Skip to main content
Top
Published in: BMC Pulmonary Medicine 1/2021

Open Access 01-12-2021 | Bronchial Asthma | Research

Evaluation of blood and tooth element status in asthma cases: a preliminary case–control study

Authors: S. Songül Yalçın, Nagehan Emiralioğlu, Suzan Yalçın

Published in: BMC Pulmonary Medicine | Issue 1/2021

Login to get access

Abstract

Background

Asthma is a common respiratory disorder; some data were present on the correlation between increased levels of some elements and the risk of asthma development. It was aimed to evaluate the levels of 13 selected blood and tooth elements (magnesium, phosphorus, calcium, chromium, manganese, iron, copper, zinc, strontium, molybdenum, cadmium, lead, mercury) in a well-controlled asthma group and the control group.

Methods

During the study period, 17 asthma patients and 26 age and gender-matched healthy children donated shed deciduous teeth having neither decay nor filling and enrolled for the study. The element levels in blood and teeth matrixes were analyzed with inductively coupled plasma mass spectrometry. Differences in blood and tooth elements in groups were evaluated with generalized linear models after adjusting confounding factors.

Results

After adjusting the child’s “z scores of body mass index for age”, history of iron deficiency anemia, and status of parental smoking, the generalized linear model revealed significantly lower tooth magnesium levels, lower blood zinc levels, and lower blood zinc/copper ratio in the asthma group than the control group (p = 0.042, p = 0.034, p = 0.002, respectively). Other studied elements for tooth and blood matrixes were similar in groups.

