A review on role of essential trace elements in health and disease

Naringenin modulates Cobalt activities on gut motility through mechanosensors and serotonin signalling

IntroductionCobalt chloride-(CoCl₂) exerts beneficial and toxic activities depending on dose however Naringenin-(Nar) a flavonoid, chelates heavy metals. Absorption of ingested heavy metals, or chelates are dependent on gut motility (gastric emptying and intestinal transit time) and mechanosensor regulation. Literature is vague on CoCl₂ activities on gut motility and mechanosensor nor probable chelating actions with naringenin which was investigated in this study.MethodOne hundred male Wistar rats were grouped viz; A to D (25, 62, 150 and 300 mg/kg CoCl₂), E to H doses of CoCl₂+Nar (50 mg/kg), I-Narigenin and J-Control. Gastric emptying and intestinal transit time were evaluated by day eight, intestinal tissue assayed for biochemical, histological and immunohistochemistry reactivity.ResultCoCl₂ significantly increased Gastric emptying (150 and 300 mg/kg) and Intestinal transit time unlike Naringenin. CoCl₂ (150 mg/kg) significantly increased Catalase and Nitric oxide but ameliorated by Naringenin. ATPase activities significantly increased in 150 mg/kg-CoCl₂ but ameliorated by Naringenin. Carbonyl levels increased in all CoCl₂+Nar groups. High Enterochromaffin-cell count in 25 and 62 mg/kg-CoCl₂ were ameliorated by Naringenin. Serotonin immunoreactivity increased in CoCl₂ (25, 62, 300 mg/kg) but reduced in CoCl₂+Nar groups.ConclusionCobalt chloride enhanced gastric motility via increased mechanosensor activities and serotonin expression at low doses. Naringenin ameliorated toxicity of high cobalt chloride via metal-flavonoid chelates.

Concentration of essential and non-essential elements and carcinogenic / non-carcinogenic health risk assessment of commercial bee pollens from Turkey

BACKGROUND

Bee pollen, known as a natural super-food with valuable nutritional ingredients, is regarded as a good indicator of ecotoxic substances, such as potentially toxic elements (PTEs). Therefore, this study aims to examine the concentrations of selected PTEs (Al, As, Ba, Cd, Co, Cr, Cu, Fe, Hg, Mg, Mn, Mo, Ni, Pb, Se, Sn, Sr, V, Zn) in bee pollen purchased from online markets in Turkey and perform a health risk assessment to identify the potential risk to consumers.

METHODS

The quantitative analyses were conducted by inductively coupled plasma optical emission spectrometry (ICP-OES).

RESULTS

The mean values of essential PTEs in decreasing content order were Mg > Fe > Zn > Mn > Cu > Ni > Se > Cr > Mo >Co = V. Regarding the results of the study, daily consumption (40 g for adult or 20 g for children) of commercial bee pollen can recompense 20-35 % of daily Cu, Mn, Se requirements for children, adults, pregnant, and breastfeeding women. The decreasing content order of non-essential elements was Al > Sn > Sr > Ba > Pb > As. Cadmium and Hg concentrations were below the detection limits in all the samples. In terms of food and public health; detection of the PTEs concentrations is necessary to assess the quality and safety of bee pollen before consumption. According to the carcinogenic and non-carcinogenic risk assessments; commercial pollen consumption does not pose a health risk to either children or adults for the PTEs monitored in this study.

CONCLUSION

We conclude that bee pollen is an ideal indicator for the monitoring of environmental pollution of PTEs and also a valuable source of essential elements. This study highlights the need to develop standards that regulate acceptable concentrations of PTEs.

Mineral micronutrient status and spatial distribution among the Ethiopian population

Multiple micronutrient deficiencies are widespread in Ethiopia. However, the distribution of Se and Zn deficiency risks has previously shown evidence of spatially dependent variability, warranting the need to explore this aspect for wider micronutrients. Here, blood serum concentrations for Ca, Mg, Co, Cu and Mo were measured (n 3102) on samples from the Ethiopian National Micronutrient Survey. Geostatistical modelling was used to test spatial variation of these micronutrients for women of reproductive age, who represent the largest demographic group surveyed (n 1290). Median serum concentrations were 8·6 mg dl-1 for Ca, 1·9 mg dl-1 for Mg, 0·4 µg l-1 for Co, 98·8 µg dl-1 for Cu and 0·2 µg dl-1 for Mo. The prevalence of Ca, Mg and Co deficiency was 41·6 %, 29·2 % and 15·9 %, respectively; Cu and Mo deficiency prevalence was 7·6 % and 0·3 %, respectively. A higher prevalence of Ca, Cu and Mo deficiency was observed in north western, Co deficiency in central and Mg deficiency in north eastern parts of Ethiopia. Serum Ca, Mg and Mo concentrations show spatial dependencies up to 140-500 km; however, there was no evidence of spatial correlations for serum Co and Cu concentrations. These new data indicate the scale of multiple mineral micronutrient deficiency in Ethiopia and the geographical differences in the prevalence of deficiencies suggesting the need to consider targeted responses during the planning of nutrition intervention programmes.

Comparison of Mineral Composition in Microgreens and Mature leaves of Celery (Apium graveolens L.)

Celery (Apium graveolens L.), a medicinal crop, occupies a significant position in the human diet possessing several essential macro- and microelements. For proper proximate analysis, an experiment was executed by taking 20 celery genotypes. The genotypes were analyzed for macro- and microminerals which include nitrogen (N), phosphorus (P), potassium (K), calcium (Ca), sodium (Na), sulfur (S), zinc (Zn), iron (Fe), copper (Cu), and manganese (Mn). Results from analysis revealed that the  amount of N, P, Ca, Na, and S was higher in microgreens, whereas a higher value for K was found in mature leaves. Zn, Cu, and Mn contents were found to be higher in mature leaves, while no significant difference was observed for Fe content in microgreens and mature leaves. The inclusion of celery microgreens in our daily diet would fulfill a significant portion of our daily mineral requirement. This is the first report on mineral comparison between microgreens and mature leaves of celery. It opens a new avenue for further enhancement of minerals via biofortification of this medicinal wonder crop through systematic breeding efforts. On the basis of mineral analysis, three genotypes, namely PAU2, PAU4, and PAU16, were found superior in terms of mineral composition in microgreens and mature leaves of celery. Principal component and cluster analyses divide the genotypes into two different clusters on the basis of variability in mineral composition.

A systematic study on occurrence, risk estimation and health implications of heavy metals in potable water from different sources of Garhwal Himalaya, India

The occurrence of heavy metals (HMs) in drinking water has been a critical water quality concern for a long time and can compromise its aesthetic value to the larger extent. Chronic exposure of human beings to these toxic and non-toxic HMs through water ingestion can result in significant health risks. To assess these associated health risks, the present study was planned, designed and carried out for analyses of nine HMs namely, Al, Cr, Mn, Co, Ni, Cu, Zn, Cd and Pb in the potable water samples collected from different sources located across the Mandakini valley of Garhwal Himalaya, India using Inductively Coupled Plasma Mass Spectrometry. The measured values of Al, Cr, Mn, Co, Ni, Cu, Zn, Cd and Pb were found in the range of BDL-27.4 µg l^-1, 0.26-4.5 µg l^-1, BDL-139 µg l^-1, 0.02-0.9 µg l^-1, 0.4-5.5 µg l^-1, 0.07-9.2 µg l^-1, BDL-4164 µg l^-1, BDL-0.8 µg l^-1, and BDL-11.2 µg l^-1, respectively. The observed values of analyzed HMs except Zn and Pb were found below the reference values prescribed by the WHO, USEPA and BIS. In addition, Zn concentration exceeded its maximum permissible limit (4000 µg l^-1) recommended by WHO for infants at one station only. The observed indices show that there are no health risks from HMs contamination via drinking water in the region. Moreover, the estimated hazard quotients for children and adults also revealed no potential health risks. The results of present study will be useful as baseline data for state and national regulatory agencies.

