single aggregate score) to the model and assessed model improvement using the likelihood ratio test. We categorized the output of the saturated model (clinical variables plus urine GAGome score) into four groups based on bespoke specificity cut-offs: low-, moderate-, intermediate-, and high-risk. We estimated odds-ratios (ORs) for their association with any-type cancer compared to the moderate-risk group, as well as their sensitivity across subsets. Using the so-estimated OR in the high-risk group, we calculated the minimum pre-test 5-year absolute risk needed to reclassify an adult into a post-test 5-year absolute risk &amp;gt;3.00%. Results: In the interim analysis, we included 2054 adults (median age = 51 years, 57% females). Of them, 924 were diagnosed with any-type cancer over a 6 year-follow-up period (median time to diagnosis = 1.4 years). Urine GAGomes were found to be independent risk factors when added to the reference model, explaining 27% of the variance (Nagelkerke R2 = 0.26 vs. 0.21, p &amp;lt; 0.0001). The ORs in the low-, intermediate-, and high-risk groups were 0.05 (95% CI: 0.02-0.13 p &amp;lt; 0.0001), 5.31 (95% CI: 3.84-7.48, p &amp;lt; 0.0001) and 27.6 (95% CI: 14.3 - 51.6, p &amp;lt; 0.0001), respectively. The high-risk group detected +80% more cancers than the reference model at the same specificity (99.29%), particularly in situ and stage I (+204% and +64%) and among those aged 50-69 (+247%). Adults with a pre-test 5-year absolute risk &amp;gt; 0.25% returning a high-risk group would be reclassified to a post-test 5-year absolute risk &amp;gt; 3.00% for any-type cancer. Conclusion: Implementing urine GAGomes as a strategy for risk-stratified targeted screening could identify adults with increased risk of any-type cancer who are currently excluded from screening. Citation Format: Francesco Gatto. Predicting the risk of any-type cancer in asymptomatic adults using noninvasive glycosaminoglycan profiling [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 6088.

Risk of Thyroid Cancer in People With Type 1 Diabetes by Autoimmune Thyroid Diseases and Tumor Histology.

Thyroid cancer is the most common endocrine cancer, but little is known about it in type 1 diabetes (T1D) and its potential association with autoimmune diseases. This study aims to assess the risk of thyroid cancer in adults with long-term T1D compared to individuals without diabetes and the proposed association of thyroid autoimmune diseases with thyroid cancer. The study included 4758 individuals with T1D participating in the Finnish Diabetic Nephropathy Study and 12 710 controls. Thyroid cancers were obtained from the Finnish Care Registers for Health Care. 27 (0.57%) individuals with T1D had thyroid cancer compared to 27 (0.21%) in the controls (standardized incidence ratio 2.43; 95% confidence interval 1.59-3.56). The absolute increase in incidence was modest, with a 0.36%-unit rise. This translates to 17 additional cases among 4710 individuals with T1D. Cancer type was papillary in 81.5% of individuals with T1D and 88.9% of the controls; the rest were follicular. In T1D the distribution of hypothyreosis was similar between those with (n = 5, 18.5%) and without (18.1%) cancer, but hyperthyreosis was diagnosed more often with thyroid cancer (n = 3, 11.1%) than without (2.3%, P = .003). None of the thyroid cancers were invasive or had metastatic characteristics. Although there is an excess risk of thyroid cancer, it is only marginally increased (0.36%-unit) in individuals with T1D compared to control individuals and was not associated with increased morbidity or mortality. An overdiagnosis effect due to regular health care contacts is the most likely explanation for the higher risk.

Heavy metal contamination in medicinal plants: assessing carcinogenic and non-carcinogenic health risks

Medicinal plants have played an undeniable role in treating diseases in mankind. However, these plants may be contaminated by toxic substances like heavy metals. Therefore, this study aimed to determine the contamination and health risks (carcinogenic and non-carcinogenic) of heavy metals in economically important medicinal plants mostly in Northern Nigeria. A total of 72 samples from 12 medical plants were purchased and analyzed for heavy metal (Pb, Cr, As, Cd, Zn, Cu, Ni and Fe) contamination using Atomic Absorption Spectrometry (AAS) after wet digestion. The concentrations of the heavy metals (mg·kg−1) were in the range of 1.71–9.01 for Pb, 0.23–2.08 for Cr, 0.00–0.05 for As, 0.00–0.51 for Cd, 5.08–23.67 for Zn, 1.28–13.45 for Cu, 0.96–1.95 for Ni and 20.58–108.50 for Fe. The results revealed that the plant under study contained unsafe levels of Cr and Cd being higher than the World Health Organization (WHO) permissible limits. The hazard index (HI) was < 1, suggesting a probable non-carcinogenic effect. Similarly, the cancer risk (CR) for children and adults was below the (1.0 × 10–4) acceptable limit, indicating non-probable cancer development for consumers. Based on the studied results, the samples may not pose a carcinogenic health risk. However, there is a need for the regulatory agency to continuously monitor medicine plants available in the markets for the safety of consumers.

