Abstract
Trace elements are essential for the human body’s various physiological processes but if they are present in higher concentration, these elements turn to be toxic and cause adverse effect on physiological processes. Similarly, deficiency of these essential elements also affects physiological processes and leads to abnormal metabolic activities. There is a lot of interest in recent years to know the mystery behind the involvement of trace elements in the metabolic activities of autistic children suspecting that it may be a risk factor in the aetiology of autism. The present study aims to analyse the plasma trace elements in autistic children using the total reflection X-ray fluorescence (TXRF) technique. Plasma samples from 70 autistic children (mean age: 11.5 ± 3.1) were analysed with 70 age- and sex-matched healthy children as controls (mean age: 12 ± 2.5). TXRF analysis revealed the higher concentration of copper (1227.8 ± 17.8), chromium (7.1 ± 2.5), bromine (2695.1 ± 24) and arsenic (126.3 ± 10) and lower concentration of potassium (440.1 ± 25), iron (1039.6 ± 28), zinc (635.7 ± 21), selenium (52.3 ± 8.5), rubidium (1528.9 ± 28) and molybdenum (162,800.8 ± 14) elements in the plasma of autistic children in comparison to healthy controls. Findings of the first study from India suggest these altered concentrations in elements in autistic children over normal healthy children affect the physiological processes and metabolism. Further studies are needed to clarify the association between the altered element concentration and physiology of autism in the North Karnataka population in India.
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References
Pfaender S, Grabrucker AM (2014) Characterization of biometal profiles in neurological disorders. Metallomics 6(5):960–977
Saghazadeh A, Ahangari N, Hendi K, Saleh F, Rezaei N (2017) Status of essential elements in autism spectrum disorder: systematic review and meta-analysis. Rev Neurosci 28(7):783–809
Saldanha Tschinkel PF, Bjørklund G, Conón LZZ, Chirumbolo S, Nascimento VA (2018) Plasma concentrations of the trace elements copper, zinc and selenium in Brazilian children with autism spectrum disorder. Biomed Pharmacother [Internet] 106(June):605–609
Swardfager W, Herrmann N, Mazereeuw G, Goldberger K, Harimoto T, Lanctôt KL (2013) Zinc in depression: a meta-analysis. Biol Psychiatry 74(12):872–878
Grabrucker S, Jannetti L, Eckert M, Gaub S, Chhabra R, Pfaender S et al (2014) Zinc deficiency dysregulates the synaptic ProSAP/Shank scaffold and might contribute to autism spectrum disorders. Brain 137(1):137–152
Grissom M (2011) Childhood Autism Rating Scales. In: Kreutzer JS, DeLuca J, Caplan B (eds) Encyclopedia of clinical neuropsychology. Springer, New York
Spence SJ (2004) The genetics of autism. Semin Pediatric Neurol 11(3):196–204
Inshasi JS, Jose VP, Van Der Merwe CA, Gledhill RF (1999) Dysfunction of sensory nerves during attacks of hypokalemic periodic paralysis. Neuromuscul Disord 9(4):227–231
Lam MHbun, Chau SWho, Wing Ykwok (2009) High prevalence of hypokalemia in acute psychiatric inpatients. Gen Hosp Psychiatry [Internet]. 31(3):262–5
Skalny AV, Simashkova NV, Klyushnik TP, Grabeklis AR, Radysh IV, Skalnaya MG, Nikonorov AA, Tinkov AA (2016) Assessment of serum trace elements and electrolytes in children with childhood and atypical autism. J Trace Elem Med Biol S0946672X16301468
Wecker L, Miller SB, Cochran SR, Dugger DL, Johnson WD (1985) Trace element concentrations in hair from autistic children. J Intellect Disabil Res 29(1):15–22
Lieu PT, Heiskala M, Peterson PA, Yang Y (2001) The roles of iron in health and disease. Mol Aspects Med 22(1–2):1–87
Theil EC (2003) Metal-binding proteins and trace element metabolism ferritin : at the crossroads of iron and oxygen metabolism. J Nutr 133(5):1549–1553
McCann JC, Ames BN (2007) An overview of evidence for a causal relation between iron deficiency during development and deficits in cognitive or behavioral function. Am J Clin Nutr 85(4):931–945
Russo AJ, Bazin AP, Bigega R et al (2012) Plasma copper and zinc concentration in individuals with autism correlate with selected symptom severity. Nutr Metab Insights 5:41–47
Vergani L, Cristina L, Paola R, Luisa AM, Shyti G, Edvige V, Giuseppe M, Elena G, Laura C, Adriana V (2011) Metals, metallothioneins and oxidative stress in blood of autistic children. 5(1):0–293. https://doi.org/10.1016/j.rasd.2010.04.010
Li SO, Wang JL, Bjørklund G, Zhao WN, Yin CH (2014) Serum copper and zinc levels in individuals with autism spectrum disorders. Neuro Rep 25(15):1216–1220
Russo AJ, Devito R (2011) Analysis of copper and zinc plasma concentration and the efficacy of zinc therapy in individuals with Asperger’s syndrome, pervasive developmental disorder not otherwise specified (PDD-NOS) and autism. Biomark Insights 6:127–133. https://doi.org/10.4137/BMI.S7286
Li H, Zhang J, Niswander L (2018) Zinc deficiency causes neural tube defects through attenuation of p53 ubiquitylation. Development 145(24):dev169797. https://doi.org/10.1242/dev.169797
