Low manganese and high iron levels in amniotic fluid correlate with fetal chromosomal abnormalities in pregnant women

Abstract

This study aimed to check the association of essential and toxic elements in amniotic fluid (AF) with chromosomal abnormalities. A total of 156 pregnant Polish white Caucasian women between the age of 20 and 43 years participated in the study. AF samples were collected during routine diagnostic and treatment procedures in pregnant women. Inductively coupled plasma mass spectrometry (ICP-MS) was used to determine the levels of various elements in AF. Genomic hybridization and cytogenic karyotype analysis were used. The results of the karyotype analysis indicated chromosomal abnormalities in 19 fetuses (over 12% of the total population) and it was mainly trisomy 21 (N=11), trisomy 18 (N=2), triploidy (N=2) and other chromosomal aberrations. It was found that a low concentration of manganese in AF was associated with chromosomal abnormalities in the foetus. High levels of iron and advanced age of the mother increased the risk of aneuploidy in the fetus. Principal component analysis (PCA) and Spearman correlation showed a strong correlation between essential and toxic elements in AF, especially in groups with chromosomal abnormalities. The results of this exploratory study indicate that the levels of essential and toxic elements in AF are associated with chromosomal abnormalities in the human fetus.