Association of Zinc with Anemia

Zinc is an essential trace element, and anemia is the most common blood disorder. The association of zinc with anemia may be divided into three major forms: (1) zinc deficiency contributing to anemia, (2) excess intake of zinc leading to anemia, and (3) anemia leading to abnormal blood-zinc levels in the body. In most cases, zinc deficiency coexists with iron deficiency, especially in pregnant women and preschool-age children. To a lesser extent, zinc deficiency may cooperate with other factors to lead to anemia. It seems that zinc deficiency alone does not result in anemia and that it may need to cooperate with other factors to lead to anemia. Excess intake of zinc is rare. However, excess intake of zinc interferes with the uptake of copper and results in copper deficiency that leads to anemia. Animal model studies indicate that in anemia, zinc is redistributed from plasma and bones to the bone marrow to produce new red blood cells. Inadequate zinc status (zinc deficiency or excess) could have effects on anemia; at the same time, anemia could render abnormal zinc status in the body. In handling anemia, zinc status needs to be observed carefully, and supplementation with zinc may have preventive and curative effects.

Comparison between Macro and Trace Element Concentrations in Human Semen and Blood Serum in Highly Polluted Areas in Italy

Macro and trace elements are important regulators of biological processes, including those ones linked to reproduction. Among them, Ca, Cu, Fe, K, Mg, Mn, Na, Se, and Zn ensure normal spermatic functions. Hence, the aim of this study was to evaluate the concentrations of 26 macro and trace elements (Al, As, Ba, Be, Ca, Cd, Co, Cr, Cu, Fe, Hg, K, Li, Mg, Mn, Na, Ni, Pb, Rb, Sb, Se, Sn, Sr, U, V, and Zn) in blood serum and also in semen of healthy young men, homogeneous for age, anthropometric characteristics, and lifestyle, living in three highly polluted areas in Italy. Furthermore, a comparison among three geographical areas was performed to highlight any difference in the investigated parameters and, overall, to speculate any correlations between chemical elements and semen quality. Statistically significant differences (p < 0.05) among the three areas were found for each investigated element, in both semen and serum samples, where inter-area differences were more evident in semen than in blood serum, suggesting human semen as an early environmental marker. Considering the homogeneity of three cohorts, these differences could be due more to environmental conditions in the recruiting areas, suggesting that variations in those involved in reproductive-associated pathways can have an impact on male fertility. Nevertheless, more research is needed to evaluate threshold values for sperm dysfunction and male infertility. Actually, the role of different dietary intake and environmental exposure underlying the observed differences in the recruiting areas is under further investigation for the same cohort.

The concentration and health risk of potentially toxic elements (PTEs) in the breast milk of mothers: a systematic review and meta-analysis

AIM

Breast milk is the best source of nutrition for a newborn during the first six months of his or her life. However there is a possibility that breast milk may contain pollutants such as metals. The current meta-analytic study assessed the concentration of potentially toxic elements (PTEs), including lead (Pb), cadmium (Cd), arsenic (As), Iron (Fe), Zinc (Zn), copper (Cu), and nickel (Ni), in mothers' milk.

METHOD

The literature studies regarding the concentrations of PTEs in the breast milk of mothers were collected from international databases such as PubMed, Scopus, Web of Science, and Embase. Afterward, the Total Target Hazard Quotient (TTHQ) by Monte Carlo Simulation (MCS) model was used to assess the non-carcinogenic risk.

RESULTS AND DISCUSSION

According to 42 of the 836 retrieved articles, the PTE concentrations in mother's milk were as follows: Cu (1.84 mg/kg) > Zn (1.80 mg/kg) > Fe (1.03 mg/kg) > Ni (0.60 mg/kg) > Pb (0.10 mg/kg) > As (0.15 mg/kg) ≈ Cd (0.15 mg/kg). Based on the containment type, the highest concentrations of As (2.80 mg/kg), Cd (0.07 mg/kg), and Pb (2.68 mg/kg) were related to Western Pacific Region (WPRO), European Region (EURO), and WPRO, respectively. In addition, for trace elements, Eastern Mediterranean Region (EMRO) was the region with the highest concentrations of Cu (3.56 mg/kg), Fe (2.78 mg/kg), Ni (3.13 mg/kg), and Zn (5.58 mg/kg) were related to Lastly, the non-carcinogenic risk assessment of the PTEs in breast milk indicated different risk patterns in various countries, and the calculated TTHQ level in infants was below 1.

CONCLUSION

Overall, human breast milk was generally safe for infants to consume and poses no risks to their health.

Spatiotemporal assessment of potentially toxic elements in sediments and roadside soil samples and associated ecological risk in Ropar wetland and its environs

Sediments from banks of the Sutlej River and roadside soils from vicinity of Ropar wetland (collected during pre- and post-monsoon seasons, 2013) were analysed to determine the spatiotemporal distribution of potentially toxic elements (PTEs, viz. arsenic, cadmium, cobalt, chromium, copper, iron, manganese, lead and zinc), which when present in high concentrations may pose health hazards and ecological risk. Contamination factor, degree of contamination, modified degree of contamination, metal pollution index, pollution load index, enrichment factor, geoaccumulation index and ecological risk index were also determined for these PTEs in the study area. Sediment and soil samples were found to be alkaline and non-saline (pH > 7.0; EC < 4500 μS cm^-1) with sodium and potassium as major ions. Iron (mg kg^-1) was found to be most abundant in sediments (1477.59-6512.45) and soils (922.64-12,455.00). Cadmium content in sediments exceeded the threshold value (0.99 mg kg^-1) at 2 (pre-monsoon) and 3 (post-monsoon) sampling sites. In both seasons, cadmium (0.10-2.05) and cobalt (11.40-17.52) contents (mg kg^-1) exceeded the threshold limits (0.06 and 8.00 respectively) in all roadside soils. Significant spatiotemporal variation (p ≤ 0.05) was observed for pH; EC; and calcium, magnesium, copper, iron and zinc contents. Low to moderate potential ecological risk was observed for both roadside soils (31.80-213.82) and sediments (41.47-236.73). Contamination factor, enrichment factor and geoaccumulation index for cadmium were highest in roadside soils (6.84, 46.91 and 2.19, respectively) and sediments (7.64, 167.46 and 2.35, respectively) due to settlement of coal fly ash released from the industrial setups, on sediments/soils of the study area.

