Diabetic foot ulcer (DFU) remains a formidable clinical challenge characterized by a persistent failure of the regenerative process. Affecting approximately 15-25% of diabetic individuals over their lifetime, DFU is associated with a disproportionate risk of lower-limb amputation and mortality. Although zinc is a fundamental requirement for cutaneous repair, conventional supplementation strategies often yield inconsistent therapeutic outcomes. This review addresses this clinical gap by introducing the Zinc Misallocation Hypothesis, which posits that compartment-specific collapse of ionic partitioning represents a mechanistically distinct contributor to DFU chronicity, independent of total zinc deficiency. Under conditions of chronic hyperglycemia and oxidative stress, a pathological spatiotemporal decoupling occurs, leading to functional intracellular Zn²⁺ scarcity alongside a destructive accumulation of labile Zn²⁺ in the extracellular matrix. This ionic misallocation establishes a dual-track inhibitory mechanism that may contribute to sustained repair impairment. Intracellularly, functional Zn²⁺ depletion disrupts the structural integrity of zinc-finger regulatory proteins such as A20 and CYLD, leading to the sustained disinhibition of the NF-κB signaling axis. This biochemical locking prevents the transition of macrophages from a pro-inflammatory M1 state to a pro-reparative M2 phenotype. Simultaneously, the pathological saturation of Zn²⁺ in the extracellular environment facilitates the hyperactivation of matrix metalloproteinases, specifically MMP-9, while concurrently inactivating endogenous inhibitors such as TIMP-1. The markedly elevated proteolytic activity triggers extensive degradation of the basement membrane and induces a state of multi-lineage cellular arrest, where the migratory and proliferative capacity of keratinocytes, fibroblasts, and endothelial cells is substantially attenuated. To resolve this biochemical stalemate, we propose a reciprocal regulatory paradigm utilizing advanced responsive delivery systems, such as ROS-sensitive nanocarriers and metal-organic frameworks. These precision platforms facilitate a dual-action operation designed to sequester pathogenic extracellular zinc while selectively replenishing functional intracellular pools. Ultimately, the restoration of compartment-specific zinc homeostasis represents a rational therapeutic objective for attenuating the self-reinforcing pathological state of the chronic diabetic wound.
{"title":"Compartment-specific Zinc Misallocation in Diabetic Foot Ulcers: Mechanistic Coupling Between Macrophage M1 Locking and MMP-9 Hyperactivation.","authors":"Aiden Yi-Fei Wang, Atiqah Aziz, Han-Ling Tan, Xiu-Wen Ling, Terry Hao-Yu Qin","doi":"10.1007/s12011-026-05225-z","DOIUrl":"10.1007/s12011-026-05225-z","url":null,"abstract":"<p><p>Diabetic foot ulcer (DFU) remains a formidable clinical challenge characterized by a persistent failure of the regenerative process. Affecting approximately 15-25% of diabetic individuals over their lifetime, DFU is associated with a disproportionate risk of lower-limb amputation and mortality. Although zinc is a fundamental requirement for cutaneous repair, conventional supplementation strategies often yield inconsistent therapeutic outcomes. This review addresses this clinical gap by introducing the Zinc Misallocation Hypothesis, which posits that compartment-specific collapse of ionic partitioning represents a mechanistically distinct contributor to DFU chronicity, independent of total zinc deficiency. Under conditions of chronic hyperglycemia and oxidative stress, a pathological spatiotemporal decoupling occurs, leading to functional intracellular Zn²⁺ scarcity alongside a destructive accumulation of labile Zn²⁺ in the extracellular matrix. This ionic misallocation establishes a dual-track inhibitory mechanism that may contribute to sustained repair impairment. Intracellularly, functional Zn²⁺ depletion disrupts the structural integrity of zinc-finger regulatory proteins such as A20 and CYLD, leading to the sustained disinhibition of the NF-κB signaling axis. This biochemical locking prevents the transition of macrophages from a pro-inflammatory M1 state to a pro-reparative M2 phenotype. Simultaneously, the pathological saturation of Zn²⁺ in the extracellular environment facilitates the hyperactivation of matrix metalloproteinases, specifically MMP-9, while concurrently inactivating endogenous inhibitors such as TIMP-1. The markedly elevated proteolytic activity triggers extensive degradation of the basement membrane and induces a state of multi-lineage cellular arrest, where the migratory and proliferative capacity of keratinocytes, fibroblasts, and endothelial cells is substantially attenuated. To resolve this biochemical stalemate, we propose a reciprocal regulatory paradigm utilizing advanced responsive delivery systems, such as ROS-sensitive nanocarriers and metal-organic frameworks. These precision platforms facilitate a dual-action operation designed to sequester pathogenic extracellular zinc while selectively replenishing functional intracellular pools. Ultimately, the restoration of compartment-specific zinc homeostasis represents a rational therapeutic objective for attenuating the self-reinforcing pathological state of the chronic diabetic wound.</p>","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":"7817-7832"},"PeriodicalIF":4.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Serum micronutrients are highly intercorrelated in general populations and may affect longevity via biological aging-related pathways. Nevertheless, it remains unclear whether biological aging mediates the associations of serum micronutrient mixtures with all-cause mortality.
Methods: This prospective cohort analysis included adults from the National Health and Nutrition Examination Survey (NHANES) 2003-2006 and 2017-2018, with mortality follow-up until December 31, 2019. Six serum micronutrients were assessed: vitamin C, 25-hydroxyvitamin D (25(OH)D), α-tocopherol, β-carotene, lycopene, and folate. Biological aging was estimated based on nine clinical biomarkers: albumin, creatinine, glucose, C-reactive protein, lymphocyte percentage, mean cell volume, red cell distribution width, alkaline phosphatase, and white blood cell count. PhenoAgeAccel was defined as phenotypic age minus chronological age. Cox proportional hazards regression and restricted cubic splines (RCS) were applied to assess the associations of individual serum micronutrients with all-cause mortality. Quantile g-computation (QGC) and Bayesian kernel machine regression (BKMR) were used to explore the joint effects of micronutrient mixtures on mortality. Mediation analysis was further conducted to quantify the mediating role of PhenoAgeAccel.
