Can elevated chromium induce somatopsychic responses?
- 41 Downloads
- 6 Citations
Abstract
The possible somatopsychological effects of chromium (Cr) was investigated in a population of patients, from a surgical ward of our hospital, who required total parenteral nutrition (TPN) solutions, and who became exposed to various amounts of this metal from this treatment. The study involved a questionnaire as well as biochemical tests which included serum Cr and other selected trace metals. The renal status for all eligible patients was within normal parameters. The patient population varied in age, pathology, surgical treatment, and duration on TPN. The results showed that every patient who received TPN had an increased serum Cr level; some increases were up to 50-fold above the normal reference level for serum Cr. Although statistical analysis failed to show any significant statistical relationship between an increased serum Cr and the investigated somatopsychological disturbances, this effect cannot be ruled out since one case did show all the dream disturbances: Considering these cases, the action of sedative medications that may suppress the effects of Cr, cannot be ruled out. As Cr(III) may be potentially genotoxic at high concentrations, infusion of this metal over long time periods should be avoided. Supplementation of Cr in TPN solutions appears to be unnecessary for short-term TPN because this metal is a known contaminant of these solutions. Efforts are required to find TPN nutrients with low or no Cr contamination.
Index Entries
Chromium somatopsychological dream total parenteral nutrition genotoxic selenium copper zincPreview
Unable to display preview. Download preview PDF.
References
- 1.L. L. Hopkins, Jr., O. Ransomew-Kuti, and A. S. Majaj, Improvement of impaired carbohydrate metabolism by chromium (III) in malnourished infants,Am. J. Clin. Nutr. 21, 203–211 (1968).PubMedGoogle Scholar
- 2.R. A. Levine, D. H. P. Streeten and R. J. Doisy, Effects of oral chromium supplementation on the glucose tolerance of elderly human subjects,Metabolism 17, 114–125 (1968).PubMedCrossRefGoogle Scholar
- 3.K. N. Jeejeebhoy, R. C. Chu, E. B. Marliss, G. R. Greenberg, and A. Bruce-Robertson, Chromium deficiency, glucose intolerance, and neuropathy reversed by chromium supplementation, in a patient receiving long-term total parenteral nutrition,Am. J. Clin. Nutr. 30, 531–538 (1977).PubMedGoogle Scholar
- 4.H. Freund, S. Atamian, and J. E. Fischer, Chromium deficiency during total parenteral nutrition,J.A.M.A. 241, 496–498 (1979).PubMedGoogle Scholar
- 5.R. O. Brown, S. Forloines-Lynn, R. E. Cross, and W. D. Heizer, Chromium deficiency after long-term total parenteral nutrition,Dig. Dis. Sc. 31, 661–664 (1986).CrossRefGoogle Scholar
- 6.M. E. Shils, A. W. Burke, H. L. Greene, K. N. Jeejeebhoy, A. S. Prasad, and H. H. Sandstead, Guidelines for essential trace element preparations for parenteral use. A statement by an expert panel.J.A.M.A. 241, 2051–2054 (1979).Google Scholar
- 7.H. L. Greene, H. N. Hambidge, R. Schanler and R. C. Tsang, Guidelines for the use of vitamins, trace elements calcium, magnesium and phosphorus in infants and children receiving total parenteral nutrition: report of the Subcommittee on Pediatric Parenteral Nutritent Requirements from the Committee on Clinical Practice Issues of the American Society for Clinical Nutrition,Am. J. Clin. Nutr. 48, 1324–1342, (1988).PubMedGoogle Scholar
