TY  - JOUR
AU  - Stojsavljević, Aleksandar
AU  - Ristić‑Medić, Danijela
AU  - Krstić, Đurđa D.
AU  - Rovčanin, Branislav
AU  - Radjen, Slavica
AU  - Terzić, Brankica
AU  - Manojlović, Dragan D.
PY  - 2022
UR  - http://cherry.chem.bg.ac.rs/handle/123456789/5195
AB  - The status of essential and toxic trace elements in patients with different stages of chronic kidney disease (CKD) is still
unclear and not well characterized. The present study examined the circulatory levels of a wide panel of trace elements (Al,
Cr, Mn, Co, Ni, Cu, Zn, As, Se, Rb, Sr, Cd, Pb, and U) in hemodialysis patients (HD group) and pre-dialysis patients with
stage 3 CKD (PD group). Comparisons were made between groups of patients and healthy individuals from the control group
(CG). The levels of Al, Mn, Co, Ni, Cu, As, Se, Sr, and Pb were higher, while the levels of Cr, Zn, Rb, Cd, and U were lower
in HD patients than in our CG. Higher levels of Al and Se, as well as lower levels of As, Sr, Zn, Rb, and U were significant
and distinguished HD from PD. Among other analyzed elements, Co, Se, and U are the only trace elements that did not
distinguish PD from CG at a statistically significant level. The HD group had lower serum U levels than the PD group, and
this could be a result of hemodialysis. This study also revealed that the Cu/Zn ratio could be used as a marker for early and
late detection of renal failure. Marked changes of essential and toxic trace element levels in sera indicate additional pathophysiological
events in CKD, which could additionally contribute to the preexisting increased morbidity of HD patients.
Measurement of trace elements in HD patients should be performed routinely.
PB  - Springer
T2  - Biological Trace Element Research
T1  - Circulatory Imbalance of Essential and Toxic Trace Elements in Pre‑dialysis and Hemodialysis Patients
VL  - 200
SP  - 3117
EP  - 3125
DO  - 10.1007/s12011-021-02940-7
ER  - 

@article{
author = "Stojsavljević, Aleksandar and Ristić‑Medić, Danijela and Krstić, Đurđa D. and Rovčanin, Branislav and Radjen, Slavica and Terzić, Brankica and Manojlović, Dragan D.",
year = "2022",
abstract = "The status of essential and toxic trace elements in patients with different stages of chronic kidney disease (CKD) is still
unclear and not well characterized. The present study examined the circulatory levels of a wide panel of trace elements (Al,
Cr, Mn, Co, Ni, Cu, Zn, As, Se, Rb, Sr, Cd, Pb, and U) in hemodialysis patients (HD group) and pre-dialysis patients with
stage 3 CKD (PD group). Comparisons were made between groups of patients and healthy individuals from the control group
(CG). The levels of Al, Mn, Co, Ni, Cu, As, Se, Sr, and Pb were higher, while the levels of Cr, Zn, Rb, Cd, and U were lower
in HD patients than in our CG. Higher levels of Al and Se, as well as lower levels of As, Sr, Zn, Rb, and U were significant
and distinguished HD from PD. Among other analyzed elements, Co, Se, and U are the only trace elements that did not
distinguish PD from CG at a statistically significant level. The HD group had lower serum U levels than the PD group, and
this could be a result of hemodialysis. This study also revealed that the Cu/Zn ratio could be used as a marker for early and
late detection of renal failure. Marked changes of essential and toxic trace element levels in sera indicate additional pathophysiological
events in CKD, which could additionally contribute to the preexisting increased morbidity of HD patients.
Measurement of trace elements in HD patients should be performed routinely.",
publisher = "Springer",
journal = "Biological Trace Element Research",
title = "Circulatory Imbalance of Essential and Toxic Trace Elements in Pre‑dialysis and Hemodialysis Patients",
volume = "200",
pages = "3117-3125",
doi = "10.1007/s12011-021-02940-7"
}

Stojsavljević, A., Ristić‑Medić, D., Krstić, Đ. D., Rovčanin, B., Radjen, S., Terzić, B.,& Manojlović, D. D.. (2022). Circulatory Imbalance of Essential and Toxic Trace Elements in Pre‑dialysis and Hemodialysis Patients. in Biological Trace Element Research
Springer., 200, 3117-3125.
https://doi.org/10.1007/s12011-021-02940-7

Stojsavljević A, Ristić‑Medić D, Krstić ĐD, Rovčanin B, Radjen S, Terzić B, Manojlović DD. Circulatory Imbalance of Essential and Toxic Trace Elements in Pre‑dialysis and Hemodialysis Patients. in Biological Trace Element Research. 2022;200:3117-3125.
doi:10.1007/s12011-021-02940-7 .

Stojsavljević, Aleksandar, Ristić‑Medić, Danijela, Krstić, Đurđa D., Rovčanin, Branislav, Radjen, Slavica, Terzić, Brankica, Manojlović, Dragan D., "Circulatory Imbalance of Essential and Toxic Trace Elements in Pre‑dialysis and Hemodialysis Patients" in Biological Trace Element Research, 200 (2022):3117-3125,
https://doi.org/10.1007/s12011-021-02940-7 . .