Determination of reference ranges for elements in human scalp hair

Expected values, reference ranges, or reference limits are necessary to enable clinicians to apply analytical chemical data in the delivery of health care. Determination of references ranges is not straightforward in terms of either selecting a reference population or performing statistical analysis. In light of logistical, scientific, and economic obstacles, it is understandable that clinical laboratories often combine approaches in developing health associated reference values. A laboratory may choose to:

Assessment of reference values for hair minerals of Korean preschool children

Hair samples of 655 children (3–6 yr of age) from metropolitan and small cities in Korea were analyzed to determine the content of 23 minor and trace elements with the aim of assessing reference values. Fifteen essential elements (Fe, Zn, Cu, Ca, Mg, Mn, P, Na, K, Cr, Se, Li, V, Co, Mo) and 8 harmful elements (Pb, Al, Hg, As, Cd, Ba, Bi, U) were taken into account. Measurements were performed by inductively coupled plasma-mass spectrometry. The overall mean values were as follows (μ/g): Al, 8.78; As, 0.11; Ba, 0.32; Bi, 0.04; Ca, 212.47; Cd, 0.08; Co, 0.01; Cr, 0.47; Cu, 15.51; Fe, 12.62; Hg, 0.49; K, 34.10; Li, 0.01; Mg, 12.29; Mn, 0.29; Mo, 0.07; Na; 27.14; P, 121.21; Pb, 1.68; Se, 0.75; U. 0.04; V. 0.08; Zn, 69.99. There was no significant difference in hair mineral content between children living in metropolitan and small cities. There were positive correlations between age and the level of Zn, Ca, Na, P, Mn, and Li, but negative correlations between age and the level of Cr, V, and U. The proposed reference values for hair Zn, Mg, Ca, As, and Cd of Korean children were lower than those of other countries, but the values for other elements of hair were not significantly different from those of other countries.     

Trace elements in hair of blackfoot disease

Blackfoot disease is a peripheral vascular disease resulting in gangrene of the lower extremities. Though extensive epidemiological study has implicated that high arsenic content in artesian well water of the endemic area, bears some important connection with the disease, the etiology of the disease is still unknown. In this study, attention is paid to multielement determination in order to find out whether the trace elements in hair of Blackfoot disease patients are different from those of the controls. Experimental results indicate that the concentrations of As and Se in hair of patients are significantly higher than those of the controls, but Ca and Zn are significantly lower than those of the controls. The possible connection of these elements with the etiology of the disease is discussed.     

Reference values for trace and ultratrace elements in human serum determined by double-focusing ICP-MS

Reference values for trace and ultratrace elements concentrations in healthy human serum, measured by double-focusing inductively coupled plasma-mass spectrometry (ICP-MS), are presented. Blood donors from Asturias (Spain) were selected as the reference population (n=59). Blood samples were collected, after donation, taking the necessary precautions to avoid contamination. All subjects analyzed had normal renal function and nutritional status, as shown from their creatinine and albumin levels. A total number of 14 elements (Al, Ca, Cr, Mn, Fe, Co, Cu, Zn, Rb, Sr, Mo, Cd, Pb, and U) were monitored almost simultaneously. Serum samples were diluted 1+4 with ultrapure water and matrix interferences were corrected using Sc, Ga, Y, and Tl as internal standards. Fe, Cu, and Zn were also determined by isotope dilution analysis (IDA). Reference trace element concentrations intervals observed containing 95% of the reference distribution after excluding outliers are presented. Fourteen serum samples from hemodialysis patients were also analyzed for comparison. High levels of Al, Cr, Sr, Mo, Mn, Pb, U, Co, and Cu and low levels of Fe, Zn, and Rb were found in the serum samples from hemodialysis patients compared to the corresponding reference values observed in this work.     

Incorporation of trace elements from environment into the hair structure

A model describing the incorporation of trace elements from environment into the hair structure is presented. Model predictions for radial and longitudinal concentration profiles are given. Comparison with elemental data is satisfactory.     

