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Microelements involved in the oxidative balance have a significant impact on human health, but their role in pregnancy are poorly studied. We examined the relationships between first trimester levels of selenium (Se), iron (Fe), zinc (Zn), and copper (Cu), as well as maternal characteristics and pregnancy results. The data came from a Polish prospective cohort of women in a single pregnancy without chronic diseases. A group of 563 women who had a complete set of data, including serum microelements in the 10-14th week was examined, and the following were found: 47 deliveries <37th week; 48 cases of birth weight <10th and 64 newborns >90th percentile; 13 intrauterine growth restriction (IUGR) cases; 105 gestational hypertension (GH) and 15 preeclampsia (PE) cases; and 110 gestational diabetes mellitus (GDM) cases. The microelements were quantified using mass spectrometry. The average concentrations (and ranges) of the elements were as follows: Se: 60.75 µg/L (40.91-125.54); Zn: 618.50 µg/L (394.04-3238.90); Cu: 1735.91 µg/L (883.61-3956.76); and Fe: 1018.33 µg/L (217.55-2806.24). In the multivariate logistic regression, we found that an increase in Se of 1 µg/L reduces the risk of GH by 6% (AOR = 0.94; p = 0.004), the risk of IUGR by 11% (AOR = 0.89; p = 0.013), and the risk of birth <34th week by 7% (but close to the significance) (AOR = 0.93; p = 0.061). An increase in Fe of 100 µg/L reduces the risk of PE by 27% (AOR = 0.73; p = 0.009). In the multivariable linear regression, we found negative strong associations between prepregnancy BMI, Se (β = -0.130; p = 0.002), and Fe (β = -0.164; p < 0.0001), but positive associations with Cu (β = 0.320; p < 0.000001). The relationships between Se and maternal age (β = 0.167; p < 0.0001), Se and smoking (β = -0.106; p = 0.011) and Cu, and gestational age from the 10-14th week (β = 0.142; p < 0.001) were also found. Secondary education was associated with Zn (β = 0.132; p = 0.004) and higher education was associated with Cu (β = -0.102; p = 0.023). A higher financial status was associated with Fe (β = 0.195; p = 0.005). Other relationships were statistically insignificant. Further research is needed to clarify relationships between first trimester microelements and pregnancy complications. In addition, attention should be paid to lifestyle-related and socioeconomic factors that affect microelement levels., Competing Interests: The authors declare no conflict of interest.

This paper aims to verify whether cereal products are a good source of Cu, Mn, Fe, and Zn in the diets of Poles. The study material comprised of 445 cereal products including baked goods, breakfast cereals and groats, pasta, and rice. Products that required culinary treatment (pasta, groats, rice) were boiled in drinking quality water as recommended by the producer. The content of Cu, Mn, Fe, and Zn was determined by using the FAAS method. The average content of microelements in the analyzed products can be represented as Fe (17.9 mg kg -1  ± 10.3) > Zn (12.4 mg kg -1  ± 5.2) > Mn (9.6 mg kg -1  ± 6.7) > Cu (3.9 mg kg -1  ± 2.9). Considering the daily requirement of the analyzed minerals among adult Poles, it was determined that cereal products supply 58% RDA Cu, 61% AI Mn (men)-78% AI Mn (women), 19% RDA Fe (women)-34% RDA Fe (men), and 16% RDA Zn (men)-22% RDA Fe (women). Baked goods account for as much as about 90% of all Cu, Mn, Fe, and Zn consumed as cereal products in a daily diet. Based on the results, it can be concluded that cereal products are the main source of Cu, Mn, Fe, and Zn in the diets of Poles. In connection with low assimilability of minerals, they should not be considered the fundamental source of those microelements in the diets of Poles.

Background: Wilson disease is a rare genetic disorder in which impaired copper excretion results in toxic copper levels and tissue damage. Manifestations are primarily hepatic and/or neuropsychiatric, with a variety of neurological phenotypes. The aim of this study was to characterize neurological signs of Wilson disease in newly diagnosed patients and to determine whether they correlated with disability, liver function, and copper metabolism.Methods: Fifty-three treatment-naïve patients recently diagnosed with Wilson disease who exhibited neurological symptoms were included. Neurological manifestations were characterized by examination in terms of symptom type and degree of neurological impairment (Unified Wilson's Disease Rating Scale [UWDRS] Part III) and correlated with degree of disability (UWDRS Part II), abnormalities in copper parameters and hepatic status.Results: Most patients (62.3%) exhibited tremor and ataxia, whereas 15.1% were dystonic, and 11.3% had parkinsonism. Discrete or unclassified signs only were observed in 11.3% of patients. A good correlation between disability (UWDRS Part II) and neurological impairment (UWDRS Part III) was observed (Pearson r = 0.84). However, there was a lack of correlation when either disability or neurological impairment were analyzed with copper parameters or liver impairment.Conclusions: The predominant neurological manifestations in this cohort of newly diagnosed Wilson disease patients were ataxia and tremor. Neurological impairment measured was highly correlated with the level of disability. However, hepatic manifestations of Wilson disease and copper levels did not appear to be correlated with neurological status and disability. These results highlight the challenges faced when assessing Wilson disease with its highly variable symptomatology. [ABSTRACT FROM AUTHOR]

