Toenail selenium and risk of hepatocellular carcinoma mortality in Haimen City, China

Selenium (Se) is an essential trace mineral with known anticarcinogenic properties in humans. However, few studies have examined the association between Se nutrient status and risk of liver cancer. We conducted a nested case‐control study comparing the Se content in toenail clippings of 166 individu...

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Veröffentlicht in:International journal of cancer 2005-07, Vol.115 (4), p.618-624
Hauptverfasser: Sakoda, Lori C., Graubard, Barry I., Evans, Alison A., London, W. Thomas, Lin, Wen‐Yao, Shen, Fu‐Min, McGlynn, Katherine A.
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container_end_page 624
container_issue 4
container_start_page 618
container_title International journal of cancer
container_volume 115
creator Sakoda, Lori C.
Graubard, Barry I.
Evans, Alison A.
London, W. Thomas
Lin, Wen‐Yao
Shen, Fu‐Min
McGlynn, Katherine A.
description Selenium (Se) is an essential trace mineral with known anticarcinogenic properties in humans. However, few studies have examined the association between Se nutrient status and risk of liver cancer. We conducted a nested case‐control study comparing the Se content in toenail clippings of 166 individuals (154 men, 12 women) with hepatocellular carcinoma (HCC) to 394 healthy controls (360 men, 34 women) in Haimen City, China, where HCC is a leading cause of mortality. Toenail Se concentration was measured by inductively coupled plasma‐optical emission spectroscopy. Median toenail Se was lower for HCC cases than controls (p = 0.03). Adjusted odds ratios and 95% confidence intervals for HCC mortality by increasing quartile of toenail Se were 1.00 (reference), 0.58 (0.32–1.03), 0.83 (0.48–1.42) and 0.50 (0.28–0.90), with a marginally significant trend in risk observed (p for trend = 0.06). This inverse association appeared stronger among those who did not consume alcohol and among women. Future studies are needed to examine the interrelationship between Se, viral hepatitis infection and HCC in order to better understand the etiologic mechanisms involved and evaluate the true chemopreventive potential of Se compounds for liver diseases. © 2005 Wiley‐Liss, Inc.
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We conducted a nested case‐control study comparing the Se content in toenail clippings of 166 individuals (154 men, 12 women) with hepatocellular carcinoma (HCC) to 394 healthy controls (360 men, 34 women) in Haimen City, China, where HCC is a leading cause of mortality. Toenail Se concentration was measured by inductively coupled plasma‐optical emission spectroscopy. Median toenail Se was lower for HCC cases than controls (p = 0.03). Adjusted odds ratios and 95% confidence intervals for HCC mortality by increasing quartile of toenail Se were 1.00 (reference), 0.58 (0.32–1.03), 0.83 (0.48–1.42) and 0.50 (0.28–0.90), with a marginally significant trend in risk observed (p for trend = 0.06). This inverse association appeared stronger among those who did not consume alcohol and among women. Future studies are needed to examine the interrelationship between Se, viral hepatitis infection and HCC in order to better understand the etiologic mechanisms involved and evaluate the true chemopreventive potential of Se compounds for liver diseases. © 2005 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15704105</pmid><doi>10.1002/ijc.20937</doi><tpages>7</tpages></addata></record>
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subjects Adult
Alcohol Drinking
Biological and medical sciences
Carcinoma, Hepatocellular - genetics
Carcinoma, Hepatocellular - mortality
China - epidemiology
epidemiology
Female
Gastroenterology. Liver. Pancreas. Abdomen
Hepatitis - epidemiology
Hepatitis B Surface Antigens - blood
Humans
liver
Liver Neoplasms - genetics
Liver Neoplasms - mortality
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Nails - chemistry
neoplasm
Occupations
selenium
Selenium - analysis
Sex Characteristics
Smoking
Tropical medicine
Tumors
Urban Population
title Toenail selenium and risk of hepatocellular carcinoma mortality in Haimen City, China
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