Results: A total of 6,387 participants were included, with a median follow-up of 14.08 years and 932 all-cause deaths recorded. In fully adjusted Cox models, higher levels of β-carotene, lycopene, vitamin C, and 25(OH)D were significantly associated with reduced mortality risk. Compared with the lowest tertile (tertile 1), the HRs (95% CIs) for all-cause mortality were 0.80 (95% CI: 0.64-1.00, P = 0.048) for tertile 2 and 0.74 (95% CI: 0.60-0.90, P = 0.003) for tertile 3 of β-carotene. Both QGC and BKMR analyses revealed a protective joint effect of the micronutrients mixture on all-cause mortality (HR = 0.723, 95% CI: 0.646-0.809), with lycopene contributing the largest negative weight (0.455). PhenoAgeAccel significantly mediated the associations of β-carotene, lycopene, vitamin C, and 25(OH)D with all-cause mortality, with mediating proportions of 35.65%, 15.66%, 27.30%, and 6.87%, respectively.
Conclusion: Higher serum micronutrient concentrations were inversely associated with all-cause mortality, and these associations were partially mediated by decelerated biological aging. Within the micronutrient mixture, lycopene exhibited the greatest relative contribution to the overall protective effect.
{"title":"Biological Aging Mediates the Associations Between Multiple Serum Micronutrients and All-Cause Mortality Among U.S. Adults.","authors":"Chaoyi Bian, Wanting Wang, Zhengyang Wu, Hongling Zhang, Chuanting Wen, Kangkang Zhong, Rui Yang, Qi Zhong","doi":"10.1007/s12011-026-05214-2","DOIUrl":"10.1007/s12011-026-05214-2","url":null,"abstract":"<p><strong>Background: </strong>Serum micronutrients are highly intercorrelated in general populations and may affect longevity via biological aging-related pathways. Nevertheless, it remains unclear whether biological aging mediates the associations of serum micronutrient mixtures with all-cause mortality.</p><p><strong>Methods: </strong>This prospective cohort analysis included adults from the National Health and Nutrition Examination Survey (NHANES) 2003-2006 and 2017-2018, with mortality follow-up until December 31, 2019. Six serum micronutrients were assessed: vitamin C, 25-hydroxyvitamin D (25(OH)D), α-tocopherol, β-carotene, lycopene, and folate. Biological aging was estimated based on nine clinical biomarkers: albumin, creatinine, glucose, C-reactive protein, lymphocyte percentage, mean cell volume, red cell distribution width, alkaline phosphatase, and white blood cell count. PhenoAgeAccel was defined as phenotypic age minus chronological age. Cox proportional hazards regression and restricted cubic splines (RCS) were applied to assess the associations of individual serum micronutrients with all-cause mortality. Quantile g-computation (QGC) and Bayesian kernel machine regression (BKMR) were used to explore the joint effects of micronutrient mixtures on mortality. Mediation analysis was further conducted to quantify the mediating role of PhenoAgeAccel.</p><p><strong>Results: </strong>A total of 6,387 participants were included, with a median follow-up of 14.08 years and 932 all-cause deaths recorded. In fully adjusted Cox models, higher levels of β-carotene, lycopene, vitamin C, and 25(OH)D were significantly associated with reduced mortality risk. Compared with the lowest tertile (tertile 1), the HRs (95% CIs) for all-cause mortality were 0.80 (95% CI: 0.64-1.00, P = 0.048) for tertile 2 and 0.74 (95% CI: 0.60-0.90, P = 0.003) for tertile 3 of β-carotene. Both QGC and BKMR analyses revealed a protective joint effect of the micronutrients mixture on all-cause mortality (HR = 0.723, 95% CI: 0.646-0.809), with lycopene contributing the largest negative weight (0.455). PhenoAgeAccel significantly mediated the associations of β-carotene, lycopene, vitamin C, and 25(OH)D with all-cause mortality, with mediating proportions of 35.65%, 15.66%, 27.30%, and 6.87%, respectively.</p><p><strong>Conclusion: </strong>Higher serum micronutrient concentrations were inversely associated with all-cause mortality, and these associations were partially mediated by decelerated biological aging. Within the micronutrient mixture, lycopene exhibited the greatest relative contribution to the overall protective effect.</p>","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":"7677-7687"},"PeriodicalIF":4.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148374256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study explores how chronic cadmium exposure induces H3K18 acetylation in hepatocytes, regulating the Nrf2-Keap1/NF-κB signaling pathway and promoting liver fibrosis. A CdCl₂-induced mouse model of liver fibrosis and hepatocyte injury was established. The H3K18 acetylation inhibitor DCH36_06 was applied in combination with this model. Various assays were used to assess hepatocyte apoptosis and the expression of H3K18ac, Bax, Nrf2, Keap1, and NF-κB both in vivo and in vitro. Mice were provided with drinking water containing CdCl₂ at a final concentration of 1 g/L. Histological analysis of liver tissues using H&E and Masson staining showed mild fibrosis (G1S1) after 4 weeks and marked cirrhosis (G3S3-4) after 24 weeks. Immunohistochemistry and fluorescence analysis revealed elevated H3K18ac and Bax expression in hepatocytes following cadmium exposure. In vitro, cadmium increased intracellular and ROS accumulation, upregulated endoplasmic reticulum stress-related genes (Perk and Manf), and accelerated apoptosis. Western blotting confirmed increased expression of apoptosis-related proteins Caspase3, Bax, Bcl-2, and HO-1. Under low-dose cadmium exposure, sustained H3K18ac expression in hepatocytes activated the oxidative stress-related Nrf2-Keap1/NF-κB pathway, leading to high levels of Nrf2, Keap1, and NF-κB proteins. Treatment with DCH36_06 reduced ROS accumulation and apoptosis, and downregulated Perk and Manf expression. In the CdCl₂ + DCH36_06 mouse model, fibrosis progression was noticeably slower, indicating that inhibition of H3K18 acetylation mitigates liver damage. Low-dose cadmium exposure promotes H3K18 acetylation in hepatocytes, leading to ROS accumulation and modulation of the Nrf2-Keap1/NF-κB signaling pathways. This cascade triggers oxidative stress and apoptosis, driving the development and progression of liver fibrosis.