Backgrounds & Aims: Reports of hepatobiliary malignancies in Wilson disease are sparse. The aim of this study was to evaluate hepatobiliary malignancies in Wilson disease patients concerning the clinical course of tumour disease and pathological analysis of tumour tissue., Methods: Multicenter cohort study of patients with confirmed diagnosis of Wilson disease treated at the Second Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland, the university hospitals Heidelberg, Duesseldorf and Dresden, Germany, and the Department of Hepatology, University Leuven, Belgium. Occurrence, treatment and outcome of hepatobiliary tumours were analysed retrospectively., Results: Of a total of 1186 patients, fourteen developed hepatobiliary malignancies. Eight were hepatocellular carcinomas (HCC) and six were intrahepatic cholangiocellular carcinomas (ICC). The prevalence of hepatobiliary malignancies in the cohort was 1.2% and the incidence was 0.28 per 1000 person years. Pathological analysis of tumour material showed no abnormal copper concentration., Conclusions: The rate of hepatobiliary malignancies in Wilson disease is very low, even in cirrhotic patients. As a result of the relevant number of ICC in addition to HCC histological analysis through surgical resection or biopsy should be mandatory when a suspect liver lesion is detected. The influence of copper depletion from Wilson disease-specific medical treatment on tumour activity remains to be elucidated., (© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)

The aim of this study was to describe the issue of changes in the concentration of some elements (Mn, Fe, Mg, Cu, K, Cr, Pb, Cd, and Ca) in the mineral composition of deciduous teeth and to answer the question whether there was a tendency to change the metal concentration, depending on children's age. Physiological replacement of deciduous teeth is preceded with the remodeling process occurring in the mineral structure. The elemental composition of deciduous teeth tissue during their natural loss is the result of these transformations. The subject of the study was deciduous teeth taken from the children (n = 45, aged 5-14 years), residing in southern Poland, obtained as a result of noninvasive physiological replacement. The concentration of metals in samples was determined over the atomic absorption spectroscopy method. The results of the research showed a statistically significant decrease in the concentration of the analyzed elements in deciduous teeth of older children compared to younger children. The total concentration of all metals studied against the Ca content, expressed as the value of the constant cationic equilibrium, did not change in a statistically significant manner, depending on the age of the children (p > 0.05).

Introduction: Rheumatoid arthritis (RA) is a chronic, autoimmune-based disease of the connective tissue with still unknown etiology. Numerous studies have indicated the association between Copper (Cu) and ceruloplasmin (Cp) concentrations and pathogenesis of RA., Objective: To compare the concentrations of Cu and Cp in different biological samples and their correlation with the inflammatory process, between a group of patients with RA and a control group of healthy individuals., Materials and Methods: The study enrolled 74 Caucasian patients (20 men and 54 women), aged 29-50 (mean age 39.8±6.1 years) diagnosed with RA. The control group consisted of 30 healthy Caucasian individuals. Copper levels were assessed by atomic absorption spectroscopy., Results: Among RA patients the mean Cu level was significantly higher in serum and hair compartments and significantly lower in erythrocytes, compared with the control group (p<0.01). The Cp concentration was also higher in serum of RA patients (p<0.001). A statistically significant, positive correlation between the Cp serum concentration and the ESR values (r(s)=0.38; p<0.007) was found. No significant influence of pharmaceutical treatment (methotrexate, non-steroidal anti-inflammatory drugs, glucocorticoids, calcium, vitamin D3 and sulphasalazine) on serum Cu was found., Conclusions: It seems that the 'copper status' in patients with RA, based on the measurement of Cu and Cp levels in blood serum is correlated with presence of the inflammatory process. The hair could serve as a useful, additional diagnostic material. Some other factors, different from the applied treatment, can probably influence the Cu levels in patients with RA.

