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Correlation between Serum Zinc Levels and Levodopa in Parkinson's Disease. Nutrients 2021; 13:nu13114114. [PMID: 34836369 PMCID: PMC8621473 DOI: 10.3390/nu13114114] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Revised: 11/14/2021] [Accepted: 11/15/2021] [Indexed: 11/17/2022] Open
Abstract
Long-term intake of potential zinc-chelating drugs may cause zinc deficiency. We postulated that zinc deficiency in Parkinson's disease (PD) patients was related to the intake of drugs such as levodopa. We investigated the relationship between zinc levels and levodopa administration period, dosage, and symptoms of zinc deficiency in PD patients. We measured serum zinc levels and analyzed correlations between serum zinc levels, the levodopa oral administration period, dosage, dosing frequency, and zinc deficiency symptoms including taste disorders. Data analyses were performed using Spearman's rank correlation coefficient. The mean serum zinc level was 60.5 ± 11.6 μg/dL. The mean administration period for levodopa was 8.0 ± 5.5 years, mean administration frequency 3.4 ± 0.9 times/d, and mean administration dose 420.6 ± 237.1 mg/d. Negative correlations between zinc levels and levodopa dosage and dosing frequency were found. Multiple regression analysis showed a significant correlation with the frequency of levodopa (β = -0.360, p = 0.007). No significant change in clinical symptoms was observed after zinc administration, but anxiety tended to improve. Our results indicated that frequent levodopa administration strongly influenced serum zinc levels which may have alleviating effects on psychiatric symptoms; therefore, preventing zinc deficiency can be important during PD treatment.
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Dome P, Tombor L, Lazary J, Gonda X, Rihmer Z. Natural health products, dietary minerals and over-the-counter medications as add-on therapies to antidepressants in the treatment of major depressive disorder: a review. Brain Res Bull 2019; 146:51-78. [DOI: 10.1016/j.brainresbull.2018.12.015] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 12/04/2018] [Accepted: 12/26/2018] [Indexed: 12/23/2022]
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Joe P, Getz M, Redman S, Petrilli M, Kranz TM, Ahmad S, Malaspina D. Serum zinc levels in acute psychiatric patients: A case series. Psychiatry Res 2018; 261:344-350. [PMID: 29334659 DOI: 10.1016/j.psychres.2017.12.082] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Revised: 11/29/2017] [Accepted: 12/31/2017] [Indexed: 12/19/2022]
Abstract
Zinc dysregulation is linked to neuropsychiatric disorders and a beneficial response to zinc supplementation has been demonstrated for depression. In this case series, we examined serum zinc levels with respect to clinical factors among 20 acutely ill psychiatric cases admitted to a large urban public hospital. The results showed frank clinical zinc insufficiency in a quarter of the subjects. Group-wise analyses showed a significant association between reduced serum zinc and diagnosis of depression, and reduced serum zinc in those with aggressive, assaultive, or violent behaviors. By contrast, relatively elevated zinc levels were observed in a subset of psychotic cases on antipsychotics and mood stabilizers who had no mood symptoms. In summary, clinical zinc insufficiency was common in these acutely admitted psychiatric cases. Zinc supplementation may ameliorate symptoms in certain cases and should be considered in treatment planning. A separate patient group had elevated zinc levels, which could conceivably be pathogenic. Larger studies are needed to confirm and extend this pilot data.
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Affiliation(s)
- Peter Joe
- New York University School of Medicine, New York, NY, USA
| | - Mara Getz
- Columbia University, New York, NY, USA
| | | | | | - Thorsten Manfred Kranz
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, New York University, New York, NY, USA
| | - Samoon Ahmad
- New York University School of Medicine, New York, NY, USA
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Błażewicz A, Liao KY, Liao HH, Niziński P, Komsta Ł, Momčilović B, Jabłońska-Czapla M, Michalski R, Prystupa A, Sak JJ, Kocjan R. Alterations of Hair and Nail Content of Selected Trace Elements in Nonoccupationally Exposed Patients with Chronic Depression from Different Geographical Regions. BIOMED RESEARCH INTERNATIONAL 2017; 2017:3178784. [PMID: 28386550 PMCID: PMC5366181 DOI: 10.1155/2017/3178784] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 12/22/2016] [Accepted: 01/10/2017] [Indexed: 01/10/2023]
Abstract
The aim of this study was to determine if altered levels of selected trace elements manifest themselves during chronic depression. To identify elements strongly associated with chronic depression, relationships between the elemental contents of hair and nails and the interelement correlations were checked. Inductively coupled plasma mass spectrometry and ion chromatography were used to evaluate the contents of Zn, Cu, Co, Pb, Mn, and Fe in hair and nail samples from a total of 415 subjects (295 patients and 120 healthy volunteers). The study included logistic regression models to predict the probability of chronic depression. To investigate possible intercorrelations among the studied elements, the scaled principal component analysis was used. The research has revealed differences in TE levels in the group of depressed men and women in comparison to the healthy subjects. Statistically significant differences in both hair and nails contents of several elements were observed. Our study also provides strong evidence that the intermediary metabolism of certain elements is age- and gender-dependent. Zn, Mn, Pb, and Fe contents in hair/nails seem to be strongly associated with chronic depression. We found no statistically significant residence-related differences in the contents of studied elements in nonoccupationally exposed patients and healthy subjects.
