Abstract
The incidence of hypertension has been associated to cigarette smoking and consumption of alcohol. In the present study, trace and toxic elements were determined in scalp hair of patients diagnosed with hypertension who are smokers and habitual alcohol drinkers living in Dublin, Ireland. These results were compared with age- and sex-matched healthy, nonsmokers, nondrinking controls. The concentrations of trace and toxic elements were measured by inductively coupled plasma atomic emission spectrophotometer after microwave-assisted acid digestion. The validity and accuracy of the methodology were checked using certified reference material (NCS ZC 81002b) and by the conventional wet acid digestion method on the same certified reference material and on real samples. The recovery of all the studied elements was found to be in the range of 97.5%–99.7% in certified reference material. The results of this study showed that the mean values of cadmium, copper, iron, nickel and lead were significantly higher in scalp hair samples of both smoker and nonsmoker hypertensive patients than referents (P < 0.001); whereas, the concentration of zinc was lower in the scalp hair samples of hypertensive patients of both genders. The deficiency of zinc and the high exposure of trace and toxic metals as a result of cigarette smoking and alcohol consumption may be synergistic with risk factors associated with hypertension.
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Burt VL, Whelton P, Roccella EJ et al (1995) Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988–1991. Hypertension 25:305–313
Privitera JR, Stang A (1996) Silent clots—life’s biggest killers. The Catacombs Press, Covina, pp 1–55
American Academy of Pediatrics October 1998 Child health month report: the risks of tobacco use: a message to parents and teens. Available at: http://www.aap.org/advocacy/chmtouse.htm (see also Milam JE (2000) Perceived invulnerability and cigarette smoking among adolescents. Addict Behav 25: 71–80)
Kazi TG, Jalbani N, Kazi N et al (2008) Evaluation of toxic metals in blood and urine samples of chronic renal failure patients, before and after dialysis. Ren Fail 30:737–745
Kazi TG, Memon AR, Afridi HI et al (2008) Determination of cadmium in whole blood and scalp hair samples of Pakistani male lung cancer patients by electro thermal atomic absorption spectrometer. Sci Total Environ 389:270–276
Fitzpatrick TM, Blair EA (2000) Smoking and pulmonary and cardiovascular disease: upper airway complications of smoking. Clin Chest Med 21:147–157
McCord JM (1998) Iron, free radicals and oxidative injury. Semin Hematol 35:5–12
McGowan SE, Murray JJ, Parrish MG (1986) Iron binding, internalization, and fate in human alveolar macrophages. J Lab Clin Med 108:587–595
Clegg MS, Ferrell F, Keen CL (1987) Hypertension-induced alterations in copper and zinc metabolism in Dahl Rats. Hypertension 9:624–628
World Health Organization (1974) Trace elements in cardiovascular diseases 45:1
Soylak M, Kidnap M (2001) Serum copper and zinc concentrations of patients with rheumatoid arthritis from Kayseri-Turkey. Fresenius Environ Bull 10:409–410
Soylak M, Saracoglu S, Divrikli U, Elci L (2001) Copper and zinc concentrations of serum samples of healthy people living in Tokat, Turkey. Trace Elem Electrolytes 18:47–50
Hennig B, Meerarani P, Toborek M, Mc-Clain C (1999) Antioxidant-like properties of zinc in activated endothelial cells. J Am Coll Nutr 18:152–158
Memon AR, Kazi TG, Afridi HI et al (2007) Evaluation of zinc status in whole blood and scalp hair of female cancer patients. Clin Chim Acta 379:66–70
