The Relationship between Levels of Zinc and Copper and Insulin Resistance in Polycystic Ovary Syndrome Patients in Homs

Authors

  • Lana Alzahr Department of Biochemistry and Microbiology, Faculty of Pharmacy, Al Baath University, Homs, Syria
  • Sulaf Alwassouf Department of Biochemistry and Microbiology, Faculty of Pharmacy, Al Baath University, Homs, Syria

DOI:

https://doi.org/10.35516/jjps.v17i2.1787

Keywords:

Sulaf Alwassouf , Polycystic ovary syndrome, Zinc, Copper, Insulin resistance

Abstract

Objective: To investigate the association between zinc and copper levels and insulin resistance, a key pathological mechanism of Polycystic Ovary Syndrome (PCOS), and to compare these levels with those of healthy subjects in Homs.

Methods: The study included 63 female patients newly diagnosed with PCOS, prior to treatment at Al-Basil Hospital in Homs, Syria, along with 25 healthy subjects of similar age. Blood samples were collected using dry tubes for laboratory measurements of zinc, copper, glucose, and insulin hormone levels. Subsequently, the HOMA-IR and QUICKI indices were calculated.

Results: In the patients' group, serum zinc levels were significantly lower (p-value=0.000), and serum copper levels were significantly higher (p-value=0.000) compared to healthy subjects. Among patients with insulin resistance, serum zinc levels were significantly lower (p-value=0.004), and serum copper levels were significantly higher (p-value=0.000) compared to patients without insulin resistance. Patients without insulin resistance had significantly lower serum zinc levels (p-value=0.000) and significantly higher serum copper levels (p-value=0.000) compared to healthy subjects. There was a positive correlation between copper and HOMA-IR (r=0.572**, p-value=0.000), and a negative correlation between zinc and HOMA-IR (r=-0.865**, p-value=0.000).

Conclusion: The imbalance in zinc and copper levels appears to play a role in the development of PCOS, both in relation to insulin resistance and potentially as an independent factor.

References

Ajmal N., Khan S., and Shaikh R. Polycystic ovary syndrome (PCOS) and genetic predisposition: A review article. European Journal of Obstetrics & Gynecology and Reproductive Biology: X. 2019; 3:100060. http://dx.doi.org/10.1016/j.eurox.2019.100060 DOI: https://doi.org/10.1016/j.eurox.2019.100060

Peña A. S., Codner E., and Witchel S. Criteria for Diagnosis of Polycystic Ovary Syndrome during Adolescence: Literature Review. Diagnostics. 2022; 12:1931. https://doi.org/10.3390/diagnostics12081931. DOI: https://doi.org/10.3390/diagnostics12081931

El Sayed A. M., El Ghwaji W., Youseif, Z. M., El-Deeb K. S., and ElSayed, A. M. Fertility control impact of the aerial parts Ferula tingitana L. via alteration of hypothalamic-pituitary-gonadal axis responses of female Wistar rats. Jordan Journal of Pharmaceutical Sciences. 2022; 15(1). DOI: https://doi.org/10.35516/jjps.v15i1.285

Saadia Z. Follicle Stimulating Hormone (LH: FSH) Ratio in Polycystic Ovary Syndrome (PCOS) - Obese vs. Non- Obese Women. Medical archives (Sarajevo, Bosnia and Herzegovina). 2020; 74(4):289-293.

http://dx.doi:10.5455/medarh.2020.74.289-293. DOI: https://doi.org/10.5455/medarh.2020.74.289-293

Teede H., Michelmore J., McCallister V., and Norman R. Norman RJ on behalf of the International PCOS Network. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Fertil Steril In press, (2018). DOI: https://doi.org/10.1093/humrep/dey363

Xu, Y. and Qiao, J. Association of Insulin Resistance and Elevated Androgen Levels with Polycystic Ovarian Syndrome (PCOS): A Review of Literature. Journal of Healthcare Engineering. 2022.

https://doi.org/10.1155/2022/9240569. DOI: https://doi.org/10.1155/2022/9240569

Rocha, A. L., Oliveira, F. R., Azevedo, R. C., Silva, V. A., Peres, T. M., Candido, A. L., Gomes, K. B., and Reis, F. M. Recent advances in the understanding and management of polycystic ovary syndrome. F1000Research. 2019; 8:565.

https://doi.org/10.12688/f1000research.15318.1. DOI: https://doi.org/10.12688/f1000research.15318.1

Safarzad, M., Jazi, M. S., Kiaei, M., Asadi, J. Lower serum zinc level is associated with higher fasting insulin in type 2 diabetes mellitus (T2DM) and relates with disturbed glucagon suppression response in male patients. Prim Care Diabetes. 2023; 17(5):493-498. https://doi: 10.1016/j.pcd.2023.05.008 . DOI: https://doi.org/10.1016/j.pcd.2023.05.008