The aim of this study was to present the content of cadmium, copper and zinc in tissues of the most common game waterbirds from southern Poland. Concentrations of the three metals were measured in brain, pectoral muscle, heart muscle, liver and kidney of mallard (n = 10) and coot (n = 10) shot in 2003 on fishponds around Zator, Southern Poland. The lowest concentrations were noted in the case of cadmium. Its highest median occurred in kidney (mallard 8.4251 μg/g d.w., coot 5.0704 μg/g d.w.). Average concentrations of this element in muscles oscillated in both species around 0.94 μg/g d.w. In the comparison of cadmium concentrations to the safety norms for consumable meat, almost all samples were non-fit for human consumption. Copper concentrations showed a significant variation between species but their range in different tissues was generally narrow. The highest median was noted among mallards in liver (39.4863 μg/g d.w.) and among coots in pectoral muscle (40.2684 μg/g d.w.). Zinc concentrations did not differ statistically between species only in the case of liver and kidney. Median of this element hit to 98.4883 μg/g d.w. (liver of mallard) and 107.6153 μg/g d.w. (heart muscle of coot). No statistically significant correlations between concentrations of studied metals in different samples were noted. Concentrations of study elements were also evaluated in environmental samples. Water contained trace amounts of researched elements (medians from 0.0401 for Cd to 0.1251 mg/L for Cu). In deposit and forage samples, zinc occurred in the highest concentration (median up to 56.7701 μg/g d.w.).

The role of indigenous microorganisms in the biotransformation of refractory organic-rich copper-bearing black shale ore (Kupferschiefer) was confirmed in laboratory experiments. The persistent shale's organic matter was utilized by a mixture of bacterial strains as the sole carbon and energy source, and bacterial growth was accompanied by chemical and structural changes of black shale. The release of metallic elements and organic compounds into the aqueous phase was shown. Chemical analysis revealed the presence of long-chain aliphatic hydrocarbons and further biodegradation of these compounds by bacterial action. In this study, the release of metals from metalloorganic compounds present in organic-rich copper-bearing black shale was shown for the first time. The results have also confirmed the biotransformation of metalloporphyrins naturally occurring in black shale by indigenous microorganisms. Moreover, changes in the surface area and quantitative mineral composition of black shale were detected following bacterial treatment. This biotransformation activity is of potential use in biotechnological procedures for the recovery of copper and other valuable metals from tailings that contain up to 16% black shale. On the other hand, the release of organic carbon and heavy metals from black shale by biodegradation may significantly add to anthropogenic pollution.

We compared the effect of the p.H1069Q mutation and other non-p.H1069Q mutations in ATP7B on the phenotypic expression of Wilson's disease (WD), and assessed whether the clinical phenotype of WD in compound heterozygotes depends on the type of mutation coexisting with the p.H1069Q. One hundred forty-two patients with clinically, biochemically, and genetically diagnosed WD were studied. The mutational analysis of ATP7B was performed by direct sequencing. A total number of 26 mutations in ATP7B were identified. The p.His1069Gln was the most common mutation (allelic frequency: 72%). Seventy-three patients were homozygous for this mutation. Of compound heterozygotes, 37 had frameshift/nonsense mutation, and 20 had other missense mutation on one of their ATP7B alleles. Twelve patients had two non-p.H1069Q mutations. Patients homozygous for the p.H1069Q mutation had the less severe disturbances of copper metabolism and the latest presentation of first WD symptoms. The most severely disturbed copper metabolism and the earliest age at initial disease manifestation was noticed in non-p.H1069Q patients. In compound heterozygotes, the type of mutation coexisting with the p.H1069Q to a small extent influenced WD phenotype. The phenotype of WD varied considerably among patients with the same genotype. The p.H1069Q mutation is associated with late WD manifestation and with a mild disruption of copper metabolism. In compound heterozygotes, the phenotype of WD to a small extent depends on the type of mutation coexisting with the p.H1069Q. Besides genotype, additional modifying factors seem to determine WD manifestations., (Copyright (c) 2005 Movement Disorder Society.)

The effect of cadmium, zinc, and copper accumulation on metallothionein content in the selected tissues of bank voles and yellow-necked mice trapped near the Sendzimir Steelworks in Krakow and the zinc smelter in Bukowno were analysed. The Borecka Forest was chosen as a control area. The highest cadmium concentration, 32.98 microg g(-1) dry weight, was detected in the kidneys of the bank voles caught in the Bukowno area. Zinc and copper concentrations in the tissues did not exceed the critical values. Metallothionein content in the liver and kidneys was associated with heavy metal accumulation in the tissues. The highest content of sulphydryl groups was detected in the livers of the bank voles trapped within the neighbourhood of the zinc smelter in Bukowno. The highest level of disulphide bonds was found in the kidneys of the bank voles from the same area.