Kozlowski LT, Connor RJ (2002) Cigarette filter ventilation is a defective design because of misleading taste, bigger puffs, and blocked vents. Tob Control 11:140–150
Wagner GJ (1993) Accumulation of cadmium in crop plants and its consequences to human health. Adv Agron 51:173–212
Chiba M, Masironi R (1992) Toxic and trace-elements in tobacco and tobacco-smoke. Bull WHO 70:269–275
Reilly C (2002) Metal contamination of food its significance for food quality and human health. Blackwell, Oxford
Csalari J, Szantai K (2002) Transfer rate of cadmium, lead, zinc and iron from the tobacco-cut of the most popular Hungarian cigarette brands to the combustion products. Acta Aliment 31:279–288
Klaus KA, Witte MB, Andrew L et al (2001) Chronic heart failure and micronutrients. J Am Coll Cardiol 37:1765–1774
Gillman MW, Cook NR, Evans DA et al (1995) Relationship of alcohol intake with blood pressure in young adults. Hypertension 25:1106–1110
Ueshima H, Ozawa H, Baba S et al (1992) Alcohol drinking and high blood pressure: data from a 1980 national cardiovascular survey of Japan. J Clin Epidemiol 45:667–673
Veenstra J, Schenkel JA, van Erp-Baart AM et al (1993) Alcohol consumption in relation to food intake and smoking habits in the Dutch National Food Consumption Survey. Eur J Clin Nutr 47:482–489
Nawrot TS, Thijs L, Den Hond EM et al (2002) An epidemiological reappraisal of the association between blood pressure and blood lead: a metaanalysis. J Hum Hypertens 16:123–131
Witte KKA, Nikitin NP, Parker AC et al (2005) The effect of micronutrient supplementation on quality-of-life and left ventricular function in elderly patients with chronic heart failure. Eur Heart J 26:2238–2244
Tuzen M (2002) Determination of some trace elements in whole blood and serum by GFAAS. Trace Elem Electrolytes 19(4):202–204
Kazi TG, Afridi HI, Kazi N et al (2008) Distribution of zinc, copper and iron in biological samples of Pakistani myocardial infarction (1st, 2nd and 3rd heart attack) patients and controls. Clin Chim Acta 389:114–119
Soylak M, Turkoglu O (1999) Trace metal accumulation caused by traffic in agricultural soil near a motorway in Kayseri-Turkey. J Trace Microprobe T 17:209–217
Sari A, Tüzen M, Soylak M (2007) Adsorption of Pb (II) and Cr (III) from Aqueous Solution on Celtek Clay. J Hazard Mater 144:41–46
Soylak M, Saraymen R, Dogan M (1995) Investigation of lead, chromium, cobalt and molybdenum concentrations in hair samples collected from diabetic patients. Fresenius Environ Bull 4:485–490
Afridi HI, Kazi TG, Kazi N et al (2008) Evaluation of status of toxic metals in biological samples of diabetes mellitus patients. Diabetes Res Clin Pract 80:280–288
Sari H, Tüzen M, Mendil D, Hasdemir E (2006) Trace metal contents in human hair from industrial and residential areas in Tokat, Turkey. Trace Elem Electrolytes 23(1):1–4
Tuzen M, Soylak M (2009) Multi-element coprecipitation for separation and enrichment of heavy metal ions for their flame atomic absorption spectrometric determinations. J Hazard Mater 162:724–729
Citak D, Tuzen M (2010) A novel preconcentration procedure using cloud point extraction for determination of lead, cobalt and copper in water and food samples using flame atomic absorption spectrometry. Food Chem Toxicol 48(5):1399–1404
Afridi HI, Kazi TG, Kazi GH et al (2006) Analysis of heavy metals in scalp hair samples of hypertensive patients by conventional and microwave digestion methods. Spectrosc Lett 39:203–214
Kagota S, Yamaguchi Y, Shinozuka K et al (1996) Cigarette smoke-modified low density lipoprotein impairs endothelium-dependent relaxation in isolated rabbit arteries. Gen Pharmacol 27:477–481
Kawachi I, Colditz GA, Speizer FE et al (1997) A prospective study of passive smoking and coronary heart disease. Circulation 95:2374–2379