Spatial Distribution, Source Analysis, and Health Risk Assessment of Heavy Metals in the Farmland of Tangwang Village, Huainan City, China

The impacts of heavy metal pollution in arable soil on agricultural production, environmental health, and the wellbeing of urban and rural residents cannot be overlooked. It has become a significant bottleneck in achieving comprehensive rural revitalization. To accurately grasp the characteristics of heavy metal pollution in suburban cultivated soil, Tangwang Village (a suburb of Huainan City) was subjected to scrutiny. The contents of heavy metals (Hg, Cu, Hg, As, Pb, Cr, Cd, and Zn) in the topsoil of cultivated land in this area were detected, and their spatial distribution characteristics were analyzed using inverse distance spatial interpolation. (1) After conducting a comprehensive analysis and thorough examination of the PMF model sources, it was determined that Cu, Cd, and Zn exhibit a direct correlation with agricultural practices, collectively contributing to a cumulative percentage of 21.10%. Meanwhile, Cr is derived from a combination of sources, including both natural parent materials and human activities, accounting for a total proportion of 24.45%. Notably, lead emissions from automobile exhausts constitute a significant source, while arsenic is primarily associated with dispersed factories and their respective operations, contributing to respective proportions of 36.38% and 18.07%. It is evident that agricultural practices, transportation, and industrial activities are the main reasons for heavy metal pollution in arable soil. (2) The evaluation of geological accumulation indicators reveals that the level of soil arsenic accumulation pollution is mild to moderate (1.199). On the other hand, the cumulative pollution level of Cd, Hg, Cr, and Cu was relatively low (0.462→0.186), whereas the levels of Pb and Zn were below the threshold. (3) The assessment of the ecological risk index revealed that the predominant elements posing potential ecological risks in the investigated region were Hg, As, and Cd, with average Ei values of E(Hg) = 86.81, E(As) = 80.67, and E(Cd) = 67.83, respectively. (4) The human health risk assessment revealed significant differences in the single non-carcinogenic risk values of heavy metals generated by different exposure pathways, with oral ingestion &gt; dermal contact &gt; oral nasal inhalation. Children were more susceptible to the toxic effects of heavy metals compared to adults. Both As and Cr caused an increased risk of cancer in both children and adults, which is a matter of great concern. The results of this study contribute to a more accurate description of the sources of heavy metals in farmland soil. This study indicates that the application of PMF for soil source analysis yields clear results that can be further applied. This research also has potential policy significance as it can help to improve the sustainability of ecosystems by coordinating both environmental and human activities.

Pollution Characteristics and Risk Assessment of Polycyclic Aromatic Hydrocarbons in Soils of Guangzhou

In order to comprehensively study the pollution characteristics of polycyclic aromatic hydrocarbons （PAHs） in soils of Guangzhou， 222 topsoil samples were collected and analyzed. The ecological risk of soil PAHs pollution was evaluated using the effect interval low/median method （ERL/ERM） and the （BaP） toxicity equivalent method， and the health risk of soil PAHs pollution was evaluated using the lifelong cancer risk increment model. The source of PAHs was analyzed using the characteristic compound ratio method and PMF model. The results indicated that： the content of surface soil （∑16PAHs） in Guangzhou was 38-11 115 μg·kg-1， with an average of 526 μg·kg-1， and 16 types of polycyclic aromatic hydrocarbon monomers showed strong variation. There was a certain degree of ecological risk of PAHs in Guangzhou， and there was already a significant ecological risk of PAHs pollution in individual sampling points， which were generally in a state of mild pollution. Based on the results of the health risk assessment， the contribution rates of total cancer risk in both adults and children were presented as follows： skin contact &gt; ingestion of soil &gt; respiratory intake. The health risk of children was greater than that of adults， and the overall health risk was within an acceptable range. Source analysis showed that the main sources of soil PAHs in Guangzhou were coal （37.1%）； diesel （32%）； coking （17.3%）； and mixed sources of traffic emissions， biomass combustion， and petrochemical product volatilization （13.6%）. The overall source of soil PAHs belonged to mixed sources. The research results have enriched our understanding of the pollution status of PAHs in the surface soil of Guangzhou and are helpful in promoting soil pollution prevention and control actions.

