The role of macro- and microelements in the pathogenesis of polycystic ovary
DOI:
https://doi.org/10.18370/2309-4117.2019.48.22-25Keywords:
macroelements, microelements, toxicity, polycystic ovary syndrome, pathogenesisAbstract
PCOS is a common disease that occurs in 3–15% of women of childbearing age, according to various authors. Despite numerous studies, there are still many conflicting views on the etiology of PCOS, as well as on the diagnostic criteria and treatment methods for this disease.
Purpose of the study. Evaluation of macro- and microelements in blood serum of women with PCOS and study of their role in development of this disease.
Materials and methods. The control group consisted of 38 healthy women. The study group included 52 women with PCOS. In both groups magnesium (Mg), copper (Cu), manganese (Mn), nickel (Ni), zinc (Zn), chromium (Cr), selenium (Se), and vanadium (V) were determined in blood serum. Samples were analyzed by inductively coupled plasma mass spectrometry. Statistical significance of the results was evaluated using the Kolmogorov-Smirnov, Mann-Whitney criteria, Student’s t-test.
Results of the study. Increase in Mn, Ni, and Zn was found in women with PCOS an. Cu, Mg, Cr, Se, V value in both groups were the same. The medians of the Mn, Ni and Cr level exceed the permissible standards in both groups of women, which indicate an increased exposure these metals on the population. Mn and Ni were significantly higher in women with PCOS compared to the control group. The authors of the study suggested that an increased exposure level of Mn and Ni may be the cause or background factor for the PCOS.
Conclusion. Higher levels of manganese, nickel and zinc in the blood serum in women with PCOS compared with the control group were found. An increased manganese and nickel exposure on the body can cause PCOS. Increase in zinc in women with PCOS is likely due to the body's adaptive response.
References
- World Health Organization, United Nations Environment Programme (WHO-UNEP). State of the Science of Endocrine Disrupting Chemicals. WHO/UNEP (2013). Available from: [http://www.who.int/ceh/publications/endocrine/en/index.html], last accessed Aug 16, 2019.
- Teede, H.J., Misso, M.L., Costello, M.F., et al. “International PCOS Network Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome.” Hum Reprod 33.9 (2018): 1602–18. DOI: 10.1093/humrep/dey256
- Günalan, E., Yaba, A., Yılmaz, B. “The effect of nutrient supplementation in the management of polycystic ovary syndrome-associated metabolic dysfunctions: A critical review.” J Turk Ger Gynecol Assoc 19.4 (2018): 220–32. DOI: 10.4274/jtgga.2018.0077
- Chakraborty, P., Ghosh, S., Goswami, S.K., et al. “Altered trace mineral milieu might play an aetiological role in the pathogenesis of polycystic ovary syndrome.” Biol Trace Elem Res 152.1 (2013): 9–15. DOI: 10.1007/s12011-012-9592-5
- Kurdoglu, Z., Kurdoglu, M., Demir, H., et al. “Serum trace elements and heavy metals in polycystic ovary syndrome.” Hum Exp Toxicol 5.31 (2012): 452–6.
- Al-Jeborry, M.M. “Some Altered Trace Elements in Patients with Polycystic Ovary Syndrome.” British Journal of Medicine & Medical Research 20.3 (2017): 1–10. DOI: 10.9734/BJMMR/2017/31503
- Spritzer, P.M., Lecke, S.B., Fabris, V.C., et al. “Blood Trace Element Concentrations in Polycystic Ovary Syndrome: Systematic Review and Meta-analysis.” Biol Trace Elem Res 175.2 (2017): 254–62. DOI: 10.1007/s12011-016-0774-4
- Shangari, N., Chan, T.S., Chan, K., et al. “Copper-catalyzed ascorbate oxidation results in glyoxal/AGE formation and cytotoxicity.” Mol Nutr Food Res 51.4 (2007): 445–55.
- Zheng, G., Wang, L., Guo, Z., et al. “Association of Serum Heavy Metals and Trace Element Concentrations with Reproductive Hormone Levels and Polycystic Ovary Syndrome in a Chinese Population.” Biol Trace Elem Res 167.1 (2015): 1–10.
- Agency for Toxic Substances and Disease Registry (ATSDR). U.S. Department of Health and Human Services, Public Health Service. Toxicological Profile for Chromium. Atlanta, Georgia: ATSDR (2012). Available from: [https://www.atsdr.cdc.gov/toxprofiles/tp7.pdf ], last accessed Aug 16, 2019.
- Qazi, I.H., Angel, C., Yang, H., et al. “Selenium, Selenoproteins, and Female Reproduction: A Review.” Molecules 23.12 (2018): E3053. DOI: 10.3390/molecules23123053
- Coskun, A., Arikan, T., Kilinc, M., et al. “Plasma selenium levels in Turkish women with polycystic ovary syndrome.” Eur J Obstet Gynecol Reprod Biol 168.2
- Zagrodzki, P., Krzyczkowska-Sendrakowska, M., Nicol, F., et al. “Selenium status parameters in patients with polycystic ovary syndrome.” J Trace Elem Med Biol 44 (2017): 241–6. DOI: 10.1016/j.jtemb.2017.08.012
- Burtis, C.A., Ashwood, E.R., Bruns, D.E. Tietz fundamentals of clinical chemistry. 6th ed. St. Louis, Missouri: Saunders Elsevier (2008): 976 p.
- World Health Organization. Copper. International Programme on Chemical Safety. Environmental Heath Criteria 200. Geneva: WHO (1998). Available from: [http://www.inchem.org/documents/ehc/ehc/ehc200.htm], last accessed May 23, 2019.
- WHO Regional Office for Europe. Air Quality Guidelines for Europe. 2nd ed. Copenhagen, Denmark: WHO Regional Office for Europe (2000). (WHO Regional Publications, European Series). No. 91. Available from: [http://www.euro.who.int/__data/assets/pdf_file/0014/123080/AQG2ndEd_6_10Nickel.pdf], last accessed May 23, 2019.
- Costa, L.G., Aschner, M. Manganese in Health and Disease. Cambridge: The Royal Society of Chemistry (2015): 654 p.
- Kim, D.S., Jin, H., Anantharam, V., et al. “p73 gene in dopaminergic neurons is highly susceptible to manganese neurotoxicity.” Neurotoxicology 59 (2017): 231–9.
- Forgacs, Z., Massányi, P., Lukac, N., et al. “Reproductive toxicology of nickel – review.” J Environ Sci Health A Tox Hazard Subst Environ Eng 9 (2012): 1249–60. DOI: 10.1080/10934529.2012.672114
- Kong, L., Tang, M., Zhang, T., et al. “Nickel nanoparticles exposure and reproductive toxicity in healthy adult rats.” Int J Mol Sci 15.11 (2014): 21253–69.
- Ternes, A.P., Zemolin, A.P., Meinerzb, D.F., et al. “Long term exposure to low levels of Manganese Chloride improves the activity and expression of antioxidant enzymes in adrenal gland of adult rats.” Applied Research in Toxicology 1.1 (2015): 19–24.
- Kosei, N.V., Khominskaya, Z.B., Vetokh, G.V., et al. “Proinflammatory cytokines and polycystic ovary syndrome.” Reproductive endocrinology 5 (2015): 56–60.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 М. Г. Проданчук, Т. Ф. Татарчук, С. В. Гуньков, П. Г. Жмінько, С. І. Регеда, М. І. Римарчук
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.