Landsberger S, Wu D (1995) The impact of heavy metals from environmental tobacco smoke on indoor air quality as determined by Compton suppression neutron activation analysis. Sci Total Environ 173:323–337
Goyer RA (1996) Toxic effects of metals. In: Klaassen CD (ed) Casarett and Doull’s toxicology: the basic science of poisons, vol 5. McGraw-Hill, New York, pp 691–736
Hecht SS (2003) Tobacco carcinogens, their biomarkers and tobacco-induced cancer. Nat Rev Cancer 3:733–744
Kazi TG, Jalbani N, Arain MB et al (2009) Toxic metals distribution in different components of Pakistani and imported cigarettes by electrothermal atomic absorption spectrometer. J Hazard Mater 163:302–307
Sharma G, Sandhir R, Nath R, Gill K (1991) Effect of ethanol on cadmium uptake and metabolism of zinc and copper in rats exposed to cadmium. J Nutr 121:87–91
Brzoska MM, Moniuszko-Jakoniuk J, Jurczuk M, Chraniuk M (1997) The influence of cadmium on bone tissue in rats. Pol J Environ Stud 6:29–32
Stohs SJ, Bagchi D (1995) Oxidative mechanisms in the toxicity of metal ions. Free Radic Biol Med 18:321–336
Waalkes MP, Coogan TP, Barter RA (1992) Toxicological principles of metal carcinogenesis with special emphasis on cadmium. Crit Rev Toxicol 22:175–201
Lonnerdal B (1993) Dietary factors influencing zinc absorption. J Nutr 130:1378–1383
Henning B, Meerarani P, Ramadass P et al (1999) Zinc nutrition and apoptosis of vascular endothelial cells: implications in atherosclerosis. Nutrition 15:744–748
Tang YR, Zhang SQ, Xiong Y et al (2003) Studies of five microelement contents in human serum, hair, and fingernails correlated with aged hypertension and coronary heart disease. Biol Trace Elem Res 92:97–104
Eltayeb MA, Van Grieken RE (1990) Iron, copper, zinc and lead in hair from Sudanese populations of different age groups. Total Environ 95:157–165
Wastney ME, Ahmed S, Henkin RI (1992) Changes in regulation of human zinc metabolism with age. Am J Physiol 263:R1 162–R1 168
Wagner KA, McDaniel R, Self D (2001) Collection and preparation of side stream cigarette smoke for trace elemental determinations by graphite furnace atomic absorption spectrometry and inductively coupled plasma mass spectrometry. JAOAC International 84:1934–1940
Satarug S, Vanavanitkun Y, Baker JR et al (2004) Influence of body iron store status and cigarette smoking on Cd body burden of healthy Thi man and women. Toxicol Lett 148:177–185
Chen YC, Pu YS, Lin RS et al (2001) Blood and urine cadmium levels in relation to demographic and life style in middle aged and elderly men. Bull Environ Contam Toxicol 66:287–294
Dickel H, Kuss O, Schmidt A, Diepgen TL (2002) Occupational relevance of positive standard patch-test results in employed persons with an initial report of an occupational disease. Int Arch Occup Environ Health 75:423–434
Cohen N, Golik A (2006) Zinc balance and medications commonly used in the management of heart failure. Heart Fail Rev 11:19–24
Mussala-Rauhammae H, Salmela SS, Lepannen A, Pyysalo H (1986) Cigarettes as a source of some trace and heavy metals and pesticides in man. Arch Environ Health 41:49–55
Thompson AB, Bohling T, Heires A et al (1991) Lower respiratory tract iron burden is increased in association with cigarette smoking. J Lab Clin Med 117:493–499
McGowan SE, Henley SA (1988) Iron and ferritin contents and distribution in human alveolar macrophages. J Lab Clin Med 111:611–617
Lapenna D, de Gioia S, Mezzattgi A et al (1995) Cigarette smoke, ferritin and lipid peroxidation. Am J Respir Crit Care Med 151:431–435
Newcomb PA, Carbone PP (1992) The health consequences of smoking. Med Clin North Am 76:305–329