{"title":"Role of H3K18 Acetylation in Cadmium-Associated Modulation of the Nrf2-Keap1/NF-κB Axis and Liver Fibrosis Progression.","authors":"Yilin Liu, Yanling Zhou, Xiaole Liang, Jiaohua Chen, Xiufang Li, Sibiao Su","doi":"10.1007/s12011-026-05202-6","DOIUrl":"10.1007/s12011-026-05202-6","url":null,"abstract":"<p><p>This study explores how chronic cadmium exposure induces H3K18 acetylation in hepatocytes, regulating the Nrf2-Keap1/NF-κB signaling pathway and promoting liver fibrosis. A CdCl₂-induced mouse model of liver fibrosis and hepatocyte injury was established. The H3K18 acetylation inhibitor DCH36_06 was applied in combination with this model. Various assays were used to assess hepatocyte apoptosis and the expression of H3K18ac, Bax, Nrf2, Keap1, and NF-κB both in vivo and in vitro. Mice were provided with drinking water containing CdCl₂ at a final concentration of 1 g/L. Histological analysis of liver tissues using H&E and Masson staining showed mild fibrosis (G1S1) after 4 weeks and marked cirrhosis (G3S3-4) after 24 weeks. Immunohistochemistry and fluorescence analysis revealed elevated H3K18ac and Bax expression in hepatocytes following cadmium exposure. In vitro, cadmium increased intracellular and ROS accumulation, upregulated endoplasmic reticulum stress-related genes (Perk and Manf), and accelerated apoptosis. Western blotting confirmed increased expression of apoptosis-related proteins Caspase3, Bax, Bcl-2, and HO-1. Under low-dose cadmium exposure, sustained H3K18ac expression in hepatocytes activated the oxidative stress-related Nrf2-Keap1/NF-κB pathway, leading to high levels of Nrf2, Keap1, and NF-κB proteins. Treatment with DCH36_06 reduced ROS accumulation and apoptosis, and downregulated Perk and Manf expression. In the CdCl₂ + DCH36_06 mouse model, fibrosis progression was noticeably slower, indicating that inhibition of H3K18 acetylation mitigates liver damage. Low-dose cadmium exposure promotes H3K18 acetylation in hepatocytes, leading to ROS accumulation and modulation of the Nrf2-Keap1/NF-κB signaling pathways. This cascade triggers oxidative stress and apoptosis, driving the development and progression of liver fibrosis.</p>","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":"7490-7500"},"PeriodicalIF":4.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148337649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-01Epub Date: 2026-06-27DOI: 10.1007/s12011-026-05199-y
Mona M Khalifa, Hesham A M Ibrahim, Mohammed E Gad, Ibrahim A I Hassan, Soad A Elshanawany, Soma A El Mogy, A I L Abd El Fatah
Light rare earth oxides (LREEs), such as cerium, lanthanum, neodymium, and praseodymium oxides, have unique redox and catalytic properties that may contribute to various therapeutic effects. Researchers in this study looked at LREEs' in vitro antioxidant, anti-diabetic, anti-Alzheimer's, anti-arthritic, and cytotoxic effects. The antioxidant potential was evaluated using Diphenyl-2-picryl-hydrazyl (DPPH), 2,2'-azinobis-(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS), nitric oxide (NO), hydroxyl (OH), and hydrogen peroxide (H2O2) radical scavenging assays, showing a moderate inhibitory effect compared to ascorbic acid. Enzyme inhibition assays indicated weak AChE inhibition, suggesting limited anti-Alzheimer's disease potential. Moderate anti-arthritic effects were observed through inhibition of protein denaturation and proteinase activity. In anti-diabetic assays, LREEs dose-dependently inhibited α-amylase and α-glucosidase, although less potent than acarbose. Cytotoxicity testing on HepG2 cancer cells showed an IC50 of 281.80 µg/mL, significantly higher than doxorubicin (34.07 µg/mL), indicating weak anticancer potential. Elevated Caspase-3 levels and diminished Bcl-2 levels indicate the initiation of apoptosis. These results indicate that LREEs oxide exhibits adequate biological activity, warranting further exploration of its mechanisms and potential biomedical applications. The investigated material was evaluated as a mixed light rare earth oxide system to obtain an integrated biological response profile rather than to determine the contribution of individual oxide components. Therefore, the present findings represent system-level biological behaviour and serve as a foundation for more detailed component-specific investigations. The investigated material was evaluated as a mixed light rare earth oxide system to obtain an integrated biological response profile rather than to determine the contribution of individual oxide components. Therefore, the present findings represent system-level biological behaviour and serve as a foundation for more detailed component-specific investigations.
{"title":"Multifunctional in Vitro Biological Activities of Mixed Light Rare Earth Oxides: Antioxidant, Enzyme Inhibitory and Cytotoxic Potential.","authors":"Mona M Khalifa, Hesham A M Ibrahim, Mohammed E Gad, Ibrahim A I Hassan, Soad A Elshanawany, Soma A El Mogy, A I L Abd El Fatah","doi":"10.1007/s12011-026-05199-y","DOIUrl":"10.1007/s12011-026-05199-y","url":null,"abstract":"<p><p>Light rare earth oxides (LREEs), such as cerium, lanthanum, neodymium, and praseodymium oxides, have unique redox and catalytic properties that may contribute to various therapeutic effects. Researchers in this study looked at LREEs' in vitro antioxidant, anti-diabetic, anti-Alzheimer's, anti-arthritic, and cytotoxic effects. The antioxidant potential was evaluated using Diphenyl-2-picryl-hydrazyl (DPPH), 2,2'-azinobis-(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS), nitric oxide (NO), hydroxyl (OH), and hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) radical scavenging assays, showing a moderate inhibitory effect compared to ascorbic acid. Enzyme inhibition assays indicated weak AChE inhibition, suggesting limited anti-Alzheimer's disease potential. Moderate anti-arthritic effects were observed through inhibition of protein denaturation and proteinase activity. In anti-diabetic assays, LREEs dose-dependently inhibited α-amylase and α-glucosidase, although less potent than acarbose. Cytotoxicity testing on HepG2 cancer cells showed an IC<sub>50</sub> of 281.80 µg/mL, significantly higher than doxorubicin (34.07 µg/mL), indicating weak anticancer potential. Elevated Caspase-3 levels and diminished Bcl-2 levels indicate the initiation of apoptosis. These results indicate that LREEs oxide exhibits adequate biological activity, warranting further exploration of its mechanisms and potential biomedical applications. The investigated material was evaluated as a mixed light rare earth oxide system to obtain an integrated biological response profile rather than to determine the contribution of individual oxide components. Therefore, the present findings represent system-level biological behaviour and serve as a foundation for more detailed component-specific investigations. The investigated material was evaluated as a mixed light rare earth oxide system to obtain an integrated biological response profile rather than to determine the contribution of individual oxide components. Therefore, the present findings represent system-level biological behaviour and serve as a foundation for more detailed component-specific investigations.</p>","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":"7441-7453"},"PeriodicalIF":4.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148343859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-01Epub Date: 2026-06-29DOI: 10.1007/s12011-026-05195-2
