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Published on: February 9, 2021
Heavy elements in urinary stones
D Bazin1, P Chevallier, G Matzen
1Laboratoire de Physique des Solides, Bâtiment 510, Université Paris Sud, 91405 Orsay, France.
Zinc and strontium are the main heavy metals in urinary stones, primarily found in calcium-based stones. Their presence suggests substitution for calcium rather than a direct role in stone formation.
Area of Science:
- Urology
- Geochemistry
- Materials Science
Background:
- The role of heavy metals in the etiology of urinary stones remains unclear.
- Previous research has yielded conflicting findings regarding heavy metal presence in calculi.
Purpose of the Study:
- To investigate the distribution and abundance of trace heavy metals in urinary calculi.
- To elucidate the potential role of heavy metals in the formation of different types of urinary stones.
Main Methods:
- Analysis of 78 urinary calculi with well-defined compositions.
- Utilized synchrotron radiation-based microfluorescence X-ray analysis for elemental identification and quantification.
Main Results:
- Seven trace heavy metals were identified, with zinc (Zn) and strontium (Sr) being the most abundant, comprising 91% of the total heavy metal content.
- Zn and Sr were predominantly found in calcium-containing stones (calcium phosphate and calcium oxalate), with lower concentrations in uric acid or cystine stones.
- Lead (Pb) levels were lower than previously reported, suggesting environmental reduction, while selenium (Se) was mainly detected in cystine stones.
Conclusions:
- The high prevalence of Zn and Sr in calcium stones suggests they act as substitutes for calcium ions (Ca2+), rather than directly contributing to stone formation.
- Further research is warranted to explore the correlation between urinary calcium concentration and the accumulation of Zn and Sr in calculi.
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