2023
DOI: 10.3389/fnut.2023.1121826
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Exposure to essential and non-essential trace elements and risks of congenital heart defects: A narrative review

Abstract: Congenital heart defects (CHDs) are congenital abnormalities involving the gross structures of the heart and large blood vessels. Environmental factors, genetic factors and their interactions may contribute to the pathogenesis of CHDs. Generally, trace elements can be classified into essential trace elements and non-essential trace elements. Essential trace elements such as copper (Cu), zinc (Zn), iron (Fe), selenium (Se), and manganese (Mn) play important roles in human biological functions such as metabolic … Show more

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Cited by 14 publications
(5 citation statements)
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References 128 publications
(179 reference statements)
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“…Importantly, it is necessary to consider complex interactions between essential trace elements (such as Se, zinc, copper, iron and manganese) and non-essential metals (such as lead, cadmium, arsenic, and mercury) in organisms [112]. Similar to the well-documented protective role of Se and Zn, exposure to Cd, Pb, As and Hg has been connected to various heart diseases [113,114].…”
Section: Discussionmentioning
confidence: 99%
“…Importantly, it is necessary to consider complex interactions between essential trace elements (such as Se, zinc, copper, iron and manganese) and non-essential metals (such as lead, cadmium, arsenic, and mercury) in organisms [112]. Similar to the well-documented protective role of Se and Zn, exposure to Cd, Pb, As and Hg has been connected to various heart diseases [113,114].…”
Section: Discussionmentioning
confidence: 99%
“…Arsenic is a non-essential element for human health because it is without a known nutritional or metabolic role and is not a constituent of any enzyme [ 306 , 307 ]. Similar to other non-essential metals like cadmium, arsenic, lead, nickel, barium, chromium, and mercury, it is harmful to health even at low concentrations [ 25 , 26 , 306 ]. Arsenic is commonly consumed together with food and affects intestinal homeostasis by disrupting barrier function and inducing inflammatory responses [ 308 ].…”
Section: Arsenicmentioning
confidence: 99%
“…Other forms include organic arsenic and arsine (AsH 3 ) [ 311 ]. Reviewing the abundant reports, arsenic shows variable degrees of toxicity with As 2 O 3 as one of the most powerful poisons [ 306 , 307 , 308 , 309 , 310 , 311 , 312 , 313 , 314 , 315 , 316 , 317 , 318 , 319 , 320 , 321 , 322 , 323 , 324 , 325 , 326 , 327 , 328 , 329 , 330 , 331 , 332 ]. The liver is the primary target organ not only for toxicity but also for the metabolism of arsenicals with its major metabolic pathway being via methylation [ 311 , 332 ], which leads to the methylated intermediates of monomethylarsonic acid (MMA) and dimethylarsinic acid (DMA) [ 332 ].…”
Section: Arsenicmentioning
confidence: 99%
“…Arsenic (As), mercury (Hg), chromium (Cr), cadmium (Cd), and lead (Pb) have no nutritional value at low concentrations and may be harmful. Furthermore, both essential and probably essential elements can cause toxic effects at high concentrations [5][6][7] .…”
Section: Introductionmentioning
confidence: 99%