Shadi Mousa, Ahed H Zyoud, Ramzi Shawahna
Lead (Pb) and cadmium (Cd) are pervasive toxicants that bioaccumulate and cause multisystem injury. Two controlled experiments were conducted in quails, subdivided into co‑exposure (ascorbic acid (AA) given concurrently with Pb or Cd for four weeks) and post‑exposure (AA administered for three weeks after one week of metal exposure). Birds received Pb acetate or Cd chloride (500 ppm) with AA (1000 ppm). In the Pb experiment, co‑exposure with AA significantly reduced tissue burdens compared with Pb alone: liver (16.7 ± 0.8 vs. 29.0 ± 1.3 ppb), thigh (3.2 ± 0.6 vs. 10.6 ± 1.3 ppb), brisket (2.4 ± 0.4 vs. 13.7 ± 0.5 ppb), brain (21.7 ± 3.3 vs. 36.0 ± 3.9 ppb), bone (567.2 ± 81.6 vs. 1411.2 ± 9.8 ppb), and blood (15.1 ± 1.4 vs. 36.9 ± 3.7 ppb; all p < 0.001). Post‑exposure AA also lowered concentrations: liver (3.9 ± 1.4 vs. 12.3 ± 0.3 ppb), thigh (1.9 ± 0.3 vs. 11.3 ± 1.0 ppb), brisket (1.2 ± 0.1 vs. 6.4 ± 0.5 ppb), brain (5.7 ± 0.2 vs. 25.4 ± 1.4 ppb), bone (109.9 ± 23.6 vs. 384.5 ± 35.7 ppb), and blood (9.2 ± 0.9 vs. 19.9 ± 1.7 ppb; all p < 0.001). In the Cd experiment, co‑exposure with AA reduced tissue levels: liver (4381.5 ± 281.2 vs. 9291.1 ± 278.3 ppb), thigh (47.2 ± 1.0 vs. 116.6 ± 1.7 ppb), brisket (50.6 ± 3.6 vs. 82.8 ± 2.3 ppb), brain (31.4 ± 1.1 vs. 66.1 ± 2.7 ppb), bone (416.7 ± 11.0 vs. 562.3 ± 10.9 ppb), and blood (174.1 ± 7.9 vs. 298.5 ± 6.6 ppb; all p < 0.001). Post‑exposure AA likewise lowered burdens: liver (1109.5 ± 156.8 vs. 3200.6 ± 324.4 ppb), thigh (5.3 ± 0.5 vs. 32.6 ± 4.1 ppb), brisket (3.8 ± 0.7 vs. 30.4 ± 2.3 ppb), brain (6.5 ± 0.9 vs. 44.5 ± 5.8 ppb), bone (43.5 ± 3.1 vs. 187.6 ± 14.6 ppb), and blood (63.3 ± 1.1 vs. 143.5 ± 15.4 ppb; all p < 0.001). Across both paradigms, co‑exposure with AA generally produced larger relative reductions in tissue burdens compared with post‑exposure treatment, although both approaches were effective. Given its safety, availability, and low cost, AA may be incorporated into strategies for populations at risk of heavy metal exposure.
{"title":"Ascorbic Acid as a Dual Therapeutic and Preventive Agent against Lead and Cadmium Toxicity: Evidence from Controlled Quail Experiments.","authors":"Shadi Mousa, Ahed H Zyoud, Ramzi Shawahna","doi":"10.1007/s12011-026-05195-2","DOIUrl":"10.1007/s12011-026-05195-2","url":null,"abstract":"<p><p>Lead (Pb) and cadmium (Cd) are pervasive toxicants that bioaccumulate and cause multisystem injury. Two controlled experiments were conducted in quails, subdivided into co‑exposure (ascorbic acid (AA) given concurrently with Pb or Cd for four weeks) and post‑exposure (AA administered for three weeks after one week of metal exposure). Birds received Pb acetate or Cd chloride (500 ppm) with AA (1000 ppm). In the Pb experiment, co‑exposure with AA significantly reduced tissue burdens compared with Pb alone: liver (16.7 ± 0.8 vs. 29.0 ± 1.3 ppb), thigh (3.2 ± 0.6 vs. 10.6 ± 1.3 ppb), brisket (2.4 ± 0.4 vs. 13.7 ± 0.5 ppb), brain (21.7 ± 3.3 vs. 36.0 ± 3.9 ppb), bone (567.2 ± 81.6 vs. 1411.2 ± 9.8 ppb), and blood (15.1 ± 1.4 vs. 36.9 ± 3.7 ppb; all p < 0.001). Post‑exposure AA also lowered concentrations: liver (3.9 ± 1.4 vs. 12.3 ± 0.3 ppb), thigh (1.9 ± 0.3 vs. 11.3 ± 1.0 ppb), brisket (1.2 ± 0.1 vs. 6.4 ± 0.5 ppb), brain (5.7 ± 0.2 vs. 25.4 ± 1.4 ppb), bone (109.9 ± 23.6 vs. 384.5 ± 35.7 ppb), and blood (9.2 ± 0.9 vs. 19.9 ± 1.7 ppb; all p < 0.001). In the Cd experiment, co‑exposure with AA reduced tissue levels: liver (4381.5 ± 281.2 vs. 9291.1 ± 278.3 ppb), thigh (47.2 ± 1.0 vs. 116.6 ± 1.7 ppb), brisket (50.6 ± 3.6 vs. 82.8 ± 2.3 ppb), brain (31.4 ± 1.1 vs. 66.1 ± 2.7 ppb), bone (416.7 ± 11.0 vs. 562.3 ± 10.9 ppb), and blood (174.1 ± 7.9 vs. 298.5 ± 6.6 ppb; all p < 0.001). Post‑exposure AA likewise lowered burdens: liver (1109.5 ± 156.8 vs. 3200.6 ± 324.4 ppb), thigh (5.3 ± 0.5 vs. 32.6 ± 4.1 ppb), brisket (3.8 ± 0.7 vs. 30.4 ± 2.3 ppb), brain (6.5 ± 0.9 vs. 44.5 ± 5.8 ppb), bone (43.5 ± 3.1 vs. 187.6 ± 14.6 ppb), and blood (63.3 ± 1.1 vs. 143.5 ± 15.4 ppb; all p < 0.001). Across both paradigms, co‑exposure with AA generally produced larger relative reductions in tissue burdens compared with post‑exposure treatment, although both approaches were effective. Given its safety, availability, and low cost, AA may be incorporated into strategies for populations at risk of heavy metal exposure.</p>","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":"7387-7401"},"PeriodicalIF":4.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148350572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-01Epub Date: 2026-07-07DOI: 10.1007/s12011-026-05215-1
Mei Huang, Wencan Jiang, Yanyan Wu, Yao Qin, Liuyan Dai, Xinyi Qu, Suyu Wang, Mei Zhang
We aim to investigate the relationship between iron metabolism and prediabetes using data from the National Health and Nutrition Examination Survey (NHANES) and the China Health and Nutrition Survey (CHNS) databases, and to identify prediabetes subgroups with distinct distinct iron-related biomarker profiles through cluster analysis, while examining both universal patterns and population-specific differences across U.S. and Chinese populations. Data from NHANES 2003-2010 and 2015-2020 were used for primary analysis; these cycles were selected based on the availability of complete iron metabolism biomarker data. Participants were classified into prediabetes group and normoglycemic group. Linear regression analysis was conducted to evaluate the association between clinical indicators and iron metabolism markers. K-means cluster analysis was performed in the NHANES prediabetes subsample to identify phenotypically distinct subgroups. The identified cluster structure was subsequently validated by independently applying the same algorithm to the CHNS 2009 prediabetes subsample. Between-group comparisons were performed using the t-test or Mann-Whitney U test for continuous variables and the χ² test for categorical variables, as appropriate. A two-sided P-value of < 0.05 was considered statistically significant. Among 7110 participants from NHANES, 1528 were classified into the prediabetes group. Compared with the normoglycemic group, the prediabetes group exhibited significantly higher ferritin [82.0 (IQR 40.1-158.0) vs. 47.00 (IQR 26.1-89.3) µg/L, P < 0.001] and lower serum iron (14.9 ± 6.3 vs. 16.0 ± 7.2 µmol/L, P = 0.031), reflecting a pattern of sub-clinical iron redistribution rather than clinically defined iron overload. Three distinct prediabetes phenotypes were identified: Cluster 1 (obesity-related insulin resistant-younger phenotype, N = 424), cluster 2 (mild insulin secretion impairment-younger phenotype, N = 456), and cluster 3 (high iron store-older phenotype, N = 648). Cluster 3 demonstrated older phenotype with higher ferritin concentrations within the normal reference range and showed the highest ferritin and serum iron concentrations among the identified clusters, while Cluster 1 has intermediate ferritin levels and Cluster 2 has the lowest levels (P < 0.001). A comparable three-cluster structure was replicated in the CHNS 2009 cohort, with Cluster 3 representing a higher proportion (48.89% vs. 42.41%) and retaining the highest ferritin levels [92.6 (IQR 52.0-155.3) µg/L, P < 0.001]. Variation in iron-related markers is present in the prediabetes stage, with distinct patterns across subgroups. We identified three distinct prediabetes phenotypes characterized by different ferritin profiles within the normal reference range, providing novel insights for individualized clinical practice and risk stratification.
{"title":"Prediabetes Subtypes with Divergent Iron Metabolism Profiles: A Cluster Analysis from Two Cohorts in the United States and China.","authors":"Mei Huang, Wencan Jiang, Yanyan Wu, Yao Qin, Liuyan Dai, Xinyi Qu, Suyu Wang, Mei Zhang","doi":"10.1007/s12011-026-05215-1","DOIUrl":"10.1007/s12011-026-05215-1","url":null,"abstract":"<p><p>We aim to investigate the relationship between iron metabolism and prediabetes using data from the National Health and Nutrition Examination Survey (NHANES) and the China Health and Nutrition Survey (CHNS) databases, and to identify prediabetes subgroups with distinct distinct iron-related biomarker profiles through cluster analysis, while examining both universal patterns and population-specific differences across U.S. and Chinese populations. Data from NHANES 2003-2010 and 2015-2020 were used for primary analysis; these cycles were selected based on the availability of complete iron metabolism biomarker data. Participants were classified into prediabetes group and normoglycemic group. Linear regression analysis was conducted to evaluate the association between clinical indicators and iron metabolism markers. K-means cluster analysis was performed in the NHANES prediabetes subsample to identify phenotypically distinct subgroups. The identified cluster structure was subsequently validated by independently applying the same algorithm to the CHNS 2009 prediabetes subsample. Between-group comparisons were performed using the t-test or Mann-Whitney U test for continuous variables and the χ² test for categorical variables, as appropriate. A two-sided P-value of < 0.05 was considered statistically significant. Among 7110 participants from NHANES, 1528 were classified into the prediabetes group. Compared with the normoglycemic group, the prediabetes group exhibited significantly higher ferritin [82.0 (IQR 40.1-158.0) vs. 47.00 (IQR 26.1-89.3) µg/L, P < 0.001] and lower serum iron (14.9 ± 6.3 vs. 16.0 ± 7.2 µmol/L, P = 0.031), reflecting a pattern of sub-clinical iron redistribution rather than clinically defined iron overload. Three distinct prediabetes phenotypes were identified: Cluster 1 (obesity-related insulin resistant-younger phenotype, N = 424), cluster 2 (mild insulin secretion impairment-younger phenotype, N = 456), and cluster 3 (high iron store-older phenotype, N = 648). Cluster 3 demonstrated older phenotype with higher ferritin concentrations within the normal reference range and showed the highest ferritin and serum iron concentrations among the identified clusters, while Cluster 1 has intermediate ferritin levels and Cluster 2 has the lowest levels (P < 0.001). A comparable three-cluster structure was replicated in the CHNS 2009 cohort, with Cluster 3 representing a higher proportion (48.89% vs. 42.41%) and retaining the highest ferritin levels [92.6 (IQR 52.0-155.3) µg/L, P < 0.001]. Variation in iron-related markers is present in the prediabetes stage, with distinct patterns across subgroups. We identified three distinct prediabetes phenotypes characterized by different ferritin profiles within the normal reference range, providing novel insights for individualized clinical practice and risk stratification.</p>","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":"7688-7701"},"PeriodicalIF":4.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148395719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-01Epub Date: 2026-07-09DOI: 10.1007/s12011-026-05219-x
Jayant Kumar Kakwani, Dharmesh Tewari, S Gautam, Pallavi Maurya, S S Kashyap, V K Singh, Shubham Tripathi, Manish Kumar Singh, Sandeep Kumar Chaudhary
Boron has emerged as a nutritionally important element due to significant role in biological system, including mineral lipid and energy metabolism, immune and endocrine system and brain function. The primary objective of present investigation was to evaluate the effect of graded levels of boron supplementation (0, 12, 24 and 48 ppm) on performance and mineral metabolism of broilers. 200 day-old broiler chicks, which were randomly allotted into four dietary treatment groups, viz., BA-0: No boron supplementation, BA-12: Received boric acid 12 mg Kg- 1 dry feed, BA-24: Received boric acid 24 mg Kg- 1 dry feed and BA-48: Received boric acid 48 mg Kg- 1 dry feed, with five replicates of ten birds each under a completely randomized design for 42 days experimental period. Boric acid was used as a boron source. The body weight, feed conversion ratio, energy and protein efficiency ratio improved significantly (p < 0.05) with increasing levels of boric acid supplementation, while feed intake remained non-significant (p > 0.05) across all treatment groups throughout the experimental period. The serum biochemical profile revealed that serum glucose and cholesterol levels decreased significantly (p < 0.05) with increasing levels of boric acid supplementation. The tibial bone and intestinal characteristics revealed significant improvement (p < 0.05) in the higher supplemented groups, particularly in BA-24 and BA-48, compared to the control group. Profitability and overall economic efficiency increased significantly (p < 0.05) with increasing levels of boric acid supplementation, with the highest economic returns recorded in the BA-48 group, followed by BA-24. These findings suggest that dietary supplementation of boric acid @ 48 ppm improved the growth performance and mineral metabolism in broiler chickens. Further research is warranted to explore the potential of boron in poultry nutrition.