Concentration and Distribution of Cu, Zn, Pb, and Cd in Mackerel Icefish (Champsocephalus gunnari) in South Georgia, Antarctic, During Winter

Knowledge of the essential and nonessential elements distribution and behavior in Antarctic fish is important for understanding the essentiality and requirements of minerals in the diet of those species, as well as the bioavailability and storage of trace minerals in the tissues of fishes. In this study, the levels of zinc, copper, cadmium, and lead in muscle, intestine, liver, gill, and skin of mackerel icefish Champsocephalus gunnari (Lönnberg, 1905) in South Georgia were determined during winter. The following element concentration ranking was recorded: Zn > Cu > Cd > Pb in the muscle, Zn > Cu > Cd > Pb in the skin, Zn > Cu > Cd > Pb in the intestine, Zn > Cu > Pb > Cd in liver, and Zn > Cu > Cd > Pb in the gill. The concentration of Zn is higher by about two orders of magnitude than that of the other three elements for the tissues. Generally, apart from Cu levels in the liver and Cd levels in the intestine, the correlation of elements in tissues with both size and weight of C. gunnari is not observed. The levels of elements were compared to those reported for C. gunnari in the Kerguelen waters.

Health Risks for a Rural Community in Bokkos, Plateau State, Nigeria, Exposed to Potentially Toxic Elements from an Abandoned Tin Mine

The past mining activities in Bokkos Local Government Area (LGA) were performed in an uncontrolled way and gave rise to many abandoned ponds now serving as domestic and irrigation water sources. Past research focused mainly on the environmental impact, and we show for the first time what the human health risk through consumption of contaminated food crops is in these communities. This study was designed to determine the level of Potentially Toxic Elements (PTEs) contamination in pond water, soil, and food crops and assess the health risk of inhabitants in the abandoned tin mining community in Bokkos LGA. Samples of the mining pond water, soil, and selected food crops from farms irrigated with the pond water: bitter leaf (Vernonia amygdalina), pepper (Piper nigrum), okra (Albelmoschus esculentus), maize (Zea mays), sweet potato (Ipomoea batatas), and Irish potato (Solanum tuberosum) were analyzed for each of the eight PTEs (viz. Cu, Cr, Fe, Mn, Ni, Zn, Cd, and Pb) using inductively coupled plasma optical emission spectrometry (ICP-OES). The results obtained showed that the levels of all the PTEs analyzed in the soil, pond water, and selected food crops except for Fe and Mn in soil and Cd in sweet potato were greater than their corresponding background area values (p < 0.05). Also, the mean concentrations of all the PTEs except for Cu in pond water were significantly (p < 0.05) higher than the WHO maximum permissible limit. With the exception of Fe, Ni, and Zn for pepper and okra, Cu and Fe for maize grains as well as Cu, Ni, and Zn for sweet and Irish potatoes and Fe and Cd for sweet potato, the mean concentrations of PTEs in the food crops were significantly higher than WHO maximum permissible limit. The EF values of Cd (0.39); Cu (3.59) and Ni (2.81); Cr (9.38) and Pb (17.84); and Mn (178.13) and Zn (83.22) classified the soil as minimally, moderately, significantly, and extremely highly enriched, respectively. The PI values of all the PTEs in the soil studied were all greater than 5, indicating that the soils were severely contaminated. There was evidence that food crops significantly bioaccumulated PTEs either as a result of contaminated soil and/or irrigation water. The bioaccumulation was not uniform and was dominated by transfer from the polluted irrigation water. The bitter leaf, okra, and to some extent maize had the highest transfer of PTEs, and Mn, Cu, and Zn had the highest bioaccumulation in the food crops investigated. The hazardous index (HI) for the eight PTEs through the consumption of food crops was 107 for children and 33 for adults which greatly exceeded the recommended limit of 1, thus indicating that possible health risks exist for both local children and adults. For every PTE, the values of HI for children are many-fold higher than those for adults, which is of particular concern due to the high HI values for Pb found for maize consumption, a typical staple food. The cancer risk values for Cr and Ni for all the food crops were within 10^-3-10^-1 which is several fold higher than the permissible limits (10^-6 and < 10^-4) indicating the high carcinogenic risk. It can be concluded based on the results and risk assessment provided by this study that human exposure to mining pond water and soil in farms around the mining pond through the food chain suggests the high vulnerability of the local community to PTE toxicity. Long-term preventive measures to safeguard the health of the residents need to be put in place.

Calprotectin may be positively associated with the severity of acne vulgaris

Background and objective: Acne vulgaris (AV) is a common skin disease of sebaceous hair follicles. Many factors are associated with the occurrence and severity of acne, while the exact etiology remains incompletely understood. The current study was aimed to investigate the association between the severity of acne and serum zinc, copper, and calprotectin. Methods: Fifty patients with AV were recruited in the study as well as 25 healthy age and sex-matched individuals as controls. The acne severity was classified into mild (n=21), moderate (n=16), and severe acne (n=14) according to the global acne grading system (GAGS). Serum levels of zinc, acne and calprotectin were evaluated by enzyme-linked immunosorbent assay (ELISA). The gained data were analyzed using GraphPad Prism software. Results: Insignificant difference was found in zinc and copper levels between controls and AV patients, except in severe AV, where the patients displayed significant elevation in serum copper level (p<0.05) as compared to that of mild AV. The calprotectin concentration was significantly higher (p<0.001) in all AV patients, when compared with healthy subjects, which was positively correlated with the disease severity. No gender difference was noted for all measured biomarkers. Conclusions: Our study suggests a possible association between calprotectin and acne inflammation, which requires validation in large-scale studies.

Impact of Zinc to Copper Ratio and Lipocalin 2 in Obese Patients Undergoing Sleeve Gastrectomy

Worldwide, obesity constitutes a significant health issue. There is the perception that obesity is influenced by subclinical inflammation caused by trace elements (TE). Lipocalin 2 (Lcn2) is an adipokine that is abundantly expressed in adipose tissue, largely in response to metabolic stress; TE deficiency is expressed in metabolic dysfunction as increased oxidative stress, the development of dyslipidaemia and insulin resistance. The primary aim of this study is to explore the relationship between Lcn2 inflammatory biomarkers and the TE status of subjects with morbid obesity who are undergoing laparoscopic sleeve gastrectomy (LSG); the secondary aim is to evaluate the Zn-to-Cu ratio in those with a detected TE deficiency. When this prospective cohort study was conducted, 107 subjects with morbid obesity (i.e., 69 women, 38 men) ranging in age from 20 to 55 years were recruited. Anthropometric measurements and laboratory investigations were performed preoperatively and nine months postoperatively; and blood samples were collected to determine the subjects' iron, Zn, Cu, Lcn2, and other inflammatory biomarkers. The results revealed 16.82% of the subjects exhibited preoperative Zn deficiency, which increased to 22.43% postoperatively; none of studied subjects exhibited Cu deficiency in the two consecutive measurements; and the 10.28% preoperative prevalence of iron deficiency increased to 15.89% postoperatively. While a negative correlation was observed between the delta body weight change and Lcn2, leptin, and HOMA-IR, a positive correlation was observed between the delta body weight change and the Zn-to-Cu ratio. These findings suggest the existence of preoperative obesity is associated with inflammatory status that may be triggered by TE deficiency and impaired insulin sensitivity; moreover, LSG may accentuate TE deficiency. As such, a patient's Lcn2 and Zn-to-Cu ratio may be utilized as potential biomarkers of their TE status and metabolic improvement after LSG.