Khalighinejad, P., Suh, E. H., Sherry, A. D. MRI Methods for Imaging Beta-Cell Function in the Rodent Pancreas. Methods Mol Biol. 2023; 2592:101-111. https://doi: 10.1007/978-1-0716-2807-2_7 . DOI: https://doi.org/10.1007/978-1-0716-2807-2_7

Zhang C. Internalization and trafficking of zinc transporters. Methods in Enzymology. 2023; 687:241-262. https://doi: 10.1016/bs.mie.2023.06.004 DOI: https://doi.org/10.1016/bs.mie.2023.06.004

Tamura Y. The Role of Zinc Homeostasis in the Prevention of Diabetes Mellitus and Cardiovascular Diseases. Journal of Atherosclerosis and Thrombosis. 2021; 28:1109-1122. http://doi.org/10.5551/jat.RV17057.

Kopeček, J., Bajtošová, L., Veřtát, P., and Šimek, D. Structure Development in Gradually Swaged Electroconductive Bars. Materials (Basel). 2023; 16(15):5324.

https://doi: 10.3390/ma16155324. DOI: https://doi.org/10.3390/ma16155324

Ribeiro, J. C., Braga, P. C., Martins, A. D., Silva, B. M., Alves, M. G., and Oliveira P.F. Antioxidants Present in Reproductive Tract Fluids and Their Relevance for Fertility. Antioxidants. 2022; 10:1441. DOI: https://doi.org/10.3390/antiox10091441

Nishito Yand Kambe T. Absorption mechanisms of iron, copper, and zinc: An overview. Journal of Nutritional Science and Vitaminology. 2018; 64:1-7. DOI: https://doi.org/10.3177/jnsv.64.1

Taylor, A. A., Tsuji, J. S., Garry, M. R., McArdle, M. E., Goodfellow, Jr. W. L., Adams, W. J., and Menzi, C. A. Critical Review of Exposure and Effects: Implications for Setting Regulatory Health Criteria for Ingested Copper. Environmental Managements. 2020; 65:(131-159):5324. https://doi.org/10.1007/s00267-019-01234-y DOI: https://doi.org/10.1007/s00267-019-01234-y

Malavolta, M., Piacenza, F., Basso, A., Giacconi, R., Costarelli, L., and Mocchegiani, E. Serum copper to zinc ratio: Relationship with aging and health status. Elsevier. 2015; 151:93-100. http://dx.doi.org/10.1016/j.mad.2015.01.004 DOI: https://doi.org/10.1016/j.mad.2015.01.004

Juita, T. R., Hildayanti, R. A., Wahyuni, S., Handono, K., Irwanto, Y., Raharjo, B., Rahajeng, R., and Handayani, T. S. The Effect of Black Garlic Extract on Levels of IL-6, TGF-β, TNF-α, IL-10, Vaginal pH, Bacterial Colonies in Pregnant Rats Aerobic Vaginitis Model. Jordan Journal of Pharmaceutical Sciences. 2022; 15(4). DOI: https://doi.org/10.35516/jjps.v15i4.669 DOI: https://doi.org/10.35516/jjps.v15i4.669

Sidhu, A., Miller, P. J., and Hollenbach A. D. FOXO1 stimulates ceruloplasminpromoter activity in human hepatoma cells treated with IL-6. Biochem. Biophys. Res. Commun. 2011; 404:963–967. DOI: https://doi.org/10.1016/j.bbrc.2010.12.089

Beker, A. T., Chang, S. M., Guthrie, G. J., Maki, A. B., Ryu, M. S., Karabiyik, A. and Cousins, R. J. Zinc transporter ZIP14 functions in hepatic zinc, iron and glucosehomeostasis during the innate immune response (endotoxemia). PLoS One. 2012; 7:e48679. DOI: https://doi.org/10.1371/journal.pone.0048679

Kanafchian, M., Mahjoub, S., Esmaeilzadeh, S., Rahsepar, M., and Mosapour, A. Status of serum selenium and zinc in patients with the polycystic ovary syndrome with and without insulin resistance. Middle East Fertility Society Journal. 2017; 23:241-245.

http://dx.doi.org/10.1016/j.mefs.2017.11.003. DOI: https://doi.org/10.1016/j.mefs.2017.11.003

Mohammed, A. H., Awad, N. A., and AL-Fartosy, A.JM. Study of Trace Elemants Selenium, Copper, Zinc and Manganese Level in Polycystic Ovary Syndrome (PCOS). International Journal for Research in Applied Sciences and Biotechnology. 2019; 6:2349-8889.

http://dx.doi.org/10.31033/ijrasb.6.6.4. DOI: https://doi.org/10.31033/ijrasb.6.6.4

Kanafchian, M., Esmaeilzadeh, S., Mahjoub, S., Rahsepar, M., and Ghasemi M. Status of Serum Copper, Magnesium, and Total Antioxidants Capacity in Patients with Polycystic Ovary Syndrome. 2019. DOI: https://doi.org/10.1007/s12011-019-01705-7

http://dx.doi.org/10.1007/s12011-019-017057.

