Metallomics · 2010 · 183 citations · 30 references
MedicineNephrologyAgingBone MetabolismElemental AnalysisAge EstimationBone HealthBone Matrix CompositionMineral AnalysisSkeletal BiologyBone AgeingBone AgingBone CompositionBone Isotope AnalysisPhosphate Binder Use
The study aims to investigate how elevated rare earth element concentrations affect bone physiology, biochemistry, and morphology. The authors quantified 10 rare earth elements in rib bone tissue of 80 adults (15–55 y) by ICP‑MS and used these baseline values, together with literature data, to estimate Gd and La accumulation in patients treated with contrast agents or lanthanum carbonate. Rare earth elements accumulate in healthy bone with age, increasing by one to two orders of magnitude over a lifespan, and exposure to Gd‑based contrast agents or lanthanum carbonate raises bone Gd and La levels two to three orders higher than normal, potentially compromising bone quality.
For the first time, the contents of rare earth elements (REEs) in a rib bone of a healthy human were determined. The mean value of the contents of Ce, Dy, Er, Gd, La, Nd, Pr, Sm, Tb, and Yb (10 elements out of 17 total REEs), as well as the upper limit of means for Ho, Lu, Tm, and Y (4 elements) were measured in the rib bone tissue of 38 females and 42 males (15 to 55 years old) using inductively coupled plasma mass spectrometry (ICP-MS). We found age-related accumulation of REEs in the bone tissue of healthy individuals who lived in a non-industrial region. It was calculated that during a lifespan the content of REEs in a skeleton of non-industrial region residents may increase by one to two orders of magnitude. Using our results as indicative normal values and published data we estimated relative Gd accumulation in the bone tissue of patients according to magnetic resonance imaging with contrast agent and La accumulation in the bone tissue of patients receiving hemodialysis after treatment with lanthanum carbonate as a phosphate binder. It was shown that after such procedures contents of Gd and La in the bone tissue of patients are two to three orders of magnitude higher than normal levels. In our opinion, REEs incorporation may affect bone quality and health similar to other potentially toxic trace metals. The impact of elevated REEs content on bone physiology, biochemistry and morphology requires further investigation.
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