{"title":"Effect of Boron on the Growth Performance, Biochemical Indices, Carcass, Intestinal and Bone Characteristics with Economics in Broiler Chickens.","authors":"Jayant Kumar Kakwani, Dharmesh Tewari, S Gautam, Pallavi Maurya, S S Kashyap, V K Singh, Shubham Tripathi, Manish Kumar Singh, Sandeep Kumar Chaudhary","doi":"10.1007/s12011-026-05219-x","DOIUrl":"10.1007/s12011-026-05219-x","url":null,"abstract":"<p><p>Boron has emerged as a nutritionally important element due to significant role in biological system, including mineral lipid and energy metabolism, immune and endocrine system and brain function. The primary objective of present investigation was to evaluate the effect of graded levels of boron supplementation (0, 12, 24 and 48 ppm) on performance and mineral metabolism of broilers. 200 day-old broiler chicks, which were randomly allotted into four dietary treatment groups, viz., BA-0: No boron supplementation, BA-12: Received boric acid 12 mg Kg<sup>- 1</sup> dry feed, BA-24: Received boric acid 24 mg Kg<sup>- 1</sup> dry feed and BA-48: Received boric acid 48 mg Kg<sup>- 1</sup> dry feed, with five replicates of ten birds each under a completely randomized design for 42 days experimental period. Boric acid was used as a boron source. The body weight, feed conversion ratio, energy and protein efficiency ratio improved significantly (p < 0.05) with increasing levels of boric acid supplementation, while feed intake remained non-significant (p > 0.05) across all treatment groups throughout the experimental period. The serum biochemical profile revealed that serum glucose and cholesterol levels decreased significantly (p < 0.05) with increasing levels of boric acid supplementation. The tibial bone and intestinal characteristics revealed significant improvement (p < 0.05) in the higher supplemented groups, particularly in BA-24 and BA-48, compared to the control group. Profitability and overall economic efficiency increased significantly (p < 0.05) with increasing levels of boric acid supplementation, with the highest economic returns recorded in the BA-48 group, followed by BA-24. These findings suggest that dietary supplementation of boric acid @ 48 ppm improved the growth performance and mineral metabolism in broiler chickens. Further research is warranted to explore the potential of boron in poultry nutrition.</p>","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":"7735-7742"},"PeriodicalIF":4.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148418279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-01Epub Date: 2026-07-17DOI: 10.1007/s12011-026-05236-w
Ali Nikmanesh, Shahram Saburirad, Alimohammad Yavarahmadi, Sajjad Sadeghi
<p><p>Edible salt is an essential component of the human diet and a critical vehicle for iodine fortification, yet it can also serve as a pathway for chronic dietary exposure to toxic heavy metals. Despite decades of research documenting metal contamination in salt, the sources of contamination, particularly the potential role of mine blasting, remain inadequately characterized, and the efficacy of conventional purification methods has been overestimated. This systematic review aimed to synthesize available evidence on heavy metal contamination in edible salt across four interconnected dimensions: (1) documented sources of contamination, while also highlighting empirically untested hypotheses regarding potential extraction‑related contamination pathways (e.g., mining operations) as priorities for future investigation; (2) limitations of conventional purification methods in achieving complete metal removal; (3) human exposure levels and associated health risks; and (4) existing regulatory frameworks and their shortcomings. A systematic search of PubMed, Scopus, and Web of Science was conducted for original research articles published between January 2016 and June 2026 reporting quantitative measurements of heavy metals in edible salt. Of the 16 studies initially meeting the broad eligibility criteria, 12 provided robust quantitative data on heavy metal concentrations with associated health risk or purification assessments and formed the core evidence base (Table 1). The remaining 4 studies were predominantly method‑development or qualitative classification papers and are summarized separately in Supplementary Table S2. Lead (Pb) was the most frequently reported toxic metal, with concentrations ranging from 0.001 mg/kg in Lake Urmia salt to 18.43 mg/kg in contaminated Pakistani sea salt. Cadmium (Cd) reached 6.08 mg/kg in Ghanaian market salts, and mercury (Hg) reached 15.3 mg/kg in Pakistani sea salt, 153 times the Codex limit. Conventional purification methods substantially reduced heavy metal concentrations, but did not completely eliminate them. Health risk assessments diverged sharply: salts from clean environments posed negligible risks, while contaminated salts exhibited hazard indices exceeding 20 and carcinogenic risks above the USEPA threshold. Importantly, no study investigated the contribution of mine blasting with explosives to salt contamination, a significant research gap. Regulatory standards were inconsistent across jurisdictions, with no limits specified for chromium, nickel, cobalt, aluminum, or antimony. Heavy metal contamination of edible salt is a global phenomenon, with the highest levels found in salts from polluted harvesting sites. Conventional purification methods can substantially reduce heavy metal contamination, often by over 90%, but they do not necessarily eliminate it entirely. Current regulatory frameworks exhibit important inconsistencies and coverage gaps, particularly for several trace metals that are not specif
食用盐是人类饮食的重要组成部分,也是碘强化的重要载体,但它也可以作为慢性饮食暴露于有毒重金属的途径。尽管几十年来的研究记录了盐中的金属污染,但污染的来源,特别是矿山爆破的潜在作用,仍然没有得到充分的描述,而且传统净化方法的功效被高估了。本系统综述旨在从四个相互关联的维度综合可食用盐中重金属污染的现有证据:(1)记录的污染源,同时也强调了关于潜在的提取相关污染途径(例如,采矿作业)的经验未经检验的假设,作为未来调查的重点;(2)常规净化方法在完全去除金属方面的局限性;(3)人类接触水平和相关的健康风险;(4)现有监管框架及其不足。系统检索了2016年1月至2026年6月期间发表的关于食用盐中重金属定量测量的原创研究文章,检索了PubMed、Scopus和Web of Science。在最初符合广泛资格标准的16项研究中,有12项提供了有关重金属浓度的可靠定量数据,并进行了相关的健康风险或净化评估,形成了核心证据基础(表1)。其余4项研究主要为方法开发或定性分类论文,分别在补充表S2中进行总结。铅是最常报告的有毒金属,其浓度从乌尔米亚湖盐中的0.001 mg/kg到受污染的巴基斯坦海盐中的18.43 mg/kg不等。加纳市场盐中的镉(Cd)达到6.08毫克/公斤,巴基斯坦海盐中的汞(Hg)达到15.3毫克/公斤,是食典委限值的153倍。传统的净化方法大大降低了重金属浓度,但并没有完全消除它们。健康风险评估大相径庭:来自清洁环境的盐的风险可以忽略不计,而受污染的盐的危害指数超过20,致癌风险超过美国环境保护局的阈值。重要的是,没有研究调查炸药矿山爆破对盐污染的贡献,这是一个重大的研究空白。各个司法管辖区的监管标准不一致,对铬、镍、钴、铝或锑没有规定限制。食用盐的重金属污染是一种全球现象,在受污染的收获地点发现的盐中重金属含量最高。传统的净化方法可以大大减少重金属污染,通常超过90%,但不一定完全消除。目前的监管框架表现出严重的不一致性和覆盖差距,特别是对于现有标准中未具体涉及的几种微量金属。缺乏与采矿作业有关的污染途径的直接证据突出了一个重要的知识差距,值得今后进行调查。加强监管标准,可能有助于改善食品安全监督和减少消费者的风险。