Bromine levels in human serum,urine, hair

Much is known about the essentiality of the halogens fluorine (F), chlorine (Cl), and iodine (I), but very little has been discussed with respect to bromine (Br). As a member of the halogen family its chemical properties are comparable to those of other halogens, but its presence has been masked by the presence of I and Cl in chemical analyses. By virtue of new technology and a special computerized machine called the Kevex Model 0600 Energy Dispersive X-Ray Induced X-Ray Fluorescence Spectrometer (EDXRF), we can specifically identify bromine in different compartments and verify its concentration accurately. In order to establish standard values of Br concentrations and evaluate the nature of its presence in humans, samples of serum, urine, and hair were collected from ten healthy adult males and analyzed for bromine content. Our samples had normal distributions, with serum bromine levels ranging from 3.2 to 5.6 μg/mL, urine levels between 0.3 to 7.0 μg/mL, and hair levels determined from 1.1 to 49.0 μg/mL. These levels, especially those of serum bromine, have been encountered by other examiners whose samples also had normal distributions. These findings suggest to us that bromine may well be an essential trace element, as are its other halogen family members.     

Trace elements in hair of healthy children sampled by age and sex

Hair trace element (TE) (Cr, Mn, Fe, Zn, Cu, Br, Rb, Sr, Pb) levels from 336 healthy subjects were measured by the Proton-Induced X-ray Emission (PIXE) method. The subjects were divided in three groups: 157 full-term neonates (75 male and 82 female), 86 children (41 male and 45 female) ages 6 to 11 yr, and 93 adolescents (51 male and 42 female) 11 to 16 yr old. Cu, Zn, Cr, and Br show an increase from birth to 8 yr and then decrease. Fe, Mn, and Sr strongly decrease up to 8 yr and then remain almost stable. Sex differences are present in Fe, Zn, and Br of children and in Cu, Cr, and Br of adolescents.     

Trace elements in human scalp hair and soil in irian jaya

Pb, Cd, and Ni contents were determined in the scalp hair of the Asmat of Irian Jaya (Indonesian New Guinea) on 35 adult subjects. These data are presented together with those of Al, Ca, Ti, Fe, Cu, Zn and Sr, which were determined in previous research on the same group. Hair samples were analyzed by EDXRS and ICP. Trace elements were also determined in 12 soil samples from the same area by EDXRS (Al, Si, K, Ca, Fe) and ICP (Cu, Sr, Ti), and by AAS (Cd, Ni, Pb). When hair element levels are compared and discussed with those of other New Guinea populations, acculturated and nonacculturated tropical groups, populations from Western countries and from polluted areas, and “recommended levels” in the literature, they greatly exceed Western levels and generally fit those of other New Guinea populations, stressing the importance of common environment, subsistence, and behavior. The results of soil analyses are consistent with the presence of those elements in hair, and their quantitative distribution follows a common trend. Metal mobility in soil, patterns of absorption, and transfer from soil to plants and to humans are considered here.     

Standard reference materials and data quality assurance in the biomedical analysis of trace elements

Accurate and precise analytical data of the concentrations of bioanalytes in bioclinical studies are of fundamental importance. Quality assurance procedures should always be performed to check the overall analytical work. This can be conveniently performed if appropriate standard reference materials with known concentrations of the analyte object of study are available. This paper underlines the key points related to the production and use of biological standard materials for trace element analysis. In particular, the present situation in the field of trace element determination in human biological fluids and the related problems are illustrated. The considerations given in this work may contribute to the preparation of the new biomarker standard materials.     

Study of the age and sex dependence of trace elements in hair by correspondence analysis

The aim of the study was to examine the potential of multidimensional analysis, and in particular of correspondence analysis (CA), in bringing to light the influence of sex and age on trace element (TE) concentrations in hair from an unselected French population. Sixteen elements (S, Hg, Se, Zn, Pb, Cd, Ni, Co, Mn, Fe, Cr, Mg, Al, Ca, Cu, Ag) were assayed by inductively coupled argon plasma (ICAP) emission specrroscopy in the scalp hair of 135 men and 346 women. In spite of the high background noise, CA was able to reveal the differing patterns in males and females. For instance, in this population, higher relative levels of the essential elements, Ca, Mg, Zn, and Cu, but also of Ag, characterized women’s hair, whereas higher relative levels of the heavy metals, Fe and Pb, were associated with men’s hair. Al and Ag were unexplainedly high in the hair of the youngest members of the population. The Cu and Co of youth seemed to give way to a predominance of Zn in maturity. The hair of individuals in their forties tended to be richest in Ca and Mg, but these elements decreased with advancing age. Heavy metals (Hg, Pb, Fe) accumulated with age, whereas Se, Mn, and Cr seemed independent of age. CA is manifestly a very useful tool for revealing underlying dimensions in complex dynamic systems and unsuspected relationships among variables. Clearly, the significance of the high Al and Ag contents in the hair of certain members of the population, especially of the very young, needs to be investigated from both physiological and toxicological aspects.     

