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白内障患者血液和房水中的微量元素浓度

Trace Element Concentration in the Blood and Aqueous Humor of Subjects with Eye Cataract.

作者信息

Forte Giovanni, Battagliola Edoardo Trovato, Malvasi Mariaelena, Ruberti Niccolò, Daniele Pierluigi, Mantovani Alberto, Bocca Beatrice, Pacella Elena

机构信息

Department of Environment and Health, Italian National Institute of Health, 00161, Rome, Italy.

Department of Sense Organs, University of Rome La Sapienza, 00161, Rome, Italy.

出版信息

Biol Trace Elem Res. 2025 Feb;203(2):684-693. doi: 10.1007/s12011-024-04207-3. Epub 2024 Apr 30.

Abstract

Cataract, characterized by the opacification of the lens, is the leading cause of reversible blindness and visual impairment globally. The study aims to investigate the role of trace elements such as Cd, Co, Cr, Cu, Fe, Hg, Mn, Ni, Pb, Se, and Zn in the development and severity of cataract. Elements were quantified by inductively coupled plasma mass spectrometry in blood and aqueous humor of 32 cataract cases and 27 controls living in the Latium region, Italy. The association between element concentration in blood and aqueous humor and cataract severity, gender, and age of subjects were also assessed. Results showed Cr levels significantly elevated in both blood and aqueous humor of cataract cases, with concentrations that increased with cataract severity. In addition, blood Pb levels were significantly higher in older cases and positively correlated with the age of cataract cases, while blood Co and Cu levels negatively correlated with cataract severity, suggesting changes in the levels of these elements. In conclusion, this study provides evidence of the involvement of specific elements in cataract development and severity, and the findings highlighted important avenues for future research. Understanding the biological mechanism underlying element-induced cataract may contribute to preventing cataractogenesis and providing targeted interventions.

摘要

白内障以晶状体混浊为特征,是全球可逆性失明和视力损害的主要原因。本研究旨在调查镉、钴、铬、铜、铁、汞、锰、镍、铅、硒和锌等微量元素在白内障发生发展及严重程度中的作用。采用电感耦合等离子体质谱法对意大利拉齐奥地区32例白内障患者和27例对照者的血液和房水中的元素进行定量分析。同时评估了血液和房水中元素浓度与白内障严重程度、性别及受试者年龄之间的关联。结果显示,白内障患者血液和房水中的铬水平均显著升高,且其浓度随白内障严重程度增加而升高。此外,老年白内障患者血液中的铅水平显著更高,且与白内障患者年龄呈正相关,而血液中的钴和铜水平与白内障严重程度呈负相关,表明这些元素水平发生了变化。总之,本研究为特定元素参与白内障发生发展及严重程度提供了证据,研究结果突出了未来研究的重要方向。了解元素诱发白内障的生物学机制可能有助于预防白内障的发生并提供针对性干预措施。

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