Skip to main content

Advertisement

Log in

Trace Elements Concentration in Nails and Association with Airway Inflammation in Adolescents

  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

Asthma is a multifactorial disease and its severity varies with the inflammatory status of the patient. It has been hypothesized that deficiency of trace elements has an important role in the etiology of asthma. The aim of the study was to evaluate the concentration of trace elements in nails of adolescents with different degrees of airway inflammation. We assessed the prevalence of active and severe asthma in adolescents (n = 106) through the ISAAC questionnaire. Subjects were allocated into two different groups according to the value of fraction exhaled nitric oxide (FeNO) measured. Also, nail specimens were collected in order to determine the concentration of accumulated trace elements (Cu, Zn, Mn, Se) by ICP-MS. It was performed Student’s t test to evaluate statistical differences between inflammatory groups considering normally distributed data. On the other hand, when data presented non-normal distribution, Mann-Whitney U test was utilized. Spearman coefficients were calculated to investigate correlations between FeNO and mineral concentrations. Exhaled NO was increased in male subjects. We found association between active asthma and elevated exhaled NO. There was no significant difference in Cu (4.40 vs. 4.52), Zn (84.66 vs. 79.48), Mn (0.59 vs. 0.76), and Se (0.18 vs. 0.19) concentrations (μg/g) among distinct FeNO groups as well as was not observed correlation between exhaled NO levels and any element. Deficiency of trace elements in nails were not associated with increased FeNO.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Maddox L, Schwartz DA (2002) The pathophysiology of asthma. Annu Rev Med 53:477–498. doi:10.1146/annurev.med.53.082901.103921

    Article  PubMed  CAS  Google Scholar 

  2. Riccioni G, D’Orazio N (2005) The role of selenium, zinc and antioxidant vitamin supplementation in the treatment of bronchial asthma: adjuvant therapy or not? Expert Opin Investig Drugs 14(9):1145–1155. doi:10.1517/13543784.14.9.1145

    Article  PubMed  CAS  Google Scholar 

  3. Kocyigit A, Armutcu F, Gurel A, Ermis B (2004) Alterations in plasma essential trace elements selenium, manganese, zinc, copper, and iron concentrations and the possible role of these elements on oxidative status in patients with childhood asthma. Biol Trace Elem Res 97(1):31–41. doi:10.1385/bter:97:1:31

    Article  PubMed  CAS  Google Scholar 

  4. Klotz LO, Kroncke KD, Buchczyk DP, Sies H (2003) Role of copper, zinc, selenium and tellurium in the cellular defense against oxidative and nitrosative stress. J Nutr 133(5):1448S–1451S

    PubMed  CAS  Google Scholar 

  5. Nurmatov U, Devereux G, Sheikh A (2011) Nutrients and foods for the primary prevention of asthma and allergy: systematic review and meta-analysis. J Allergy Clin Immunol 127(3):724–U359. doi:10.1016/j.jaci.2010.11.001

    Article  PubMed  Google Scholar 

  6. Dweik RA, Boggs PB, Erzurum SC, Irvin CG, Leigh MW, Lundberg JO, Olin A-C, Plummer AL, Taylor DR, Amer Thoracic Soc Comm I (2011) An official ATS clinical practice guideline: interpretation of exhaled nitric oxide levels (FENO) for clinical applications. Am J Respir Crit Care Med 184(5):602–615. doi:10.1164/rccm.912011ST

  7. Banovcin P, Jesenak M, Michnova Z, Babusikova E, Nosal S, Mikler J, Fabry J, Barreto M (2009) Factors attributable to the level of exhaled nitric oxide in asthmatic children. Eur J Med Res 14(Suppl 4):9

    Article  PubMed  PubMed Central  Google Scholar 

  8. Cordeiro D, Rudolphus A, Snoey E, Braunstahl G-J (2011) Utility of nitric oxide for the diagnosis of asthma in an allergy clinic population. Allergy Asthma Proc 32(2):119–126. doi:10.2500/aap.2011.32.3419

