Published
2026-07-01
Issue
Section
Original Research Article
License
Copyright (c) 2026 Fatima Ali Hussain, Saja Farhan Abdullah, Mohammed Ali Hussein

This work is licensed under a Creative Commons Attribution 4.0 International License.
The Author(s) warrant that permission to publish the article has not been previously assigned elsewhere.
Author(s) shall retain the copyright of their work and grant the Journal/Publisher right for the first publication with the work simultaneously licensed under:
OA - Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). This license allows for the copying, distribution and transmission of the work, provided the correct attribution of the original creator is stated. Adaptation and remixing are also permitted.

This license intends to facilitate free access to, as well as the unrestricted reuse of, original works of all types for non-commercial purposes.
How to Cite
Bio-monitoring of Essential and Toxic Trace Elements in Human Serum and Urine Samples of Patients Under Chronic Medication Using Atomic Absorption Spectroscopy
Fatima Ali Hussain
Ministry of Education, Baghdad, Iraq
Saja Farhan Abdullah
University of Al-Iraqia, Department of Chemistry, Baghdad, Iraq
Mohammed Ali Hussein
University of Al-Iraqia, Department of Chemistry, Baghdad, Iraq
DOI: https://doi.org/10.59429/ace.v9i3.5914
Keywords: Trace elements; Chronic medication; Bio-monitoring; Atomic Absorption Spectroscopy; Serum; Urine; Heavy metals
Abstract
Chronic pharmacotherapy modifies a human requirement for essential and toxic trace elements. Chronic use of drugs may interfere with absorption, metabolism or excretion of trace elements, resulting in deficit or gradual poisoning. These disturbances may result in oxidative stress, immunosuppression and heightened toxicological risk.
As a first approach, serum and urine both from chronic medicated patients were studied versus healthy controls. The key minerals Fe, Zn, Cu and Se and toxic metals Pb, Cd, As and Hg were determined by validated AAS. To attenuate confounding bias, smokers, subjects with occupational exposure to metal and mineral supplementation were excluded.
The levels of this latter element decreased significantly more than Fe, Zn and Cu did, the serum values for which they remained stable. Higher concentrations of Pb and Cd were indicated in serum and urine, however. We have found a relationship between the duration of medication use and the levels of toxic metals that seems to demonstrate an accumulated exposure over time. The present results suggest that periodic determination of selected trace elements in patients with extensive medication histories may enable detection of hidden toxicological hazards and contribute to the design of safer, more effective long-term therapeutic programs.
References
[1]. Prashanth L, Kattapagari KK, Chitturi RT, et al. Role of trace elements in human health and disease. Journal of Clinical and Diagnostic Research. 2020;14(1):BE01–BE06.
[2]. Skalny AV, Bjørklund G, Aleksandra B, et al. Essential trace elements: biochemical mechanisms and health effects. Biological Trace Element Research. 2021;199(1):1254–1262.
[3]. Fraga CG (2005) Relevance, essentiality and toxicity of trace elements in human health. Mol Aspects Med 26:235-244. doi: https://doi.org/10.1016/j.mam.2005.07.013.
[4]. Jaishankar M, Tseten T, Anbalagan N, Mathew BB and Beeregowda KN (2014) Toxicity, mechanism and health effects of some heavy metals. Interdiscip Toxicol 7:60 - 72..
[5]. Satarug S, Garrett SH, Sens MA and Sens DA (2011) Cadmium, environmental exposure, and health outcomes. Ciencia & saude coletiva 16 5:2587-2602.
[6]. Barbosa F Jr, Tanus-Santos JE, Gerlach RF, et al. A critical review of biomarkers used for monitoring human exposure to lead: advantages, limitations, and future needs. Journal of Toxicology and Environmental Health, Part B. 2020;8(2):177–194.
[7]. Nordberg GF. Human health effects of trace elements. Toxicology and Applied Pharmacology. 2021;256(3):263–268.
[8]. Aoyama K and Nakaki T (2015) Glutathione in Cellular Redox Homeostasis: Association with the Excitatory Amino Acid Carrier 1 (EAAC1). Molecules 20:8742-8758. doi: 10.3390/molecules20058742.
[9]. Skoog DA, Holler FJ, Crouch SR. Principles of Instrumental Analysis. Cengage; 2021.
[10]. Pohl P. Atomic Absorption Spectrometry in biological samples: methodologies and applications. Talanta. 2020;219:121411.
[11]. Tinkov AA, Filippini T, Ajsuvakova OP, et al. Associations between chronic disease pharmacotherapy and trace element imbalance. Nutrients. 2022;14(7):1372.
[12]. Marreiro DN, Cruz KJC, Morais JBS. Zinc and immune function in human health. Nutrients. 2021;13(6):1960.
[13]. Mintzer S, Zhao Z, Hobbs WE. Antiepileptic drugs and trace elements: an overview. Epilepsy Research. 2020;169:106452.
[14]. Fanoe S, Refsum HE, Gjerstad L. Cardiovascular drugs and mineral homeostasis. Pharmacological Research. 2022;176:105945.
[15]. Barceloux DG. Drug–metal interactions and toxicological implications. Clinical Toxicology. 2020;54(9):851–867.
[16]. Gurer-Orhan H, Sabir HU, Ozgunes H. Mechanisms of heavy metal toxicity and the impact of trace elements on human health. Toxicology Letters. 2021;210(1):7–13.
[17]. Rowland IR. Pharmaceutical contaminants: sources, exposure routes, and health effects. Environmental Toxicology and Chemistry. 2021;40(2):250–260.
[18]. Chen P, Maret W, Tinkov AA. Biological monitoring of trace elements in chronic patients: serum and urine profiles. Biological Trace Element Research. 2022;199(3):1000–1012.
[19]. Maret W. Zinc and human disease: biochemical mechanisms and clinical implications. Metallomics. 2021;13(1):10–25.
[20]. Skalnaya MG, Skalny AV, Belyaev AS. Urinary trace elements as biomarkers of exposure and health risk assessment. Journal of Trace Elements in Medicine and Biology. 2020;60:126–134.
[21]. ATSDR. Toxicological Profile for Lead. Agency for Toxic Substances and Disease Registry; 2021.
[22]. WHO. Cadmium and health effects: guidelines for drinking-water quality. World Health Organization; 2022.
[23]. Duruibe JO, Ogwuegbu MC, Egwurugwu JN. Heavy metal pollution and human health. International Journal of Physical Sciences. 2020;5(5):112–118.
[24]. Pourret O, Hursthouse A. Environmental biomarkers: serum and urine trace element monitoring. Environmental Science and Pollution Research. 2020;27(15):18019–18032.
[25]. Xue C, Yang B, Fu L, Hou H, Qiang J, Zhou C, Gao Y and Mao Z (2023) Urine biomarkers can outperform serum biomarkers in certain diseases. URINE 5:57-64. doi: https://doi.org/10.1016/j.urine.2023.10.001.
[26]. López Alonso M, Miranda M, Castillo C. Clinical relevance of trace element monitoring in chronic illness. Journal of Trace Elements in Medicine and Biology. 2023;78:127080.
[27]. Ali H, Khan E, Ilahi I. Environmental chemistry and toxicology of heavy metals: health implications. Environmental Monitoring and Assessment. 2021;193(4):258.