Pyrene Substituted Phthalonitrile Derivative As a Fluorescent Sensor For Detection of Fe3+ Ions in Solutions

In this current study, the novel bis[4,5-(pyrene-2-yl)-3,6-(hexyloxy)] phthalonitrile (SPN) fluorophore has been successfully synthesized. Structural characterization of this novel compound was performed by different spectroscopic methods such as FT-IR, MALDI-TOF, ¹H-NMR, ¹³C-NMR and elemental analyses as well. In addition, the photophysical properties were determined using UV-vis absorption, steady-state fluorescence, time-resolved fluorescence spectroscopic methods and quantum chemical calculations. The metal sensing behavior of the SPN was determined in the presence of various metals (Li⁺, Na⁺, K⁺, Mg²⁺, Ca²⁺, Ba²⁺, Mn²⁺, Fe³⁺, Cr³⁺, Co²⁺, Ni²⁺, Ag⁺, Cd²⁺, Al³⁺, Hg⁺ and Zn²⁺) using fluorescence spectroscopy. The novel pyrene based phthalonitrile (SPN) showed high sensitivity and selectivity towards Fe³⁺ ion over other examined metal ions. In order to perform the determination of Fe³⁺ ion in environmental samples, experimental conditions such as selectivity, stability, precision, sensitivity, accuracy and recovery were optimized. Also, the complex stoichiometry of the novel pyrene based phthalonitrile (SPN) and Fe³⁺ ions was determined by a Job's plot. The compound was also studied via density functional theory calculations revealing the interaction mechanism of the molecule with Fe³⁺ ions.

Bioactive peptides of whey: obtaining, activity, mechanism of action, and further applications

Bioactive peptides derived from diverse food proteins have been part of diverse investigations. Whey is a rich source of proteins and components related to biological activity. It is known that proteins have effects that promote health benefits. Peptides derived from whey proteins are currently widely studied. These bioactive peptides are amino acid sequences that are encrypted within the first structure of proteins, which required hydrolysis for their release. The hydrolysis could be through in vitro or in vivo enzymatic digestion and using microorganisms in fermented systems. The biological activities associated with bio-peptides include immunomodulatory properties, antibacterial, antihypertensive, antioxidant and opioid, etc. These functions are related to general conditions of health or reduced risk of certain chronic illnesses. To determine the suitability of these peptides/ingredients for applications in food technology, clinical studies are required to evaluate their bioavailability, health claims, and safety of them. This review aimed to describe the biological importance of whey proteins according to the incidence in human health, their role as bioactive peptides source, describing methods, and obtaining technics. In addition, the paper exposes biochemical mechanisms during the activity exerted by biopeptides of whey, and their application trends.

Hydrochemical characteristics of surface waters and their relationships to the Kashin-Beck Disease in Longzi County, Tibet

Although previous studies have been reported between the Kashin-Beck Disease (KBD) epidemic and the hydrochemical characteristics of surface waters, the etiology of the disease remains unclear. In the present study, we comprehensively investigated the relationship between the KBD and the hydrochemical characteristics of surface waters in Longzi County. Results show that, the pH (mean = 7.27 ± 0.30), total hardness (TH, mean = 57.08 ± 45.74 mg L-1), total dissolved solids (TDS, mean = 67.56 ± 44.00 mg L-1) and oxidation-reduction potential (ORP, mean = 84.11 ± 23.55 mV) of surface waters in KBD endemic areas are lower than those in the non-KBD endemic areas (means of pH = 7.49 ± 0.30; TH = 262.06 ± 123.29 mg L-1; TDS = 253.25 ± 100.39 mg L-1; ORP = 215.90 ± 55.99 mV). These results suggest that long-term consumption of low TDS, essential trace elements (e.g., nickel, cobalt, iron, selenium, zinc, molybdenum, and iodine) deficient, and potential toxic elements (e.g., arsenic) enriched waters by humans likely causes the KBD. Environmental factors such as the geology and geomorphology may produce biogeochemical imbalance, geomorphic, vegetation types and local climatic conditions may have significant impact on food fungi toxin poisoning and water organic compound poisoning, and these also impact the KBD occurrence.

Elemental Analysis of Medicinal Herb Fagonia indica Burm. f. and Its Rhizospheric Soil from Six Geographical Locations of South-eastern Sindh Province, Pakistan, During Spring and Summer Seasons

This study hypothesized that seasons and geography may affect the elemental composition of Fagonia indica. The plant was sampled along with rhizospheric soil, from six hilly geographical sites of Sindh, during March (Spring) and July (Summer) and analyzed through ICP-OES. Among 20 elements detected, the elemental concentration of rhizospheric soil was significantly affected by geography rather than seasons. The rhizospheric soil elements, Fe, Mg, Hg, K, Mn, Na, Zn, Al, were hyper-concentrated, B, Ba, Cr, Cu, Pb, Sr were moderately concentrated, and As, Cd, Ni, Rb, Ti, V were concentrated in trace levels. Contrarily, elements in Fagonia indica biomass were significantly affected by both seasons and geography. K, Na, Fe, Hg, Al, Mn, Sr, Cr, Ti, V were hyperaccumulated during summer, while Mg, Zn, As, Ba, Cd, and Cu accumulated higher during spring. PCA reveals that elements with high variances were homogenously distributed to all sites except Rohri during spring, while during summer most elements were accumulated at Johi, Dadu, Jamshoro, and Karachi. In conclusion, the plant accumulates high concentration of heavy metals during summer and higher concentration of essential nutrients during spring; therefore, its collection for oral use can be recommended during spring.

Protective Role of the Essential Trace Elements in the Obviation of Cadmium Toxicity: Glimpses of Mechanisms

Cadmium (Cd) is toxic non-essential heavy metal that precipitates adverse health effects in humans and animals. Chelation therapy, the typical treatment for cadmium toxicity, has certain safety and efficacy issues to treat long term cadmium toxicity, in particular. Recent studies have shown that essential trace elements can play important roles in obviating experimental Cd toxicity. This study organizes and reviews the prototypical evidences of the protective effects of essential trace elements against Cd toxicity in animals and attempts to point out the underlying mechanisms. Zinc, selenium, iron, and combinations thereof are reported to be active. The major mechanisms elucidated inter alia are-induction of metallothionein (MT) synthesis and Cd-MT binding (for zinc), modulation of oxidative stress and apoptosis, interference in cadmium absorption and accumulation from body-thereby maintenance of essential metal homeostasis and cytoprotection. Based on the findings, essential trace elements can be recommended for the susceptible population. The application of these trace elements appears beneficial for both the prevention and remediation of long-term Cd toxicity operative via multiple mechanisms with no or minimal adverse effects as compared to the conventional chelation therapy.

Blood concentrations of potentially toxic trace elements (PTEs) and correlation with biochemical and hematological parameters in dogs from thrace region, Turkey

Environmental exposure to potentially toxic trace elements (PTEs) leads to health problems in animals as well as in humans. Dogs can be used as bioindicators for health status of both environment, animals and humans. The study material consisted of a total of 140 dogs from Thrace region in Turkey. Essential (Co, Cr, Cu, Fe, Zn) and non-essential (As, Cd, Hg, Ni, Pb) PTEs concentrations of blood samples were determined by ICP-MS. In addition, hemogram (RBC, MCV, MCH, MCHC, HCT, WBC, HGB, PLT) and biochemical parameters (Glucose, total protein, albumin, globulin, total bilirubin, triglyceride, cholesterol, BUN, AST, ALT, ALP, GGT) levels were determined. The possible correlations between PTEs and blood parameters were investigated. The results were compared according to gender, age (<2, 2-5, >5 years), sampled location with hemogram and biochemistry data. Essential element concentrations (ppb) were sorted as Zn > Fe > Cu > Cr > Co, and non-essentials were As > Ni > Pb > Hg > Cd. There were statistically important negative or positive correlations between elements and hematological (except Fe and Cd), and biochemical parameters (except Ni) (p < 0.05, p < 0.01). It was determined that Pb concentrations (9.34-23.30 ng ml^-1) were below the concentrations considered to be toxic in all locations, Cu concentrations (475.35-521.98 ng ml^-1) were within the normal reference range, Zn (3229.65-4.265.00 ng ml^-1) were higher than the reference values in all locations. Since the concentrations of elements and correlations between hematological, biochemical parameters as well as gender, age, and location in an area with heavy urban and industrial activity; indicate that the situation may be similar for other living things in the region, it constitutes a starting point for studies to be carried out in this direction.

