Trace and Major Element Concentrations in Cadaveric Lung Tissues from World Trade Center Health Registry Decedents and Community Controls
Abstract
:1. Introduction
Study Hypothesis and Aims
2. Materials and Methods
2.1. WTCHR Decedents
2.2. Community Controls
2.3. Characteristics of WTCHR and Community Control Decedents
2.4. Autopsy Specimens
2.5. Laboratory Analyses
2.5.1. Tissue-Drying Procedures and Inductively Coupled Plasma Mass Spectrometry (ICP-MS)
2.5.2. Quality Assurance and Quality Control
2.6. Expected Values
2.7. Prior Analyses
2.8. Statistical Methods
2.8.1. Multiple Comparisons
2.8.2. One-Sided Statistical Tests
2.8.3. Two-Sided Statistical Tests
2.8.4. Comparison of WTCHR and NYC Community Control Decedents
2.9. Validity of Methods
3. Results
3.1. Reliability of Measurements of Chemical Concentrations
3.2. Validity of Technique
3.3. Study Subjects
3.4. WTCHR Decedents vs. Community Controls
3.5. Elemental Concentrations in WTCHR Decedents vs. Community Controls
3.6. Dust-Cloud Exposure among WTCHR Decedents
3.7. Chemical Concentrations and Death Certificate Notations of Usual Occupation and Industry
3.8. Symptoms and Lung Concentrations of Measured Elements among WTCHR Decedents
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Element | NIST 1577c Conc. (ppm) | Q1 (ppm) | Median (ppm) | Q3 (ppm) | Recovery (Median/ NIST Conc.) | RIQR (IQR/ Median) |
---|---|---|---|---|---|---|
Beryllium (Be) | 0 † | 0 † | 0 † | |||
Sodium (Na) | 2033 | 1802 | 1817 | 1883 | 89% | 4% |
Magnesium (Mg) | 620 | 541 | 554 | 582 | 89% | 8% |
Aluminum (Al) | 0.325 | 0.666 | 1.47 | 173% | ||
Potassium (K) | 10,230 | 9640 | 9900 | 11,100 | 97% | 15% |
Calcium (Ca) | 131 | 129 | 141 | 147 | 108% | 13% |
Titanium (Ti) | 16.5 | 21.1 | 27.2 | 51% | ||
Vanadium (V) | 0.00817 | 0.0054 | 0.0090 | 0.0136 | 110% | 92% |
Chromium (Cr) | 0.053 | 0.33 | 0.86 | 0.92 | 1628% | 69% |
Manganese (Mn) | 10.46 | 9.14 | 9.52 | 10.6 | 91% | 15% |
Iron (Fe) | 197.94 | 169 | 178 | 198 | 90% | 16% |
Cobalt (Co) | 0.300 | 0.272 | 0.302 | 0.308 | 101% | 12% |
Nickel (Ni) | 0.0445 | 0 † | 0.053 | 0.067 | 119% | 127% |
Copper (Cu) | 275.2 | 243 | 252 | 277 | 91% | 14% |
Zinc (Zn) | 181.1 | 165 | 181 | 194 | 100% | 16% |
Arsenic (As) | 0.0196 | 0.0085 | 0.028 | 0.035 | 141% | 96% |
Selenium (Se) | 2.031 | 1.82 | 2.01 | 2.39 | 99% | 28% |
Strontium (Sr) | 0.0953 | 0.065 | 0.080 | 0.094 | 84% | 36% |
Molybdenum (Mo) | 3.30 | 3.01 | 3.16 | 3.45 | 96% | 14% |
Silver (Ag) | 0.0059 | 0.00003 | 0.0047 | 0.0096 | 80% | 202% |
Cadmium (Cd) | 0.097 | 0.082 | 0.098 | 0.104 | 101% | 22% |
Tin (Sn) | 0 † | 0.00179 | 0.00829 | 462% | ||
Antimony (Sb) | 0.00313 | 0 † | 0.0010 | 0.0021 | 32% | 211% |
Barium (Ba) | 0.0304 | 0.0377 | 0.0427 | 32% | ||
Thalium (Tl) | 0 † | 0 † | 0.00096 | |||
