Association between serum arsenic and oral cancer risk: A case-control study in southeast China
- PMID: 33748987
- DOI: 10.1111/cdoe.12633
Association between serum arsenic and oral cancer risk: A case-control study in southeast China
Abstract
Objectives: Evidence on serum arsenic and oral cancer risk was limited. We aimed to evaluate the association between serum arsenic and the risk of oral cancer in a southeast China population.
Methods: Serum arsenic was determined for 325 oral cancer patients and 648 controls using inductively coupled plasma-mass spectrometry (ICP-MS). Logistic regression and restricted cubic spline were analysed the association between serum arsenic level and oral cancer risk, and crude and adjusted odds ratios (aOR) with 95% confidence interval (95% CI) were calculated. Factors adjusted for included age, gender, BMI, smoking, drinking, education, residence, marital status and dietary factors. Stratification analysis was further performed according to drinking, smoking and dietary characteristics.
Results: Serum arsenic level was lower in the case group (P50 = 19.2μg/L, IQR = 11.6 ~ 26.4μg/L) than in the control group (P50 = 30.2 μg/L, IQR = 25.0 ~ 36.4 μg/L). An inverse but nonlinear association was observed between arsenic level and oral cancer risk by restricted cubic spline. These with moderate serum arsenic levels had a lower risk of oral cancer than those with low levels (OR = 0.11; 95%CI: 0.07-0.18), after adjusting for demographic and dietary intake factors. We also kept serum arsenic as a continuous variable in a regression model, where a similar inverse association between arsenic and oral cancer was observed, with OR = 0.86 (95%CI: 0.84-0.88). Stratification analysis revealed no significant multiplicative interactions between serum arsenic and smoking, drinking or dietary intake.
Conclusion: Serum arsenic is inversely related to oral cancer risk. Relative to those with low levels of arsenic, people with moderate serum arsenic levels had a lower risk of oral cancer. If confirmed, serum arsenic level may be a useful predictive marker for oral cancer risk.
Keywords: inductively coupled plasma mass spectrometry; oral cancer; restricted cubic spline; serum arsenic.
© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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References
REFERENCES
-
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68:394-424.
-
- Maasland DH, van den Brandt PA, Kremer B, Goldbohm RA, Schouten LJ. Alcohol consumption, cigarette smoking and the risk of subtypes of head-neck cancer: results from the Netherlands Cohort Study. BMC Cancer. 2014;14:187.
-
- Wang Z, Sturgis EM, Zhang Y, et al. Combined p53-related genetic variants together with HPV infection increase oral cancer risk. Int J Cancer. 2012;131:E251-258.
-
- Sreenath AM, Marie-Claude R, Willy W, et al. Nonlinear association between betel quid chewing and oral cancer: Implications for prevention. Oral Oncol. 2016;60:25-31.
-
- Raj AT, Patil S, Sarode SC, Sarode GS, Rajkumar C. Evaluating the association between household air pollution and oral cancer. Oral Oncol. 2017;75:178-179.
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