Drakesmith H, Prentice A (2008) Viral infection and iron metabolism. Nat Rev Microbiol 6:541–552
Forge A, Schacht J (2000) Aminoglycoside antibiotics. Audiol Neurootol 5:3–22
de Valk B, Marx JJ (1999) Iron, atherosclerosis, and ischemic heart disease. Arch Intern Med 159:1542–1548
Sullivan JL (1981) Iron and the sex difference in heart disease risk. Lancet 1:1293–1294
Steinbrecher UP, Zhang HF, Lougheed M (1990) Role of oxidatively modified LDL in atherosclerosis. Free Radic Biol Med 9:155–168
Halliwell B, Chirico S (1993) Lipid peroxidation: its mechanism, measurement, and significance. Am J Clin Nutr 57(suppl):715S–724S
Danesh J, Appleby P (1999) Coronary heart disease and iron status: metaanalyses of prospective studies. Circulation 99:852–854
Ponka P, Beaumont C, Richardson DR (1998) Function and regulation of transferring and ferritin. Semin Hematol 35:35–54
De Feo TM, Fargion S, Duca L et al (2001) Non-transferrin-bound iron in alcohol abusers. Alcohol Clin Exp Res 25:1494–1499
Kannel WB, Ellison RC (1996) Alcohol and coronary heart disease: the evidence for a protective effect. Clin Chim Acta 246:59–76
Surgeon General (1979) U.S. Department of Health, Education and Welfare, Washington
Creason J, Hammer D, Colucci A et al (1976) Blood trace metals in military recruits. South Med J 69:289–293
Lui CF, Medeiros D (1986) Excess diet copper increases systolic blood pressure in rats. Biol Trace Elem Res 9:15
Ahmed I, Sackner M (1985) Increased serum copper in primary pulmonary hypertension: a possible pathogenic link? Respiration 47:243–246
Larsson B, Tjalve H (1978) Studies on the melaninaffinity of metal ions. Acta Physiol Scand 104:479–484
Mannino DM, Albalak R, Grosse S, Repace J (2003) Secondhand smoke exposure and blood lead levels in US children. Epidemiology 14:719–727
Navas-Acien A, Selvin E, Sharrett AR et al (2004) Lead, cadmium, smoking, and increased risk of peripheral arterial disease. Circulation 109:3196–3201
Staessen JA, Roels H, Fagard R (1996) Lead exposure and conventional and ambulatory blood pressure: a prospective population study, Phee Cad Investigators. JAMA 275:1604–1606
Tian L, Lawrence DA (1996) Metal-induced modulation of nitric oxide production in vitro by murine macrophages: lead, nickel and cobalt utilize different mechanisms. Toxicol Appl Pharmacol 141:540–547
Torjussen W, Zachariasen H, Andersen I (2003) Cigarette smoking and nickel exposure. J Environ Monit 5:198–201
Richard MJ, Arnoud J, Jurkovitz C et al (1991) Trace elements and lipid peroxidation abnormalities in patients with chronic renal failure. Nephron 57:10–15
Ding Y, Gonick HC, Vaziri ND (2000) Lead promotes hydroxyl radical generation and lipid peroxidation in cultured aortic endothelial cells. Am J Hypertens 13:552–555
Yiin SJ, Chern CL, Sheu JY et al (1999) Cadmium-induced renal lipid peroxidation in rats and protection by selenium. J Toxicol Environ Health A 57:403–413
Acknowledgments
Dr. Hassan Imran Afridi is grateful to the Higher Education Commission (HEC) of Pakistan for providing the scholarships for the post doctoral research work. Dr. H.I. Afridi is also thankful to the National Center of Excellence in Analytical Chemistry, University of Sindh, Jamshoro, Pakistan for the grant of sabbatical leave.
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Afridi, H.I., Brabazon, D., Kazi, T.G. et al. Evaluation of Essential Trace and Toxic Elements in Scalp Hair Samples of Smokers and Alcohol User Hypertensive Patients. Biol Trace Elem Res 143, 1349–1366 (2011). https://doi.org/10.1007/s12011-011-8984-2
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DOI: https://doi.org/10.1007/s12011-011-8984-2