Evidence mapPaperPMID 39104887Full record

ArticleFrontiers in public health2024

Association between heavy metals exposure and persistent infections: the mediating role of immune function.

Huiling Zhang, Juan Wang, Kunlun Zhang, Jianyang Shi, Yameng Gao, Jingying Zheng, Jingtong He, Jing Zhang, Yang Song, Ruifei Zhang and 3 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Epitranscriptomic alterations induced by environmental toxins: implications for RNA modifications and disease.Genes and environment : the official journal of the Japanese Environmental Mutagen Society · 2025
    Review
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Huiling ZhangSchool of Public Health, Jilin University, Changchun, China.
Juan WangSchool of Public Health, Jilin University, Changchun, China.
Kunlun ZhangSchool of Public Health, Jilin University, Changchun, China.
Jianyang ShiSchool of Public Health, Jilin University, Changchun, China.
Yameng GaoSchool of Public Health, Jilin University, Changchun, China.
Jingying ZhengSchool of Public Health, Jilin University, Changchun, China.
Jingtong HeSchool of Public Health, Jilin University, Changchun, China.
Jing ZhangSchool of Public Health, Jilin University, Changchun, China.
Yang SongSchool of Public Health, Jilin University, Changchun, China.
Ruifei ZhangSchool of Public Health, Jilin University, Changchun, China.
Xuening ShiSchool of Public Health, Jilin University, Changchun, China.
Lina JinSchool of Public Health, Jilin University, Changchun, China.
Hui LiSchool of Public Health, Jilin University, Changchun, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Persistent infections caused by certain viruses and parasites have been associated with multiple diseases and substantial mortality. Heavy metals are ubiquitous environmental pollutants with immunosuppressive properties. This study aimed to determine whether heavy metals exposure suppress the immune system, thereby increasing the susceptibility to persistent infections. Methods: Using data from NHANES 1999-2016, we explored the associations between heavy metals exposure and persistent infections: Cytomegalovirus (CMV), Epstein-Barr Virus (EBV), Hepatitis C Virus (HCV), Herpes Simplex Virus Type-1 (HSV-1), Results: Logistic regression analysis revealed positive associations between multiple heavy metals and the increased risk of persistent infections. In WQS models, the heavy metals mixture was associated with increased risks of several persistent infections: CMV (OR: 1.58; 95% CI: 1.17, 2.14), HCV (OR: 2.94; 95% CI: 1.68, 5.16), HSV-1 (OR: 1.25; 95% CI: 1.11, 1.42), Discussion: The findings of this study revealed that heavy metals exposure may increase susceptibility to persistent infections, with the host's immune status potentially mediating this relationship. Reducing exposure to heavy metals may have preventive implications for persistent infections, and further prospective studies are needed to confirm these findings.

Indexed as

Environmental ExposureMetals, HeavyAdultAnimalsBayes TheoremEnvironmental PollutantsFemaleHumansLogistic ModelsMaleMiddle AgedVirus DiseasesEnvironmental PollutantsMetals, Heavyheavy metal mixturesheavy metalsimmune systeminfectious diseasepathogens

Identifiers

PMID39104887
PMCPMC11298456

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.