SEX DIFFERENCES IN TRACE METALS AND DISEASE ACTIVITY IN PATIENTS WITH RHEUMATOID ARTHRITIS.
- Rheumatology Laboratory, Department of Biotechnology, Chhatrapati Shahu Ji Maharaj University, Kanpur.
- Department of Biochemistry, Integral University, Lucknow.
- Community Health Centre, Shivrajpur, Kanpur.
- Department of Biotechnology, Baba Bhimrao Ambedkar University, Lucknow.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Abstract Objectives: Rheumatoid arthritis (RA) is chronic autoimmune disease marked by tissue inflammation and joint destruction. Sex differences and essential element derangement in the incidences of RA are well described. Methods: The present study aims to determine serum mineral level, superoxide dismutase (SOD) activity and disease activity score (DAS) in female and male RA subjects and association of minerals with disease activity in both the sexes. Results: Female RA patients had significantly reduced serum Zn as compared to male RA subjects. Females had non significantly low values for copper, magnesium and phosphorous as compared to male RA subjects. SOD and DAS were significantly increased in female RA subjects. The RA subjects had higher levels of serum zinc, copper and lower levels of serum Mg when compared with reference values. However none of them were found to be associated with disease activity. Conclusions: The results suggest derangement of minerals in RA where mineral evaluation and supplementation especially of magnesium in RA patients would be helpful.
- Talal N: Sjögren's syndrome: historical overview and clinical spectrum of disease. Rheum Dis Clin North Am 1992, 18:507-515.
- Linos A, Worthington JW, O'Fallon WM, Kurland LT: The epidemiology of rheumatoid arthritis in Rochester, Minnesota: a study of incidence, prevalence and mortality. Am J Epidemiol 1980, 111:87-98.
- Steen V, Conte C, Santoro D, et al.: Twenty-year incidence survey of systemic sclerosis (scleroderma). Arthritis Rheum 1980, 23:581-590.
- Will R, Edmunds L, Elswood J, Calin A: Is there sexual inequality in ankylosing spondylitis? A study of 498 women and 1202 men. J Rheumatol 1990, 17:1649-1652.
- Wolfe AM, Kellgren JH, Masi AT: The epidemiology of rheumatoid arthritis: a review. II. Incidence and diagnostic criteria. Bull Rheum Dis 1968, 19:524-529.
- Van Vollenhoven RF, McGuire JL: Estrogen, Progesterone, and Testosterone: Can they be used to treat Autoimmune Diseases? Cleveland Clinic J Med 1994, 61:276.
- Cutolo M, Villaggio B, Seriolo B, Montagna P, Capellino S, Straub RH, Sulli A: Synovial fluid estrogens in rheumatoid arthritis. Autoimmun Rev 2004, 3:193-198.
- Wilder RL: Hormones, pregnancy, and autoimmune diseases. Ann N Y Acad Sci 1998, 840:45-50.
- Cutolo M, Sulli A, Capellino S, Villaggio B, Montagna P, Seriolo B, Straub RH: Sex hormones influence on the immune system: basic and clinical aspects in autoimmunity. Lupus 2004, 13:635-638.
- Olsen NJ, Kovacs WJ: Hormones, pregnancy, and rheumatoid arthritis. J Gend Specif Med 2002, 5:28-37.
- O'Brien SM, Fitzgerald P, Scully P, Landers A, Scott LV, Dinan TG: Impact of gender and menstrual cycle phase on plasma cytokine concentrations. Neuroimmunomodulation 2007, 14:84-90.
- Forslind K, Hafstrom I, Ahlmen M, Svensson B: Sex: a major predictor of remission in early rheumatoid arthritis? Ann Rheum Dis 2007, 66:46-52.
- Tengstrand B, Ahlmen M, Hafstrom I: The influence of sex on rheumatoid arthritis: a prospective study of onset and outcome after 2 years. J Rheumatol 2004, 31:214-222.
- Symmons DP: Epidemiology of rheumatoid arthritis: determinants of onset, persistence and outcome. Best Pract Res Clin Rheumatol 2002, 16:707-722.
- Kuiper S, van Gestel AM, Swinkels HL, de Boo TM, da Silva JA, van Riel PL: Influence of sex, age, and menopausal state on the course of early rheumatoid arthritis. J Rheumatol 2001, 28:1809-1816.
- Da Silva JA, Hall GM: The effects of gender and sex hormones on outcome in rheumatoid arthritis. Baillieres Clin Rheumatol 1992, 6:196-219.