Lead (Pb) | 0.0628 | 0 † | 0.018 | 0.064 | 29% | 351% |
Element | NIST 1566b Conc. (ppm) | Q1 (ppm) | Median (ppm) | Q3 (ppm) | Recovery (Median/ NIST Conc.) | RIQR (IQR/ Median) |
---|---|---|---|---|---|---|
Ba | 0.00000 | 0.00213 | 0.00575 | 270% | ||
Na | 3297 | 2980 | 3060 | 3140 | 93% | 5% |
Mg | 1085 | 995 | 1015 | 1050 | 94% | 6% |
Al | 197.2 | 158 | 172 | 183 | 87% | 15% |
K | 6520 | 6143 | 6220 | 6630 | 95% | 8% |
Ca | 838 | 880 | 902 | 963 | 108% | 9% |
Ti | 19.7 | 22.2 | 27.0 | 33% | ||
V | 0.577 | 0.521 | 0.542 | 0.586 | 94% | 12% |
Cr | 0.950 ** | 0.840 | 0.916 | 1.14 | 96% | 32% |
Mn | 18.5 | 17.2 | 18.2 | 19.0 | 98% | 10% |
Fe | 205.8 | 186 | 196 | 203 | 95% | 9% |
Co | 0.371 | 0.333 | 0.360 | 0.366 | 97% | 9% |
Ni | 1.04 | 0.905 | 0.933 | 0.995 | 90% | 10% |
Cu | 71.6 | 65.0 | 66.2 | 68.0 | 92% | 4%s |
Zn | 1424 | 1310 | 1380 | 1460 | 97% | 10% |
As | 7.65 | 6.842 | 7.06 | 7.58 | 92% | 10% |
Se | 2.06 | 2.287 | 2.42 | 2.82 | 117% | 22% |
Sr | 6.8 | 5.9 | 6.3 | 6.5 | 92% | 9% |
Mo | 0.144 | 0.156 | 0.164 | 13% | ||
Ag | 0.666 | 0.585 | 0.625 | 0.647 | 94% | 10% |
Cd | 2.48 | 2.45 | 2.50 | 2.51 | 101% | 2% |
Sn | 0.031 | 0.0074 | 0.018 | 0.021 | 57% | 79% |
Sb | 0.011 | 0 † | 0.0067 | 0.0103 | 61% | 155% |
Ba | 8.6 | 7.71 | 8.12 | 8.22 | 94% | 6% |
Tl | 0 † | 0.00028 | 0.00423 | 1509% | ||
Pb | 0.308 | 0 † | 0.22 | 0.30 | 72% | 135% |
Autopsied Enrollees | All Other Registry Enrollees * | p-Value ** | |
---|---|---|---|
(n = 76) | (n = 70,494) | ||
State of Residence on 11 September 2001 | |||
New York | 75 (98.7%) | 56,985 (80.9%) | <0.01 |
New Jersey | 1 (1.3%) | 7389 (10.5%) | |
Other | 0 (0.0%) | 6044 (8.6%) | |
Place of Residence on 11 September 2001 | |||
Manhattan | 28 (39.4%) | 21,183 (43.7%) | 0.21 |
Bronx | 9 (12.7%) | 3347 (6.9%) | |
Brooklyn | 18 (25.3%) | 9716 (20.0%) | |
Queens | 11 (15.5%) | 10,063 (20.8%) | |
Staten Island | 5 (7.0%) | 4194 (8.6%) | |
Age on 11 September (median, IQR) | (46; 54 − 39 = 15) | (40; 49 − 32 = 17) | 0.02 |
0–17 | 1 (1.3%) | 3148 (4.4%) | |
18–24 | 4 (5.3%) | 4353 (6.2%) | |
25–44 | 29(38.2%) | 36,731 (52.3%) | |
45–64 | 37(48.7%) | 23,556 (33.5%) | |
65+ | 5 (6.6%) | 2505 (3.6%) | |
Gender | |||
Male | 52 (68.4%) | 42,323 (60.1%) | 0.14 |
Female | 24 (31.6%) | 28,095 (39.9%) | |
Race/ethnicity | |||
White | 37 (48.7%) | 44,304 (62.9%) | <0.01 |
Black | 19 (25%) | 8393 (11.9%) | |
Hispanic | 9 (11.8%) | 9471 (13.5%) | |
Asian | 6 (7.9%) | 5232 (7.4%) | |
Multiracial/Other | 5 (6.6%) | 3018 (4.3%) | |
Education—Highest Year of School completed | |||
Below college | 28 (36.8%) | 18,922 (27.3%) | 0.06 |
College and above | 48 (63.2%) | 50,313 (72.7%) |