    Article  PubMed  CAS  Google Scholar 

  9. Rouhos A, Kainu A, Karjalainen J, Lindqvist A, Piirila P, Sarna S, Haahtela T, Sovijarvi ARA (2008) Atopic sensitization to common allergens without symptoms or signs of airway disorders does not increase exhaled nitric oxide. Clin Respir J 2(3):141–148. doi:10.1111/j.1752-699X.2007.00045.x

    Article  PubMed  PubMed Central  Google Scholar 

  10. Guo C-H, Liu P-J, Hsia S, Chuang C-J, Chen P-C (2011) Role of certain trace minerals in oxidative stress, inflammation, CD4/CD8 lymphocyte ratios and lung function in asthmatic patients. Ann Clin Biochem 48:344–351. doi:10.1258/acb.2011.010266

    Article  PubMed  CAS  Google Scholar 

  11. Hornos Carneiro MF, Rhoden CR, Amantea SL, Barbosa F Jr (2011) Low concentrations of selenium and zinc in nails are associated with childhood asthma. Biol Trace Elem Res 144(1–3):244–252. doi:10.1007/s12011-011-9080-3

    Article  Google Scholar 

  12. Tahan F, Karakukcu C (2006) Zinc status in infantile wheezing. Pediatr Pulmonol 41(7):630–634. doi:10.1002/ppul.20413

    Article  PubMed  Google Scholar 

  13. Hornos Carneiro MF, Grotto D, Batista BL, Rhoden CR, Barbosa F Jr (2011) Background values for essential and toxic elements in children’s nails and correlation with hair levels. Biol Trace Elem Res 144(1–3):339–350. doi:10.1007/s12011-011-9102-1

    Article  Google Scholar 

  14. Solé D, Vanna A, Yamada E, Rizzo M, Naspitz C (1997) International Study of Asthma and Allergies in Childhood (ISAAC) written questionnaire: validation of the asthma component among Brazilian children. J Investig Allergol Clin Immunol 8(6):376–382

  15. Beasley R, Keil U, von Mutius E, Pearce N, Ait-Khaled N, Anabwani G, Anderson HR, Asher MI, Bjorkstein B, Burr ML, Clayton TO, Crane J, Ellwood P, Lai CKW, Mallol J, Martinez FD, Mitchell EA, Montefort S, Robertson CF, Shah JR, Sibbald B, Stewart AW, Strachan DP, Weiland SK, Williams HC, Int Study Asthma Allergies C (1998) Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. Lancet 351(9111):1225–1232. doi:10.1016/s0140-6736(97)07302-9

    Article  Google Scholar 

  16. Solé D, Wandalsen GF, Camelo-Nunes IC, Naspitz CK (2006) Prevalence of symptoms of asthma, rhinitis, and atopic eczema among Brazilian children and adolescents identified by the International Study of Asthma and Allergies in Childhood (ISAAC): phase 3. J Pediatr 82(5):341–346

    Article  Google Scholar 

  17. ATS/ERS (2005) ATS/ERS recommendations for standardized procedures for the online and offline measurement of exhaled lower respiratory nitric oxide and nasal nitric oxide, 2005. Am J Respir Crit Care Med 171(8):912–930. doi:10.1164/rccm.200406-710ST

    Article  Google Scholar 

  18. Kapande KM, McConaghy LA, Douglas I, McKenna S, Hughes JL, McCance DR, Ennis M, Shields MD (2012) Comparative repeatability of two handheld fractional exhaled nitric oxide monitors. Pediatr Pulmonol 47(6):546–550. doi:10.1002/ppul.21591

    Article  PubMed  Google Scholar 

  19. Hunter DJ, Morris JS, Chute CG, Kushner E, Colditz GA, Stampfer MJ, Speizer FE, Willett WC (1990) Predictors of selenium concentration in human toenails. Am J Epidemiol 132(1):114–122

