Estimation of some vital trace elements in patients with acute pancreatitis
a case-control study
DOI:
https://doi.org/10.1590/s2175-97902022e20639Keywords:
Trace Elements, Acute Pancreatitis, Cu, Zn, Ni, CrAbstract
Trace elements have an important influence on the living system and play a major role in a variety of processes necessary for life. This case study was conducted as an attempt to expand our knowledge of the relationship between trace elements and their effect on acute pancreatitis. Sixty-five patients diagnosed with acute pancreatitis with mean age 43.6 years, along with sixty-five healthy volunteers with a mean age 45.7 years, were included in this study. The obtained results indicated a significant increase in the Cu, Ni and Cr levels, and a significant decrease in the Zn, Mg and Fe levels for acute pancreatitis patients compared with the control group (p <0.001). In addition, a remarkable increase in the Cu/Zn ratio was observed in patients. The current work provides important evidence of correlation between changes in copper and zinc levels and the risk of acute pancreatitis. Also, an increased Cu/Zn ratio may be a useful indication for the diagnosis and monitoring of acute pancreatitis. Moreover, the current study concluded that there is a possible relationship of Mg, Fe, Ni and Cr with acute pancreatitis. Thus, it can be suggested that these elements are reliable to provide indications for warning of the risk of acute pancreatitis
Downloads
References
Al Alawi AM, Majoni SW, Falhammar H. Magnesium and human health: perspectives and research directions. Int J Endocrinol. 2018;2018(ID 9041694):17.
Al-Fartusie FS, Al-Bairmani HK, Al-Garawi ZS, Yousif AH. Evaluation of some trace elements and vitamins in major depressive disorder patients: a case-control study. Biol Trace Elem Res. 2019a;189(2):412-9.
Al-Fartusie FS, Mohssan SN, Risan FA, Yousif AH. Evaluation of Trace Elements and Heavy Metals in Schizophrenic Patients in Iraq. Res J Pharm Technol. 2019b;12(1):185-91.
Al-Fartusie FS, Mohssan SN. Essential trace elements and their vital roles in human body. Indian J Adv Chem Sci. 2017;5(3):127-36.
Al-Khazraji SK. Levels of Zinc & Copper in Acute Pancreatitis Patients. Iraqi Acad Sci J. 2007;6(3):203-5.
Bosco M, Drogemuller C, Zalewski P, Coates P. Zinc transporters in the endocrine pancreas. Springer; 2015.
Carter DC. Special aspects of gallstone pancreatitis. In: Trede M, Carter DC (eds). Surgery of the pancreas, Churchill Livingstone, Edinburgh, London, Madrid, Melbourne, New York, Tokyo, 1993: pp 221-32.
Clayton BE. Clinical chemistry of trace elements. Advances in Clinical Chemistry. 21: Elsevier; 1980: pp. 147-76.
Cunnane S. Differential regulation of essential fatty acid metabolism to the prostaglandins: possible basis for the interaction of zinc and copper in biological systems. Prog Lipid Res. 1982;21(1):73-90.
Debi U, Kaur R, Prasad KK, Sinha SK, Sinha A, Singh K. Pancreatic trauma: a concise review. World J Gastroenterol. 2013;19(47):9003.
Elmer P. Analytical methods for atomic absorption spectroscopy. USA: The Perkin-Elmer Corporation. 1996.
Ersil Soysal D, Karakuş V, Pekdiker M, Şavklıyıldız A, Koç E, Dere Y, et al. Serum magnesium levels in patients with the necrotizing and edematous types of acute pancreatitis with and without hypocalcemia. Tepecik Eğit Hast Derg. 2017;27(2):131-7.
Farzin L, Moassesi ME, Sajadi F, Ahmadi Faghih MA. Evaluation of trace elements in pancreatic cancer patients in Iran. Middle East J Cancer. 2013;4(2):79-86.
Ferahman M, Unal E, Sakoglu N, Ersoy YE, As A, Ozdemir S. Zinc and copper status in acute pancreatitis. Biol. Trace Elem Res. 2003;91(1):89-94.
Girish BN, Rajesh G, Vaidyanathan K, Balakrishnan V. Zinc status in chronic pancreatitis and its relationship with exocrine and endocrine insufficiency. J Pancreas. 2009;10(6):651-6.
Gjørup I, Petronijevic L, Rubinstein E, Andersen B, Worning H, Burcharth F. Pancreatic secretion of zinc and copper in normal subjects and in patients with chronic pancreatitis. Digestion. 1991;49(3):161-6.
