Danuta Kosik-Bogacka

Relationship between the concentrations of heavy metals and bioelements in aging men with metabolic syndrome.

Heavy metals may exacerbate metabolic syndrome (MS) but abnormal serum concentrations of bioelements may also co-exist with MS. The primary aim of the study was to assess the relationship of blood heavy metal and bioelement concentrations and MS, in men aged 50–75 years. Heavy metals—lead (Pb), cadmium (Cd), mercury (Hg), arsenic (As), tungsten (W), Macroelements—magnesium (Mg) and calcium (Ca), and microelements—iron (Fe), zinc (Zn) copper (Cu), chromium (Cr), molybdenum (Mo), selenium (Se) and manganese (Mn), body mass index (BMI), waist to hip ratio (WHR), abdominal circumference (AC) and blood pressure (BP), total cholesterol (TCh), high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglyceride (TG), fasting plasma glucose (FPG), insulin, and Homeostasis Model Assessment—Insulin resistance (HOMA-IR). The men with MS showed statistically significant higher Zn and lower Mg concentrations. Those with diabetes had higher Ca concentration and lower Mg concentration. Cr and Mn concentrations were significantly higher in obese men. The participants with hypertension had lower Mg concentration. We found statistically significant positive correlations (W-TCh, W-LDL, Mg-TCh, Mg-LDL, Ca-TCh, Ca-LDL, Ca-insulin, Ca-HOMAR-IR, Zn-TG, Zn-insulin, Zn-HOMA-IR, Cu-BP systolic, Mn-BMI, Mn-AC, Mn-WHR, Mn-insulin, Mn-HOMA-IR, Se-TCh, Se-LDL, Se-TG, Se-insulin, Se-HOMA-IR, Cr-TCh, Cr-HDL, Cr-LDL, Cr-TG) and negative correlations (Cd-insulin, Hg-WHR, W-insulin, W-HOMA-IR, Mg-BMI, Mg-AC, Mg-WHR, Mg-BP systolic, Mo-insulin, Mn-HDL). Tungsten may contribute to lipid disorders. Magnesium appears to play the protective role in the occurrence of metabolic disorders. Microelements Mn, Cr and Se may intensify MS.

Hymenolepis diminuta: Analysis of the expression of Toll-like receptor genes and protein (TLR3 and TLR9) in the small and large intestines of rats

Toll-like receptors (TLRs) play a fundamental role in the rapid activation of innate immune responses to a variety of pathogen-associated molecular patterns (PAMPs). In a previous study we observed an increase in the level of expression of TLR2 and TLR4 mRNA in the jejunum and colon during experimental hymenolepidosis in rats. In this study, we performed a quantitative real-time polymerase chain reaction (qRT-PCR), Western blot analysis and immunohistochemical staining of TLR3 and TLR9 receptors during experimental hymenolepidosis in rats. The levels of mRNA and protein expression of TLR3 and TLR9 in the jejunum had increased at 16 days post Hymenolepis diminuta infection (dpi) in the case of TLR3 and at 16 and 25 dpi in the case of TLR9. In the colon the expression of TLR3 and TLR9 had increased at 16, 25 and 40 dpi. The results of the immunohistochemical reactions showed that H. diminuta infected rats (16, 25, 40 and 60 dpi) exhibited changes in TLR3 and TLR9 localization and intensity in the epithelial cells of the jejunum and colon. The changes in the level of TLR3 and TLR9 expression may confirm involvement of the innate immune system in the pathomechanism of hymenolepidosis.

Mercury and selenium in the muscle of piscivorous common mergansers (Mergus merganser) from a selenium-deficient European country