Conclusion

Our study revealed some differences in tooth and blood element levels in the asthma group. Further studies on zinc and magnesium levels of severe asthma cases are necessary for the interpretation of the results.
Appendix
Available only for authorised users
Literature
1.
go back to reference Anandan C, Nurmatov U, van Schayck OC, Sheikh A. Is the prevalence of asthma declining? Systematic review of epidemiological studies. Allergy. 2010;65(2):152–67.CrossRef Anandan C, Nurmatov U, van Schayck OC, Sheikh A. Is the prevalence of asthma declining? Systematic review of epidemiological studies. Allergy. 2010;65(2):152–67.CrossRef
2.
go back to reference Mao S, Wu L, Shi W. Association between trace elements levels and asthma susceptibility. Respir Med. 2018;145:110–9.CrossRef Mao S, Wu L, Shi W. Association between trace elements levels and asthma susceptibility. Respir Med. 2018;145:110–9.CrossRef
3.
go back to reference Yang SN, Hsieh CC, Kuo HF, Lee MS, Huang MY, Kuo CH, Hung CH. The effects of environmental toxins on allergic inflammation. Allergy Asthma Immunol Res. 2014;6(6):478–84.CrossRef Yang SN, Hsieh CC, Kuo HF, Lee MS, Huang MY, Kuo CH, Hung CH. The effects of environmental toxins on allergic inflammation. Allergy Asthma Immunol Res. 2014;6(6):478–84.CrossRef
4.
go back to reference Murrison LB, Brandt EB, Myers JB, Hershey GKK. Environmental exposures and mechanisms in allergy and asthma development. J Clin Invest. 2019;129(4):1504–15.CrossRef Murrison LB, Brandt EB, Myers JB, Hershey GKK. Environmental exposures and mechanisms in allergy and asthma development. J Clin Invest. 2019;129(4):1504–15.CrossRef
5.
go back to reference Tchounwou PB, Yedjou CG, Patlolla AK, Sutton DJ. Heavy metal toxicity and the environment. Exp Suppl. 2012;101:133–64. Tchounwou PB, Yedjou CG, Patlolla AK, Sutton DJ. Heavy metal toxicity and the environment. Exp Suppl. 2012;101:133–64.
6.
go back to reference Jesenak M, Zelieskova M, Babusikova E. Oxidative stress and bronchial asthma in children-causes or consequences? Front Pediatr. 2017;5:162.CrossRef Jesenak M, Zelieskova M, Babusikova E. Oxidative stress and bronchial asthma in children-causes or consequences? Front Pediatr. 2017;5:162.CrossRef
7.
go back to reference Kuti BP, Kuti DK, Smith OS. Serum zinc, selenium and total antioxidant contents of Nigerian children with asthma: association with disease severity and symptoms control. J Trop Pediatr. 2020;66(4):395–402.CrossRef Kuti BP, Kuti DK, Smith OS. Serum zinc, selenium and total antioxidant contents of Nigerian children with asthma: association with disease severity and symptoms control. J Trop Pediatr. 2020;66(4):395–402.CrossRef
8.
go back to reference Chen M, Sun Y, Wu Y. Lower circulating zinc and selenium levels are associated with an increased risk of asthma: evidence from a meta-analysis. Public Health Nutr. 2020;23(9):1555–62.CrossRef Chen M, Sun Y, Wu Y. Lower circulating zinc and selenium levels are associated with an increased risk of asthma: evidence from a meta-analysis. Public Health Nutr. 2020;23(9):1555–62.CrossRef
9.
go back to reference Dursun A, Yurdakok K, Yalcin SS, Tekinalp G, Aykut O, Orhan G, Morgil GK. Maternal risk factors associated with lead, mercury and cadmium levels in umbilical cord blood, breast milk and newborn hair. J Matern Fetal Neonatal Med. 2016;29(6):954–61.CrossRef Dursun A, Yurdakok K, Yalcin SS, Tekinalp G, Aykut O, Orhan G, Morgil GK. Maternal risk factors associated with lead, mercury and cadmium levels in umbilical cord blood, breast milk and newborn hair. J Matern Fetal Neonatal Med. 2016;29(6):954–61.CrossRef
10.
go back to reference Yalcin SS, Firat MC, Tosun E, Yalcin S. A possible etiological factor in obesity: element status in blood and tooth of overweight versus normal-weight children. Int J Environ Health Res. 2018;29:1–13. Yalcin SS, Firat MC, Tosun E, Yalcin S. A possible etiological factor in obesity: element status in blood and tooth of overweight versus normal-weight children. Int J Environ Health Res. 2018;29:1–13.
11.
go back to reference Yalçın SS, Çak T, Yalçın S. Lower strontium in two different body matrices in neurodevelopmental disorders: a preliminary report. J Trace Elem Med Biol. 2020;62:126553.CrossRef Yalçın SS, Çak T, Yalçın S. Lower strontium in two different body matrices in neurodevelopmental disorders: a preliminary report. J Trace Elem Med Biol. 2020;62:126553.CrossRef
12.
go back to reference Yalçin SS, Dönmez Y, Aypar E, Yalçin S. Element profiles in blood and teeth samples of children with congenital heart diseases in comparison with healthy ones. J Trace Elem Med Biol. 2021;63:126662.CrossRef Yalçin SS, Dönmez Y, Aypar E, Yalçin S. Element profiles in blood and teeth samples of children with congenital heart diseases in comparison with healthy ones. J Trace Elem Med Biol. 2021;63:126662.CrossRef