Reported by Morton, et al. (n = 54) | Community Controls (n = 55) | WTCHR Decedents (n = 76) | Sum of WTCHR Wilcoxon Scores † | p-Value * | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Element | Median | 95th Percentile | Median | 5th Percentile | 95th Percentile | Median | 5th Percentile | 95th Percentile | ||
Be | 0.00 | 0.01 | 0 | 0 | 0.0485 | 0 | 0 | 0.0143 | 4863 | 1 |
Na | 16,754 | 10,233 | 25,501 | 16,253 | 10,108 | 28,264 | 4980 | 1 | ||
Mg | 449 | 355 | 719 | 444 | 221 | 706 | 4823.5 | 1 | ||
Al | 14.3 | 116 | 25.0 | 5.00 | 201 | 18.6 | 6.65 | 96.8 | 4754.5 | 1 |
K | 7750 | 3540 | 12,137 | 7437 | 2828 | 12,960 | 4973 | 1 | ||
Ca | 1533 | 459 | 3216 | 1228 | 359 | 2836 | 4668 | 1 | ||
Ti | 1.59 | 15.7 | 0.134 | 0.018 | 61.3 | 0.212 | 0.0295 | 40.6 | 5250 | 0.14 |
V | 4.86 | 22.1 | 0.258 | 0.000 | 0.569 | 0.200 | 0.000 | 0.567 | 4799 | 1 |
Cr | 0.48 | 5.18 | 1.3 | 0.2 | 2.6 | 1.3 | 0.2 | 2.01 | 5018 | 0.50 |
Mn | 0.621 | 2.01 | 0.893 | 0.300 | 2.60 | 0.743 | 0.216 | 2.88 | 4789 | 1 |
Fe | 746 | 1692 | 759 | 316 | 1594 | 945 | 326 | 1770 | 5526 | 0.01 |
Co | 0.11 | 0.42 | 0.0819 | 0.000 | 0.200 | 0.060 | 0.000 | 0.164 | 4739 | 1 |
Ni | 0.221 | 1.13 | 0.318 | 0.0319 | 1.22 | 0.288 | 0.000 | 0.763 | 4726 | 1 |
Cu | 6.02 | 10.51 | 9.5 | 5.82 | 15.6 | 9.2 | 5.5 | 16.7 | 5059 | 0.4 |
Zn | 49.44 | 82.9 | 85.9 | 46.9 | 135 | 85.5 | 45.6 | 166 | 5030 | 0.5 |
As | 0.168 | 0.00914 | 0.000 | 0.161 | 0.013 | 0 | 0.1 | 5059 | 0.4 | |
Se | 0.89 | 2.37 | 1.012 | 0.200 | 6.900 | 0.967 | 0 | 5.8 | 4752 | 1 |
Sr | 0.32 | 0.83 | 0.7 | 0.283 | 1.33 | 0.600 | 0.246 | 1.8 | 4698 | 1 |
Mo | 0.080 | 0.522 | 0.222 | 0.100 | 0.569 | 0.226 | 0.081 | 0.6 | 4984 | 1 |
Ag | 0.00 | 0.00 | 0.02 | 0.00 | 0.00 | 0.02 | 4955 | 1 | ||
Cd | 0.27 | 3.43 | 2.80 | 0.10 | 8.30 | 1.67 | 0.11 | 17.0 | 4726 | 1 |
Sn | 1.01 | 6.66 | 0.400 | 0.0796 | 2.88 | 0.400 | 0.100 | 2.500 | 5003 | 1 |
Sb | 0.03 | 0.12 | 0.051 | 0.000 | 0.453 | 0.057 | 0.000 | 0.200 | 5250 | 0.14 |
Ba | 0.22 | 2.58 | 0.222 | 0.069 | 1.639 | 0.200 | 0.044 | 0.900 | 4879 | 1 |
Tl | 0.0005 | 0.003 | 0.000 | 0.000 | 0.0461 | 0.000 | 0.000 | 0.00849 | 4991 | 1 |
Pb | 0.08 | 0.23 | 0.078 | 0.000 | 0.900 | 0.100 | 0.000 | 1.536 | 5182 | 0.21 |
Dust-Cloud-Exposed (n = 39) | Dust-Cloud-Unexposed (n = 37) | One-Sided p-Value * | |||||
---|---|---|---|---|---|---|---|
Element | Median | 5th Percentile | 95th Percentile | Median | 5th Percentile | 95th Percentile | |
Be | 0 | 0 | 0.0282 | 0 | 0 | 0.0082 | 0.4 |
Na | 15,777 | 10,108 | 30,545 | 16,383 | 9940 | 28,264 | 1 |
Mg | 439 | 215 | 689 | 453 | 221 | 741 | 0.4 |
Al | 17.7 | 5.9 | 148 | 19.7 | 7.82 | 92.7 | 1 |
K | 7944 | 2828 | 12,960 | 7378 | 2151 | 13,838 | 0.15 |
Ca | 1249 | 359 | 2836 | 1107 | 348 | 2894 | 0.3 |
Ti | 1.70 | 0.0224 | 49.2 | 0.122 | 0.0224 | 36.1 | 0.05 |
V | 0.20 | 0.024 | 0.582 | 0.226 | 0 | 0.560 | 0.5 |
Cr | 1.40 | 0.080 | 2.24 | 1.28 | 0.20 | 1.83 | 0.02 |
