Scientific Reports,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Nov. 5, 2024
Studies
on
the
correlation
of
exposure
to
metals
with
diabetic
kidney
disease
(DKD)
is
scarce,
especially
concerning
impact
mixed
DKD.
This
study
aimed
explore
association
blood
heavy
DKD
risk
among
type
2
diabetes
mellitus
(T2DM)
patients.
cross-sectional
enrolled
patients
T2DM
in
NHANES
2011–2020.
ICP‒MS
was
applied
detect
five
metals,
namely,
Pb,
Cd,
Hg,
Se
and
Mn,
blood.
At
same
time,
impacts
single
were
assessed
using
multivariable
logistic
regression,
WQS,
BKMR
models.
The
relationship
examined
based
age,
sex,
BMI,
hypertension,
smoking
status
PIR.
Totally
2362
participants
for
final
analysis.
Among
them,
634
(26.84%)
undergoing
had
Logistic
regression
indicated
that,
Pb
(Q4:
OR
[95%
CI]:
1.557
[1.175,
2.064])
related
when
all
covariates
adjusted.
WQS
analysis,
which
set
a
positive
directional
mode,
suggested
that
correlated
positively
higher
incidence
In
linear
dose‒response
curves
generated
fixing
other
50th
percentile.
addition,
significantly
Subgroup
analysis
during
demonstrated
females,
over
50
years,
those
25
kg/m2,
no
under
Serum
albumin
(ALB)
did
not
regulate
indirect
risk.
results
showed
increased
metal
concentration
may
lead
an
T2DM.
Blood
patients,
especially,
PIR
According
our
observations,
absorption
at
least
slightly
influences
occurrence
progression.
More
studies
are
needed
validate
this
work
illustrate
relevant
biological
mechanism.
Cureus,
Journal Year:
2023,
Volume and Issue:
unknown
Published: Sept. 20, 2023
The
complex
and
mutually
influential
connection
between
diabetes
mellitus
chronic
kidney
disease
(CKD)
is
a
significant
focal
point
in
the
current
healthcare
landscape.
Diabetes,
medical
condition
characterized
by
elevated
blood
glucose
levels
resulting
from
impaired
insulin
action
or
secretion,
has
become
global
epidemic.
It
poses
considerable
challenges
to
systems
affects
millions
of
individuals
worldwide.
Concurrently,
CKD,
gradual
decline
function,
persistent
health
challenge.
This
narrative
review
explores
relationship
these
two
conditions,
shedding
light
on
their
implications
for
public
health,
clinical
practice,
biomedical
research.
correlation
not
merely
coincidental.
Diabetes
recognized
as
risk
factor
with
are
considerably
more
vulnerable
developing
renal
complications.
Diabetic
nephropathy,
distinct
type
closely
associated
diabetes,
end-stage
disease.
imperative
implement
efficient
management
strategies
regulate
sugar
prevent
potential
damage.
On
other
hand,
may
contribute
development
diabetes.
kidneys
filtering
selectively
reabsorbing
necessary.
In
compromised
such
metabolism
can
give
rise
resistance
As
result,
plays
dual
role
both
preserving
function
preventing
who
at
risk.
coexistence
patient
presents
challenges.
Achieving
effective
requires
meticulous
balance
glycemic
control
preservation
function.
Failing
maintain
this
delicate
equilibrium
lead
cardiovascular
complications
subsequent
hospitalizations.
comprehensive
aims
thoroughly
examine
pathophysiological
mechanisms
that
connect
will
provide
insights
into
manifestations
diagnostic
methods,
explore
various
approaches
managing
condition,
discuss
crucial
nutrition,
delve
pharmacological
interventions,
emphasize
importance
education
self-care,
shed
emerging
research
areas.
addition
impacting
individual
outcomes,
reciprocal
systems,
socioeconomic
landscapes,
policy.
Comprehending
interaction
making
well-informed
judgments,
improving
care,
approach
address
interconnected
issues
Renal Replacement Therapy,
Journal Year:
2024,
Volume and Issue:
10(1)
Published: March 18, 2024
Abstract
Background
Chronic
kidney
disease
(CKD)
affects
10%
of
the
general
population
in
Western
countries.
Currently,
CKD
cannot
be
cured
and
there
are
only
few
strategies
to
prevent
onset
CKD,
reverse
early
stages
progression
established
end-stage
disease.
Cigarette
smoking
is
a
preventable
cause
CKD.
Methods
This
narrative
review
analyses
cause–effect
relationship
between
cigarette
discusses
association
inhaled
cadmium
smoking-induced
damage.
Results
places
individuals
at
risk
for
incident
It
accelerates
(decline
glomerular
filtration
rate,
aggravation
proteinuria)
(ESKD),
associated
with
shortened
transplant
graft
survival.
These
harmful
effects
on
function/structure
dependent
dose
duration
smoking.
Smoking
abstinence
decreases
higher
proteinuria
progression.
Inhaled
may
biologic
link
dysfunction.
Recent
studies
indicate
that
accumulation
blood
mediates
smokers
all-cause
mortality.
Conclusions
cessation
an
effective
intervention
reduce
as
well
smoking-attributable
morbidity
Scientific Reports,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Jan. 13, 2024
Abstract
The
present
study
utilized
the
National
Health
and
Nutrition
Examination
Survey
(NHANES)
database
to
examine
relationship
between
serum
levels
of
heavy
metals
Diabetic
retinopathy
(DR)
in
individuals
aged
over
30
years
with
type
2
diabetes
mellitus
(T2DM)
United
States.
