Abstract
The rapid trend of industrialization and urbanization can lead to greater exposure of the general population to chromium, cobalt, and nickel. Their total body burden from all routes of recent exposure, as well as interindividual variability in exposure levels, metabolism, and excretion rates, are reflected in the blood metal concentrations. The main goals in this study were as follows: observing the reference levels of chromium, cobalt, and nickel in the blood of the population living in Belgrade, identification of individual and sociodemographic factors that most affect their blood levels, and comprehension of recent exposure to chromium, cobalt, and nickel. Blood was sampled from 984 participants, voluntary blood donors, who agreed to participate in this study. Individual and sociodemographic data were collected using questionnaire adapted for different subpopulations. Blood metal analyses were measured using ICP-MS method (7700×, Agilent, USA). Our study provided reference values of chromium, cobalt, and nickel in blood for adult population (18–65 years) and confirmed that blood cobalt and nickel levels were mostly influenced by age and gender, and age, respectively. Furthermore, weight status affected blood chromium and cobalt levels, while national origin affected blood chromium levels. The present study highlighted the importance of human biomonitoring studies to monitor exposure status and identify subpopulations with increased exposure to chromium, cobalt, and nickel.
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Data Availability
The data that support the findings of this study are not openly available due to reasons of sensitivity and are available from the corresponding author upon reasonable request and with permission from the Faculty of Pharmacy, University of Belgrade and Blood Transfusion Institute of Serbia.
Abbreviations
- Cr :
-
chromium
- Co :
-
cobalt
- Ni :
-
nickel
- ATSDR :
-
Agency for Toxic Substances and Disease Registry
- BMI :
-
body mass index
- WHO :
-
World Health Organization
- IOTF :
-
International Obesity Task Force
- WOF :
-
World Obesity Federation
- ICP-MS :
-
inductively coupled plasma–mass spectrometry
- SRM :
-
standard reference material
- LoD :
-
limit of detection
- RV :
-
reference values
- PM10 :
-
particulate matter 10 micrometers or less in diameter
- PM2.5 :
-
particulate matter 2.5 micrometers or less in diameter
- SEPA :
-
Serbian Environmental Protection Agency
References
Abduljalil Alemam H, Abdounasser Albasher O, Magdi Mohamed G et al (2019) Plasma concentration of cadmium, lead and chromium in smokers and nonsmokers in Tripoli, Libya: a comparative study. Adv J Chem A 2:276–282. https://doi.org/10.33945/sami/ajca.2019.4.2
Afridi HI, Kazi TG, Kazi NG et al (2010) Evaluation of cadmium, lead, nickel and zinc status in biological samples of smokers and nonsmokers hypertensive patients. J Hum Hypertens 24:34–43. https://doi.org/10.1038/jhh.2009.39
Albarracin CA, Fuqua BC, Evans JL, Goldfine ID (2008) Chromium picolinate and biotin combination improves glucose metabolism in treated, uncontrolled overweight to obese patients with type 2 diabetes. Diabetes Metab Res Rev 24:41–51. https://doi.org/10.1002/dmrr.755
Alegre-Martínez A, Martínez-Martínez MI, Rubio-Briones J, Cauli O (2022) Plasma nickel levels correlate with low muscular strength and renal function parameters in patients with prostate cancer. Diseases 10:39. https://doi.org/10.3390/diseases10030039
Ali H, Khan E, Ilahi I (2019) Environmental chemistry and ecotoxicology of hazardous heavy metals: Environmental persistence, toxicity, and bioaccumulation. J. Chem. 2019:ID6730305
ATSDR (2002) Toxicological profile for nickel. Agency for Toxic Substances and Disease Registry. Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service
ATSDR (2010) Toxicological profile for cobalt. Agency for Toxic Substances and Disease Registry. Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service
ATSDR (2012) Toxicity profile for chromium. Agency for Toxic Substances and Disease Registry. Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service
Banihani SA, Jaradat SA, Khader YS (2019) Serum chromium level is increased in Jordanian smokers, decreased in Jordanians with prediabetes and type 2 diabetes, but not altered in Jordanians with hypertension, with obesity, or with family history of diabetes. Int J Prev Med 10:145. https://doi.org/10.4103/ijpvm.IJPVM_137_18