Vela G, Stark P, Socha M, Sauer AK, Hagmeyer S, Grabrucker AM (2015) Zinc in gut-brain interaction in autism and neurological disorders. Neural Plast 2015:972791. https://doi.org/10.1155/2015/972791
Yasuda H, Tsutsui T (2013) Assessment of infantile mineral imbalances in autism spectrum disorders (ASDs). Int J Environ Res Public Health 10(11):6027–6043
Guo M, Li L, Zhang Q, Chen L, Dai Y, Liu L et al (2020) Vitamin and mineral status of children with autism spectrum disorder in Hainan Province of China: associations with symptoms. Nutr Neurosci 23(10):803–810
Faber S, Zinn GM, Kern JC, Skip Kingston HM (2009) The plasma zinc/serum copper ratio as a biomarker in children with autism spectrum disorders. Biomarkers 14(3):171–180
Rehnberg GL, Hein JF, Carter SD, Linko RS, Laskey JW (1982) Chronic ingestion of mn3o4 by rats: tissue accumulation and distribution of manganese in two generations. J Toxicol Environ Health 9(2):175–188
Rahbar MH, Samms-Vaughan M, Dickerson AS, Loveland KA, Ardjomand-Hessabi M, Bressler J et al (2014) Blood manganese concentrations in Jamaican children with and without autism spectrum disorders. Environ Heal A Glob Access Sci Source 13(1):1–14
Rahbar MH, Samms-Vaughan M, Ma J et al (2015) Synergic effect of GSTP1 and blood manganese concentrations in autism spectrum disorder. Res Autism Spectr Disord 18:73–82
Pitts MW, Byrns CN, Ogawa-Wong AN, Kremer P, Berry MJ (2014) Selenoproteins in nervous system development and function. Biol Trace Elem Res 161(3):231–245. https://doi.org/10.1007/s12011-014-0060-2
Raymond LJ, Deth RC, Ralston NVC (2014) Potential role of selenoenzymes and antioxidant metabolism in relation to autism etiology and pathology. Autism Res Treat 2014:1–15
Yorbik O, Sayal A, Akay C, Akbiyik DI, Sohmen T (2002) Investigation of antioxidant enzymes in children with autistic disorder. Prostaglandins Leukot Essent Fatty Acids 67(5):341–343
Jory J, McGinnis WR (2008) Red-cell trace minerals in children with autism. Am J Biochem Biotechnol 4(2):101–104
Chapman L, Chan HM (2000) The influence of nutrition on methyl mercury intoxication. Environ Health Perspect. 108(Suppl 1):29–56
Cefalu WT, Hu FB (2004) Role of chromium in human health and in diabetes. Diabetes Care 27(11):2741–2751
Yorbik Ö, Kurt I, Haşimi A, Öztürk Ö (2010) Chromium, cadmium, and lead levels in urine of children with autism and typically developing controls. Biol Trace Elem Res 135(1–3):10–15
Adams JB, Holloway CE, George F, Quig D (2006) Analyses of toxic metals and essential minerals in the hair of Arizona children with autism and associated conditions, and their mothers. Biol Trace Elem Res 110(3):193–209
Skalny AV, Simashkova NV, Klyushnik TP, Grabeklis AR, Bjørklund G, Skalnaya MG et al (2017) Hair toxic and essential trace elements in children with autism spectrum disorder. Metab Brain Dis [Internet] 32(1):195–202
Olson KR (2003) Poisoning & drug overdose (4th ed.). Appleton & Lange, pp 140–141. ISBN 978–0–8385–8172–8
Novotny JA (2011) Molybdenum nutriture in humans. J Evid Based Complement Altern Med 16(3):164–168
Tolins M, Ruchirawat M, Landrigan P (2014) The developmental neurotoxicity of arsenic: cognitive and behavioral consequences of early life exposure. Ann Glob Heal [Internet] 80(4):303–314
Rossignol DA, Genuis SJ, Frye RE (2014) Environmental toxicants and autism spectrum disorders: a systematic review. Transl Psychiatry [Internet] 4(2):e360–e423
Acknowledgements
We thank all autistic children and their parents/guardians for agreeing to participate in the study. We also thank all the special schools for participating in our study. We sincerely thank Director, University Science Instrumentation Centre (USIC), Karnatak University Dharwad, for providing total reflection X-ray fluorescence (TXRF) instrument facility. We also thank Ms Renuka Niralagi, DST PURSE phase-II programme, Karnataka University Dharwad, for her help during sample analysis. We thank Karnataka Institute for DNA Research (KIDNAR), Dharwad and Shri B.M Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, for their constant support throughout the research.
Funding
This study was supported by Grant-in-Aid for research from the Department of Higher Education, Govt. of Karnataka, India (Grant No: Department of Higher Education, ED 15 UKV 2018, Bangalore, date:12–13-2018).
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Ethical approval for the study was taken from the Institutional Ethical Committee of Shri B.M Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura (Ref No: BLDE (DU) IEC/337–2018-19). Informed consent was obtained from parents/guardians before the collection of blood samples.
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Hegde, R., Hegde, S., Kulkarni, S. et al. Total Reflection X-ray Fluorescence Analysis of Plasma Elements in Autistic Children from India. Biol Trace Elem Res 201, 644–654 (2023). https://doi.org/10.1007/s12011-022-03199-2
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DOI: https://doi.org/10.1007/s12011-022-03199-2