Age-related dysregulation of intestinal epithelium fucosylation is linked to an increased risk of colon cancer.

Colon cancer affects people of all ages. However, its frequency, as well as the related morbidity and mortality, are high among older adults. The complex physiological changes in the aging gut substantially limit the development of cancer therapies. Here, we identify a potentially unique intestinal microenvironment that is linked with an increased risk of colon cancer in older adults. Our findings show that aging markedly influenced persistent fucosylation of the apical surfaces of intestinal epithelial cells, which resulted in a favorable environment for tumor growth. Furthermore, our findings shed light on the importance of the host-commensal interaction, which facilitates the dysregulation of fucosylation and promotes tumor growth as people get older. We analyzed colonic microbial populations at the species level to find changes associated with aging that could contribute to the development of colon cancer. Analysis of single-cell RNA-sequencing data from previous publications identified distinct epithelial cell subtypes involved in dysregulated fucosylation in older adults. Overall, our study provides compelling evidence that excessive fucosylation is associated with the development of colon cancer, that age-related changes increase vulnerability to colon cancer, and that a dysbiosis in microbial diversity and metabolic changes in the homeostasis of older mice dysregulate fucosylation levels with age.

Insulin resistance and impaired insulin secretion and gastrointestinal cancer risk in Korean adults: Preliminary results from Korean Genome and Epidemiology study.

761 Background: To date, few studies conducted on the effect of insulin resistance or insulin secretory function on cancer risk in non-diabetic population. This study evaluated whether insulin resistance and/or insulin secretory function affect gastrointestinal cancer risk in the Korean population. Methods: We analyzed data from Korean Genome and Epidemiology Study, Korea Association Resource dataset. It consists of 10,030 participants aged 40-69y observed from 2001 to 2018. The risk of all cancers, and gastrointestinal cancers were assessed. Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) and Homeostasis Model Assessment of Beta-cell function (HOMA-β) were used as indicators of insulin resistance and insulin secretory function. Results: In the final dataset, 8,649 individuals without previous history of any cancers were included. During an average follow-up of 15 years, 415 subjects (4.8%) developed cancers. Compared to the low HOMA-IR/high HOMA-β group (reference), diabetic patients had the highest risk of overall cancers, followed by high HOMA-IR/low HOMA-β group (Adjusted hazard ratio[95% confidence interval]: 1.74 [1.11 - 2.75] and 1.40 [0.96 – 2.06], respectively) Among gastrointestinal cancers, the risk of gastric cancer was higher in the low HOMA-IR/low HOMA-β and high HOMA-IR/high HOMA-β groups (1.92 [1.06 - 3.47] and 2.27 [1.26 - 4.06], respectively) When further analyzed by HOMA-β stratified by quartiles, the lowest quartile (Q1) showed an increased risk of gastric cancer compared to the highest-quartile (Q4; 1.84 [0.98 – 3.46], p = 0.06) In contrast, no significant results were observed regarding the colorectal cancer risk, when analyzed based on HOMA-IR and HOMA-β. However, when further analyzed by HOMA-IR stratified by quartiles, the highest quartile (Q4) exhibited a significantly elevated colorectal cancer risk compared to the lowest quartile (Q1; 2.14 [1.11 - 4.11], P for trend = 0.04). Conclusions: Insulin resistance and impaired insulin secretion function may increase the risk of cancer, but the underlying mechanisms may differ by cancer type.

Investigating the Relationship between Birthweight and Breast Cancer from A Non-Linear and Mediation Perspective.

Epidemiological studies have shown a positive relationship between birthweight and breast cancer; however, inconsistent, sometimes even controversial, observations emerged. We re-explored the association between them in the UK Biobank cohort. Relying on the UK Biobank cohort data of white British volunteers recruited between 2006 and 2010 (5,760 cases and 162,778 controls), we evaluated the causal mediation between birthweight and breast cancer, with age of menarche and age at menopause as two potential mediators under the traditional mediation analysis framework. The non-linear relationship between birthweight and breast cancer was also investigated by including the square of birthweight or discretized birthweight categories (<2.5, 2.5~4.0, or >4.0). Furthermore, we performed a stratification analysis in terms of the menopause status. Birthweight can indirectly influence breast cancer risk in adulthood via the path of age of menarche or age at menopause, and found statistical evidence supporting the existence of suggestive non-linear association between birthweight and breast cancer (β=0.062 and P=0.004 for the square of birthweight) although failing to discover a linear relationship (P=0.230). We also demonstrated such non-linear association seemed more pronounced and robust for premenopausal women compared with postmenopausal ones (27.5% vs. 19.5% increase in breast cancer risk). This study provided an in-depth insight into the observed relationship between birthweight and breast cancer and revealed that non-linear impact and causal mediation commonly drive the connection between the two traits.