- Lucia M, Isabela S, Minerva G. Changes of serum magnesium level in patients with rheumatoid arthritis stage I-II, before treatment. Med Con 2011; 6:9-16.
- Mierzecki A, Strecker D, Radomska K. A pilot study on zinc levels in patients with Rheumatoid arthritis Biol Trace Elem Res 2011; 143:854-862.
- Milanino R, Frigo A, Bambara LM et al. Copper and zinc status in rheumatoid arthritis: studies of plasma, erythrocytes and urine, and their relationship with disease activity markers and pharmacological treatment. Clin Exp Rheumatol 1993; 11: 271-81.
- Stabel JR, Spears JW. Effect of copper on immune function and disease resistance. Adv Exp Med Biol 1989; 258:243-52.
- Simkin PA. Oral zinc sulphate in rheumatoid arthritis. Lancet 1976;2:539-42.
- Rainsford KD. Environment ion perturbations, especially as they affect copper status, are a factor in the etiology of arthritis conditions: an hypothesis. In: Sorenson JRJ, editor. Inflammatory disease and copper. Clifton, NJ, Humana Press; 1982. pp. 137-43.
- Sandstead HH, Penland JG, Alcock NW, Dayal HH et al Effects of repletion with zinc and other micronutrients on neuropsychologic performance and growth of Chinese children. Am J Clin Nutr 1998: 68:470-5S.
- Arnett FC, Edworthy SM, Bloch DA, Mc Shane, DJ, Fries JF, Cooper NS et al. The American Rheumatism Association 1987 revised criteria for the classification of Rheumatoid arthritis. Arthritis Rheum 1988; 31:315-24.
- Misra, H.P., and Fridovich, I. The role of superoxide anion in the autoxidation of epinephrine and a simple assay for superoxide dismutase. J. Biol. Chem. 1972; 247,188.
- van Vollenhoven RF Sex differences in rheumatoid arthritis: more than meets the eye...BMC Medicine 2009, 7:12.
- Amin RS, Adallah FR, Abdel-Hamid NM. Variations in some. Blood minerals related to bone remodeling and haematopoiesis in rheumatoid arthritis. Abstracts of The IXth International Convention of Polish Magnesium Society “Contemporary directions in researches on elements” Kazimierz Dolny upon Wisla, Poland 9th -12th September, 2004. Magnesium Research. 2005; 18(2):135-40. [Magnesium Research. 18(2); 135-40, June 2005, ABSTRACTS]
- Cortes YE, Moses L. Magnesium disturbances in critically ill patients. Compend Contin Educ Vet. 2007;29(7):420-27.
- Chavan VU, Ramavataram DVSS, Patel PA, Rupani MP. Evaluation of serum magnesium, lipid profile and various biochemical parameters as risk factors of cardiovascular diseases in patients with rheumatoid arthritis. J Clin Diag Res 2015; 9: BC01-BC05.
- Weisinger JR, Bellorin-Font E. Magnesium and phosphorus. Lancet 1998; 352:391-96.
- Chiuve SE, Korngold EC, Januzzi Jr. JL, Gantzer ML, Albert CM. Plasma and dietary magnesium and risk of sudden cardiac death in women. Am J Clin Nutr 2011; 93:253-60.
- Makhdoom A, Rahopoto MQ, Laghari MA, Qureshi Pir AL, Siddiqui KA. Bone mineral levels in rheumatoid arthritis. Medical Channel 2009; 15:99-102.
- Rodríguez-Morán M, Guerrero-Romero F. Serum magnesium and C-reactive protein levels. Arch Dis Child 2008; 93:676–80.
- Jacobson DM. Corinthian bronze and the gold of alchemists. Gold Bulletin. 2000;33(2):60-66.
- Rainsford KD. Environment ion perturbations, especially as they affect copper status, are a factor in the etiology of arthritis conditions: an hypothesis. In: Sorenson JRJ, editor. Inflammatory disease and copper. Clifton, NJ, Humana Press 1982; pp. 137-43.
- Milanino R, Marrella M, Gasperini R, Pasqualicchio M, Velo G. Cu and Zn body levels in inflammation: an overview of the data obtained from animal and human studies. Agents Actions. 1983;39:195-209.
- Gubler CJ, Lahey ME, Cartwright GE, Wintrobe MM. Studies on copper metabolism. IX. Transportation of copper in blood. Jour. Clin. Investigations. 1953;32:405–14.