Although the relationship between mercury (Hg) and selenium (Se) has been studied in wild birds in areas with sufficient or excessive Se levels, little is known about this relationship in areas where the supply of Se is limited. As Hg detoxification is based on the production of biologically inactive Hg-Se complexes, the aim of this study was to investigate the relationships between the concentrations of total mercury (THg), methylmercury (MeHg), inorganic mercury (InHg=THg-MeHg), percent MeHg of THg, Se and molar ratios (THg:Se, MeHg:Se, InHg:Se) in the breast muscle (n=16) of the piscivorous common mergansers (Mergus merganser) from a Se-deficient and moderately Hg-polluted area in Poland. Mergansers were divided into two groups differing in condition (A-very good condition; C-moderate condition). Concentrations of THg, MeHg and Se were determined by atomic absorption spectrometry, modified gas chromatography atomic fluorescence spectroscopy, and spectrofluorometric methods, respectively. In all studied mergansers, mean concentrations of THg, MeHg, InHg, and Se in muscle were 2.63, 1.92, 0.46, and 0.54µgg(-1)dw, respectively. THg and MeHg concentrations in the muscle of group A mergansers were greater than in group C. The ratio of THg:Se was higher in group A than in group C (2.32 vs 1.36; p<0.01), as well as the molar ratio of MeHg:Se (A vs C: 1.98 vs 1.03; p<0.05). Comparisons between mergansers from Poland and Canada showed similar THg and percent MeHg in the muscle, but mergansers from Poland had several times lower Se levels and higher THg:Se ratios (>2.0) than the Canadian mergansers and other European and North American waterbirds. We found statistically significant positive correlations (MeHg-THg, percent MeHg/THg-MeHg, percent InHg/THg-InHg, THg:Se-THg, MeHg:Se-THg, THg:Se-MeHg, MeHg:Se-MeHg, InHg:Se-InHg, MeHg:Se-THg:Se) and some negative correlations (percent InHg/THg-MeHg, percent MeHg/THg-InHg, THg:Se-Se, MeHg:Se-Se). As THg and percent MeHg in the studied mergansers were similar to populations living in non-Se-deficient areas, it is likely that different mechanisms of muscle Hg detoxification have evolved in mergansers populations living in Se-deficient areas.

Hymenolepis diminuta: Effect of infection on ion transport in colon and blood picture of rats.

The aim of this study was to examine the effect of an infection with Hymenolepis diminuta on ion transport in an isolated colon and blood picture of rats. Fifty rats were orally infected with five cysticercoids of H. diminuta. The experimental groups of rats were assigned to four groups: group I - 8 days post-infection (dpi), group II - 16 dpi, group III - 40 dpi and group IV- 60 dpi. The control group comprised non-infected rats. The experiments consisted of measuring the transepithelial electrical potential difference (PD) and the transepithelial electrical resistance (R) of the rat colon under controlled conditions as well as during mechanical stimulation (MS) using a modified Ussing chamber. Ion transport was modified using inhibitors of the epithelial sodium channel (amiloride - AMI) and the epithelial chloride channel (bumetanide - BUME), and also using capsaicin (CAPSA), a substance which activates C-fibres. The experimental data presented in this study indicates that experimental hymenolepidosis inhibits sodium and chloride ion transport in the epithelium of the rat colon, with preserved tight junction continuity (except at 40 dpi) and a decreased mechanical sensitivity. The effect of capsaicin on ion transport in the rat colon was varied. In control rats it increased ionic current, and in H. diminuta-infected rats it did not cause any changes in PD. Blood picture in this study showed a statistically significantly lower red blood cells (RBC) count and haemoglobin (HGB) concentration in infected rats in comparison to non-infected. Red cell distribution width (RDW) values and platelet (PLT) count were negatively correlated with the duration of infection, whereas mean corpuscular volume (MCV) value was positively correlated. We did not observe leukocytosis during infection, and amongst the differential leukocyte counts eosinophils and basophils showed statistically significant lower values in infected rats in comparison to non-infected. Our results indicate that hymenolepidosis is associated with the activation of inflammatory mediators and stimulation of nervous fibres, which significantly affects the function of ion channels in the epithelium of the colon in the host. At the same time, a significant decrease in eosinophil count during infection suggests that such an infection did not trigger a strong immunological reaction in rats.

Concentrations of trace elements in bones of the hip joint from patients after hip replacement surgery

The aim of this research was to determine the concentrations of two essential elements (copper (Cu) and zinc (Zn)) and three toxic elements (lead (Pb), cadmium (Cd) and mercury (Hg)) in the hip joint bones of patients from the Chair and Clinic of Orthopaedics and Traumatology at the Pomeranian Medical University in Szczecin. We examined 111 samples of hip joint bones obtained from patients from north-western Poland who had undergone arthroplasty of the femoral head. In cartilage with the adjacent compact bone, and in spongy bone from the examined patients, the concentrations (medians) determined were placed in the following descending sequence Zn>Pb>Cu>Cd>Hg. The concentrations ranged from 86 mg Zn/kg to 0.0020 mg Hg/kg dw. It was found that the concentration of lead in the cartilage with adjacent compact bone was higher in men than in women. In conclusion, it seems that in addition to routine monitoring of the abiotic environment, it is essential to monitor concentrations of heavy metals having a long-term impact in humans.

