Copper Serum Levels in the Hemodialysis Patient Population

Copper is an essential element in the diet of mammals, including humans. It plays an important role in the physiological regulation of various enzymes and is consequently involved in several biological processes such as angiogenesis, oxidative stress regulation, neuromodulation, and erythropoiesis....

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Main Authors: Guido Gembillo, Luigi Peritore, Vincenzo Labbozzetta, Alfio Edoardo Giuffrida, Antonella Lipari, Eugenia Spallino, Vincenzo Calabrese, Luca Visconti, Domenico Santoro
Format: Article
Language:English
Published: MDPI AG 2024-09-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/9/1484
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author Guido Gembillo
Luigi Peritore
Vincenzo Labbozzetta
Alfio Edoardo Giuffrida
Antonella Lipari
Eugenia Spallino
Vincenzo Calabrese
Luca Visconti
Domenico Santoro
author_facet Guido Gembillo
Luigi Peritore
Vincenzo Labbozzetta
Alfio Edoardo Giuffrida
Antonella Lipari
Eugenia Spallino
Vincenzo Calabrese
Luca Visconti
Domenico Santoro
author_sort Guido Gembillo
collection DOAJ
description Copper is an essential element in the diet of mammals, including humans. It plays an important role in the physiological regulation of various enzymes and is consequently involved in several biological processes such as angiogenesis, oxidative stress regulation, neuromodulation, and erythropoiesis. Copper is essential for facilitating the transfer of iron from cells to the bloodstream, which is necessary for proper absorption of dietary iron and the distribution of iron throughout the body. In particular, patients with end-stage renal failure who require renal replacement therapy are at increased risk for disorders of copper metabolism. Many studies on hemodialysis, peritoneal dialysis, and kidney transplant patients have focused on serum copper levels. Some reported mild deficiency, while others reported elevated levels or even toxicity. In some cases, it has been reported that alterations in copper metabolism lead to an increased risk of cardiovascular disease, malnutrition, anemia, or mielopathy. The aim of this review is to evaluate the role of copper in patients undergoing hemodialysis and its potential clinical implications.
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spelling doaj-art-5f1e02ff1505425fa3cfb1cff90a440b2025-08-20T01:55:40ZengMDPI AGMedicina1010-660X1648-91442024-09-01609148410.3390/medicina60091484Copper Serum Levels in the Hemodialysis Patient PopulationGuido Gembillo0Luigi Peritore1Vincenzo Labbozzetta2Alfio Edoardo Giuffrida3Antonella Lipari4Eugenia Spallino5Vincenzo Calabrese6Luca Visconti7Domenico Santoro8Unit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Nephrology and Dialysis, Department of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, ItalyUnit of Nephrology and Dialysis, Ospedali Riuniti Villa Sofia Cervello, University of Palermo, 90146 Palermo, ItalyUnit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyCopper is an essential element in the diet of mammals, including humans. It plays an important role in the physiological regulation of various enzymes and is consequently involved in several biological processes such as angiogenesis, oxidative stress regulation, neuromodulation, and erythropoiesis. Copper is essential for facilitating the transfer of iron from cells to the bloodstream, which is necessary for proper absorption of dietary iron and the distribution of iron throughout the body. In particular, patients with end-stage renal failure who require renal replacement therapy are at increased risk for disorders of copper metabolism. Many studies on hemodialysis, peritoneal dialysis, and kidney transplant patients have focused on serum copper levels. Some reported mild deficiency, while others reported elevated levels or even toxicity. In some cases, it has been reported that alterations in copper metabolism lead to an increased risk of cardiovascular disease, malnutrition, anemia, or mielopathy. The aim of this review is to evaluate the role of copper in patients undergoing hemodialysis and its potential clinical implications.https://www.mdpi.com/1648-9144/60/9/1484copperhemodialysisCu/zn ratiochronic kidney diseasezincanemia
spellingShingle Guido Gembillo
Luigi Peritore
Vincenzo Labbozzetta
Alfio Edoardo Giuffrida
Antonella Lipari
Eugenia Spallino
Vincenzo Calabrese
Luca Visconti
Domenico Santoro
Copper Serum Levels in the Hemodialysis Patient Population
Medicina
copper
hemodialysis
Cu/zn ratio
chronic kidney disease
zinc
anemia
title Copper Serum Levels in the Hemodialysis Patient Population
title_full Copper Serum Levels in the Hemodialysis Patient Population
title_fullStr Copper Serum Levels in the Hemodialysis Patient Population
title_full_unstemmed Copper Serum Levels in the Hemodialysis Patient Population
title_short Copper Serum Levels in the Hemodialysis Patient Population
title_sort copper serum levels in the hemodialysis patient population
topic copper
hemodialysis
Cu/zn ratio
chronic kidney disease
zinc
anemia
url https://www.mdpi.com/1648-9144/60/9/1484
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