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The plasma zinc/serum copper ratio as a biomarker in children with autism spectrum disorders
Authors:Scott Faber  Gregory M. Zinn  John C. Kern II  H. M. Skip Kingston
Affiliation:1. The Children’s Institute, Pittsburgh, PA, USAsfa@the-institute.org;3. Departments of Chemistry and Biochemistry;4. Mathematics and Computer Science, Duquesne University, Pittsburgh, PA, USA
Abstract:The frequency of zinc deficiency, copper toxicity and low zinc/copper in children with autism spectrum disorders (ASDs) may indicate decrement in metallothionein system functioning. A retrospective review of plasma zinc, serum copper and zinc/copper was performed on data from 230 children with autistic disorder, pervasive developmental disorder-NOS and Asperger’s syndrome. The entire cohort’s mean zinc level was 77.2 μg dl?1, mean copper level was 131.5 μg dl?1, and mean Zn/Cu was 0.608, which was below the 0.7 cut-off of the lowest 2.5% of healthy children. The plasma zinc/serum copper ratio may be a biomarker of heavy metal, particularly mercury, toxicity in children with ASDs.
Keywords:Plasma zinc/serum copper ratio  zinc deficiency  metallothionein system dysfunction  mercury  autistic disorder  pervasive developmental disorder-NOS  Asperger’s syndrome
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