    PubMed  CAS  Google Scholar 

  20. Batista BL, Rodrigues JL, Nunes JA, Tormen L, Curtius AJ, Barbosa F Jr (2008) Simultaneous determination of Cd, Cu, Mn, Ni, Pb and Zn in nail samples by inductively coupled plasma mass spectrometry (ICP-MS) after tetramethylammonium hydroxide solubilization at room temperature: comparison with ETAAS. Talanta 76(3):575–579. doi:10.1016/j.talanta.2008.03.046

    Article  PubMed  CAS  Google Scholar 

  21. Bakkeheim E, Mowinckel P, Carlsen KH, Burney P, Carlsen KCL (2011) Altered oxidative state in schoolchildren with asthma and allergic rhinitis. Pediatr Allergy Immunol 22(2):178–185. doi:10.1111/j.1399-3038.2010.01092.x

    Article  PubMed  Google Scholar 

  22. van Oeffelen AAM, Bekkers MBM, Smit HA, Kerkhof M, Koppelman GH, Haveman-Nies A, van der ADL, Jansen EHJM, Wijga AH (2011) Serum micronutrient concentrations and childhood asthma: the PIAMA birth cohort study. Pediatr Allergy Immunol 22(8):784–793. doi:10.1111/j.1399-3038.2011.01190.x

    Article  PubMed  Google Scholar 

  23. Thomson CD, Wickens K, Miller J, Ingham T, Lampshire P, Epton MJ, Town GI, Pattemore P, Crane J, Year Six New Zealand A, Alle (2012) Selenium status and allergic disease in a cohort of New Zealand children. Clin Exp Allergy 42(4):560–567. doi:10.1111/j.1365-2222.2012.03924.x

    Article  PubMed  CAS  Google Scholar 

  24. Razi CH, Akelma AZ, Akin O, Kocak M, Ozdemir O, Celik A, Kislal FM (2012) Hair zinc and selenium levels in children with recurrent wheezing. Pediatr Pulmonol 47(12):1185–1191. doi:10.1002/ppul.22628

    Article  PubMed  Google Scholar 

  25. Kovesi T, Kulka R, Dales R (2008) Exhaled nitric oxide concentration is affected by age, height, and race in healthy 9-to 12-year-old children. Chest 133(1):169–175. doi:10.1378/chest.07-1177

    Article  PubMed  CAS  Google Scholar 

  26. Janahi I, Saadoon A, Tuffaha A, Panneerselvam B (2012) Effects of age, gender, and environmental exposures on exhaled nitric oxide level in healthy 12 to 18 years Qatari children. Ann Thorac Med 7(2):98–103. doi:10.4103/1817-1737.94532

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  27. Nadif R, Matran R, Maccario J, Bechet M, Le Moual N, Scheinmann P, Bousquet J, Kauffmann F, Pin I, Geneti EES (2010) Passive and active smoking and exhaled nitric oxide levels according to asthma and atopy in adults. Ann Allergy Asthma Immunol 104(5):385–393. doi:10.1016/j.anai.2010.03.013

    Article  PubMed  Google Scholar 

  28. Anto JM (2012) Recent advances in the epidemiologic investigation of risk factors for asthma: a review of the 2011 literature. Curr Allergy Asthma Rep 12(3):192–200. doi:10.1007/s11882-012-0254-7

    Article  PubMed  CAS  Google Scholar 

  29. Kim S-H, Kim TH, Sohn JW, Yoon HJ, Shin DH, Park SS (2010) Reference values and determinants of exhaled nitric oxide in healthy Korean Adults. J Asthma 47(5):563–567. doi:10.3109/02770901003702840

    Article  PubMed  CAS  Google Scholar 

  30. Linn WS, Rappaport EB, Berhane KT, Bastain TM, Avol EL, Gilliland FD (2009) Exhaled nitric oxide in a population-based study of Southern California Schoolchildren. Respir Res 10. doi:10.1186/1465-9921-10-28

