Authors:
Theodoros Karakonstantakis Department of Clinical Biochemistry, “Aghia Sophia” Children's Hospital, Athens, 11527, Greece

Search for other papers by Theodoros Karakonstantakis in
Current site
Google Scholar
PubMed
Close
,
Ioannis Papassotiriou Department of Clinical Biochemistry, “Aghia Sophia” Children's Hospital, Athens, 11527, Greece

Search for other papers by Ioannis Papassotiriou in
Current site
Google Scholar
PubMed
Close
,
Athanassia Sergounioti Department of Clinical Biochemistry, “Aghia Sophia” Children's Hospital, Athens, 11527, Greece

Search for other papers by Athanassia Sergounioti in
Current site
Google Scholar
PubMed
Close
,
Panayiotis Moraitis First Department of Pediatrics, Athens University Medical School, Athens, Greece

Search for other papers by Panayiotis Moraitis in
Current site
Google Scholar
PubMed
Close
,
Kalliopi Theodoridou Department of Clinical Biochemistry, “Aghia Sophia” Children's Hospital, Athens, 11527, Greece

Search for other papers by Kalliopi Theodoridou in
Current site
Google Scholar
PubMed
Close
,
Despoina Afordakou Department of Clinical Biochemistry, “Aghia Sophia” Children's Hospital, Athens, 11527, Greece

Search for other papers by Despoina Afordakou in
Current site
Google Scholar
PubMed
Close
,
Maria Giannaki Department of Microbiology, “Aghia Sophia” Children's Hospital, Athens, Greece

Search for other papers by Maria Giannaki in
Current site
Google Scholar
PubMed
Close
, and
Maria Theodoridou First Department of Pediatrics, Athens University Medical School, Athens, Greece

Search for other papers by Maria Theodoridou in
Current site
Google Scholar
PubMed
Close
Restricted access

Abstract

Objectives: To investigate and assess selenium (Se) and zinc (Zn) serum alterations in children with acute infections. Material and Methods: We determined Se, Zn, C-reactive protein (CRP), serum amyloid A (SAA), and procalcitonin (PCT) in 80 children hospitalized with acute infections. The patients were divided in two groups: Bacterial infections: 40 children (mean age 4.8 years); viral infections: 40 children (mean age 5.7 years). Morning blood samples were collected from each patient in three different periods: (a) in the acute phase (admission), (b) during the inflammatory process (4th day of hospitalization), and (c) after recovery (28–33 days after the first sampling). Results: We found that patients with bacterial infections had significantly lower levels of Se (48.9±16.4 mg/L vs. 58.1±13.7 mg/L, p=0.014) and Zn (69.3±19.4 mg/dL vs. 79.9±13.1 mg/dL, p=0.008) than those with viral infections on admission. Zn and Se levels were significantly increased after remission and the 4th day of hospitalization in patients with bacterial infections. Se and Zn were inversely related with the inflammatory markers CRP (r=−0.480, p=0.002 and r=−0.380, p=0.02, respectively), and PCT (r=−0.670, p < 0.001 and r=−0.510, p<0.01, respectively), in the same patients group on admission. We also found a positive correlation between the two micronutrients (r = 0.400, p<0.01) in children with bacterial infections on admission. Conclusions: Zn and Se behave as negative acute phase reactants and their levels were inversely associated with the progress of infection in patients with bacterial infections. The changes of micronutrients (Se, Zn) during the inflammatory process are transient and resolve without any dietary intervention.

  • 1. M.P. Rayman 2000 The importance of selenium to human health Lancet 356 233 241.

  • 2. J.R. Arthur R.C. McKenzie G.J. Beckett 2003 Selenium in the immune system J Nutr 133 1457S 1459S.

  • 3. L.H. Duntas 2009 Selenium and inflammation: underlying anti-inflammatory mechanisms Horm Metab Res 41 6 443 447.

  • 4. Huang Z , Rose AH, Hoffmann PR: The role of selenium in in-flammation and immunity: From molecular mechanisms to therapeutic opportunities. Antioxid Redox Signal Sep 28. [Epub ahead of print] (2011).

    • Search Google Scholar
    • Export Citation
  • 5. U.C. Chaturvedi R. Shrivastava R.K. Upreti 2004 Viral infections and trace elements: A complex interaction Curr Sci 87 1536 1554.

  • 6. M. Dardenne 2002 Zinc and immune function Eur J Clin Nutr 56 S20 S23.

  • 7. M. Hambidge 2000 Human zinc deficiency J Nutr 130 5SSuppl 1344S 1349S.

  • 8. L. Rink H. Haase 2007 Zinc homeostasis and immunity Trends Immun 28 1 4.

  • 9. N. Shimetani K. Shimetani M. Mori 2004 Clinical evaluation of the measurement of serum procalcitonin: comparative study of procalcitonin and serum amyloid A in patients with high and low concentrations of serum C-reactive protein Scand J Clin Lab Invest 64 469 474.

    • Search Google Scholar
    • Export Citation
  • 10. A. Enguix C. Rey A. Concha et al.2001 Comparison of procalcitonin with C-reactive protein and serum amyloid for the early diagnosis of bacterial sepsis in critically ill neonates and children Int Care Med 27 211 215.

    • Search Google Scholar
    • Export Citation
  • 11. A. Kalkan V. Bulut S. Avci et al.2002 Trace elements in viral hepatitis J Trace Elem Med Biol 16 227 230.