13.
14.
go back to reference Zhu M, Fitzgerald EF, Gelberg KH, Lin S, Druschel CM. Maternal low-level lead exposure and fetal growth. Environ Health Perspect. 2010;118(10):1471–5.CrossRef Zhu M, Fitzgerald EF, Gelberg KH, Lin S, Druschel CM. Maternal low-level lead exposure and fetal growth. Environ Health Perspect. 2010;118(10):1471–5.CrossRef
15.
go back to reference Cassidy-Bushrow AE, Sitarik AR, Havstad S, Park SK, Bielak LF, Austin C, Johnson CC, Arora M. Burden of higher lead exposure in African–Americans starts in utero and persists into childhood. Environ Int. 2017;108:221–7.CrossRef Cassidy-Bushrow AE, Sitarik AR, Havstad S, Park SK, Bielak LF, Austin C, Johnson CC, Arora M. Burden of higher lead exposure in African–Americans starts in utero and persists into childhood. Environ Int. 2017;108:221–7.CrossRef
16.
go back to reference Flexeder C, Kabary Hassan L, Standl M, Schulz H, Kuhnisch J. Is There an Association between Asthma and Dental Caries and Molar Incisor Hypomineralisation? Caries Res. 2020;54(1):87–95.CrossRef Flexeder C, Kabary Hassan L, Standl M, Schulz H, Kuhnisch J. Is There an Association between Asthma and Dental Caries and Molar Incisor Hypomineralisation? Caries Res. 2020;54(1):87–95.CrossRef
17.
go back to reference Silva MJ, Scurrah KJ, Craig JM, Manton DJ, Kilpatrick N. Etiology of molar incisor hypomineralization—a systematic review. Community Dent Oral Epidemiol. 2016;44(4):342–53.CrossRef Silva MJ, Scurrah KJ, Craig JM, Manton DJ, Kilpatrick N. Etiology of molar incisor hypomineralization—a systematic review. Community Dent Oral Epidemiol. 2016;44(4):342–53.CrossRef
19.
go back to reference World Health Organization. WHO AnthroPlus for personal computers manual: software for assessing growth of the world’s children and adolescents. Geneva: WHO; 2009. World Health Organization. WHO AnthroPlus for personal computers manual: software for assessing growth of the world’s children and adolescents. Geneva: WHO; 2009.
20.
go back to reference Beckhaus AA, Garcia-Marcos L, Forno E, Pacheco-Gonzalez RM, Celedon JC, Castro-Rodriguez JA. Maternal nutrition during pregnancy and risk of asthma, wheeze, and atopic diseases during childhood: a systematic review and meta-analysis. Allergy. 2015;70(12):1588–604.CrossRef Beckhaus AA, Garcia-Marcos L, Forno E, Pacheco-Gonzalez RM, Celedon JC, Castro-Rodriguez JA. Maternal nutrition during pregnancy and risk of asthma, wheeze, and atopic diseases during childhood: a systematic review and meta-analysis. Allergy. 2015;70(12):1588–604.CrossRef
21.
go back to reference Pan Z, Zhang X, Hui Y, Xiang H, Wang Q, Xu S, Li L. Sex difference between trace elements and pulmonary functions in children. Biol Trace Elem Res. 2020;197(2):405–10.CrossRef Pan Z, Zhang X, Hui Y, Xiang H, Wang Q, Xu S, Li L. Sex difference between trace elements and pulmonary functions in children. Biol Trace Elem Res. 2020;197(2):405–10.CrossRef
22.
go back to reference Guo CH, Liu PJ, Hsia S, Chuang CJ, Chen PC. Role of certain trace minerals in oxidative stress, inflammation, CD4/CD8 lymphocyte ratios and lung function in asthmatic patients. Ann Clin Biochem. 2011;48(Pt 4):344–51.CrossRef Guo CH, Liu PJ, Hsia S, Chuang CJ, Chen PC. Role of certain trace minerals in oxidative stress, inflammation, CD4/CD8 lymphocyte ratios and lung function in asthmatic patients. Ann Clin Biochem. 2011;48(Pt 4):344–51.CrossRef
23.
go back to reference Picado C, Deulofeu R, Lleonart R, Agusti M, Mullol J, Quinto L, Torra M. Dietary micronutrients/antioxidants and their relationship with bronchial asthma severity. Allergy. 2001;56(1):43–9.CrossRef Picado C, Deulofeu R, Lleonart R, Agusti M, Mullol J, Quinto L, Torra M. Dietary micronutrients/antioxidants and their relationship with bronchial asthma severity. Allergy. 2001;56(1):43–9.CrossRef
24.
go back to reference Kocyigit A, Armutcu F, Gurel A, Ermis B. Alterations in plasma essential trace elements selenium, manganese, zinc, copper, and iron concentrations and the possible role of these elements on oxidative status in patients with childhood asthma. Biol Trace Elem Res. 2004;97(1):31–41.CrossRef Kocyigit A, Armutcu F, Gurel A, Ermis B. Alterations in plasma essential trace elements selenium, manganese, zinc, copper, and iron concentrations and the possible role of these elements on oxidative status in patients with childhood asthma. Biol Trace Elem Res. 2004;97(1):31–41.CrossRef
25.
go back to reference van Oeffelen AA, Bekkers MB, Smit HA, Kerkhof M, Koppelman GH, Haveman-Nies A, van der AD, Jansen EH, Wijga AH. Serum micronutrient concentrations and childhood asthma: the PIAMA birth cohort study. Pediatr Allergy Immunol. 2011;22(8):784–93.CrossRef van Oeffelen AA, Bekkers MB, Smit HA, Kerkhof M, Koppelman GH, Haveman-Nies A, van der AD, Jansen EH, Wijga AH. Serum micronutrient concentrations and childhood asthma: the PIAMA birth cohort study. Pediatr Allergy Immunol. 2011;22(8):784–93.CrossRef