Barceloux DG (1999a) Chromium. J Toxicol -Clin Toxicol 37:173–194. https://doi.org/10.1081/CLT-100102418
Barceloux DG (1999b) Cobalt. J Toxicol - Clin Toxicol 37:201–216. https://doi.org/10.1081/CLT-100102420
Barceloux DG (1999c) Nickel. J Toxicol Clin Toxicol 37:239–258. https://doi.org/10.1081/CLT-100102423
Bernhard D, Rossmann A, Wick G (2005) Metals in cigarette smoke. IUBMB Life 57:805–809. https://doi.org/10.1080/15216540500459667
Bocca B, Bena A, Pino A et al (2016) Human biomonitoring of metals in adults living near a waste-to-energy incinerator in ante-operam phase: focus on reference values and health-based assessments. Environ Res 148:338–350. https://doi.org/10.1016/j.envres.2016.04.013
Boss GR, Seegmiller JE (1981) Age-related physiological changes and their clinical significance. West J Med 135:434–440
Carretti N, Eremita GA, Pizzichini M et al (1995) Relation between erythropoietin and vitamin B12 in normal and anemic pregnant women. Gynecol Obstet Invest 39:83–87. https://doi.org/10.1159/000292385
Chang FH, Wang SLI, Huang YL et al (2006) Biomonitoring of chromium for residents of areas with a high density of electroplating factories. J Expo Sci Environ Epidemiol 16:138–146. https://doi.org/10.1038/sj.jea.7500445
Chen Y, Huang H, He X et al (2021) Sex differences in the link between blood cobalt concentrations and insulin resistance in adults without diabetes. Environ Health Prev Med 26. https://doi.org/10.1186/s12199-021-00966-w
Czarnek K, Terpilowska S, Siwicki AK (2015) Selected aspects of the action of cobalt ions in the human body. Cent Eur J Immunol 40:236–242. https://doi.org/10.5114/ceji.2015.52837
Davies S, Howard JML, Hunnisett A, Howard M (1997) Age-related decreases in chromium levels in 51,665 hair, sweat, and serum samples from 40,872 patients - implications for the prevention of cardiovascular disease and type II diabetes mellitus. Metabolism 46:469–473. https://doi.org/10.1016/S0026-0495(97)90179-7
Dedoussis GV (2016) Impact of lifestyle on metal exposure, homeostasis, and associated diseases. In: Trace Metals and Infectious Diseases, pp 173–184
Ding W, Chai Z, Duan P et al (1998) Serum and urine chromium concentrations in elderly diabetics. Biol Trace Elem Res 63:231–237. https://doi.org/10.1007/BF02778941
Duarte I, Mendonça RF, Korkes KL et al (2018) Nickel, chromium and cobalt: the relevant allergens in allergic contact dermatitis. Comparative study between two periods: 1995-2002 and 2003-2015. An Bras Dermatol 93:59–62. https://doi.org/10.1590/abd1806-4841.20186047
Filipović D, Obradović-Arsić D (2014) (Soil quality in the Republic of Serbia and health status of the population) Kvalitet zemljišta u Republici Srbiji i zdravstveno stanje stanovništva. Zb Rad - Geogr Fak Univ u Beogradu 62:39–60
Fucic A, Galea KS, Duca RC et al (2018) Potential health risk of endocrine disruptors in construction sector and plastics industry: a new paradigm in occupational health. Int J Environ Res Public Health 15:1229. https://doi.org/10.3390/ijerph15061229
Genchi G, Carocci A, Lauria G et al (2020) Nickel: human health and environmental toxicology. Int J Environ Res Public Health 17:679. https://doi.org/10.3390/ijerph17030679
Goullé JP, Mahieu L, Castermant J et al (2005) Metal and metalloid multi-elementary ICP-MS validation in whole blood, plasma, urine and hair: reference values. Forensic Sci Int 153:39–44. https://doi.org/10.1016/j.forsciint.2005.04.020
Heitland P, Köster HD (2021) Human biomonitoring of 73 elements in blood, serum, erythrocytes and urine. J Trace Elem Med Biol 64:126706. https://doi.org/10.1016/j.jtemb.2020.126706
IARC (International Agency for Research on Cancer) (2012a) Chromium (VI) compounds. In: Arsenic, metals, fibres, and dusts - IARC monographs on the evaluation of carcinogenic risks to humans. Lyon, France 100C:147–168
IARC (International Agency for Research on Cancer) (2012b) Nickel and nickel compounds. In: Arsenic, metals, fibres, and dusts - IARC monographs on the evaluation of carcinogenic risks to humans. Lyon, France 100C:169–218
Institute of Medicine (US) Subcommittee on Military Weight Management (2004) Weight management: state of the science and opportunities for military programs. National Academies Press (US). https://doi.org/10.17226/10783
Joh JS, Kang MY, Myong JP (2021) Dose–response relationship between environmental exposure to nickel and pulmonary function in the Korean general population aged 40 or older. Int J Environ Res Public Health 18:7016. https://doi.org/10.3390/ijerph18137016