- Scudder PR, Al-Timimi D, McMurray W, White AG, Zoob BC, Dormandy TL. Serum copper and related variables in rheumatoid arthritis, Ann. Rheum. Dis 1978; 37: 67–70.
- Tuncer S, Kamanli A, Akcil E, Kavas GO, Seckin B, Atay MB. Trace element and magnesium levels and superoxide dismutase activity in rheumatoid arthritis, Biol. Trace Element Res 1999; 68:137–142.
- Ford ES. Serum copper concentrations and coronary heart disease among US adults. Am J Epidemiol 2000; 151:1182-8.
- Liuzzo G, Biasucci LM, Gallimore JR et al. The prognostic value of C-reactive protein and serum amyloid a protein in severe unstable angina. N Engl J Med 1994; 331: 417-24.
- Yang TH, Yuan TH, Hwang YH, Lian LB, Meng M, Su CC Increased inflammation in rheumatoid arthritis patients living where farm soils contain high levels of copper. J Formosan Med Ass 2016; 115: 991-996.
- Aaseth J, Munthe E, Forre O, Steinnes E. Trace elements in serum and urine of patients with rheumatoid arthritis. Scand J Rheumatoid 1978; 7: 237-40.
- Balogh Z, El-Ghobarey AF, Fell GS, Brown DH, Dunlop J, Dick WC. Plasma zinc and its relationship to clinical symptoms and drug treatment in rheumatoid arthritis. Ann Rheum Dis 1980; 39:329 – 332.
- Chakraborty M, Chutia H, Changkakati R. Serum Copper as a Marker of Disease Activity in Rheumatoid Arthritis Journal of Clinical and Diagnostic Research. 2015 Dec, Vol-9(12): BC09-BC11.
- Zoli A, Altomonte L, Caricchio R et al. Serum zinc and copper in active rheumatoid arthritis: correlation with interleukin 1? and tumour necrosis factor ?. Clin Rheumatol 1998; 17:378–382.
- Dean C. The magnesium miracle. 1st edn. New York: Ballintine Books (an imprint of the Random House Publishing Group. Inc.). 2007; pp. 1-400.
- Armagan A, Uzar E, Uz E, Yilmaz HR, Kutluhan S, Koyuncuoglu HR, Soyupek S, Cam H, Serel TA Caffeic acid phenethyl ester modulates methotrexate-induced oxidative stress in testes of rat. Hum Exp Toxicol 2008; 27:547–552.
- Al-Saleh E, Al-Harmi J, Nandakumaran M, Al-Shammari M, Al-Jassar W. Effect of methotrexate administration on status of some essential trace elements and antioxidant enzymes in pregnant rats in late gestation. Gynecol Endocrinol 2009; 25:816–822.
- Vijayakumar D, Suresh K. Lipid peroxidation and antioxidant status in blood of rheumatoid .Indian Journal of Clinical Biochemistry 2006; 21 (1) 104-108.
- Cimen MY, Cimen OB, Kaçmaz M, Oztürk HS, Yorgancio?lu R, Durak I Oxidant/antioxidant status of the erythrocytes from patients with rheumatoid arthritis. Clin Rheumatol 2000; 19: 275-277.
- Gregory E M, Fridovich I. Induction of superoxide dismutase by molecular oxygen. J Bacteriol 1973; 114: 543-8.
- Hassan H M, Fridovich I. Regulation of the synthesis of superoxide dismutase in Escherichia coli: induction by methyl viologen. J Biol Chem 1977; 252: 7667-72.
- Jaswal S, Mehta HC, Sood AK, Kaur J. Antioxidant status in rheumatoid arthritis and role of antioxidant therapy. Clin Chim Acta. 2003; 338:123–129.
- Nourmohammadi I, Athari-Nikazm S, Vafa MR, Bidari A, Jazayeri S, Hoshyarrad A et al., Effect of antioxidant supplementations on oxidative stress in rheumatoid arthritis patients. J Biol Scien 2010; 10: 63-66.
[Vivek Kumar, Ajai Kumar, Jaya Prakash, Varsha Gupta and M Y Khan. (2017); SEX DIFFERENCES IN TRACE METALS AND DISEASE ACTIVITY IN PATIENTS WITH RHEUMATOID ARTHRITIS. Int. J. of Adv. Res. 5 (Jan). 2513-2518] (ISSN 2320-5407). www.journalijar.com
Chhatrapati Shahu Ji Maharaj University, Kanpur