Environmentally Relevant Hexavalent Chromium Disrupts Elemental Homeostasis and Induces Apoptosis in Zebrafish Liver

Although hexavalent chromium Cr [VI] is known as a toxicant in the aquatic environment, its effect in low, environmentally relevant concentration (ERC; 2 mg L^-1) is less characterized. Against this backdrop, the effects of Cr [VI] in ERC on zebrafish liver has been investigated in this study. Fluorescence microscopy and gel electrophoresis detected excess DNA damage and cell death via apoptosis in 2 mg L^-1 Cr [VI]-treated fish when compared with that of control. Besides, there were transcriptional activations of p53, Bax, Caspase 9 and Caspase 3 genes but downregulation of Bcl2 gene in the treated group, confirming the apoptotic pathway. Energy dispersive X-ray fluorescence (EDXRF) data showed significant (p < 0.05) increase in hepatic content of Cr, selenium, iron, manganese, calcium, sulfur and magnesium but depletion of zinc, copper and cobalt in the treated group. Collectively, the study shows that even a low, ERC of Cr [VI] is toxic to the zebrafish as it elicited marked apoptosis in the hepatocytes and altered the liver elemental profile.

Understanding signatures of positive natural selection in human zinc transporter genes

Zinc is an essential micronutrient with a tightly regulated systemic and cellular homeostasis. In humans, some zinc transporter genes (ZTGs) have been previously reported as candidates for strong geographically restricted selective sweeps. However, since zinc homeostasis is maintained by the joint action of 24 ZTGs, other more subtle modes of selection could have also facilitated human adaptation to zinc availability. Here, we studied whether the complete set of ZTGs are enriched for signals of positive selection in worldwide populations and population groups from South Asia. ZTGs showed higher levels of genetic differentiation between African and non-African populations than would be randomly expected, as well as other signals of polygenic selection outside Africa. Moreover, in several South Asian population groups, ZTGs were significantly enriched for SNPs with unusually extended haplotypes and displayed SNP genotype-environmental correlations when considering zinc deficiency levels in soil in that geographical area. Our study replicated some well-characterized targets for positive selection in East Asia and sub-Saharan Africa, and proposes new candidates for follow-up in South Asia (SLC39A5) and Africa (SLC39A7). Finally, we identified candidate variants for adaptation in ZTGs that could contribute to different disease susceptibilities and zinc-related human health traits.

Assessment of Fish Quality Based on the Content of Heavy Metals

The aim of this study was to estimate the fish quality in terms of the Cu, Fe, Mn and Zn contents. The research material was the muscle tissue of the fish crucian carp (Carassius carassius Linnaeus, 1758), flounder (Platichthys flesus Linnaeus, 1758), Gilthead seabream (Sparus aurata Linnaeus, 1758), mackerel (Scomber scombrus Linnaeus, 1758), Blue grenadier (Macruronus novaezelandiae Hector, 1871), rainbow trout (Oncorhynchus mykiss Walbaum, 1792), tench (Tinca tinca Linnaeus, 1758), tilapia (Oreochromis niloticus Linnaeus, 1758), Walleye pollock (Gadus chalcogrammus Pallas, 1814) and perch (Perca fluviatilis Linnaeus, 1758.). Heavy metals were determined with the atomic absorption spectrometry method (AAS). Significantly high concentrations of zinc (19.52 mg/kg wet weight), copper (0.77 mg/kg) and iron (6.95 mg/kg) were found in the muscles of crucian carp (p < 0.05) compared to the other fish studied, whereas Walleye pollock had a higher content of manganese (0.266 mg/kg) (p < 0.05). All studied fish species do not pose a threat to humans from these four metals. This was indicated by quality indexes (THQ and HI) whose values were below one. The values of these metals also did not exceed the maximum allowable concentrations established by the FAO (1983), but monitoring both the aquatic environment and the fish living there is necessary, for example, for the time-changing abiotic and biotic factors that can cause an increase in metals in the organs of fish.

Effect of Occupational exposure to Lead on Serum Levels of Lipid Profile and Liver Enzymes: An Occupational Cohort Study

The present study was performed to know the effects of chronic lead exposure on serum lipids, lipoproteins, and liver enzymes in a cohort study among of lead mine workers. We followed of 200 Iranian workers for 3- years (2018–2020), 100 of them with known occupational exposure to lead thorough their work in lead mine while the others 100 were with no such exposure. Blood lead level (BLL), serum lipids, lipoproteins, and liver enzymes of the exposure group for 3- years were measured and compared with those attained in the non-exposed workers. The BLL levels of the lead-mine workers were higher than with recommended level and the non-exposed group (24.15 and 6.35 µg/dL, respectively). The findings indicated a positive and significant relationship between BLL and lactate dehydrogenase, aspartate transaminase, alkaline phosphatase, alanine transaminase, and bilirubin levels (P < 0.01). Also while we found a negative and significant correlation between BLL and triglyceride, total protein, albumin, and globulin levels (P < 0.01). This report depicted that chronic lead exposure is a risk factor for hematological, liver, and cardiovascular diseases. Despite the fact that the level of liver function parameters was in the normal range, the results of 3- years follow-up show a significant relationship between BLL and alteration of biochemical parameters levels.

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Occupational exposure to lead can cause alter liver enzymes.

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LDH, AST, ALK, ALT, and bilirubin are increased due to chronic exposure to lead.

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Compare with non- exposure group, exposure group had a lower level of TG.

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Total protein, albumin, and globulin are decreased due to chronic exposure to lead.

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Occupational exposure to lead had no significant effect on BUN levels.

The Associations of Erythrocyte Fatty Acids with Whole Blood Mineral Elements in Children

Background. Minerals play important biological roles in lipid metabolism. The primary aim of this study was to examine the relationships between erythrocyte fatty acids (FAs) levels with whole blood mineral elements concentrations among Chinese children. Methods. A cross-sectional study was conducted. A total of 435 children aged 4−7 years were recruited. Whole blood mineral elements were determined by atomic absorption spectrometry and erythrocyte FAs composition by gas chromatography-mass spectrometer. Results. There were direct correlations between Zn and C18:2n-6 (FDR corrected p = 0.019), total n-6 PUFAs (FDR corrected p = 0.034), and total PUFAs (FDR corrected p = 0.034). Direct correlations were found between whole blood Zn and C18:1n-9 (FDR corrected p = 0.035), C24:1n-9 (FDR corrected p = 0.023), total MUFAs (FDR corrected p = 0.023), and C18:2n-6 (FDR corrected p = 0.048) in the Cu < P50 group. In the Cu ≥ P50 group, Mg was inversely related to most FAs (All FDR corrected p < 0.05). In the Zn < P50 group, Cu was directly related to C24:1n-9, total MUFAs, C20:5n-3, C22:6n-3, total n-3 PUFAs, C20:4n-6, total n-6 PUFAs, total PUFAs, and total FAs (All FDR corrected p < 0.05). Conclusions. Whole blood Cu and Zn levels were directly linked to several FAs levels in the erythrocytes of children. The interactions of Mg, Cu, and Zn with fatty acids may affect FA metabolism, in which Mg influences FA absorption.