Mn | 0.80 | 0.27 | 2.30 | 0.70 | 0.20 | 4.65 | 0.2 |
Fe | 865 | 320 | 1657 | 1032 | 326 | 1928 | 1.0 |
Co | 0.078 | 0 | 0.2 | 0.050 | 0 | 0.141 | 0.2 |
Ni | 0.25 | 0.15 | 0.70 | 0.318 | 0 | 0.985 | 1 |
Cu | 9.41 | 4.05 | 16.6 | 8.70 | 5.59 | 17.4 | 0.2 |
Zn | 85.5 | 50.1 | 155.4 | 85.2 | 44.3 | 204 | 0.4 |
As | 0.0103 | 0 | 0.20 | 0.018 | 0 | 0.10 | 0.5 |
Se | 0.9333 | 0 | 1.68 | 0.978 | 0 | 8.30 | 0.5 |
Sr | 0.60 | 0.25 | 1.78 | 0.60 | 0.24 | 1.82 | 1 |
Mo | 0.26 | 0.08 | 0.55 | 0.22 | 0.063 | 0.747 | 1 |
Ag | 0 | 0 | 0.02 | 0 | 0 | 0.021 | 1 |
Cd | 2.0 | 0.10 | 19.6 | 1.57 | 0.20 | 7.70 | 0.05 |
Sn | 0.50 | 0.10 | 2.50 | 0.30 | 0.062 | 2.30 | 0.15 |
Sb | 0.057 | 0 | 0.394 | 0.057 | 0 | 0.20 | 0.4 |
Ba | 0.20 | 0 | 0.80 | 0.2 | 0.081 | 0.92 | 0.5 |
Tl | 0 | 0 | 0.0178 | 0 | 0 | 0.0038 | 0.4 |
Pb | 0.10 | 0 | 1.64 | 0.1 | 0 | 1.54 | 1 |
Wheezing | Cough | Shortness of Breath | Sinus Problems | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Variable | OR | 95% CI | p- Value | OR | 95% CI | p- Value | OR | 95% CI | p- Value | OR | 95% CI | p- Value |
Mn | 0.94 | 0.48, 1.85 | 0.9 | 0.97 | 0.50, 1.90 | 0.9 | 1.03 | 0.53, 2.0 | 0.9 | 2.39 | 1.12, 5.09 | 0.02 |
Fe | 0.27 | 0.08, 0.98 | 0.05 | 0.57 | 0.19, 1.69 | 0.3 | 0.53 | 0.17, 1.60 | 0.7 | 0.28 | 0.09, 0.91 | 0.03 |
Co | 1.10 | 0.95, 1.27 | 0.19 | 1.05 | 0.92, 1.21 | 0.5 | 1.25 | 1.06, 1.48 | 0.007 | 1.22 | 1.04, 1.43 | 0.01 |
As | 1.19 | 1.04, 1.36 | 0.01 | 1.15 | 1.01, 1.30 | 0.03 | 1.28 | 1.11, 1.48 | 0.007 | 1.17 | 1.03, 1.32 | 0.02 |
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Marmor, M.; Burcham, J.L.; Chen, L.-C.; Chillrud, S.N.; Graham, J.K.; Jordan, H.T.; Zhong, M.; Halzack, E.; Cone, J.E.; Shao, Y. Trace and Major Element Concentrations in Cadaveric Lung Tissues from World Trade Center Health Registry Decedents and Community Controls. Int. J. Environ. Res. Public Health 2023, 20, 6923. https://doi.org/10.3390/ijerph20206923
Marmor M, Burcham JL, Chen L-C, Chillrud SN, Graham JK, Jordan HT, Zhong M, Halzack E, Cone JE, Shao Y. Trace and Major Element Concentrations in Cadaveric Lung Tissues from World Trade Center Health Registry Decedents and Community Controls. International Journal of Environmental Research and Public Health. 2023; 20(20):6923. https://doi.org/10.3390/ijerph20206923
Chicago/Turabian StyleMarmor, Michael, Joyce L. Burcham, Lung-Chi Chen, Steven N. Chillrud, Jason K. Graham, Hannah T. Jordan, Mianhua Zhong, Elizabeth Halzack, James E. Cone, and Yongzhao Shao. 2023. "Trace and Major Element Concentrations in Cadaveric Lung Tissues from World Trade Center Health Registry Decedents and Community Controls" International Journal of Environmental Research and Public Health 20, no. 20: 6923. https://doi.org/10.3390/ijerph20206923