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Bio-element status in children with acute rheumatic fever: before treatment and after clinical improvement
Mustafa Cemek1, Mehmet Emin Büyükokuroğlu, Ahmet Büyükben
1Department of Chemistry, Biochemistry Division, Faculty of Sciences and Arts, Afyon Kocatepe University, Afyonkarahisar, Turkey. mcemek@yahoo.com
Insights
Children with acute rheumatic fever (ARF) show altered bio-element levels, with specific major and trace elements differing significantly before treatment. These changes in essential elements may play a role in ARF development.
Area of Science:
- Biochemistry
- Pediatric Rheumatology
- Clinical Chemistry
Background:
- Acute rheumatic fever (ARF) is a multisystem autoimmune disease.
- Bio-element homeostasis is crucial for physiological function and overall health.
- Monitoring bio-element status is vital for understanding and managing diseases like ARF.
Purpose of the Study:
- To investigate alterations in serum bio-element levels in children diagnosed with ARF.
- To compare these levels before and after treatment in pediatric ARF patients.
- To identify potential links between element imbalances and ARF pathogenesis.
Main Methods:
- Serum samples were collected from 33 children with ARF and 20 healthy controls.
- Inductively coupled plasma-optical emission spectroscopy was used for analysis.
- Concentrations of 14 major and trace elements were measured.
Main Results:
- Children with ARF exhibited higher serum potassium (K) and magnesium (Mg), and lower calcium (Ca) levels compared to controls.
- Altered levels of trace elements were observed, including lower iron (Fe), selenium (Se), zinc (Zn), aluminum (Al), and barium (Ba).
- Conversely, higher levels of copper (Cu), beryllium (Be), cadmium (Cd), chromium (Cr), gallium (Ga), and strontium (Sr) were found in ARF patients.
Conclusions:
- Significant alterations in the homeostasis of major and trace elements occur in children with ARF.
- These bio-elemental imbalances may contribute to the underlying pathogenesis of acute rheumatic fever.
- Further research is warranted to explore the therapeutic implications of these findings.
Abstract:
Acute rheumatic fever (ARF) is an autoimmune multisystem disease. Bio-elements are required in different quantities by an organism to maintain its physiologic function. Monitoring the status of bio-elements is critical in human health. This study aimed to determine possible changes in levels of bio-elements in children with ARF before and after treatment. Levels of trace and major elements in children with ARF were investigated. The study included 33 children with ARF (17 boys and 16 girls) and 20 healthy control children (11 boys and 9 girls). The ages ranged from 5 to 16 years (mean 11.4 ± 3.82 years) in the study group and from 6 to 15 years (mean, 10.7 ± 3.22 years) in the control group. Trace and major element concentrations (total of 14 elements) in the serum were measured by inductively coupled plasma-optical emission spectroscopy. Before treatment, the levels of the major elements potassium (K) and magnesium (Mg) in children with ARF were higher than in the control group, whereas the calcium (Ca) level was lower. Before treatment, the levels of trace elements iron (Fe), selenium (Se), zinc (Zn), aluminum (Al), and barium (Ba) were lower, whereas the copper (Cu), beryllium (Be), cadmium (Cd), chromium (Cr), gallium (Ga), and strontium (Sr) levels were higher in the serum of the patients with ARF than in the control patients. The major findings show that the homeostasis of some trace and major elements were altered in the children with ARF and that these alterations may be a contributing factor in the pathogenesis of this disease.
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