Trace elements, peripheral blood film, and gene expression status in adolescents living near an industrial area in the Colombian Caribbean Coastline

BACKGROUND

Trace elements comprise both nutritionally essential and non-essential, and their presence in organisms plays important role in human health.

OBJECTIVE

The aim of this study was to evaluate the levels of trace elements, together with cellular and molecular biomarkers, in adolescents from Tierrabomba Island, a Caribbean community located near an industrial area, comparing them with a group living in San Onofre, a reference community.

METHODS

Hair and blood samples were obtained from 238 individuals aged 11-18 years old, 131 from Tierrabomba Island and 107 from San Onofre. Trace elements were quantified in hair using ICP-MS. The hematological evaluation was done by peripheral blood smears, and gene expression analysis was carried out through RT-PCR.

RESULTS

Thirteen elements were analyzed; eight showed significant differences between sites. In Tierrabomba, arsenic (As) and tungsten (W) registered mean values greater than in San Onofre. In contrast, in the reference site, average values for boron (B), cobalt (Co), zinc (Zn), yttrium (Y), tin (Sn), and barium (Ba) were greater. The peripheral blood film showed differences between populations. Mean lymphocyte percentage was higher in the Island, while eosinophil and monocyte percentages displayed greater means in San Onofre. Some correlations between trace elements and hematological parameters were found, mainly with platelets in Tierrabomba. This trend remained even when partial correlation coefficients were adjusted for age. Levels of gene expression of metallothionein 1X (MT1X) and superoxide dismutase (SOD) registered significant differences between sites, being greater in Tierrabomba. Negative correlations between SOD and As were observed in both sampling sites. Discriminant analysis suggested sampling locations could be differentiated by Zn, Mo, Ba, and MT1X levels.

SIGNIFICANCE

Trace elements and the relative gene expression associated with metal exposure are critical exposure biomarkers for coastal communities.

Essential Metals in the Brain and the Application of Laser Ablation-Inductively Coupled Plasma-Mass Spectrometry for their Detection

Metals are natural component of the ecosystem present throughout the layers of atmosphere; their abundant expression in the brain indicates their importance in the central nervous system (CNS). Within the brain tissue, their distribution is highly compartmentalized, the pattern of which is determined by their primary roles. Bio-imaging of the brain to reveal spatial distribution of metals within specific regions has provided a unique understanding of brain biochemistry and architecture, linking both the structures and the functions through several metal mediated activities. Bioavailability of essential trace metal is needed for normal brain function. However, disrupted metal homeostasis can influence several biochemical pathways in different fields of metabolism and cause characteristic neurological disorders with a typical disease process usually linked with aberrant metal accumulations. In this review we give a brief overview of roles of key essential metals (Iron, Copper and Zinc) including their molecular mechanisms and bio-distribution in the brain as well as their possible involvement in the pathogenesis of related neurodegenerative diseases. In addition, we also reviewed recent applications of Laser Ablation Inductively Couple Plasma Mass Spectrophotometry (LA-ICP-MS) in the detection of both toxic and essential metal dyshomeostasis in neuroscience research and other related brain diseases.

Assessment of Non-Conventional Irrigation Water in Greenhouse Cucumber (Cucumis sativus) Production

Climate change, urbanization and subsequent environmental changes are depleting freshwater resources around the globe. The reuse of domestic, industrial and agricultural wastewater is an alternative approach to freshwater that can be used for irrigation purposes. However, these wastewaters may contain hazardous and toxic elements, such as heavy metals that are hazardous for human health and the environment. Therefore, an experiment was conducted to evaluate the concentration of macro, micro and heavy metals in cucumber irrigated with different resources (tap water, greywater, dairy water and wastewater). The results showed that the use of different irrigation resources has increased the level of macro (sodium (Na), potassium (K), calcium (Ca), magnesium (Mg)), microelements (zinc (Zn), iron (Fe), manganese (Mn)), and heavy metals (copper (Cu), barium (Ba), lead (Pb) and cadmium (Cd)) in cucumber leaves and fruits. However, their levels were in the range that is safe for human health and the environment was as recommended by FAO maximum values of trace elements (Zn, 2.0; Fe 1.0; Mn, 0.2; Cu, 0.2; Pb, 5.0, and Cd, 0.01 mgL−1). Based on observations, it was also revealed that among different irrigation resources, the use of dairy water in cucumber improved its agronomic attributes and maximum plant yield (1191.02 g), while the different irrigation resources showed a non-significant impact on fruit diameter. However, total soluble solid contents (TSS) were more significant in cucumber fruits treated with wastewater (2.26 °brix) followed by dairy water (2.06 °brix), while the least TSS contents (1.57 °brix) were observed in cucumber plants treated with tap water. The significance of non-conventional irrigation water use in agriculture, particularly greenhouse cucumber (Cucumis sativus) production, is discussed.

A rhodamine based chemosensor for solvent dependent chromogenic sensing of cobalt (II) and copper (II) ions with good selectivity and sensitivity: Synthesis, filter paper test strip, DFT calculations and cytotoxicity

A new chemosensor 1 was synthesized by reacting rhodamine B hydrazide and 2,3,4-trihydroxybenzaldehyde, which was then characterized by spectroscopic techniques and single crystal X-ray crystallography. Sensor 1 has the ability to sense Co²⁺/Cu²⁺ ions by "naked-eye" with an apparent colour change from colourless to pink in different solvent system, MeCN and DMF respectively. Furthermore, it can selectively detect Co²⁺/Cu²⁺ among wide range of different metal ions, and it exhibits low detection limit of 4.425 × 10^-8 M and 1.398 × 10^-7 M respectively. Binding mode of the two complexes were determined to be 1:1 stoichiometry for Co²⁺ complex and 1:2 stoichiometry for Cu²⁺ complex through Job's plot, IR spectroscopy, mass spectrometry and ¹H NMR spectroscopy. Moreover, reversibility of the sensor 1 as copper (II) ion detector was determined by using EDTA and the results showed that sensor 1 can be reused for at least 6 cycles. Other than that, a low cost chemosensor test strips were fabricated for the convenient "naked-eye" detection of Co²⁺ and Cu²⁺ in pure aqueous media. The MTT assay was conducted in order to determine the cytotoxicity of sensor 1 towards human cell lines.