Kayaalti Z, Akyüzlü DK, Söylemezoğlu T (2015) Evaluation of the effect of divalent metal transporter 1 gene polymorphism on blood iron, lead and cadmium levels. Environ Res 137:8–13. https://doi.org/10.1016/j.envres.2014.11.008
Khlifi R, Olmedo P, Gil F et al (2013) Blood nickel and chromium levels in association with smoking and occupational exposure among head and neck cancer patients in Tunisia. Environ Sci Pollut Res 20:8282–8294. https://doi.org/10.1007/s11356-013-1466-7
Koury MJ, Ponka P (2004) New insights into erythropoiesis: the roles of folate, vitamin B 12, and iron. Annu Rev Nutr 24:105–131. https://doi.org/10.1146/annurev.nutr.24.012003.132306
Kozlovsky AS, Moser PB, Reiser S, Anderson RA (1986) Effects of diets high in simple sugars on urinary chromium losses. Metabolism 35:515–518. https://doi.org/10.1016/0026-0495(86)90007-7
Kumar S, Trivedi AV (2016) A review on role of nickel in the biological system. Int J Curr Microbiol Appl Sci 5:719–727. https://doi.org/10.20546/ijcmas.2016.503.084
Leyssens L, Vinck B, Van Der Straeten C et al (2017) Cobalt toxicity in humans—a review of the potential sources and systemic health effects. Toxicology 387:43–56. https://doi.org/10.1016/j.tox.2017.05.015
Margalit I, Cohen E, Goldberg E, Krause I (2018) Vitamin B12 deficiency and the role of gender: a cross-sectional study of a large cohort. Ann Nutr Metab 72:265–271. https://doi.org/10.1159/000488326
Margrete Meltzer H, Lise Brantster A, Borch-Iohnsen B et al (2010) Low iron stores are related to higher blood concentrations of manganese, cobalt and cadmium in non-smoking, Norwegian women in the HUNT 2 study. Environ Res 110:497–504. https://doi.org/10.1016/j.envres.2010.03.006
Menzel DB, Deal DL, Tayyeb MI et al (1987) Pharmacokinetic modeling of the lung burden from repeated inhalation of nickel aerosols. Toxicol Lett 38:33–43. https://doi.org/10.1016/0378-4274(87)90108-1
Mitra S, Chakraborty AJ, Tareq AM et al (2022) Impact of heavy metals on the environment and human health: Novel therapeutic insights to counter the toxicity. J King Saud Univ - Sci 34. https://doi.org/10.1016/j.jksus.2022.101865
Molik A, Trojanowska M, Łozyńska M, Świetlik R (2018) Seasonal variations in chromium concentration in urban atmospheric aerosol in the city of Radom. E3S Web of Conferences
Molin Christensen J, Holst E, Peter Bonde J, Knudsen L (1993) Determination of chromium in blood and serum: evaluation of quality control procedures and estimation of reference values in Danish subjects. Sci Total Environ 132:11–25. https://doi.org/10.1016/0048-9697(93)90258-8
Ngala RA, Awe MA, Nsiah P (2018) The effects of plasma chromium on lipid profile, glucose metabolism and cardiovascular risk in type 2 diabetes mellitus. A case - control study. PLoS One 13. https://doi.org/10.1371/journal.pone.0197977
Nielsen GD, Søderberg U, Jørgensen PJ et al (1999) Absorption and retention of nickel from drinking water in relation to food intake and nickel sensitivity. Toxicol Appl Pharmacol 154:67–75. https://doi.org/10.1006/taap.1998.8577
Offenbacher EG (1992) Chromium in the elderly. Biol Trace Elem Res 32:123–131. https://doi.org/10.1007/BF02784596
Olds D (1997) Tobacco exposure and impaired development: a review of the evidence. Ment Retard Dev Disabil Res Rev. https://doi.org/10.1002/(SICI)1098-2779(1997)3:3<257::AID-MRDD6>3.0.CO;2-M
Onakpoya I, Posadzki P, Ernst E (2013) Chromium supplementation in overweight and obesity: a systematic review and meta-analysis of randomized clinical trials. Obes Rev 14:496–507. https://doi.org/10.1111/obr.12026
Park Y, Lee SJ (2022) Association of blood heavy metal levels and renal function in Korean adults. Int J Environ Res Public Health 19. https://doi.org/10.3390/ijerph19116646
Qi L, Chen M, Ge X et al (2016) Seasonal variations and sources of 17 aerosol metal elements in suburban Nanjing. China, Atmosphere (Basel), p 7
Reuber S, Kreuzer M, Kirchgessner M (1994) Interactions of cobalt and iron in absorption and retention. J Trace Elem Electrolytes Health Dis 8:151–158
Saravanabhavan G, Werry K, Walker M et al (2017) Human biomonitoring reference values for metals and trace elements in blood and urine derived from the Canadian Health Measures Survey 2007–2013. Int J Hyg Environ Health 220:189–200. https://doi.org/10.1016/j.ijheh.2016.10.006
Scharf B, Clement CC, Zolla V et al (2014) Molecular analysis of chromium and cobalt-related toxicity. Sci Rep 4:5729. https://doi.org/10.1038/srep05729