A
cross-sectional
analysis
was
conducted
on
1583
T2DM
from
NHANES
2011–2020,
including
331
DR
group
1252
non-DR
group.
We
collected
data
metals,
DR,
albumin
for
descriptive
statistics,
linear
regression,
logistical
regression
analysis.
After
adjusting
age,
gender,
race
other
factors,
there
no
statistically
significant
association
blood
cadmium,
selenium,
mercury,
or
lead
DR.
However,
manganese
(Mn)
had
a
negative
(β
=
−
0.2045,
95%
CI
0.3484,
0.0606).
Serum
partially
modulated
indirect
influence
Mn
incidence
accounting
12.80%
There
prevalence
people
T2DM.
intake
at
least
this
has
little
onset
development
Critical Reviews in Toxicology,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 20
Published: April 7, 2025
In
recent
decades,
cadmium
(Cd)
has
garnered
significant
global
attention
due
to
its
extensive
and
potentially
harmful
health
effects,
even
at
low
exposure
levels.
Improper
management
of
waste
can
lead
severe
environmental
pollution,
ultimately
affecting
living
organisms
through
various
routes.
This
study
aims
compile
review
the
latest
data
on
toxic
effects
Cd
critical
body
systems
functions,
with
a
particular
focus
early
stages
development
(prepubertal
period)
across
different
species.
The
highlights
Cd's
impact
reproductive,
neurobehavioral,
cognitive,
immune,
renal
systems,
gastrointestinal,
endocrine
systems.
Additionally,
it
provides
valuable
insights
into
how
may
contribute
diseases
in
later
life.
Cells,
Journal Year:
2023,
Volume and Issue:
13(1), P. 83 - 83
Published: Dec. 30, 2023
Cadmium
(Cd)
is
a
pervasive
toxic
metal,
present
in
most
food
types,
cigarette
smoke,
and
air.
Most
cells
the
body
will
assimilate
Cd,
as
its
charge
ionic
radius
are
similar
to
essential
metals,
iron,
zinc,
calcium
(Fe,
Zn,
Ca).
Cd
preferentially
accumulates
proximal
tubular
epithelium
of
kidney,
excreted
urine
when
these
die.
Thus,
excretion
reflects
renal
accumulation
(body
burden)
current
toxicity
Cd.
The
kidney
only
organ
other
than
liver
that
produces
releases
glucose
into
circulation.
Also,
responsible
for
filtration
re-absorption
glucose.
least
recognized
diabetogenic
substance
although
research
performed
1980s
demonstrated
effects
chronic
oral
administration
neonatal
rats.
Approximately
10%
global
population
now
living
with
diabetes
over
80%
overweight
or
obese.
This
association
has
fueled
an
intense
search
any
exogenous
chemicals
lifestyle
factors
could
induce
excessive
weight
gain.
However,
whilst
epidemiological
studies
have
clearly
linked
exposure,
this
appears
be
independent
adiposity.
review
highlights
exposure
sources
levels
associated
type
2
mechanisms
by
which
disrupts
metabolism.
Special
emphasis
on
roles
cellular
stress
responses
defenses,
involving
heme
oxygenase-1
-2
(HO-1
HO-2).
From
degradation,
both
HO-1
HO-2
release
Fe,
carbon
monoxide,
precursor
substrate
producing
potent
antioxidant,
bilirubin.
also
anti-diabetic
anti-obese
actions.
In
old
age,
deficient
mice
display
symptomatic
spectrum
human
diabetes,
including
hyperglycemia,
insulin
resistance,
increased
fat
deposition,
hypertension.
Cadmium
(Cd)
is
a
pervasive
toxic
metal,
present
in
most
food
types,
cigarette
smoke,
and
contaminated
air.
It
has
no
nutritional
or
physiological
value,
but
cells
the
body
will
assimilate
Cd,
as
its
charge
ionic
radius
are
similar
to
essential
metals,
iron,
zinc,
calcium
(Fe,
Zn,
Ca),
which
required
for
cellular
metabolism
functional
integrity.
The
kidney
regarded
principal
site
of
Cd
toxicity
it
preferentially
accumulates
proximal
tubular
epithelium
here.
As
these
die
due
accumulation,
complexed
with
metallothionein
released
into
lumen
excreted.
Excretion
signifying
current
renal
cell
toxicity,
used
measure
long-term
exposure.
Approximately
10%
global
population
now
living
diabetes
over
80%
overweight
obese.
This
association
fueled
an
intense
search
any
exogenous
chemicals
life-style
factors
that
could
induce
excessive
weight
gain.
Whilst
epidemiological
studies
have
clearly
linked
exposure,
this
appears
be
independent
obesity.
Indeed,
obesity
may
enhance
diabetogenic
effects
Cd.
review
highlights
exposure
sources
levels
associated
type
2
along
pathophysiologic
mechanisms
by
disrupt
glucose
metabolism.
Special
emphasis
on
roles
liver
homeostasis,
heme-glucose
cross-talk,
involvement
heme
oxygenase-1
-2
(HO-1
HO-2).
From
degradation,
both
HO-1
HO-2
release
Fe,
carbon
monoxide
precursor
substrate
producing
cytoprotective
biochemical,
bilirubin,
whilst
also
anti-diabetic
anti-obese
actions.