- 8.W. Seeling, F. Ahnefeld, A. Grunert, K. Kienle, and M. Swobodnik, Chromium in parenteral nutrition, inChromium in Nutrition and Metabolism, D. Shapcott and J. Hubert, eds., Elsevier, Amsterdam, pp. 95–104 (1979).Google Scholar
- 9.A. Shenkin, G. S. Fell, D. J. Halls, P. M. Dunbar, I. B. Holbrook, and M. H. Irving, Essential trace element provision to patients receiving home intravenous nutrition in the United Kingdom,Clin. Nutr. 5, 91–97 (1986).PubMedCrossRefGoogle Scholar
- 10.F. Y. Leung and L. V. Galbraith, Elevated serum chromium in patients on total parenteral nutrition and the ionic species of contaminant chromium,Biol. Trace Elem. Res. 50, 221–228 (1995).PubMedCrossRefGoogle Scholar
- 11.A. A. Moukarzel, M. K. Song, A. L. Buchman, J. Vargas, W. Guss, S. McDiarmid, L. Reyen, and M. E. Ament, Excessive chromium intake in children receiving total parenteral nutrition,Lancet 339, 385–388 (1992).PubMedCrossRefGoogle Scholar
- 12.D. Bougle, F. Bureau, G. Deschrevel, C. Hecquard, D. Neuville, M. Drosdowsky, and J. F. Duhamel, Chromium and parenteral nutrition in children,J. Ped. Gastroen. Nutr. 17, 72–74 (1993).CrossRefGoogle Scholar
- 13.Y. Ito, N. W. Alcock, and M. E. Shils, Chromium content of total parenteral nutrition solutions.Journal of Parenteral and Enteral Nutrition 14, 610–614 (1990).PubMedCrossRefGoogle Scholar
- 14.V. Ducros, Chromium metabolism: a literature review,Biol. Trace Elem. Res. 32, 65–77 (1992).PubMedCrossRefGoogle Scholar
- 15.T. H. Lim, T. Sargent III, and N. Kusubov, Kinetics of trace element chromium (III) in the human body.Am. J. Physiol. 244, R445-R454 (1983).PubMedGoogle Scholar
- 16.S. Langard, Basic mechanisms of the carcinogenic action of chromium: animal and human data,Toxicol. Environ. Chem. 24, 1–7 (1989).Google Scholar
- 17.M. D. Cohen, B. Kargacin, C. B. Klein, and M. Costa, Mechanisms of chromium carcinogenicity and toxicity,Crit. Rev. Toxicol. 23, 255–281 (1993).PubMedCrossRefGoogle Scholar
- 18.D. Beyersmann, Biochemical speciation in chromium genotoxicity,Toxicol. Environ. Chem. 22, 61–67 (1989).Google Scholar
- 19.T. Wolf, T. Kasamann, and H. Ottenwalder, Molecular interaction of different chromium species with nucleotides and nucleic acids,Carcinogenesis 10, 655–659 (1989).PubMedCrossRefGoogle Scholar
- 20.B. Gulanowski, M. Cieslak-Golonka, K. Szyba, and J. Urban, In vitro studies on the DNA impairments induced by Cr(III) complexes with cellular reductants,BioMetals 7, 177–184 (1994).PubMedCrossRefGoogle Scholar
- 21.E. T. Snow and L. Xu, Chromium(III) bound to DNA templates promotes increased polymerase processivity and decreased fidelity during replication in vitro,Biochemists 30, 11238–11245 (1991).CrossRefGoogle Scholar
- 22.L. C. Bridgewater, F. C. R. Manning, W. S. Woo, and S. R. Patierno, DNA polymerase arrest by adducted trivalent chromium,Mol. Carcinog. 9, 122–133 (1994).PubMedCrossRefGoogle Scholar
- 23.S. Duckett, Abnormal deposits of chromium in the pathological human brain,J. Neurol. Neurosurg. Psychiatry 49, 296–301 (1986).PubMedGoogle Scholar
- 24.G. N. Schrauzer, K. P. Shrestha, and M. Flores-Arce, Somatopsychological effects of chromium supplementation,J. Nutr. Med. 3, 43–48 (1992).CrossRefGoogle Scholar
- 25.R. A. Jacob, Trace Elements, inTextbook of Clinical Chemistry, N. W. Tietz, ed., W. B. Saunders, Philadelphia, pp. 965–996 (1986).Google Scholar
- 26.B. Pohl, Determination of normal levels of selenium in blood serum by GFAAS, inAA Instruments at Work. Varian, Darmstadt, Germany, No. AA-103, 1–6 (1991).Google Scholar