Pokorska-Niewiada, K., Brodowska, A. and Szuzuko, M. The Content of Minerals in the PCOS Group and the Correlation with the Parameters of Merabolism. Nutrients. 2021; 13:2214. DOI: https://doi.org/10.3390/nu13072214

http://dx.doi.org/10.3390/nul3072214.

Bellomo, E., Massarotti, A., Hogstrand, C. and Maret, W. Zinc ions modulate protein tyrosine phosphatase 1B activity. Metallomics. 2014; 6:1229–1239. DOI: https://doi.org/10.1039/C4MT00086B

http://doi.org/10.5551/jat.RV17057.

Alqassieh, R., Odeh, M., and Jirjees, F. Intraoperative Insulin Infusion Regimen versus Insulin Bolus Regimen for Glucose Management during CABG Surgery: A Randomized Clinical Tr. Jordan Journal of Pharmaceutical Sciences. 2023; 16(3).

DOI: https://doi.org/10.35516/jjps.v16i3.708 DOI: https://doi.org/10.35516/jjps.v16i3.708

Vardatsikos, G., Pandey, N. R., and Srivastava, A. K. Insulino-mimetic and anti-diabetic effects of zinc. J Inorg Biochem. 2013; 120:8-17. DOI: https://doi.org/10.1016/j.jinorgbio.2012.11.006

http://doi.org/10.5551/jat.RV17057 DOI: https://doi.org/10.5551/jat.RV17057

Naskar, A., Dasgupta, A., and Acharya, K. Antioxidant and Cytotoxic Activity of Lentinus fasciatu. Jordan Journal of Pharmaceutical Sciences. 2023; 16(1): 2023.

DOI: https://doi.org/10.35516/jjps.v16i1.1064 DOI: https://doi.org/10.35516/jjps.v16i1.1064

Rochette, L. et al. Diabetes, oxidative stress and therapeutic strategies. Biochimica et Biophysica Acta. 2014; 1840(9):2709-2729. DOI: https://doi.org/10.1016/j.bbagen.2014.05.017

Bizon, A., Slowiak, A., Franik, G., Biernacka-Bartnik, A., and Madej, P. Zinc, copper, sirtuin 1 concentration, and glucose metabolism parameters in the blood of women with polycystic ovary syndrome. Gynecological Endocrinology. 2020. DOI: https://doi.org/10.1080/09513590.2020.1751111

http://doi.org/10.1080/09513590.20201751111

Cummings, J. E. and Kovacic, J. P. The ubiquitous role of zinc in health and disease. J. Vet. Emerg. Crit. Care. 2009; 19:215-240.

Nasiadek, M., Stragierowicz, J., and Kilanowicz, A. The Role of Zinc in Selected Female Reproductive System Disorders. Nutrients. 2020; 12:2464. DOI: https://doi.org/10.3390/nu12082464

http://doi.org/103390/nu12082464.

Cummings, J. E. and Kovacic, J. P. The ubiquitous role of zinc in health and disease. J. Vet. Emerg. Crit. Care. 2009, 19: 215-240. DOI: https://doi.org/10.1111/j.1476-4431.2009.00418.x

Wang, H., Hu, Y. F., Hao, J. H., Chen, Y. H., Su, P.Y., Wang, Y., Yu, Z., Fu, L., Xu, Y. Y., Zhang, C. et al. Maternal zinc deficiency during pregnancy elevates the risks of fetal growth restriction: A population-based birth cohort study. Sci. Rep. 2015; 5:11262. DOI: https://doi.org/10.1038/srep11262

Özer, A., Bakacak, M., Kıran, H., Ecran, Ö., Köstö, B., Kanat-Pektaş, M., and Aslan, F. Increased oxidative stress is associated with insulin resistance and infertility in polycystic ovary syndrome. VIA MEDICA. 2016; 87(11):733-738. http://doi.org/10.5603/GP.2016.0079. DOI: https://doi.org/10.5603/GP.2016.0079

Hussien, K. A., Al-Salih, R. M., and Ali, S. A. Evaluation of Hormones and Trace Elements in Women with Unexplained Infertility. University of Thi-Qar Journal of Medicine. 2017; 14:2.

Watts, D. and David, L. Trace Elements and Other Essential Nutrients. 4th Writ B-L-O-C-K Ed USA. (2003).

David, L. and Watts, D. The Nutritional Relationships of Copper. J Orthomol Med. 1989; 4:99-108

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Published

2024-06-25

How to Cite

Alzahr, L., & Alwassouf, S. (2024). The Relationship between Levels of Zinc and Copper and Insulin Resistance in Polycystic Ovary Syndrome Patients in Homs. Jordan Journal of Pharmaceutical Sciences, 17(2), 242–253. https://doi.org/10.35516/jjps.v17i2.1787

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