  31. Wong GWK, Liu EKH, Leung TF, Yung E, Ko FWS, Hui DSC, Fok TF, Lai CKW (2005) High levels and gender difference of exhaled nitric oxide in Chinese schoolchildren. Clin Exp Allergy 35(7):889–893. doi:10.1111/j.1365-2222.2005.02263.x

    Article  PubMed  CAS  Google Scholar 

  32. Grasemann H, van’s Gravesande KS, Buscher R, Drazen JM, Ratjen F (2003) Effects of sex and of gene variants in constitutive nitric oxide synthases on exhaled nitric oxide. Am J Respir Crit Care Med 167(8):1113–1116. doi:10.1164/rccm.200211-1342OC

    Article  PubMed  Google Scholar 

  33. Leung TF, Liu EKH, Li CY, Chan IHS, Yung E, Lam CWK, Wong GWK (2006) Lack of association between NOS2 pentanucleotide repeat polymorphism and asthma phenotypes or exhaled nitric oxide concentration. Pediatr Pulmonol 41(7):649–655. doi:10.1002/ppul.20428

    Article  PubMed  Google Scholar 

  34. Andric SA, Janjic MM, Stojkov NJ, Kostic TS (2010) Testosterone-induced modulation of nitric oxide-cGMP signaling pathway and androgenesis in the rat Leydig cells. Biol Reprod 83(3):434–442. doi:10.1095/biolreprod.110.083626

    Article  PubMed  CAS  Google Scholar 

  35. Goglia L, Tosi V, Sanchez AM, Flamini MI, Fu XD, Zullino S, Genazzani AR, Simoncini T (2010) Endothelial regulation of eNOS, PAI-1 and t-PA by testosterone and dihydrotestosterone in vitro and in vivo. Mol Hum Reprod 16(10):761–769. doi:10.1093/molehr/gaq049

    Article  PubMed  CAS  Google Scholar 

  36. Thomas LN, Morehouse TJ, Too CKL (2012) Testosterone and prolactin increase carboxypeptidase-D and nitric oxide levels to promote survival of prostate cancer cells. Prostate 72(4):450–460. doi:10.1002/pros.21446

    Article  PubMed  CAS  Google Scholar 

  37. Palmieri D, Perego P, Palombo D (2013) Estrogen Receptor Activation Protects Against TNF-α-Induced Endothelial Dysfunction. Angiology

  38. Olivieri M, Talamini G, Corradi M, Perbellini L, Mutti A, Tantucci C, Malerba M (2006) Reference values for exhaled nitric oxide (reveno) study. Respir Res 7. doi:10.1186/1465-9921-7-94

  39. He K (2011) Trace elements in nails as biomarkers in clinical research. Eur J Clin Investig 41(1):98–102. doi:10.1111/j.1365-2362.2010.02373.x

    Article  CAS  Google Scholar 

  40. Slotnick MJ, Nriagu JO (2006) Validity of human nails as a biomarker of arsenic and selenium exposure: a review. Environ Res 102(1):125–139. doi:10.1016/j.envres.2005.12.001

    Article  PubMed  CAS  Google Scholar 

  41. Vallee BL, Falchuk KH (1993) The biochemical basis of zinc physiology. Physiol Rev 73(1):79–118

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

The authors gratefully acknowledge the contributions of the laboratory staff: Graziele Halmenschlager, Marlise Di Domenico, Karen Breitenbach, Maik Morais, and Carlos Vicente da Silva. We thank Msc SK Kato for statistical consultation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maurício Bianchini Moresco.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Moresco, M.B., Fleck, A.d., Carneiro, M.F.H. et al. Trace Elements Concentration in Nails and Association with Airway Inflammation in Adolescents. Biol Trace Elem Res 161, 161–166 (2014). https://doi.org/10.1007/s12011-014-0077-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12011-014-0077-6

Keywords

Navigation