The Toxicological Risk Assessment of Trace Elements (Co, Cu, Fe, and Zn) in Snacks from Ijebu Ode, Ogun State, Southwest, Nigeria

Snacks or junk foods are a form of relatively small, packaged, ready-to-eat fast foods, usually taken not as a regular, but as a stopgap. However, contamination of snacks with trace elemental impurities may pose serious health risk to consumers. The main objective of the present study is to assess the toxicological risk of trace elements TEs (Co, Cu, Fe, and Zn) in commonly consumed snack/junk foods from Ijebu Ode, Ogun State, Southwest, Nigeria. A total of sixty snack food samples were purchased and assayed in replicates for Co, Cu, Fe, and Zn using atomic absorption spectrophotometer. Trace elements data were manipulated for simple descriptive and inferential statistics. The toxicological risk of metals was estimated for average daily dose (ADD), hazard quotient (HQ), hazard index (HI), and cancer risk (CR). Results showed Fe as the most abundant TE in the snacks showing insignificant mean concentrations (p > 0.05) varying from 38.10 ± 1.98 mg kg^-1 (potato chip) to 71.25 ± 14.68 mg kg^-1 (cashew nut). Cashew nut had the highest amounts of the TEs. The HQs of Co in all the snacks except corn flakes consumed by children were greater than the threshold limit of 1.0, indicating non-carcinogenic adverse effects. The CRs of Co in all the food samples exceeded the acceptable limit of 1.0 × 10^-4, suggesting possible development of cancer by the consumers. Co is a trace metal of health issues in the snack/junk foods. This study therefore recommends periodic monitoring and toxicological assessment of metals in snacks, especially the raw materials and processing feedstocks.

Evaluation of the influence of diet supplementation with conjugated linoleic acid isomers on elemental composition in the cardio-oncological nutritional programming rat' model

BACKGROUND

The 'developmental origin of health and disease' (DOHaD) hypothesis assumes that due to the action of some stimuli during fetal life the long-term physiological changes occurs and may affects the risk of various diseases. The main aim of this study was to assess impact of supplementation of maternal' and early postnatal diet with conjugated linoleic acids (CLA) isomers on selected elements content in hearts of their female offspring with chemically induced breast cancer.

METHODS

Elemental composition was determined by quadrupole mass spectrometer with inductively coupled plasma ionization (ICP-MS).

RESULTS

The effect of maternal' diet on the elements content was more pronounced than the progeny diet modifications. Significant correlations among determined elements, especially macroelements, and lipidomic parameters, in the experimental factors dependent manner were observed. It can be concluded that supplementation of maternal and progeny diets with CLA isomers may significantly influence the contents of both macro- and microelements in cardiac tissue of newborns.

CONCLUSION

Our results also indicate, that dynamic and intricate balance among various elements in body may be affected by the lipid dietary supplements also in the pathological state. Utility of cardio-oncological approach in developmental programming study was confirmed.

Human serum elements' levels and leukemia: A first pilot study from an adult Greek cohort

BACKGROUND

The present study focuses on the evaluation of potential relationships between trace elements and acute and chronic types of leukemia, via the determination of their levels in human blood serum.

METHODS

A total of 199 serum samples from a Greek cohort were examined, including both leukemia cases and controls. Elements' analysis was carried out using inductively coupled plasma mass spectrometry (ICP-MS) and demographic features such as age, gender, smoking habits and area of residence were recorded and statistically treated applying Shapiro-Wilk, Kolmogorov-Smirnov, Mann Whitney and Kruskal Wallis tests (p < 0.05). Spearman correlation and principal component analysis (PCA) were also performed to investigate possible associations.

RESULTS

The results demonstrated significantly higher (p < 0.05) trace elements concentrations in cases' serum compared to that of controls excluding Ba, with Cu (median concentration 1295 μg L^-1) being the most abundant in cases. Additionally, concentration of toxic Pb and Cd were found at seven and four fold higher concentrations in cases, respectively. Among the trace elements examined, only Rb (164 μg L^-1) was detected in higher concentrations in controls. Ba, Cd and Co presented the lowest concentrations (lower than 1 μg L^-1). PCA was performed for overall and classified data, indicating a stronger relation among the toxic As, Cd, Ni and Pb in cases than controls, particularly referring to smokers and industrial sites' residents. Hematological parameters and factors such as age and gender did not present any significant outcome or correlation.

CONCLUSIONS

The findings from this pilot study suggest a potential relationship between metals and leukemia, especially concerning the toxic ones. Results from the employed source apportionment tools imply that smoking and atmospheric degradation may be positively related with higher metal serum levels in leukemia patients.

Toxic Metals in Wild Ungulates and Domestic Meat Animals Slaughtered for Food Purposes: A Systemic Review

The presence of toxic metals in harvested game meat is a cause for concern for public health and meat safety in general. Authorities and food safety agencies continue to develop guidelines and limits of the maximum allowable levels of toxic metals in food products. However, the situation is different for game meat products in developing countries, where a number of shortcomings have been identified. This includes a lack of game meat animal slaughter regulations, specific species' product limits that have not yet been established and the continued use of hunting or game meat animals' harvesting plans that could introduce the same toxic metals of concern. This review was conducted from English literature published between 2011 and 2021; it highlights the possible health effects and the shortcomings in the implementation of game meat safety production strategies for toxic metals (Arsenic, Lead, Cadmium and Mercury) in game meat animal production. Lead (Pb) remains the most significant threat for toxic metals contamination in game meat animals and the slaughter processes. In most developing countries, including in South Africa, the monitoring and control of these heavy metals in the game meat value chain has not yet been implemented.

The Correlation Between Whole Blood Copper (Cu), Zinc (Zn) Levels and Cu/Zn Ratio and Sepsis-Induced Left Ventricular Systolic Dysfunction (SILVSD) in Patients with Septic Shock: A Single-Center Prospective Observational Study

Purpose

This study aimed to explore relationships between whole blood copper (Cu), zinc (Zn) and Cu/Zn ratio and cardiac dysfunction in patients with septic shock.

Subjects and Methods

Between April 2018 and March 2020, septic shock patients with sepsis-induced left ventricular systolic dysfunction (SILVSD, left ventricular ejection fraction, LVEF<50%) and with no sepsis-induced myocardial dysfunction (non-SIMD, septic shock alone and LVEF>50%) and controls were prospectively enrolled. Whole blood Cu and Zn levels were measured using flame atomic absorption spectrophotometry.

Results

Eighty-six patients with septic shock including both 41 SILVSD and 45 non-SIMD and 25 controls were studied. Whole blood Cu levels and Cu/Zn ratio were significantly higher and Zn levels were lower in SILVSD compared with non-SIMD and controls (Cu, p=0.009, <0.001; Zn, p=0.029, <0.001; Cu/Zn ratio, p=0.003, <0.001). Both increased whole blood Cu and Cu/Zn ratio and reduced Zn were associated with lower LVEF (all p<0.001) and higher amino-terminal pro-B-type natriuretic peptide (NT-proBNP) (Cu, p=0.002; Zn, p<0.001; Cu/Zn ratio, p<0.001) and had predictive values for SILVSD (Cu, AUC=0.666, p=0.005; Zn, AUC=0.625, p=0.039; Cu/Zn ratio, AUC=0.674, p=0.029). Whole blood Cu levels and Cu/Zn ratio were increased but Zn levels were reduced in non-survivors compared with survivors (Cu, p<0.001; Zn, p<0.001; Cu/Zn ratio, p<0.001). Whole blood Cu and Zn displayed the value of predicting 28-day mortality (Cu, AUC = 0.802, p<0.001; Zn, AUC=0.869, p<0.001; Cu/Zn ratio, AUC=0.902, p<0.001).

Conclusion

Findings of the study suggest that whole blood Cu levels and Cu/Zn ratio are increased in SILVSD patients and positively correlated with cardiac dysfunction, while whole blood Zn levels are reduced and negatively associated with cardiac dysfunction. Moreover, both whole blood Cu, Zn and Cu/Zn ratio might distinguish between SILVSD and non-SIMD in septic shock patients and predict 28-day mortality.

Trial Registration

Registered at http://www.chictr.org.cn/ChiCTR1800015709.