Levels, distribution, origins, and human health risk evaluation of polycyclic aromatic hydrocarbons in groundwater around a petroleum depot wastewater discharge point

This study is an attempt to assess the influence of the oil storage depot discharges on proximate water sources in Ibadan, southwest Nigeria. Fifteen priority polycyclic aromatic hydrocarbons (PAHs) were examined in a total of 15 water samples (10 groundwater +4 surface water samples) utilizing gas chromatography–mass spectrometry, after extraction of the waters with dichloromethane and clean-up of the extracts. Results revealed that values of overall PAHs in groundwater (GW) and surface water (SW) varied from 0.01 to 3.45 mg/L (mean = 0.42 mg/L) and 0.01 to 0.09 mg/L (mean = 0.05 mg/L), correspondingly. The highest value of ∑15 PAHs (3.45 mg/L) was observed at 24 m to the discharge point. The ring wise distribution pattern of the PAHs in collected water samples follows the order: 2–3 rings >5–6 rings >4 – ring PAHs and low molecular weight (LMW) PAHs accounted for 90.73% relative to HMW (9.27%) in groundwater samples. The diagnostic ratios suggested that the PAHs pollution in water were likely from incomplete combustion of fossil fuels, vehicle emissions and released petroleum effluents from nearby depot. The concentration of carcinogenic PAHs in GW and SW ranged from 1×10−2to 9×10−2 mg/L and 1×10−2to 7×10−2 mg/L, correspondingly, which highlights possible human health risks. The values of hazard index (HI) for the studied samples via the oral ingestion and dermal exposure pathways are less than unity, suggesting no adverse non-carcinogenic health effects. The calculated incremental lifetime cancer risk (ILCR) for adults and children are in the 10−2–10−3 range, implying noteworthy possible carcinogenic health effects to human beings, with children being the most susceptible. Correspondingly, dibenzo [a, h] anthracence (DahA) and Benzo [a] pyrene (BaP) were established to be of greater carcinogenic threats in the waters taken from the study location. The study advocates complete discontinuance of discharge release into the neighboring environment.

Probing the occurrence, sources and cancer risk assessment of polycyclic aromatic hydrocarbons in PM2.5 in a humid metropolitan city in China.

Fifty-two consecutive PM2.5 samples from December 2021 to February 2022 (the whole winter) were collected in the center of Chongqing, a humid metropolitan city in China. These samples were analysed for the 16 USEPA priority polycyclic aromatic hydrocarbons (16 PAHs) to explore their composition and sources, and to assess their cancer risks to humans. The total concentrations of the 16 PAHs (ng m-3) ranged from 16.45 to 174.15, with an average of 59.35 ± 21.45. Positive matrix factorization (PMF) indicated that traffic emissions were the major source (42.4%), followed by coal combustion/industrial emission (31.3%) and petroleum leakage/evaporation (26.3%). The contribution from traffic emission to the 16 PAHs increased from 40.0% in the non-episode days to as high as 46.2% in the air quality episode during the sampling period. The population attributable fraction (PAF) indicates that when the unit relative risk (URR) is 4.49, the number of lung cancer cases per million individuals under PAH exposure is 27 for adults and 38 for seniors, respectively. It was 5 for adults and 7 for seniors, when the URR is 1.3. The average incremental lifetime cancer risk (ILCR) for children, adolescents, adults and seniors was 0.25 × 10-6, 0.23 × 10-6, 0.71 × 10-6, and 1.26 × 10-6, respectively. The results of these two models complemented each other well, and both implied acceptable PAH exposure levels. Individual genetic susceptibility and exposure time were identified as the most sensitive parameters. The selection and use of parameters in risk assessment should be further deepened in subsequent studies to enhance the reliability of the assessment results.

Modeling the Risk of Liver Cancer in Adults: A Machine Learning Investigation into the Role of Obesity and Overweight