  • 12. P. Galloway D. McMillan N. Sattar 2000 Effect of the inflammatory response on trace element and vitamin status Ann Clin Biochem 37 289 297.

    • Search Google Scholar
    • Export Citation
  • 13. C. Nichol J. Herdman N. Sattar et al.1998 Changes in the concentrations of plasma selenium and selenoproteins after minor elective surgery: Further evidence for a negative acute phase response? Clin Chem 44 1764 1766.

    • Search Google Scholar
    • Export Citation
  • 14. P.D. Whanger 2004 Selenium and its relationship to cancer: an update Br J Nutr 91 11 28.

  • 15. A. Khalili A. Soudbakhsh M. Hajiabdolbaghi et al.2008 Nutritional status and serum zinc and selenium levels in Iranian HIV infected individuals BMC Infect Dis 8 165.

    • Search Google Scholar
    • Export Citation
  • 16. Y. Sakr K. Reinhart F. Bloos et al.2007 Time course and relationship between plasma selenium concentrations, systemic inflammatory response, sepsis, and multiorgan failure Br J Anaesthesia 98 775 784.

    • Search Google Scholar
    • Export Citation
  • 17. R. Gartner W. Albrich M.W. Angstwurm 2001 The effect of a selenium supplementation on the outcome of patients with severe systemic inflammation, burn and trauma Biofactors 14 199 204.

    • Search Google Scholar
    • Export Citation
  • 18. X. Forceville D. Vitoux R. Gauzit et al.1998 Selenium, systemic immune response syndrome, sepsis, and outcome in critically ill patients Crit Care Med 26 1536 1544.

    • Search Google Scholar
    • Export Citation
  • 19. V. Mishra M. Baines S.E. Perry et al.2007 Effect of selenium supplementation on biochemical markers and outcome in critically ill patients Clin Nutr 26 41 50.

    • Search Google Scholar
    • Export Citation
  • 20. S.U. Weber L.E. Lehmann J.C. Schewe et al.2008 Low serum alpha-tocopherol and selenium are associated with accelerated apoptosis in severe sepsis Biofactors 332 107 119.

    • Search Google Scholar
    • Export Citation
  • 21. B. Hollenbach N.G. Morgenthaler J. Struck et al.2008 New assay for the measurement of selenoprotein P as a sepsis biomarker from serum J Trace Elem Med Biol 22 24 32.

    • Search Google Scholar
    • Export Citation
  • 22. E. Altekin C. Coker A.R. Sisman et al.2005 The relationship between trace elements and cardiac markers in acute coronary syndromes J Trace Elem Med Biol 18 235 242.

    • Search Google Scholar
    • Export Citation
  • 23. F. Maehira G.A. Luyo I. Miyagi et al.2002 Alterations of serum selenium concentrations in the acute phase of pathological conditions Clin Chim Acta 316 137 146.

    • Search Google Scholar
    • Export Citation
  • 24. E. Oakes T. Lyon A. Duncan et al.2008 Acute inflammatory response does not affect erythrocyte concentrations of copper, zinc and selenium Clin Nutr 27 115 120.

    • Search Google Scholar
    • Export Citation
  • 25. A.S. Prasad 2008 Clinical, immunological, anti-inflammatory and antioxidant roles of zinc Exp Gerontol 43 370 377.

  • 26. R. Milanino M. Marrella R. Gasperini 1993 Copper and zinc body levels in inflammation: an overview of the data obtained from animal and human studies Agents Actions 39 195 209.

    • Search Google Scholar
    • Export Citation
  • 27. C. Duggan W.B. MacLeod N.F. Krebs et al.2005 Plasma zinc concentrations are depressed during the acute phase response in children with falciparum malaria J Nutr 135 802 807.

    • Search Google Scholar
    • Export Citation
  • 28. M. Onerci S. Kus O. Ogretmenoglu 1997 Trace elements in children with chronic and recurrent tonsillitis Int J Pediatr Otorhinolaryngol 41 47 51.

    • Search Google Scholar
    • Export Citation
  • 29. H.D. Heese C.S. Ryder D.W. Beatty et al.1985 Serum zinc and copper levels in children with meningococcal disease Eur J Pediatr 144 152 156.

    • Search Google Scholar
    • Export Citation
  • 30. D.L. Knoell M.J. Liu 2010 Impact of zinc metabolism on innate immune function in the setting of sepsis Int J Vitam Nutr Res 80 271 277.

    • Search Google Scholar
    • Export Citation
  • 31. N.Z. Cvijanovich J.C. King H.R. Flori et al.2009 Zinc homeostasis in pediatric critical illness Pediatr Crit Care Med 10 29 34.

  • 32. H.R. Wong 2007 Pediatric septic shock treatment: new clues from genomic profiling Pharmacogenomics 8 1287 1290.

  • 33. D.K. Heyland N. Jones et al.2008 Zinc supplementation in critically ill patients: a key pharmaconutrient? JPN J Paren Enter Nutr 32 509 519.

    • Search Google Scholar
    • Export Citation
  • Collapse
  • Expand

2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Jun 2023 2 0 0
Jul 2023 12 0 0
Aug 2023 7 0 0
Sep 2023 2 0 0
Oct 2023 2 3 0
Nov 2023 3 5 0
Dec 2023 0 0 0