26.
go back to reference Ariaee N, Farid R, Shabestari F, Shabestari M, Jabbari Azad F. Trace elements status in sera of patients with allergic asthma. Rep Biochem Mol Biol. 2016;5(1):20–5.PubMedPubMedCentral Ariaee N, Farid R, Shabestari F, Shabestari M, Jabbari Azad F. Trace elements status in sera of patients with allergic asthma. Rep Biochem Mol Biol. 2016;5(1):20–5.PubMedPubMedCentral
27.
go back to reference Urushidate S, Matsuzaka M, Okubo N, Iwasaki H, Hasebe T, Tsuya R, Iwane K, Inoue R, Yamai K, Danjo K, et al. Association between concentration of trace elements in serum and bronchial asthma among Japanese general population. J Trace Elem Med Biol. 2010;24(4):236–42.CrossRef Urushidate S, Matsuzaka M, Okubo N, Iwasaki H, Hasebe T, Tsuya R, Iwane K, Inoue R, Yamai K, Danjo K, et al. Association between concentration of trace elements in serum and bronchial asthma among Japanese general population. J Trace Elem Med Biol. 2010;24(4):236–42.CrossRef
28.
go back to reference Chitamanni P, Chandrasekaran V, Rajendiran S. Serum total magnesium level and its correlation with symptom control in children with mild persistent asthma. Indian J Pediatr. 2018;85(6):420–5.CrossRef Chitamanni P, Chandrasekaran V, Rajendiran S. Serum total magnesium level and its correlation with symptom control in children with mild persistent asthma. Indian J Pediatr. 2018;85(6):420–5.CrossRef
30.
go back to reference Liu YJ, Su WT, Chen PH. Magnesium and zinc borate enhance osteoblastic differentiation of stem cells from human exfoliated deciduous teeth in vitro. J Biomater Appl. 2018;32(6):765–74.CrossRef Liu YJ, Su WT, Chen PH. Magnesium and zinc borate enhance osteoblastic differentiation of stem cells from human exfoliated deciduous teeth in vitro. J Biomater Appl. 2018;32(6):765–74.CrossRef
31.
go back to reference Alsharnoubi J, Alkharbotly A, Waheed H, Elkhayat Z, Hussein DY. Could we diagnose childhood asthma by LIBS technique? Lasers Med Sci. 2020;35(4):807–12.CrossRef Alsharnoubi J, Alkharbotly A, Waheed H, Elkhayat Z, Hussein DY. Could we diagnose childhood asthma by LIBS technique? Lasers Med Sci. 2020;35(4):807–12.CrossRef
32.
go back to reference Heinrich J, Guo F, Trepka MJ. Brief report: low-level mercury exposure and risk of asthma in school-age children. Epidemiology. 2017;28(1):116–8.CrossRef Heinrich J, Guo F, Trepka MJ. Brief report: low-level mercury exposure and risk of asthma in school-age children. Epidemiology. 2017;28(1):116–8.CrossRef
34.
go back to reference Wu KG, Chang CY, Yen CY, Lai CC. Associations between environmental heavy metal exposure and childhood asthma: a population-based study. J Microbiol Immunol Infect. 2019;52(2):352–62.CrossRef Wu KG, Chang CY, Yen CY, Lai CC. Associations between environmental heavy metal exposure and childhood asthma: a population-based study. J Microbiol Immunol Infect. 2019;52(2):352–62.CrossRef
35.
go back to reference Wells EM, Bonfield TL, Dearborn DG, Jackson LW. The relationship of blood lead with immunoglobulin E, eosinophils, and asthma among children: NHANES 2005–2006. Int J Hyg Environ Health. 2014;217(2–3):196–204.CrossRef Wells EM, Bonfield TL, Dearborn DG, Jackson LW. The relationship of blood lead with immunoglobulin E, eosinophils, and asthma among children: NHANES 2005–2006. Int J Hyg Environ Health. 2014;217(2–3):196–204.CrossRef
36.
go back to reference Rabito FA, Horter L, Langlois EC, Carlson JC, White LE, Schwartz K, Osman P, Rice JC. Blood lead and pediatric asthma. Epidemiology. 2013;24(3):474–6.CrossRef Rabito FA, Horter L, Langlois EC, Carlson JC, White LE, Schwartz K, Osman P, Rice JC. Blood lead and pediatric asthma. Epidemiology. 2013;24(3):474–6.CrossRef
37.
go back to reference Wang IJ, Karmaus WJJ, Yang CC. Lead exposure, IgE, and the risk of asthma in children. J Expo Sci Environ Epidemiol. 2017;27(5):478–83.CrossRef Wang IJ, Karmaus WJJ, Yang CC. Lead exposure, IgE, and the risk of asthma in children. J Expo Sci Environ Epidemiol. 2017;27(5):478–83.CrossRef
39.
go back to reference Peden DB. The “envirome” and what the practitioner needs to know about it. Ann Allergy Asthma Immunol. 2019;123(6):542–9.CrossRef Peden DB. The “envirome” and what the practitioner needs to know about it. Ann Allergy Asthma Immunol. 2019;123(6):542–9.CrossRef
Metadata
Title
Evaluation of blood and tooth element status in asthma cases: a preliminary case–control study
Authors
S. Songül Yalçın
Nagehan Emiralioğlu
Suzan Yalçın
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Pulmonary Medicine / Issue 1/2021
Electronic ISSN: 1471-2466
DOI
https://doi.org/10.1186/s12890-021-01565-9

Other articles of this Issue 1/2021

BMC Pulmonary Medicine 1/2021 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.