Sears ME, Hurst DT, Garrison GE et al (2015) Chromium in drinking-water. Plant Met Interact Emerg Remediat Tech 2:205–232
SEPA (Environmental Protection Agency, Republic of Serbia) (2021) Annual report on the state of air quality in the Republic of Serbia in 2020. Environmental Protection Agency Ministry of Environmental Protection Republic of Serbia, Belgrade. http://www.sepa.gov.rs/download/izv/Vazduh_2020.pdf
Solberg HE (2004) The IFCC recommendation on estimation of reference intervals. The RefVal program. Clin Chem Lab Med 42:710–714. https://doi.org/10.1515/CCLM.2004.121
Tallkvist J, Wing AM, Tjälve H (1994) Enhanced intestinal nickel, absorption in iron-deficient rats. Pharmacol Toxicol 75:244–249. https://doi.org/10.1111/j.1600-0773.1994.tb00355.x
Torra M, Rodamilans M, Corbella J et al (1999) Blood chromium determination in assessing reference values in an unexposed mediterranean population. Biol Trace Elem Res 70:183–189. https://doi.org/10.1007/BF02783859
Tsang C, Taghizadeh M, Aghabagheri E et al (2019) A meta-analysis of the effect of chromium supplementation on anthropometric indices of subjects with overweight or obesity. Clin Obes 9:12313. https://doi.org/10.1111/cob.12313
Tvermoes BE, Unice KM, Paustenbach DJ et al (2014) Effects and blood concentrations of cobalt after ingestion of 1 mg/d by human volunteers for 90 d1-3. Am J Clin Nutr 99:632–646. https://doi.org/10.3945/ajcn.113.071449
Vincent JB (2000) The biochemistry of chromium. J Nutr 130:715–718. https://doi.org/10.1093/jn/130.4.715
Wang H, Li F, Xue J et al (2022) Association of blood cobalt concentrations with dyslipidemia, hypertension, and diabetes in a US population A cross-sectional study. Med (United States) 101:28568. https://doi.org/10.1097/MD.0000000000028568
WHO (2023) Gender and Health. In: https://www.who.int/health-topics/gender. https://www.who.int/health-topics/gender. Accessed 30 Jun 2023
WOF (2022) Obesity Classification. In: World Obes. Fed. https://www.worldobesity.org/about/about-obesity/obesity-classification. Accessed 4 Jun 2022
Yamada K (2013) Cobalt: its role in health and disease BT - interrelations between essential metal ions and human diseases. Metal Ions in Life Sciences, pp 295–320
Zdrojewicz Z, Popowicz E, Winiarski J (2016) Nickel - role in human organism and toxic effects. Pol Merkur Lek 41:115–118
Acknowledgements
The authors are grateful to all women and men who voluntarily participated in this study and to the personnel of the Blood Transfusion Institute of Serbia in Belgrade who collaborated in recruiting participants and collecting blood samples.
Funding
This work was partially supported by the Ministry of Science, Technological Development and Innovation, Republic of Serbia through Grant Agreement with University of Belgrade-Faculty of Pharmacy No: 451-03-47/2023-01/ 200161.
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All authors whose names appear on the submission made substantial contributions to the conception and design of the work. Acquisition, method development, and analysis were performed by Aleksandra Repić. Zorica Bulat made substantial contributions to conceptualization and supervision. Assistance in the acquisition and analytical implementation of the work were provided by Vera Lukić. The blood collection and conducting a questionnaire were monitored by Olivera Savić. Dragana Javorac and Milena Andjelković participated in investigation, formal analysis, and data curation. The first draft of the manuscript was written by Aleksandra Repić. Aleksandra Buha Djordjević, Stefan Mandić-Rajčević, Biljana Antonijević, Petar Bulat, and Zorica Bulat participated in critical review and editing. All authors have read and approved the version to be published and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
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The study was approved by the Ethics Committee of University of Belgrade – Faculty of Pharmacy (No.650/2 5/13/2019) and Ethics Committee of Blood Transfusion Institute of Serbia (No. 2802, 6/3/2019). Participants signed an informed consent to participate in the study.
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Repić, A., Vukelić, D., Andjelković, M. et al. Individual, sociodemographic, and lifestyle influence on blood chromium, cobalt, and nickel levels in healthy population living in Belgrade, Serbia. Environ Sci Pollut Res 30, 109546–109558 (2023). https://doi.org/10.1007/s11356-023-29950-3
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DOI: https://doi.org/10.1007/s11356-023-29950-3