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Affiliation(s)
- Anna Błażewicz
- Chair of Chemistry, Department of Analytical Chemistry, Medical University of Lublin, Chodzki 4a St., 20-093 Lublin, Poland
| | - Kuan-Yung Liao
- Homu Clinic, No. 61, Dongping Rd., East Dist., Tainan City 701, Taiwan
| | - Heng-Hsin Liao
- Homu Clinic, No. 61, Dongping Rd., East Dist., Tainan City 701, Taiwan
| | - Przemysław Niziński
- Chair of Chemistry, Department of Analytical Chemistry, Medical University of Lublin, Chodzki 4a St., 20-093 Lublin, Poland
| | - Łukasz Komsta
- Chair and Department of Medicinal Chemistry, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, Poland
| | - Berislav Momčilović
- Institute for Research and Development of the Sustainable Eco Systems, Srebrnjak 59, 10000 Zagreb, Croatia
| | - Magdalena Jabłońska-Czapla
- Institute of Environmental Engineering of Polish Academy of Sciences, Sklodowska-Curie 34 Street, 41-819 Zabrze, Poland
| | - Rajmund Michalski
- Institute of Environmental Engineering of Polish Academy of Sciences, Sklodowska-Curie 34 Street, 41-819 Zabrze, Poland
| | - Andrzej Prystupa
- Chair and Department of Internal Diseases, Medical University of Lublin, Staszica 16, 20-081 Lublin, Poland
| | - Jarosław J. Sak
- Department of Ethics and Human Philosophy, Medical University of Lublin, Staszica 4/6, 20-059 Lublin, Poland
- Department of Nephrology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland
| | - Ryszard Kocjan
- Chair of Chemistry, Department of Analytical Chemistry, Medical University of Lublin, Chodzki 4a St., 20-093 Lublin, Poland
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Ding Q, Li H, Tian X, Shen Z, Wang X, Mo F, Huang J, Shen H. Zinc and imipramine reverse the depression-like behavior in mice induced by chronic restraint stress. J Affect Disord 2016; 197:100-6. [PMID: 26985741 DOI: 10.1016/j.jad.2016.03.017] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2015] [Revised: 02/19/2016] [Accepted: 03/07/2016] [Indexed: 12/25/2022]
Abstract
Depression is a common psychopathological disorders. Studies of depression have indicated that zinc play a role in the depression pathophysiology and treatment. In present study, we examined the effects of zinc and imipramine supplement alone or combination of zinc and imipramine in mice induced by chronic restraint stress (CRS). Moreover, the possible roles of zinc receptor (G protein-coupled receptor 39, GPR39)-related pathway was investigated. Decreased weight and increased corticosterone (CORT) were observed after 3 weeks CRS exposure. It was shown that CRS induced lower serum zinc, higher hippocampal zinc, increased immobility time in tail suspension test and decreased movement distance in spontaneous activity test, which could be normalized by zinc (30 mg/kg) and imipramine (20 mg/kg) supplement alone and combination of zinc (15 mg/kg) and imipramine (5 mg/kg) for 3 weeks after CRS exposure. Moreover, the changes in mRNA expressions of GPR39, cAMP-response element binding protein (CREB), brain-derived neurotropic factor (BDNF) and n-methytl-d-aspartate receptors (NMDAR) could be reversed by the same treatment mentioned above. These results suggested that zinc dyshomeostasis in serum and hippocampus and depression-like behavior in CRS exposure animals observed in present study could be normalized by zinc and imipramine. The combination of zinc and imipramine in low dose has synergetic effects. The possible mechanism might be correlated to GPR39 receptor-related pathway.
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Affiliation(s)
- Qin Ding
- Department of Naval Hygiene, Second Military Medical University, Shanghai, China
| | - Hongxia Li
- Department of Naval Hygiene, Second Military Medical University, Shanghai, China
| | - Xue Tian
- Department of Naval Hygiene, Second Military Medical University, Shanghai, China
| | - Zhilei Shen
- Department of Naval Hygiene, Second Military Medical University, Shanghai, China
| | - Xiaoli Wang
- Department of Naval Hygiene, Second Military Medical University, Shanghai, China
| | - Fengfeng Mo
- Department of Naval Hygiene, Second Military Medical University, Shanghai, China
| | - Junlong Huang
- Department of Naval Hygiene, Second Military Medical University, Shanghai, China.
| | - Hui Shen
- Department of Naval Hygiene, Second Military Medical University, Shanghai, China.
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Zinc, future mono/adjunctive therapy for depression: Mechanisms of antidepressant action. Pharmacol Rep 2015; 67:659-62. [DOI: 10.1016/j.pharep.2015.01.015] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2014] [Revised: 01/18/2015] [Accepted: 01/27/2015] [Indexed: 11/23/2022]
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