Reference concentrations of trace elements in urine of the budapestian population

Reference values in biological specimens are crucial to estimate the type and magnitude of environmental and occupational exposure: Because of its importance in the excretion of noxious substances and to the noninvasive mode of its collection, urine is a useful specimen for monitoring studies. Thus, the concentrations of six trace elements (Al, Co, Mo, Nb, Ni, and Ti) were determined in 100 urine samples of the Budapestian population by inductively coupled plasma-mass spectrometry. The obtained creatinine adjusted concentrations (medians) are (in μg/g) 9.9, 0.6, 53.5, 0.4, 1.5, and 8.5 for Al, Co, Mo, Nb, Ni, and Ti, respectively.     

Trace elements in the human central nervous system studied with neutron activation analysis

The central nervous system (CNS) should be especially sensitive to disturbances in trace element concentrations because of its high metabolic rate and low capacity for regeneration. Comparatively few studies have been made on trace elements in the CNS, which prompted us to begin a study of trace elements in four different brain lobes of the CNS, as well as in the spinal cord. Samples were obtained at autopsy and handled carefully in order to avoid contamination. They were freeze-dried and sealed in quartz tubes that were irradiated in a nuclear reactor. A simple chemical separation into six fractions was performed. The gamma spectra for these fractions was registered using a Ge(Li) detector and a computerized multichannel analyzer. Results for the following elements were obtained: Ca, Cd, Co, Cr, Cs, Cu, Fe, Rb, Se, and Zn, as well as for Na and K (not reported). Other elements were also detected in some samples. Using this technique, brain samples from ten patients with Alzheimer’s disease and ten control cases were examined.     

Zinc,copper, and magnesium concentrations in hair of children from Southeastern Turkey

Zinc, copper, and magnesium concentrations in hair were measured in groups of children varying in one condition—protein-energy malnutrition, ricketts, thalassemia, malignancy, cardiac failure, or after prolonged infection and in healthy controls. As compared with controls, copper and magnesium concentrations were low in all groups, whereas higher values were obtained for hair zinc. These results showed that a generalized copper and magnesium deficiency were observed in the southeastern part of Turkey. However, zinc deficiency couldn’t be detected as far as the hair zinc values were concerned, although all of the subjects fell within the 50 percentile limits for their age-appropriate weights and heights.     

Concentrations of trace elements in the hair of the guinea pig

Various animal models have been employed for research on the significance of measuring trace element concentrations in the human scalp hair. The objects of such research were the establishment of relationships between the concentrations of trace elements in human scalp hair and (1) their concentrations in other compartments of the human body or (2) specific pathophysiological conditions. The guinea pig appears to be the animal of choice for such studies because the elemental composition and growth pattern of its hair parallel those of the human scalp hair.     

Trace element contents in hair of residents from Harbin (China), Medan (Indonesia), and Tokushima (Japan)

The concentrations of 19 trace element in hair samples from 1273 residents of Harbin (China), Medan (Indonesia), and Tokushima (Japan) were measured by inductively coupled plasma emission spectrometry. The mean concentrations of Ba, Ca, and Se were significantly higher in the Harbin hair samples when compared to those from Medan, but Al, B, Cu, Fe, Mn, Na, Pb, Ti, Zn, and K were significantly higher in Medan than in Harbin hair samples. The differences in the mean concentrations of As, Cr, Mg, P, Sn, and Sr between the Medan and Harbin lots were not significant. In the Tokushima hair samples, Na and K were significantly higher, but As, B, Ba, Ca, Cr, Mg, Mn, Pb, Sn, Sr, and Se were significantly lower than in the Harbin hair samples. The differences in the mean concentrations of Al, Cu, Fe, P, Ti, and Zn between Harbin and Tokushima were not significant. In the Medan hair samples, Al, As, B, Ba, Ca, Cr, Cu, Fe, Mg, Mn, Pb, Sn, Sr, Ti, and Zn were significantly higher, but P and Se were significantly lower than in Tokushima hair samples. Differences in mean concentrations of Na and K between Tokushima and Medan were not significant.     

