Statistical analysis of trace metals in the plasma of cancer patients versus controls

The plasma of cancer patients (n=112) and controls (n=118) were analysed for selected trace metals (Al, Ca, Cd, Co, Cr, Cu, Fe, K, Li, Mg, Mn, Mo, Na, Ni, Pb, Sb, Sr and Zn) by flame atomic absorption spectroscopy. In the plasma of cancer patients, mean concentrations of macronutrients/essential metals, Na, K, Ca, Mg, Fe and Zn were 3971, 178, 44.1, 7.59, 4.38 and 3.90 ppm, respectively, while the mean metal levels in the plasma of controls were 3844, 151, 74.2, 18.0, 6.60 and 2.50 ppm, respectively. Average concentrations of Cd, Cr, Cu, Mn, Mo, Ni, Pb, Sb, Sr and Zn were noted to be significantly higher in the plasma of cancer patients compared with controls. Very strong mutual correlations (r>0.70) in the plasma of cancer patients were observed between Fe-Mn, Ca-Mn, Ca-Ni, Ca-Co, Cd-Pb, Co-Ni, Mn-Ni, Mn-Zn, Cr-Li, Ca-Zn and Fe-Ni, whereas, Ca-Mn, Ca-Mg, Fe-Zn, Ca-Zn, Mg-Mn, Mg-Zn, Cd-Sb, Cd-Co, Cd-Zn, Co-Sb and Sb-Zn exhibited strong relationships (r>0.50) in the plasma of controls, all were significant at p<0.01. Principal component analysis (PCA) of the data extracted five PCs, both for cancer patients and controls, but with considerably different loadings. The average metals levels in male and female donors of the two groups were also evaluated and in addition, the general role of trace metals in the carcinogenesis was discussed. The study indicated appreciably different pattern of metal distribution and mutual relationships in the plasma of cancer patients in comparison with controls.