# Are trace element concentrations suitable biomarkers for the diagnosis of cancer?

**Authors:** Kristina Lossow, Maria Schwarz, Anna P. Kipp

PMC · DOI: 10.1016/j.redox.2021.101900 · Redox Biology · 2021-02-18

## TL;DR

This paper explores if trace elements like copper and zinc in the blood can serve as biomarkers for early cancer diagnosis.

## Contribution

The study systematically compares trace element levels in cancer patients and controls to identify potential diagnostic biomarkers.

## Key findings

- Cancer patients generally have higher serum copper and lower zinc levels compared to controls.
- Selenium and iron levels do not consistently differ across the four cancer types studied.
- Copper and selenium tend to accumulate in tumor tissues.

## Abstract

Despite advances in cancer research, cancer is still one of the leading causes of death worldwide. An early diagnosis substantially increases the survival rate and treatment success. Thus, it is important to establish biomarkers which could reliably identify cancer patients. As cancer is associated with changes in the systemic trace element status and distribution, serum concentrations of selenium, iron, copper, and zinc could contribute to an early diagnosis. To test this hypothesis, case control studies measuring trace elements in cancer patients vs. matched controls were selected and discussed focusing on lung, prostate, breast, and colorectal cancer. Overall, cancer patients had elevated serum copper and diminished zinc levels, while selenium and iron did not show consistent changes for all four cancer types. Within the tumor tissue, mainly copper and selenium are accumulating. Whether these concentrations also predict the survival probability of cancer patients needs to be further investigated.

## Linked entities

- **Chemicals:** selenium (PubChem CID 6326970), iron (PubChem CID 23925), copper (PubChem CID 23978), zinc (PubChem CID 23994)
- **Diseases:** cancer (MONDO:0004992), lung cancer (MONDO:0005138), prostate cancer (MONDO:0005159), breast cancer (MONDO:0004989), colorectal cancer (MONDO:0005575)

## Full-text entities

- **Genes:** GTF2E1 (general transcription factor IIE subunit 1) [NCBI Gene 2960] {aka FE, TF2E1, TFIIE-A}, GPX3 (glutathione peroxidase 3) [NCBI Gene 2878] {aka GPx-P, GSHPx-3, GSHPx-P}, ATP7A (ATPase copper transporting alpha) [NCBI Gene 538] {aka DSMAX, HMNX, MK, MNK, SMAX3}, ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, SEPHS2 (selenophosphate synthetase 2) [NCBI Gene 22928] {aka SPS2}, SELENOS (selenoprotein S) [NCBI Gene 55829] {aka AD-015, ADO15, SBBI8, SELS, SEPS1, VIMP}, SLC31A1 (solute carrier family 31 member 1) [NCBI Gene 1317] {aka COPT1, CTR1, NSCT}, KRAS (KRAS proto-oncogene, GTPase) [NCBI Gene 3845] {aka 'C-K-RAS, C-K-RAS, CFC2, K-RAS2A, K-RAS2B, K-RAS4A}, SELENOP (selenoprotein P) [NCBI Gene 6414] {aka SELP, SEPP, SEPP1, SeP}, TF (transferrin) [NCBI Gene 7018] {aka HEL-S-71p, PRO1557, PRO2086, TFQTL1}, SLC7A11 (solute carrier family 7 member 11) [NCBI Gene 23657] {aka CCBR1, xCT}, CP (ceruloplasmin) [NCBI Gene 1356] {aka AB073614, CP-2}
- **Diseases:** adenocarcinoma (MESH:D000230), benign breast diseases (MESH:D001941), tumorigenesis (MESH:D063646), metastasis (MESH:D009362), TSAT (MESH:C537248), colon and 370 rectal cancers (MESH:D015179), lung (MESH:D008171), CRC (MESH:D003108), PC (MESH:D015324), blood loss (MESH:D016063), inflammation (MESH:D007249), Fe deficiency (MESH:D007153), DNA (MESH:D004266), death (MESH:D003643), breast and prostate cancer (MESH:D001943), toxicity (MESH:D064420), HCC (MESH:D006528), SMD (MESH:C537501), prostate disease (MESH:D011469), hemolysis (MESH:D006461), lung cancer (MESH:D008175), rectal cancers (MESH:D012004), Prostate Cancer (MESH:D011471), functional (MESH:D003291), TEs (MESH:C565217), Tumor (MESH:D009369)
- **Chemicals:** Se (MESH:D012643), elements (MESH:D004602), lipid (MESH:D008055), Copper (MESH:D003300), Fe (MESH:D007501), Zinc (MESH:D015032), oxygen (MESH:D010100), Trace (-), TE (MESH:D014131),  (MESH:D015415)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC8113050/full.md

## References

76 references — full list in the complete paper: https://tomesphere.com/paper/PMC8113050/full.md

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Source: https://tomesphere.com/paper/PMC8113050