PMID- 35972654 OWN - NLM STAT- MEDLINE DCOM- 20230206 LR - 20230206 IS - 1614-7499 (Electronic) IS - 0944-1344 (Linking) VI - 30 IP - 2 DP - 2023 Jan TI - Associations of exposure to multiple metals with the risk of age-related cataract in Anhui, China: a case-control study. PG - 4680-4693 LID - 10.1007/s11356-022-22494-y [doi] AB - It's well-known that multiple metal elements can lead to the change of oxidative stress response levels in vivo. However, their relationship with age-related cataract (ARC) had not been well studied. We designed a case-control study including 210 individuals with ARC and 210 matched control group. The metal levels in their urine specimens were measured using graphite furnace atomic absorption spectrometry (GFAAS) and inductively coupled plasma optical emission spectrometry (ICP-OES). Least Absolute Shrinkage and Selection Operator (LASSO) regression was used to select representative metals into the multi-element model and reduce dimension. Multivariate logic analysis and Bayesian kernel machine regression (BKMR) were subsequently used to explore the association of ARC risk with multiple metal elements. We found that magnesium (Mg), chromium (Cr), arsenic (As), manganese (Mn), and selenium (Se) were positively associated with ARC in the single-element model. The multiple exposure model indicated a positive association between Mg and As, in which the OR in their highest quartile were 3.32 (95% CI: 1.24-8.89) and 7.09 (95% CI: 2.56-19.63). The BKMR model also showed the effect of As increased monotonically with its increasing concentration, and high levels of Mg and As had a significant positive effect on ARC risk. In conclusion, we found that exposure to multiple metals was associated with increased ARC risk. Further research is needed to verify these findings in the future. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Li, Yan-Qing AU - Li YQ AD - Department of Ophthalmology, First Affiliated Hospital of Anhui Medical University, No.218, Jixi Road, Shushan District, Hefei, 230022, Anhui, China. FAU - Wang, Qian AU - Wang Q AD - Department of Ophthalmology, First Affiliated Hospital of Anhui Medical University, No.218, Jixi Road, Shushan District, Hefei, 230022, Anhui, China. FAU - Liu, Ran AU - Liu R AD - Department of Ophthalmology, First Affiliated Hospital of Anhui Medical University, No.218, Jixi Road, Shushan District, Hefei, 230022, Anhui, China. FAU - Li, Guo-Ao AU - Li GA AD - Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui, China. FAU - He, Jia-Liu AU - He JL AD - Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui, China. FAU - Huang, Fen AU - Huang F AD - Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui, China. FAU - Zhou, Yan-Feng AU - Zhou YF AD - Department of Ophthalmology, First Affiliated Hospital of Anhui Medical University, No.218, Jixi Road, Shushan District, Hefei, 230022, Anhui, China. lizzhou@163.com. LA - eng GR - gxbjZD09/The Project for Top Disciplinary Talents of Majors in Universities of Anhui Province/ PT - Journal Article DEP - 20220816 PL - Germany TA - Environ Sci Pollut Res Int JT - Environmental science and pollution research international JID - 9441769 RN - 0 (Metals) RN - H6241UJ22B (Selenium) RN - N712M78A8G (Arsenic) SB - IM MH - Humans MH - Case-Control Studies MH - Bayes Theorem MH - Metals MH - *Selenium MH - *Arsenic MH - China/epidemiology OTO - NOTNLM OT - Age-related cataract OT - BKMR analysis OT - Case-control study OT - Environmental pollution OT - Multiple metals OT - Risk factors EDAT- 2022/08/17 06:00 MHDA- 2023/02/07 06:00 CRDT- 2022/08/16 11:20 PHST- 2022/04/05 00:00 [received] PHST- 2022/08/08 00:00 [accepted] PHST- 2022/08/17 06:00 [pubmed] PHST- 2023/02/07 06:00 [medline] PHST- 2022/08/16 11:20 [entrez] AID - 10.1007/s11356-022-22494-y [pii] AID - 10.1007/s11356-022-22494-y [doi] PST - ppublish SO - Environ Sci Pollut Res Int. 2023 Jan;30(2):4680-4693. doi: 10.1007/s11356-022-22494-y. Epub 2022 Aug 16.