Background: Liver cancer is a global health concern, with overweight and obese individuals exhibiting an increased risk of its development. Understanding the interplay between obesity-related factors and liver cancer incidence is crucial for early prediction and intervention. Aim: The aim of this investigation was to construct and validate an extreme gradient boosting (XGBoost) based machine learning model for the purpose of establishing a one-year liver cancer risk prediction system specifically tailored to overweight and obese patients. In addition, this study sought to compare the predictive performance of the XGBoost model with those of a random forest model and a logistic regression model, while also identifying the most influential predictive features for liver cancer incidence. Methods: A comprehensive retrospective analysis was conducted on MIMIC III data comprising 2,354 patients. To predict the risk of liver cancer development, three machine learning models were developed: XGBoost, random forest, and logistic regression. Feature selection was executed using a stepwise regression procedure encompassing both forward selection and backward elimination. Results: The stepwise regression technique unveiled 14 predictive factors for liver cancer incidence. Among the patient cohort, 132 individuals developed liver cancer within a year of follow-up, while 2,222 did not. Notably, most liver cancer cases occurred in male patients (60%). Statistically significant differences were observed between patients with liver cancer and those without, in terms of age, gender, total bilirubin, platelet, albumin, chloride, potassium, sodium, prothrombin time (PT) and alanine aminotransferase (ALT). The XGBoost model exhibited an impressive area under the receiver operating characteristic curve (AUROC) of 99%, Random Forest (RF) of 99%, and Logistic Regression (LR) of 90%. In a multivariate analysis, total bilirubin, creatinine levels, age, gender, ALT, alkaline phosphate (ALP), PT, calcium, and chloride emerged as independent predictors for liver cancer incidence. Conclusion: The XGBoost model demonstrated superior predictive performance when compared to the RF and LR models. If corroborated through prospective studies, the XGBoost model may prove to be a valuable tool for the early prediction of liver cancer risk in overweight or obese individuals. Such predictive capabilities could, in turn, facilitate the implementation of timely preventive interventions against liver cancer.

Environmental implications of illegal heavy metal mining in the Shalten area, Egypt’s Eastern Desert

ABSTRACT Most of Africa’s illegal mining operations are conducted in rural areas, but along the Red Sea coast, they primarily occur in the Eastern Desert, where they are regarded as the major source of revenue. Soil samples were collected and examined at an illegal gold mining site in the far south of Egypt’s Eastern Desert to determine the toxicity levels of eight heavy metals for pollution load index (PLI), Igeo, and health (Au, Ag, As, Hg, Ni, Cr, Zn, and Pb). The methodology used in this study was categorized into fieldwork with restricted rules within the visit, soil samples collected from the field, chemical analyses for heavy metals, and statistical analyses by applying six equations to define the environmental status of the study area. It was found that the PLI increases contamination as an environmental risk grade, Igeo, reaches grade 6, which is highly contaminated, and the average hazard index (HI) for the individual elements is high (>0.01). The health risk assessment results for Ni and Cr showed that oral intake was the main mode of exposure to heavy metals in the tailings of illegal mines. In addition, the average levels of As, Hg, Cr, Ni, Pb, and Zn were higher than the equivalent background levels for soils. Thus, adult cancer risk (CR) exceeds the permissible level of 10−4. The illicit mining activities in the Eastern Desert also resulted in heavy metal contamination with substantial noncarcinogenic hazards for As and Zn, necessitating urgent remediation.

Assessment of Elemental Contamination of Selected Major Dams from Osun State, Nigeria by Multivariate and Hazard Index Analyses

Dams and their environment, interrelate with a degree of complexity that often affects the availability of potable water. In Nigeria, dams are an important source of drinking water in many communities but are vulnerable to contamination from different sources. This study assessed the possible elemental (Cd, Cr, Cu, Fe, Ni, Pb, Mn, and Zn) contamination sources of selected dams in a total of 126 samples comprising 54 surface water, and 72 sediment samples collected from six main dams in Osun State using multivariate analyses like Principal Component Analysis (PCA) and Cluster Analysis (CA). Generally, the average elemental concentration was in the decreasing order of Cr > Ni > Cd > Pb > Cu > Fe > Zn > Mn and Pb > Cr > Ni > Cd > Zn > Mn > Fe > Cu for surface water and sediment samples respectively. Furthermore, statistical analysis showed that the average concentrations of the potentially toxic elements (PTEs) did not differ significantly (p < 0.05) across the sampling sites, indicating similar PTEs profiles. The PCA and CA revealed possible sources of elemental contamination to the dam quality as weathering of bedrocks, uncontrolled farming activities, abandoned equipment, boat fueling, maintenance, and repairs. Although only 13.9% of the hazard quotients (HQ) were higher than one for all the studied heavy metals in surface water, 91.7% of the hazard index (HI) were higher than one. This suggests an unacceptable risk of non-carcinogenic effects from the direct consumption of dam water. Furthermore, the oral target cancer risk, TCRoral in children > adults and > 1 × 10−4 for cancer risk set by USEPA, however, the % contribution of Cr to ∑TCRoral in adults which is > 1 × 10−4 ranged between 98.9 to 99.5%, indicating that Cr is the most dominant carcinogens in the overall cancer risk in adults.