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Cancer Risk and Estimated Lithium Exposure in Drinking Groundwater in the US
Jiajun Luo1,2, Liang Zheng3, Zhihao Jin4
1Department of Public Health Sciences, The University of Chicago Biological Science Division, Chicago, Illinois.
JAMA Network Open
|February 20, 2025
Summary
Environmental lithium exposure in drinking water was linked to a significant reduction in cancer risk across a large population study. Further research is needed to understand the mechanisms behind this protective effect of lithium.
Area of Science:
- Environmental Health
- Epidemiology
- Oncology
Background:
- Lithium is a mood stabilizer, and prior studies suggest it may reduce cancer risk in patients with bipolar disorder.
- The association between environmental lithium exposure and cancer risk in the general population remains unstudied.
Purpose of the Study:
- To investigate the relationship between lithium concentration in drinking groundwater and cancer risk.
- To assess potential cancer-protective effects of environmental lithium exposure in the general population.
Main Methods:
- A large cohort study (N=252,178) from the All of Us Research Program.
- Estimated lithium exposure from US Geological Survey groundwater data.
- Cox proportional hazards regression models adjusted for confounders, analyzing cancer incidence over a median follow-up of 3.6 years.
Main Results:
- Higher estimated lithium exposure was consistently associated with reduced overall cancer risk.
- The highest quintile of lithium exposure showed a significant reduction in cancer risk (HR=0.29; 95% CI, 0.15-0.55) compared to the lowest.
- This association was observed across various cancer types, in both sexes, and in different US regions.
Conclusions:
- Environmental lithium exposure in drinking groundwater is associated with a lower risk of developing cancer.
- The findings suggest a potential public health benefit of lithium in drinking water.
- Further research is warranted to elucidate the mechanisms underlying this observed association.
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