Application of PIXE analysis to the study of the regional distribution of trace elements in normal human brain

A particle-induced X-ray emission (PIXE) analysis method is presented, which allows measurement of eight elements (i.e., K, Ca, Mn, Fe, Cu, Zn, Se, and Rb) in human brain samples of only a few mg dry weight. The precision and accuracy of the method were investigated by analyzing animal brain matter with both PIXE and instrumental neutron activation analysis (INAA). The method was applied to measure the 8 elements in 46 different regions of 3 human brains. The sections analyzed originated from either the left or the right cerebral hemisphere, brain stem, and cerebellum. For one of the brains, sections were also analyzed from 26 corresponding regions of both hemispheres. For all elements, similar concentrations were found in the corresponding areas of the left and right sides of the brain. The concentrations (in μg/g dry weight) of the elements K, Fe, Cu, Zn, Se, and Rb were consistently higher in cortical structures than in white matter. Deep nuclei and brain stem, which have a mixed composition, showed intermediate values for K, Zn, Se, and Rb. A hierarchical cluster analysis indicated that the various brain regions clustered into two large groups, one comprising gray and mixed matter regions and the other, white and mixed matter brain areas.     

Calcium,magnesium, and other elements in the red blood cells and hair of normals and patients with premenstrual syndrome

This study compared the levels of 18 red cell elements and 22 hair elements in 46 patients (median age: 36.2 yr) diagnosed with PMS (premenstrual syndrome) to 50 normals (median age: 37.7 yr). Significantly lower amounts of calcium, chromium, copper, and manganese were found in the blood of patients with PMS. The ratios of Mg/Ca and K/Na and toxic metals such as lead, arsenic, and germanium were significantly elevated in the PMS patients. In hair, mercury and the Zn/Cu ratio were significantly greater in the PMS patients than the controls, but iron, potassium, and the Mg/Ca ratio were lower. The highly significant Mg/Ca ratio in blood cells may be indicative of a more complex relationship between PMS and magnesium and calcium than either element alone. The significantly lower blood cell calcium level found in these studies may provide additional evidence that PMS may be related to a calcium-deficiency state or a metabolic defect involving calcium.     

Analysis of hair samples of mummies from Semna South (Sudanese Nubia)

Hair samples from 76 burials at Semna South (Sudanese Nubia) were examined using a variety of techniques. Electrophoresis and fluorescence microscopy indicated some oxidation of the cuticule and keratin protein had taken place. However, the cuticular structure and the lack of fluorescence of the cortex indicate that the low humidity and non-alkaline conditions preserved the physical and chemical properties of the hair well. Pigmentation, even allowing for oxidation of melanin, showed a higher proportion of lighter samples than is currently associated with the Nubian area. Hair form analysis showed medium diameter and scale count; the curling variables were intermediate between European and African samples. There was a high ratio of maximum to minimum curvature (a measure of irregularity), approached only by Melanesian samples. Meroitic and X-group burial types were not statistically significantly different (largely due to sample sizes), but the X-group, especially males, showed more African elements than the Meroitic in the curling variables. Principal components analysis showed the Semna sample to be significantly different from seven populations examined earlier.     

Validity of hair mineral testing

The variance of testing was compared between the College of American Pathologists clinical survey and that of a recent review about hair mineral testing. The review suggested that the accuracy of hair mineral testing was unreliable. In general, there was a greater range of variance in the College of American Pathologists testing results. These latter results are based on laboratory testing and are used as a “yardstick” to determine if a laboratory passes or fails that analyte and are considered a “gold standard.” An extract, which resulted from a method that avoided the washing step, was compared among five laboratories. Very good precision resulted, indicating that the varied washing steps used by the laboratories in a recent review were probably the source of much variance. Analysis of hair analysis seemed to yield important information in several historical or forensic cases involving Ludwig von Beethoven, Napoleon Bonaparte, ex-US-presidents Zachary Taylor and Andrew Jackson, and Charles Hall, an Arctic explorer. Several elements that were reviewed, including arsenic, cadmium, cobalt, germanium, lead, lithium, manganese, mercury, nickel, and thallium, showed relationships between body burden, dosage, and exposure or toxicity. Evidence of toxicity could not be found by measuring hair aluminum or vanadium. Chromium, selenium, and zinc seemed to have nutritional value. Ratios of hair elements with clinical importance could not be found.