Abstract
β-thalassemia major is a significant health problem in the world that obliges patient to repeated blood transfusions. Frequent transfusions cause toxic iron overload and the association between serum iron levels and β-thalassemia major have been extensively studied in literature. Nonetheless, data on trace elements is still limited. The aim of this work was to study the relationship between some trace element levels in serum and β-thalassemia major. The quantifications of Al, K, Sn, Sb, Ni, Cr, Cd, Ba, Co, As and Se elements were carried out by Inductively Coupled Plasma – Mass Spectrometry system. Mann Whitney U test is performed in order to test the statistical difference between patient and control groups in terms of their element concentrations. Significant differences were observed for the concentrations of Al, K, Sn and Sb elements and for the correlation between concentrations of K—Sb elements. The study indicates higher levels of Al and Sb, and lower levels of K and Sn elements of patients when compared to control group. These findings reveal the altered profile of serum trace element concentrations and so, further studies are required to evaluate the potential of trace elements as biomarkers and/or to administrate their levels in blood to reduce the related complications.
Similar content being viewed by others
Data Availability
Available upon request from ayseturgutsahin@gmail.com.
Code Availability
Not applicable.
The ethical committee of the University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital approved the research protocol and gave ethical permission.
Informed consent were taken from all subjects in accordance with the Declaration of Helsinki. Written informed consent was obtained from all participants, or from guardians or parents on behalf of participants for the subjects under the age of 18 years.
References
Origa R (2017) β-Thalassemia. Genet Med 19:609–619
Galanello R, Origa R (2010) Beta-thalassemia. Orphanet J Rare Dis 5:11
Higgs DR (2013) The molecular basis of α-thalassemia. Cold Spring Harbor Perspect Med 3:a011718
Danjou F, Anni F, Galanello R (2011) Beta-thalassemia: from genotype to phenotype. Haematologica 96:1573
Shazia Q, Mohammad Z, Rahman T, Shekhar HU (2012) Correlation of oxidative stress with serum trace element levels and antioxidant enzyme status in Beta thalassemia major patients: a review of the literature. Anemia 2012
Belhoul KM, Bakir ML, Saned M-S, Kadhim AM, Musallam KM, Taher AT (2012) Serum ferritin levels and endocrinopathy in medically treated patients with β thalassemia major. Ann Hematol 91:1107–1114
Taher AT, Saliba AN (2017) Iron overload in thalassemia: different organs at different rates. Hematology 2017:265–271
Prabhu R, Prabhu V, Prabhu R (2009) Iron overload in beta thalassemia: a review. J Biosci Tech 1:20–31
Angelucci E, Brittenham GM, McLaren CE, Ripalti M, Baronciani D, Giardini C, Galimberti M, Polchi P, Lucarelli G (2000) Hepatic iron concentration and total body iron stores in thalassemia major. N Engl J Med 343:327–331
Shalitin S, Carmi D, Weintrob N, Phillip M, Miskin H, Kornreich L, Zilber R, Yaniv I, Tamary H (2005) Serum ferritin level as a predictor of impaired growth and puberty in thalassemia major patients. Eur J Haematol 74:93–100
Mahyar A, Ayazi P, Pahlevan A-A, Mojabi H, Sehhat M-R, Javadi A (2010) Zinc and copper status in children with Beta-thalassemia major. Iran J Pediatr 20:297–302
Arcasoy A, Canatan D, Sinav B, Kutlay L, Oǧuz N, Şen M (2001) Serum zinc levels and zinc binding capacity in thalassemia. J Trace Elem Med Biol 15:85–87
Shuler TR (1990) Effect of thalassemia/hemoglobin E disease on macro, trace, and ultratrace element concentrations in human tissue. J Trace Elem Exp Med v. 3, pp 31-43-1990 v. 1993
Şahin A, Er EÖ, Öz E, Yıldırmak ZY, Bakırdere S (2020) Sodium, magnesium, calcium, manganese, iron, copper, and zinc in serums of beta thalassemia major patients. Biol Trace Elem Res 1–7
Seiler H, Sigel A, Sigel H (1994) Handbook on metals in clinical and analytical chemistry. CRC Press
Ghone RA, Kumbar K, Suryakar A, Katkam R, Joshi N (2008) Oxidative stress and disturbance in antioxidant balance in beta thalassemia major. J Clin Biochem 23:337–340
Bayhan T, Ünal Ş, Çırak E, Erdem O, Akay C, Gürsel O, Eker İ, Karabulut E, Gümrük F (2017) Heavy metal levels in patients with ineffective erythropoiesis. Trans Apheresis Sci 56:539–543