Grendell JH. The pancreas, biology, pathobiology, and disease.: Edited by VLW Go, EP Dimagno, JD Gardner, E. Lebenthal, HA Reber, And GA Scheele. Raven Press, New York, New York, 1994.
Guerrera MP, Volpe SL, Mao JJ. Therapeutic uses of magnesium. Am Fam Physician. 2009;80(2):157-62.
Hartwig A, Mullenders LH, Schlepegrell R, Kasten U, Beyersmann D. Nickel (II) interferes with the incision step in nucleotide excision repair in mammalian cells. Cancer Res. 1994;54(15):4045-51.
Herbert V, Shaw S, Jayatilleke E, Stopler-Kasdan T. Most free- radical injury is iron-related: it is promoted by iron, hemin, holoferritin and vitamin C, and inhibited by desferoxamine and apoferritin. Stem Cells. 1994;12(3):289-303.
Ilbäck N-G, Benyamin G, Lindh U, Fohlman J, Friman G. Trace element changes in the pancreas during viral infection in mice. Pancreas. 2003;26(2):190-6.
Jones MR, Hall OM, Kaye AM, Kaye AD. Drug-induced acute pancreatitis: a review. Ochsner J. 2015;15(1):45-51.
Karne S, Gorelick FS. Etiopathogenesis of acute pancreatitis. Surg Clin N Am. 1999;79(4):699-710.
Kashiwagi M, Akimoto H, Goto J, Aoki T. Analysis of zinc and other elements in rat pancreas, with studies in acute pancreatitis. J Gastroenterol. 1995;30(1):84-9.
Liamis G, Gianoutsos C, Elisaf M. Acute pancreatitis- induced hypomagnesemia. Pancreatology. 2001;1(1):74-6.
Marreiro DDN, Cruz KJC, Morais JBS, Beserra JB, Severo JS, De Oliveira ARS. Zinc and oxidative stress: current mechanisms. Antioxidants. 2017;6(2):24.
McCall KA, Huang C-c, Fierke CA. Function and mechanism of zinc metalloenzymes. J Nutr. 2000;130(5):1437S-46S.
Mezzetti A, Pierdomenico SD, Costantini F, Romano F, De Cesare D, Cuccurullo F, et al. Copper/zinc ratio and systemic oxidant load: effect of aging and aging-related degenerative diseases. Free Radic Biol Med. 1998;25(6):676-81.
Milne DB. Assessment of copper nutritional status. Clin Chem. 1994;40(8):1479-84.
Norman J. The role of cytokines in the pathogenesis of acute pancreatitis. Am J Surg. 1998;175(1):76-83.
Osredkar J, Sustar N. Copper and zinc, biological role and significance of copper/zinc imbalance. J Clinic Toxicol. 2011;S3(01):Doi:10.4172/2161-0495.S3-001
» https://doi.org/10.4172/2161-0495.S3-001
Prasad AS. Biochemistry of zinc: Springer Science & Business Media; 2013.
Prasad AS. Zinc: an overview. Nutrition (Burbank, Los Angeles County, Calif). 1995;11(1 Suppl):93-9.
Rawla P, Bandaru SS, Vellipuram AR. Review of infectious etiology of acute pancreatitis. Gastroent Res. 2017;10(3):153.
Regolisti G, Cabassi A, Parenti E, Maggiore U, Fiaccadori E. Severe hypomagnesemia during long-term treatment with a proton pump inhibitor. Am J Kidney Dis. 2010;56(1):168-74.
Shenkin A. Selenium in intravenous nutrition. Gastroenterology. 2009;137(5):S61-S9.
Vujasinovic M, Hedström A, Maisonneuve P, Valente R, von Horn H, Löhr J-M, et al. Zinc deficiency in patients with chronic pancreatitis. World J Gastroenterol. 2019;25(5):600.
Yadav D, Hawes RH, Brand RE, Anderson MA, Money ME, Banks PA, et al. Alcohol consumption, cigarette smoking, and the risk of recurrent acute and chronic pancreatitis. Arch Intern Med. 2009;169(11):1035-45.
Yao H, Guo L, Jiang B-H, Luo J, Shi X. Oxidative stress and chromium (VI) carcinogenesis. J Environ Pathol Toxicol Oncol. 2008;27(2).
Zheltova AA, Kharitonova MV, Iezhitsa IN, Spasov AA. Magnesium deficiency and oxidative stress: an update. BioMedicine. 2016;6(4)
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Brazilian Journal of Pharmaceutical Sciences

This work is licensed under a Creative Commons Attribution 4.0 International License.
All content of the journal, except where identified, is licensed under a Creative Commons attribution-type BY.
The on-line journal has open and free access.