{"title":"From Salt Deposits to the Dinner Table: A Systematic Review of Heavy Metal Contamination in Edible Salt; Sources, Limitations of Conventional Purification, Human Exposure, and Regulatory Gaps.","authors":"Ali Nikmanesh, Shahram Saburirad, Alimohammad Yavarahmadi, Sajjad Sadeghi","doi":"10.1007/s12011-026-05236-w","DOIUrl":"10.1007/s12011-026-05236-w","url":null,"abstract":"<p><p>Edible salt is an essential component of the human diet and a critical vehicle for iodine fortification, yet it can also serve as a pathway for chronic dietary exposure to toxic heavy metals. Despite decades of research documenting metal contamination in salt, the sources of contamination, particularly the potential role of mine blasting, remain inadequately characterized, and the efficacy of conventional purification methods has been overestimated. This systematic review aimed to synthesize available evidence on heavy metal contamination in edible salt across four interconnected dimensions: (1) documented sources of contamination, while also highlighting empirically untested hypotheses regarding potential extraction‑related contamination pathways (e.g., mining operations) as priorities for future investigation; (2) limitations of conventional purification methods in achieving complete metal removal; (3) human exposure levels and associated health risks; and (4) existing regulatory frameworks and their shortcomings. A systematic search of PubMed, Scopus, and Web of Science was conducted for original research articles published between January 2016 and June 2026 reporting quantitative measurements of heavy metals in edible salt. Of the 16 studies initially meeting the broad eligibility criteria, 12 provided robust quantitative data on heavy metal concentrations with associated health risk or purification assessments and formed the core evidence base (Table 1). The remaining 4 studies were predominantly method‑development or qualitative classification papers and are summarized separately in Supplementary Table S2. Lead (Pb) was the most frequently reported toxic metal, with concentrations ranging from 0.001 mg/kg in Lake Urmia salt to 18.43 mg/kg in contaminated Pakistani sea salt. Cadmium (Cd) reached 6.08 mg/kg in Ghanaian market salts, and mercury (Hg) reached 15.3 mg/kg in Pakistani sea salt, 153 times the Codex limit. Conventional purification methods substantially reduced heavy metal concentrations, but did not completely eliminate them. Health risk assessments diverged sharply: salts from clean environments posed negligible risks, while contaminated salts exhibited hazard indices exceeding 20 and carcinogenic risks above the USEPA threshold. Importantly, no study investigated the contribution of mine blasting with explosives to salt contamination, a significant research gap. Regulatory standards were inconsistent across jurisdictions, with no limits specified for chromium, nickel, cobalt, aluminum, or antimony. Heavy metal contamination of edible salt is a global phenomenon, with the highest levels found in salts from polluted harvesting sites. Conventional purification methods can substantially reduce heavy metal contamination, often by over 90%, but they do not necessarily eliminate it entirely. Current regulatory frameworks exhibit important inconsistencies and coverage gaps, particularly for several trace metals that are not specif","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":"7956-7975"},"PeriodicalIF":4.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To detect the levels of whole blood minerals and trace elements (calcium, iron, zinc, copper, magnesium) in overweight and obese patients, and explore their associations with body weight, body mass index (BMI) and other body composition indicators.
Methods: A retrospective cross-sectional analysis was conducted among 1220 enrolled patients. Participants were categorized into overweight and obese groups based on body mass index (BMI). We compared whole blood minerals and trace elements, body composition and weight-related indicators between the two groups, and explored correlations and independent associations of these elements with BMI, body fat percentage, visceral fat content and muscle mass. Statistical analyses included the Mann-Whitney U test, Spearman correlation analysis and multiple linear regression analysis.
Results: Concentrations of iron, zinc and magnesium were significantly elevated in the obese group (P < 0.001), while calcium concentrations were markedly lower (P < 0.001). No significant intergroup difference was observed for copper (P = 0.408). Correlation analysis revealed that iron, zinc and magnesium were positively correlated with BMI, visceral fat content and muscle mass (P < 0.001), and negatively correlated with body fat percentage (P < 0.001). Copper was positively correlated with body fat percentage (P < 0.001) and negatively correlated with muscle mass (P < 0.001). In multiple linear regression analysis adjusted for gender and age, copper (B = 0.157, P = 0.002) showed a significant independent positive association with body fat percentage. Zinc had a borderline positive association with BMI (B = 0.003, P = 0.069), indicating no statistical significance. None of the elements were significantly and independently associated with visceral fat content.
Conclusion: Iron, zinc, magnesium and copper are closely correlated with obesity-related indices. Copper shows a specific association with body fat percentage rather than visceral adipose tissue. As an observational study, we confirmed associations between these minerals and trace elements and obesity as well as body composition, yet causal relationships cannot be established.
