Alzheimer Dementia, Brain Tumours, Cerebrovascular Disorders
Conditions
Keywords
Environmental Pollutants, Exposomics, Pathogenic Mechanisms, Neurological Disorders, Neurosurgical Patients
Brief summary
Environmental pollutants have emerged as a major global health concern, with growing evidence linking exposure to both traditional contaminants such as heavy metals (lead, mercury, cadmium, arsenic) and novel pollutants-including micro- and nanoplastics, per- and polyfluoroalkyl substances (PFAS), antibiotics, and endocrine-disrupting chemicals-to adverse neurological outcomes. These pollutants can cross or disrupt the blood-brain barrier, accumulate in neural tissue, and trigger oxidative stress, inflammation, epigenetic modifications, and metabolic reprogramming. Brain tumours and cerebrovascular diseases represent two major categories of neurosurgical disorders with high morbidity and mortality. However, their interaction with environmental pollutant exposure remains poorly understood. Recent studies suggest that pollutant-induced molecular alterations, such as aberrant DNA methylation, lipid metabolism disruption, and neurovascular endothelial dysfunction, may contribute to tumour initiation, malignant progression, aneurysm formation, and stroke occurrence. Given the increasing human exposure to these pollutants and the lack of large-scale clinical data, it is urgent to establish a systematic investigation in neurosurgical patients. This study aims to profile pollutant exposure (heavy metals, PFAS, microplastics, and other novel contaminants) using multi-biospecimen analysis (blood, urine, hair, tumour and peri-tumour tissues), and to explore their mechanistic links to the pathogenesis of brain tumours and cerebrovascular diseases. The findings are expected to provide new evidence for understanding environment-brain interactions and to identify potential biomarkers for disease risk stratification and prevention.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years of age or older; * Able to give informed consent to participate in the research.
Exclusion criteria
* Refusal to participate. * Pregnant or breastfeeding woman.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival (OS) | Until death or study completion (24 months) | OS is defined as the time from the sample collection date to death due to any cause. All other participants will be censored at the last date known to be alive. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression-Free Survival (PFS) | Until progression or death or study completion (24 months) | PFS is defined as the duration of time from sample collection date to time of progression or death, whichever occurs first. |
| modified Rankin Scale (mRS) | 90 days after sample collection | Patients' mRS scores at 90 days after sample collection. |
Countries
China