The aim of the study was to determine Se, Zn, and Cu concentrations in blood plasma and milk of lactating women from central Poland who were in different stages of lactation and to investigate the relationship between the content of trace elements in mothers' blood and concentrations of microelements in their milk. Se and Zn concentrations in blood plasma of mothers were the lowest and Cu was the highest on the first 4 d of lactation (colostrum, n = 43) and were found to be 34.9 +/- 11.8 microg/L, 0.51 +/- 0.13 mg/L, and 1.70 +/- 0.55 mg/L, respectively. The highest plasma level of Se and Zn and the lowest content of Cu could be observed between d 10 and 30 of lactation (mature milk, n = 41), and were found to be 54.3 +/- 14.6 microg/L for Se (p < 0.001), 0.76 +/- 0.20 mg/L for Zn (p < 0.001), and 1.03 +/- 0.30 mg/L (p < 0.001) for Cu. The results of Se, Zn, and Cu determination in breast milk samples demonstrate a pattern of decline in their concentration with advancing stages of lactation. We found out that Se, Zn, and Cu concentrations were the highest in colostrum (n = 43) and amounted to 24.8 +/- 10.1 microg/L, 8.2 +/- 2.8 mg/L, and 0.45 +/- 0.11 mg/L, respectively. The content of all determined microelements declined significantly during the time of lactation. Statistically significant linear correlation was found between concentrations of Zn in blood plasma and milk in the first stage of lactation. Weak but statistically significant linear correlations were also found between plasma Se content in plasma and in transitional and mature milk of breast-feeding women.

Studies were made of heavy metal accumulation in aquatic macrophytes growing in streams and ponds around Wroclaw, Poland, partly affected by atmospheric pollution, effluents of chemical factories, and groundwater contaminated by slagdumps from a smelter and power station. The highest concentrations of Cd, Co, Cr, Cu, Hg, Ni, Pb, and Zn in surface water and aquatic macrophytes surpass the average values established for background reference sites. Significant positive correlations were found between Cu contents in water and Cu, Cd, and Zn contents in plants, between Cu and Cd in plants, between Co and Ni in plants, between Ni contents in water and Ni and Cu contents in plants, between Zn in water and Cu in plants, and between Cd and Ni in plants. Negative correlations were found between Cd contents in water and Zn contents in plants, between Co in water and Cd in plants, and between Zn in water and Co in plants. Experiments with the liverwort Scapania undulata originating from a clean, forested, mountain stream and cultivated in solutions containing 70-100% sewage from a chemical factory demonstrated an increase in lead content (85 times in 100% sewage and 58 times in 70% sewage) and in mercury content (40 times in 100% sewage and 20 times in 70% sewage), and also an increase in contents of Cd, Cr, Cu, and Ni. Exposure to 70% sewage concentration during the 14 days of the experiment may be recognized as harmless for S. undulata, so this liverwort could be used in biotechnical purification of water.

The concentrations of cadmium, zinc, copper and metallothionein in the autopsy samples of liver among the inhabitants of Lódź (Poland) were determined. The cadmium levels were low in the range of 1.5 to 5.8 micrograms/g. The concentration of metallothionein determined by the Hg-method was high (0.160-1.665 mumol Hg/g); it was mainly a Zn-thionein. The percentage of hepatic zinc bound in the MT-fraction increased with the overall content of zinc in the liver. The elevation of zinc in the liver occurs in the proportion required for the saturation of metal-binding ligands of metallothionein. The role of cadmium remains less clear. Our results suggest that the metallothionein level in the liver increase significantly in response to elevated cadmium concentrations. This response, however, is in high excess to the demand which is justified stoichiometrically.

The effect of irrigation with waste water on the levels of copper and zinc in the soil, vegetation and the blood plasma as well as on the hair of animals receiving hay from the irrigated meadows was studied. Irrigation with the Ner river water increased the copper content of the soil ten times. (1.7-2.2 ppm Cu in the non-irrigated soil and 18.1-22.7 ppm Cu in the irrigated soil). The increase in the zinc content of the soil was even more pronounced (3-5 ppm Zn in the non-irrigated soil and 156-209 ppm Zn in the irrigated soil). The plants growing on the irrigated soil contained increased amounts of copper and zinc. The copper content of the hay grown on the irrigated soil had no effect on the copper level in the organisms of young bulls receiving this hay. The zinc level in the blood plasma of the bulls was higher than normal, but the zinc level in the hair did not depend on the zinc content of the fodder.