{"title":"Associations of Whole Blood Minerals and Trace Elements with Body Composition in Overweight and Obese Patients: A Retrospective Cross-Sectional Study.","authors":"Zhiyi Zhou, Jing Chen, Yuanlan Chen, Yiming Fu, Peipei Qi, Yuan Li, Linqiu Ke","doi":"10.1007/s12011-026-05242-y","DOIUrl":"10.1007/s12011-026-05242-y","url":null,"abstract":"<p><strong>Objective: </strong>To detect the levels of whole blood minerals and trace elements (calcium, iron, zinc, copper, magnesium) in overweight and obese patients, and explore their associations with body weight, body mass index (BMI) and other body composition indicators.</p><p><strong>Methods: </strong>A retrospective cross-sectional analysis was conducted among 1220 enrolled patients. Participants were categorized into overweight and obese groups based on body mass index (BMI). We compared whole blood minerals and trace elements, body composition and weight-related indicators between the two groups, and explored correlations and independent associations of these elements with BMI, body fat percentage, visceral fat content and muscle mass. Statistical analyses included the Mann-Whitney U test, Spearman correlation analysis and multiple linear regression analysis.</p><p><strong>Results: </strong>Concentrations of iron, zinc and magnesium were significantly elevated in the obese group (P < 0.001), while calcium concentrations were markedly lower (P < 0.001). No significant intergroup difference was observed for copper (P = 0.408). Correlation analysis revealed that iron, zinc and magnesium were positively correlated with BMI, visceral fat content and muscle mass (P < 0.001), and negatively correlated with body fat percentage (P < 0.001). Copper was positively correlated with body fat percentage (P < 0.001) and negatively correlated with muscle mass (P < 0.001). In multiple linear regression analysis adjusted for gender and age, copper (B = 0.157, P = 0.002) showed a significant independent positive association with body fat percentage. Zinc had a borderline positive association with BMI (B = 0.003, P = 0.069), indicating no statistical significance. None of the elements were significantly and independently associated with visceral fat content.</p><p><strong>Conclusion: </strong>Iron, zinc, magnesium and copper are closely correlated with obesity-related indices. Copper shows a specific association with body fat percentage rather than visceral adipose tissue. As an observational study, we confirmed associations between these minerals and trace elements and obesity as well as body composition, yet causal relationships cannot be established.</p>","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":"8046-8052"},"PeriodicalIF":4.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148496941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mg²⁺ deficiency has been linked to oxidative stress, inflammation, and hypertension. We have previously shown that Losartan increases plasma Mg²⁺ levels in Dahl salt-sensitive (Dahl) rats, suggesting that defective Mg²⁺ metabolism in this strain contributes to hypertension. Here, we investigated the effects of dietary Mg²⁺ supplementation (0.3% MgO) and/or Losartan (10 mg/kg/day, in drinking water) in male Dahl rats fed a high-NaCl (8%) or standard Na⁺ diet for six weeks. Six-week-old rats were randomly assigned to eight experimental groups. NO metabolites (nitrites and nitrates) were measured in plasma and kidney homogenates. Oxidative stress was assessed by lipid peroxidation in plasma and red blood cell ghosts (RBCG), and by erythrocyte osmotic fragility (OS₅₀). Both Losartan and Mg²⁺ supplementation protected against hypertension and high-salt-induced systemic and local oxidative stress, with differential regulation of Na⁺/K⁺-ATPase and Na⁺-ATPase activity. A consistent "high Na⁺ effect" was observed across NaCl-fed groups, characterized by Renin-Angiotensin-Aldosterone System (RAAS) activation, increased Reactive Oxygen Species (ROS) production, lipid peroxidation, osmotic fragility, and elevated Na⁺/K⁺-ATPase activity. Losartan normalized blood pressure (BP) by attenuating renal RAAS activity and reducing oxidative stress, whereas Mg²⁺ supplementation increased (Nitrites + Nitrates) NOX levels, improved red blood cell (RBC) membrane stability, and stimulated Na⁺-ATPase activity. These findings highlight distinct but complementary mechanisms through which AT1R blockade and Mg²⁺ supplementation attenuate salt-induced oxidative stress and reduce BP. Future studies incorporating immunohistochemistry and qPCR are warranted to further characterize ROS-mediated renal tissue damage across treatment groups.
{"title":"Role of an Angiotensin II Type-1 Receptor (AT<sub>1</sub>R) Antagonist and Mg<sup>2+</sup> Supplementation on the Levels of NO<sub>X</sub> in Plasma and Kidney Homogenates, Lipid Peroxidation, and Osmotic Fragility of Red Blood Cells in Dahl Rats Fed a High Sodium Diet.","authors":"Lusliany J Rondón, Gabriela González-Infante, Gerardo Moncada, Deliana Rojas, Margrego Piña, Reinaldo Marín","doi":"10.1007/s12011-026-05244-w","DOIUrl":"10.1007/s12011-026-05244-w","url":null,"abstract":"<p><p>Mg²⁺ deficiency has been linked to oxidative stress, inflammation, and hypertension. We have previously shown that Losartan increases plasma Mg²⁺ levels in Dahl salt-sensitive (Dahl) rats, suggesting that defective Mg²⁺ metabolism in this strain contributes to hypertension. Here, we investigated the effects of dietary Mg²⁺ supplementation (0.3% MgO) and/or Losartan (10 mg/kg/day, in drinking water) in male Dahl rats fed a high-NaCl (8%) or standard Na⁺ diet for six weeks. Six-week-old rats were randomly assigned to eight experimental groups. NO metabolites (nitrites and nitrates) were measured in plasma and kidney homogenates. Oxidative stress was assessed by lipid peroxidation in plasma and red blood cell ghosts (RBCG), and by erythrocyte osmotic fragility (OS₅₀). Both Losartan and Mg²⁺ supplementation protected against hypertension and high-salt-induced systemic and local oxidative stress, with differential regulation of Na⁺/K⁺-ATPase and Na⁺-ATPase activity. A consistent \"high Na⁺ effect\" was observed across NaCl-fed groups, characterized by Renin-Angiotensin-Aldosterone System (RAAS) activation, increased Reactive Oxygen Species (ROS) production, lipid peroxidation, osmotic fragility, and elevated Na⁺/K⁺-ATPase activity. Losartan normalized blood pressure (BP) by attenuating renal RAAS activity and reducing oxidative stress, whereas Mg²⁺ supplementation increased (Nitrites + Nitrates) NO<sub>X</sub> levels, improved red blood cell (RBC) membrane stability, and stimulated Na⁺-ATPase activity. These findings highlight distinct but complementary mechanisms through which AT<sub>1</sub>R blockade and Mg²⁺ supplementation attenuate salt-induced oxidative stress and reduce BP. Future studies incorporating immunohistochemistry and qPCR are warranted to further characterize ROS-mediated renal tissue damage across treatment groups.</p>","PeriodicalId":8917,"journal":{"name":"Biological Trace Element Research","volume":" ","pages":"8053-8073"},"PeriodicalIF":4.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148534986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}