Silicon Dioxide in Mineralized Heart Valves

This study showed that silicon dioxide of plant origin penetrated into the human body unchanged and was transferred through the blood to the heart, where absorbed by the pathological hydroxyapatite of mineralized heart valves.


Introduction
Over the past decades, numerous studies have shown that Si is an essential element and it affects human health. Silicon is present in the body as a trace element, but so far its biochemical function has not been confirmed by experimental data. Bioavailable silicon usually enters the body from solutions. Most easily it diffuses through the membranes and penetrates into the circulatory system in the form of orthosilicate acid, which is present in water, beer and some beverages. Among food products, the most significant sources of silicon are the products of plant origin: wheat, rice, oats, and barley. Despite the fact that vegetable food has a high content of silicon, its bioavailability is very limited due to the poor solubility of the forms of silicon present in the plants (Farooq 2015).
In this paper we present amorphous silica found in the composition of pathological formations -calcified heart valves. To explain the possible route of ingestion of amorphous silica, we considered one of the most common food crops for silicon consumption -rice.

Methods and Approaches
We studied intraoperative material, which included mineralized aortic and mitral valves of the heart, obtained from patients with acquired heart defects of rheumatic and septic genesis (Titov et al. 2016). Siliceous formations found in the calcifications of the heart valves were compared with the siliceous formations of plant origin: rice straw and husk.
The inventory of methods for structural and elemental analyses included highresolution transmission electron microscopy (HR TEM), scanning electron microscopy (SEM), electron diffraction, and energy-dispersive X-ray spectroscopy (EDX). Electron microscopy was performed using a JEM2010 transmission electron microscope (acceleration voltage 200 kV, resolution 1.4 Å) equipped with an EDAX EDS detector (spectral resolution 130 eV) and a TESCAN MIRA3 scanning electron microscope with an Oxford EDS detector (resolution 128 eV) and built-in INKA ENERGY software.

Results and Discussion
Our investigation relied on the data obtained in the studies of the calcified formations on heart valves and their bioprostheses (Titov et al. 2016). The presence of silicon at the trace level was observed in the EDS analyzes of calcified heart valves. The studies of the dispersed material of heart valve calcifications by means of transmission electron microscopy revealed amorphous particles of rounded shape about 100 nm in diameter, along with hydroxyapatite nanocrystals (Fig. 1). The EDS spectra of these amorphous particles revealed Si, O, and C (carbon deposition), which corresponded to silicon dioxide (Fig. 1).
As can be seen on the SEM images and EDS spectra of rice straw and husk (Fig. 2.), their surfaces were covered with a thin layer of silicon dioxide. After annealing the rice straw and husk at a temperature of 750°C, white silica powder remained. The examination of the powder preparation by means of transmission electron microscopy showed that the rice substrate was represented by the rounded particles of amorphous silica with a diameter of about 50 nm (Fig. 3). The similarity of the amorphous particles of the rice substrate with the amorphous particles from heart valve calcifications in chemical composition and structure seemed quite obvious to us. However, most of Si is absorbed from solid products, therefore it is assumed that the phytolytic silicon dioxide is destroyed and absorbed (Jugdaohsingh 2007). Silicon dioxide detected by us in calcifications with nanocrystalline hydroxyapatite, remained unchanged. Apparently silica particles were transferred to the heart valves from the patients' blood and precipitated on hydroxyapatite. Hydroxyapatite is known to have a high sorption capacity (Titov et al. 2013). Perhaps a significant amount of silica can be deposited on the bone tissue as hydroxyapatite is one of its components. Our analysis of the chemical composition of calcified mineralized heart valves using an EDS spectrometer detected silicon at a trace level. The Si content in calcifications is quite significant for this trace element considering the sensitivity level of this method as 0.n weight percent.  To conclude, we suggest that dispersed phytolytic silica may penetrate through the gastric tract into human blood in the unchanged form.