Prasad MNV (2008) Trace elements as contaminants and nutrients: consequences in ecosystems and human health. John Wiley & Sons
Uz E, Sahin S, Hepsen IF, Var A, Sogut S, Akyol O (2003) The relationship between serum trace element changes and visual function in heavy smokers. Acta Ophthalmo Scan 81:161–164
Akçil E, Yavuz G, Koçak M (2003) Effects of inflammation and anti-inflammatory treatment on serum trace elements concentrations. Biol Trace Elem Res 93:95–103
Massadeh A, Gharibeh A, Omari K, Al-Momani I, Alomari A, Tumah H, Hayajneh W (2010) Simultaneous determination of Cd Pb, Cu, Zn, and Se in human blood of Jordanian smokers by ICP-OES. Biol Trace Elem Res 133:1–11
Al-Jameil N, Tabassum H, Al-Mayouf H, Aljohar HI, Alenzi ND, Hijazy SM, Khan FA (2014) Analysis of serum trace elements-copper, manganese and zinc in preeclamptic pregnant women by inductively coupled plasma optical emission spectrometry: a prospective case controlled study in Riyadh, Saudi Arabia. Int J Clin Exp Pathol 7:1900
Bravo IDB, Castro RS, Riquelme NL, Díaz CT, Goyenaga DA (2007) Optimization of the trace element determination by ICP-MS in human blood serum. J Trace Elem Med Biol 21:14–17
Laur N, Kinscherf R, Pomytkin K, Kaiser L, Knes O, Deigner H-P (2020) ICP-MS trace element analysis in serum and whole blood. PLoS ONE 15:e0233357
Forrer R, Gautschi K, Lutz H (2001) Simultaneous measurement of the trace elements Al As, B, Be, Cd Co, Cu, Fe, Li, Mn, Mo, Ni, Rb, Se, Sr, and Zn in human serum and their reference ranges by ICP-MS. Biol Trace Elem Res 80:77–93
Shamshirsaz AA, Bekheirnia MR, Kamgar M, Pourzahedgilani N, Bouzari N, Habibzadeh M, Hashemi R, Shamshirsaz AA, Aghakhani S, Homayoun H (2003) Metabolic and endocrinologic complications in beta-thalassemia major: a multicenter study in Tehran. BMC Endoc Disorders 3:1–6
Hegde ML, Shanmugavelu P, Vengamma B, Rao TS, Menon RB, Rao RV, Rao KJ (2004) Serum trace element levels and the complexity of inter-element relations in patients with Parkinson’s disease. J Trace Elem Med Biol 18:163–171
Cabral M, Kuxhaus O, Eichelmann F, Kopp JF, Alker W, Hackler J, Kipp AP, Schwerdtle T, Haase H, Schomburg L (2021) Trace element profile and incidence of type 2 diabetes, cardiovascular disease and colorectal cancer: results from the EPIC-Potsdam cohort study. Eur J Nutr 1–12
Skalny AV, Simashkova NV, Klyushnik TP, Grabeklis AR, Radysh IV, Skalnaya MG, Nikonorov AA, Tinkov AA (2017) Assessment of serum trace elements and electrolytes in children with childhood and atypical autism. J Trace Elem Med Biol 43:9–14
Heesterbeek TJ, Rouhi-Parkouhi M, Church SJ, Lechanteur YT, Lorés-Motta L, Kouvatsos N, Clark SJ, Bishop PN, Hoyng CB, den Hollander AI, Unwin RD, Day AJ (2020) Association of plasma trace element levels with neovascular age-related macular degeneration. Exp Eye Res 201:108324
Borella P, Bargellini A, Caselgrandi E, Piccinini L (1997) Observations on the use of plasma, hair and tissue to evaluate trace element status in cancer. J Trace Elem Med Biol 11:162–165
Zaichick S, Zaichick V, Nosenko S, Moskvina I (2012) Mass fractions of 52 trace elements and zinc/trace element content ratios in intact human prostates investigated by inductively coupled plasma mass spectrometry. Biol Trace Elem Res 149:171–183
Scassellati C, Bonvicini C, Benussi L, Ghidoni R, Squitti R (2020) Neurodevelopmental disorders: metallomics studies for the identification of potential biomarkers associated to diagnosis and treatment. J Trace Elem Med Biol 60:126499
Author information
Authors and Affiliations
Contributions
Ayşe Şahin contributed to sample collection, data analysis, literature search and manuscript preparation. Elif Öztürk Er contributed to sample preparation, analysis, literature search and manuscript preparation. Ersoy Öz contributed to statistic analysis and manuscript preparation. Zeynep Yıldız Yıldırmak contributed to sample collection. Sezgin Bakırdere contributed to sample analysis, literature search, manuscript preparation and language editing.
Corresponding author
Ethics declarations
Conflicts of Interest Statement
The authors declare no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Şahin, A., Er, E.Ö., Öz, E. et al. Serum Levels of Selected Elements in Patients with Beta Thalassemia Major. Biol Trace Elem Res 200, 1502–1507 (2022). https://doi.org/10.1007/s12011-021-02768-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12011-021-02768-1