Demodex folliculorum and Demodex brevis in healthy and immunocompromised patients

Abstract Purpose: To examine the proportion of Demodex folliculorum and D. brevis in the eyelashes of healthy and immunocompromised patients. Methods: Eyelashes were taken from 95 patients at the Pomeranian Medical University, Clinic of Haematology, and from 1091 healthy controls. Results: Demodex folliculorum and D. brevis were found in 22.9% of controls and in 20% of immunocompromised patients. In neither the control group nor the immunocompromised patients did we observe a correlation between the proportion of symptoms of blepharitis and the presence of Demodex spp. – symptoms including burning sensations, loss of eyelashes, sensitivity to light, smoke and dust, dacryorrhea (excessive flow of tears), and foreign body eye sensation. A correlation between itching eyes and Demodex spp. infection was found only in the control group. A correlation between the proportion of cylindrical dandruff in eyelashes and the occurrence of Demodex spp was found in both the control group and immunocompromised patients. Conclusion: Proportions of D. folliculorum and D. brevis, and also symptoms of blepharitis were similar in the control group and immunocompromised patients. Immunosuppression did not seem to increase the rate of Demodex spp. infection.

Comparison of concentrations of lead and cadmium in various parts of the femur head in patients after arthroplasty of the hip joint in Northwest Poland.

OBJECTIVE To determine the concentrations of lead (Pb) and cadmium (Cd) in three kinds of materials (cartilage, cortical bone, and cancellous bone) of the femur head obtained from patients in the process of operation. METHODS Concentrations of Pb and Cd were determined in selected parts of the femur head of 30 patients after total hip arthroplasty, using ICP-AES (atomic absorption spectrophotometry). RESULTS Pb contained the highest concentration in cortical bone, while Cd did so in cancellous bone. There were statistically significant differences in the concentrations of both elements between the cartilage and cortical bone, and also differences in the concentration of Pb between the cartilage and cancellous bone. There were no significant differences in the concentrations of Pb or Cd between cortical and cancellous bone. CONCLUSION Comparative studies on toxic metals should take into account both analogous bones and their fragments, as even if they come from the same kind of bones (e.g. femur head), clear differences exist in concentrations of heavy metals related to the sampling site and type of tissue (cartilage, cortical bone, and cancellous bone).

Role of Demodex folliculorum in the pathogenesis of blepharitis.

Editor, T he ectoparasite Demodex folliculorum (Simon 1843) is most common parasite of humans. In the eye, D. folliculorum is found in the eyelash follicle. The aim of this study was to examine the prevalence of D. folliculorum in the eyelashes in patients with haematologic disorders. Eyelashes were collected from 95 patients of the Clinic of Haematology Pomeranian Medical University, Szczecin, Poland, and from 1091 healthy controls. There were 47 (49%) women and 48 (51%) men in the patients group (age range: 58.6 ± 13.1) and 759 (69.6%) women and 332 (30.4%) men in the control group (age range: 58.6 ± 13.0). From each patient, we aseptically collected two lashes from the upper right eyelid and two lashes from the upper left eyelid. The collected material was used in preparations examined using light microscopy (magnified 100 times). Infection of the examined subjects was confirmed by the detection of adult and larval forms of D. folliculorum. Demodex folliculorum is found in 21.8% of healthy controls and 18.9% of haematologic patients (Fig. 1; Table 1). In the control group, D. folliculorum occurred in 22.3% of women and in 20.8% of men. In patients with haematologic disorders, D. folliculorum occurred in 17.5% of women and in 25% of men. A much lower rate of infestation of D. folliculorum (12%) was found in immunosuppressed patients with rheumatoid arthritis (Ciftci et al. 2006). On the other hand, in patients with final-stage renal failure (ESRF) on dialysis treatment, D. folliculorum found in 44.4% of patients (Karincaoglu et al. 2005). In our study, the percentage of D. folliculorum infestation in haematologic patients ranged from 16% of patients with acute leukaemia, MPS and other haematologic diseases, and 21.7% with multiple myeloma, to about 24.1% in patients with nonHodgkin’s lymphoma and CLL. Seyhan et al. (2004) found D. folliculorum in the skin of patients with acute lymphocytic leukaemia (12%), acute myelocytic leukaemia (32%), chronic lymphocytic leukaemia (4%), chronic myelocytic leukaemia (10%), Hodgkin’s lymphoma (4%) and nonHodgkin’s lymphoma (38%). Demodex folliculorum seem to be a mediator of chronic blepharitis; some recommend that mites be sought in cilia of chronic blepharitis patients (Czepita et al. 2007). Elevated subjective symptoms of the ocular surface were caused by increased levels of D. folliculorum. Itching, burning, foreign body sensation, crusting and redness of the lid margin, and blurry vision are the main symptoms. Signs include disorders of eyelashes, lid margin inflammation, meibomian gland dysfunction, blepharoconjunctivitis and blepharokeratitis (Czepita et al. 2007). In the control group, the most common symptoms related to D. folliculorum infestation included sensitivity to light, dacryorrhea and itching of the eyelids; loss of eyelashes was the least common. In the group of haematology patients, dacryorrhea was most frequent, without any reports of sensitivity to smoke, light, foreign body sensation under the eyelids or loss of eyelashes. A 61.7% of D. folliculorum-infected patients in the ophthalmology clinic reported itching, and 59.1% reported red eyes (Inceboz et al. 2009). In our study, we found that D. folliculorum infestation was correlated with cylindrical dandruff in the lash roots, both in the control group and in haematologic patients. In patients with D. folliculorum infestation in eyelashes, we found trichiasis, meibomian gland dysfunction with lipid tear deficiency and conjunctival inflammation (Czepita et al. 2007). The prevalence of D. folliculorum in patients with haematologic diseases was similar to that of the control group. Demodicosis may cause itchiness in the eyelids and cylindrical dandruff in the lash roots.