Comparative Fatty Acid Profiling of Edible Fishes in Kuala Terengganu, Malaysia

The aim of this study was to compare the relative nutritional benefit of edible Malaysian fishes from the coast of Terengganu in Malaysia, as well as to perform a taxonomical characterization and metal assessment. Discrimination between species was carried out by a morphological and molecular approach by evaluating the total concentrations of metals by ICP-MS analyses and the fatty acids (FA) composition using the GC–MS approach on the fish fillet tissues. The taxonomical studies detected fishes of 11 families and 13 species. The heavy metal assessment showed that all detected elements did not exceed the regulatory limit stated by Malaysian Food Regulations. The proportion of saturated fatty acids (SFA) ranged from 33 to 58.34%, followed by the polyunsaturated fatty acids (PUFA) values from 24 to 51.8%, and the lowest proportion was of monounsaturated fatty acids (MUFA), ranging from 12.7 to 35.9%. The ω-3/ω-6 PUFA and PUFA/SFA ratios were determined in the range 1.1 to 7.4 and 0.35 to 1.6, respectively. The C20:5 ω-3 and C22:6 ω-3 acids were detected at levels comparable to those found in the corresponding species from similar tropical marine ecosystems. The high FA values can be useful biochemical tools for comparing the relative nutritional benefits of these biodiverse and non-toxic edible Malaysian fishes.

Higher levels of lead and aluminium are associated with increased risk of falls among community-dwelling older adults: An 18-month follow-up study

AIM

The present study aims to determine the association of trace elements and oxidative and DNA damage biomarkers with fall incidence among community-dwelling older adults.

METHODS

This study is part of the Long-term Research Grant Scheme - Towards Useful Ageing cohort study in Malaysia. Of a total of 174 participants with complete trace elements and oxidative and DNA damage data during baseline, only 147 (84.5%) were successfully followed up after 18 months. Participants who experienced any fall events in the previous 18 months during the follow-up were categorized as fallers.

RESULTS

Thirty participants (20.4%) reported at least one fall in the previous 18 months. The mean concentrations of aluminium, lead and zinc were significantly higher (P < 0.05) in fallers than non-fallers. However, in comparison with the non-faller group, the percentage of DNA in tail (11.43 ± 4.10% vs. 13.22 ± 5.24%) and tail moment (1.19 ± 0.54 AU vs. 1.59 ± 0.78 AU) was significantly (P < 0.05) lower in the faller group. No significant difference in serum superoxide dismutase activities and malondialdehyde level was observed between non-fallers and fallers. Following multifactorial adjustments, higher aluminium (odds ratio [OR]: 1.007; 95% confidence interval [CI]: 1.002-1.011) and lead (OR: 1.162; 95% CI: 1.010-1.336) levels and lower tail moment scores (OR: 0.313; 95% CI: 0.138-0.709) appeared significant in the final hierarchical binary logistic regression model.

CONCLUSIONS

Higher levels of lead and aluminium were associated with increased risk of falls among community-dwelling older adults. Geriatr Gerontol Int 2021; 21: 1026-1032.

Differential diagnosis of a diffuse sclerosis in an identified male skull (early 20th century Coimbra, Portugal): A multimethodological approach for the identification of osteosclerotic dysplasias in skeletonized individuals

OBJECTIVE

This work aims to discuss the difficulties in diagnosing osteosclerotic changes in skeletonized individuals and to raise awareness of osteosclerotic dysplasias as a group of rare ancient diseases.

MATERIALS

The skull of a 62-year-old male individual from the International Exchange Skull Collection, curated by the University of Coimbra, who died in 1928 presenting albuminous nephritis (Bright disease)/uraemia as the registered cause of death.

METHODS

The skull was macroscopically and radiologically examined and bone elemental analysis was investigated. The genealogy and medical records of the individual were also searched.

RESULTS

The lesions are in accordance with an osteosclerotic process possibly pointing to osteosclerosis, osteosclerotic metaphyseal dysplasia, or dysosteosclerosis, but osteoclasia with hyperphosphatasia, endosteal hyperostosis, sclerosteosis, or osteopathia striata with cranial sclerosis cannot be ruled out.

CONCLUSIONS

Representativeness of the skeleton is a crucial feature in diagnosing rare diseases and, to avoid a misdiagnosis, the final diagnosis should include a group of diseases rather than a definite disease.

SIGNIFICANCE

Difficulties in diagnosing rare diseases are discussed and best approaches in the study osteosclerotic dysplasias in skeletonized individuals are offered in the light of current clinical knowledge.

LIMITATIONS

The absence of the postcranial skeleton and of pathognomonic lesions associated with osteosclerotic dysplasias limits diagnosis. Although rare diseases often have a genetic basis, specific genetic testing for the diagnosis of rare diseases in paleopathological cases are not yet available.

SUGGESTIONS FOR FURTHER RESEARCH

Future genetic studies might help narrow down the diagnosis.

Development and Characterization of Novel Biopolymer Derived from Abelmoschus esculentus L. Extract and Its Antidiabetic Potential

Abelmoschus esculentus (Okra) is an important vegetable crop, widely cultivated around the world due to its high nutritional significance along with several health benefits. Different parts of okra including its mucilage have been currently studied for its role in various therapeutic applications. Therefore, we aimed to develop and characterize the okra mucilage biopolymer (OMB) for its physicochemical properties as well as to evaluate its in vitro antidiabetic activity. The characterization of OMB using Fourier-transform infrared spectroscopy (FT-IR) revealed that okra mucilage containing polysaccharides lies in the bandwidth of 3279 and 1030 cm^-1, which constitutes the fingerprint region of the spectrum. In addition, physicochemical parameters such as percentage yield, percentage solubility, and swelling index were found to be 2.66%, 96.9%, and 5, respectively. A mineral analysis of newly developed biopolymers showed a substantial amount of calcium (412 mg/100 g), potassium (418 mg/100 g), phosphorus (60 mg/100 g), iron (47 mg/100 g), zinc (16 mg/100 g), and sodium (9 mg/100 g). The significant antidiabetic potential of OMB was demonstrated using α-amylase and α-glucosidase enzyme inhibitory assay. Further investigations are required to explore the newly developed biopolymer for its toxicity, efficacy, and its possible utilization in food, nutraceutical, as well as pharmaceutical industries.

Land Suitability Mapping Using Geochemical and Spatial Analysis Methods

Assessing the suitability of urban and agricultural land is essential for planning sustainable urban and agricultural systems. The main objective of this study is to evaluate the suitability of land in Ioannina plain (western Greece) concerning the soil contents of two potentially toxic elements, cadmium (Cd) and cobalt (Co). Geochemical and spatial analysis methods were applied to assess the distribution of Cd and Co in the soil of the Ioannina plain and identify their origin. The primary anthropogenic sources of Cd and Co in the topsoil of the study area can be attributed to traffic emissions, aircraft operations, vehicle crushing and dismantling activities. Element content is compared to international guidelines and screening values. Cadmium and Co concentration in the soil of the study area is well above the European topsoil mean. Thus, the urban and agricultural lands cover the vast majority (92%) of the total area. Cadmium concentration in soil of the study area with a mean (mg kg−1) 1.7 and 2.0 was observed in agricultural and urban land use, respectively. Cobalt content in soil of the area studied with a mean (mg kg−1) 30.8 and 37.1 was recorded in agricultural and urban land use, respectively. Land evaluation suitability by adopting criteria provided from the international literature is discussed.