Hymenolepis diminuta: Activity of anti-oxidant enzymes in different parts of rat gastrointestinal tract.

The aim of this study was to assess the intensity of oxidative stress by measuring levels of lipid peroxidation products in the duodenum, jejunum and colon of rats infected with Hymenolepis diminuta and evaluate the effectiveness of protection against oxidative stress by measuring the glutathione levels and activity of anti-oxidant enzymes: superoxide dismutase, catalase, glutathione reductase and glutathione peroxidase. In exposed rats we observed a significant increase of lipid peroxidation products in the duodenum and jejunum. A significant decrease in superoxide dismutase activity in all the examined parts of the digestive tract was observed. Additionally, rats from 16 to 40 days post H. diminuta infection (dpi) had a decreased catalase activity in the colon, while at 60dpi it increased. The glutathione peroxidase activity increased significantly in the colon at 60dpi. The increase in glutathione reductase activity was observed in the colon in rats 60dpi. There was a lack of changes in the levels of glutathione in the duodenum and a significant increase in its concentration in the jejunum and colon from 40 to 60dpi and from 16 to 40dpi, respectively. In this study we observed altered activity of anti-oxidant enzymes and glutathione level in experimental hymenolepidosis, as a consequence of oxidative stress. It may indicate a decrease in the efficiency of intestinal protection against oxidative stress induced by the presence of the parasite. The imbalance between oxidant and anti-oxidant processes may play a major role in pathology associated with hymenolepidosis.

Hymenolepis diminuta: the effects of infection on transepithelial ion transport and tight junctions in rat intestines.

In this study, we examine the effect of Hymenolepis diminuta on ion transport in the ileum and on tight junctions in the ileum and colon of rats. We also evaluate the effect of H. diminuta on C-fiber endings in the ileum, the direct habitat of H. diminuta, before and after mechanical stimulation and pharmacological modification by capsaicin (C-fiber irritant). Wistar rats were orally infected with five cysticercoids of H. diminuta. Using a modified Ussing chamber, electrophysiological parameters of the ileum were measured (transepithelial electrical potential difference and transepithelial electrical resistance) as well as the deposition of occludin (a tight junction protein) in the ileum and colon of the rats 8, 16, 25, 35, 40 and 60 days post infection. We observed a significant reduction in transepithelial electrical potential difference in the ileum of rats infected with H. diminuta. In both the ileum and colon of rats infected with H. diminuta we also observed a decrease in occludin deposition, which indicates leakage of tight junctions, correlating with the decrease in transepithelial electrical resistance of these tissues. The application of capsaicin confirmed the hypothesis that H. diminuta in rats affects the C-fiber sensory receptors, causing changes in ion transport in the ileum. The results of the performed electrophysiological and immunohistochemical examinations indicate hymenolepidosis-related changes in the active transport of ions and the passive movement of ions.