Search Results (869)

Cholestasis in children is characterized by impaired bile flow that disrupts hepatic metabolism, nutrient homeostasis, and effects trace element balance. This narrative review summarizes current evidence on the metabolism, biological functions, and clinical implications of key trace elements—zinc, selenium, copper, and manganese—in pediatric cholestatic liver disease. The liver regulates trace element absorption, intracellular trafficking, storage, and biliary excretion; cholestasis alters these processes, leading to deficiencies or toxic accumulation. Zinc and selenium deficiencies are common and contribute to impaired growth, immune dysfunction, oxidative stress, and delayed hepatic regeneration. Conversely, reduced biliary excretion promotes copper and manganese accumulation, potentially exacerbating liver injury and causing manganese-related neurotoxicity. Recent advances in understanding metal-specific hepatic transporters and trafficking pathways have provided mechanistic insight into these alterations. Management strategies emphasize individualized supplementation, monitoring during enteral and parenteral nutrition, and prevention of deficiency and toxicity. Precision-based nutritional approaches may improve outcomes in pediatric cholestatic liver disease. Full article

Introduction: Trace elements such as zinc, selenium, iron, copper, and manganese play a vital role in human health—especially in how the immune system responds and how the body handles viral infections. These trace elements have complex and sometimes context-dependent effects: while they can strengthen the body’s defenses, imbalances may promote viral replication and worsen tissue damage. Methods: Relevant articles discussed in this narrative review were identified through searches in major databases, including PubMed, Scopus, and Web of Science, primarily those published from 2020 onwards. Discussion: In this review, we examine key findings on how trace elements influence antioxidant defense, modulate viral replication, and regulate cytokine signaling, considering the context of innate immunity and the pathology of viral diseases. We discuss their impact on major infections such as HIV, viral hepatitis, and coronaviruses, highlighting how deficiencies or excesses of certain minerals can affect disease severity, immune responses, and clinical outcomes. The therapeutic use of trace element supplementation is also examined, emphasizing the importance of maintaining proper balance to avoid harmful effects. Conclusions: These findings contribute to a deeper understanding of the complex relationship between micronutrients and viral infections, which can inform the development of more effective prevention and treatment strategies. This review underscores the need for further clinical and experimental studies to define optimal levels of these elements in different health and disease scenarios. Full article

Zinc-L-selenomethionine (Zn-L-SeMet), a novel organic selenium (Se) source, shows great potential in alleviating oxidative stress. This study first evaluated the potential of Zn-L-SeMet to improve the health of weaned piglets and investigated underlying molecular mechanisms. In vivo, 240 weaned piglets were assigned to five dietary groups, namely, a control group (basal diet without Se) and four groups supplemented with Zn-L-SeMet (0.1, 0.2, 0.3, or 0.4 mg Se/kg in basal diet) for 42 days. In vitro, an oxidative stress model was established using hydrogen peroxide (H₂O₂) in porcine intestinal epithelial cells (IPEC-J2) to investigate the mechanisms of Zn-L-SeMet against oxidative damage. The results showed that Zn-L-SeMet improved growth performance, enhanced antioxidant and immune function, stimulated thyroid hormone secretion, and upregulated expression of selenoprotein genes. In vitro, Zn-L-SeMet reduced H₂O₂-induced apoptosis, promoted IPEC-J2 viability, and enhanced activities of antioxidant enzymes, while reducing lactate dehydrogenase release, malondialdehyde and reactive oxygen species levels. Furthermore, Zn-L-SeMet significantly increased the expression levels of Keap1, NQO1, HO-1, ARE, p-Nrf2, p-PI3K, and p-AKT, and protein ratio of p-Nrf2/Nrf2, PI3K/PI3K, and p-AKT/AKT compared to the H₂O₂ group (p < 0.05). In conclusion, Zn-L-SeMet improves health status with antioxidant potential in weaned piglets, and the mechanism is associated with activation of PI3K/AKT and Nrf2/Keap1 pathways. Full article

This study aimed to manufacture and characterize highly porous dressings based on gellan gum (GG) and sodium alginate (Alg) hydrogels modified with zinc oxide (ZnO) and bacitracin (BAC) intended for infected and exuding wounds. ZnO nanoparticles (ZnO(n)) were 26 ± 4 nm in size according to atomic force microscopy (AFM), while the size of the microparticles (ZnO(m)) was 1.02 ± 0.01 µm according to laser diffraction measurements. Their relative surface areas were 39.16 m²/g and 4.56 m²/g, respectively. Microbiological studies showed that ZnO(n) exhibited antibacterial activity in contact with the Gram+ Staphylococcus aureus; thus, they were selected for embedding in a hydrogel matrix. Four types of composite hydrogel samples were manufactured: GG/Alg, GG/Alg+ZnO, GG/Alg+BAC, and GG/Alg+ZnO+BAC, which were subjected to freeze drying. The water absorption of all materials exceeded 4000%, showing excellent liquid absorbability. Burst release of BAC was found at a level of 90% in the first 2 h. In vitro cytotoxicity studies on L929 fibroblasts did not show a toxic effect of extracts from the GG/Alg and GG/Alg+BAC samples, contrary to samples supplemented with ZnO(n). In microbiological studies, the enhanced antibacterial effect of ZnO(n) and BAC was observed in contact with Staphylococcus aureus and Staphylococcus epidermidis strains. Therefore, GG/Alg+BAC+ZnO is the most promising dressing system for the treatment of infected and exuding wounds. Full article

High-quality, well-balanced feeding strategies are essential for optimizing poultry growth performance and for ensuring the safety of poultry products. Here, we evaluated the effects of chelated vs. inorganic trace minerals on the growth, survival and carcass characteristics of Cobb 500 broiler chickens. A large-scale feeding trial involved four dietary treatments at 21–35 days of age, with Group 1 receiving a control diet with mineral supplements of zinc (Zn), copper (Cu) and manganese (Mn) in sulfate form, based on a standard formulation. A further three experimental diets contained chelated forms of Zn (Group 2), Cu (Group 3) and a mineral premix MINTREX^® that provides Zn, Cu and Mn (Group 4). Broilers were raised to 42 days of age under commercial production conditions. Feeding chelated trace minerals resulted in significantly higher body weights during the rearing period, including a 10% increase in pre-slaughter weight compared to the controls (p < 0.01). Moreover, survival rates improved from 87% in the controls to 95–96% in the treatment groups (p < 0.001), and carcass evaluation revealed a 15–17% increase in eviscerated carcass weight in birds fed chelated supplements (p < 0.05). Greater yields of muscle, liver and skin with subcutaneous fat were observed, as was improved production of total edible carcass components. Among the treatments, MINTREX^® provided the greatest enhancement effects in performance and slaughter traits. These findings demonstrate that dietary chelated minerals, whether single or combined, may have positive effects on the broiler carcass yield and support their inclusion in poultry production systems. Full article

This experiment was conducted to investigate the effects of combinations of different dietary fiber sources (inulin and cellulose) on broilers from 1 to 42 d of age. A total of 560 Arbor Acres male broilers were randomly divided into seven dietary treatments with eight replicates per treatment and 10 broilers per replicate. A con-soybean control (CON) diet, CON diet supplemented with antibiotics (zinc bacitracin, 50 mg/kg, AB diet), CON diet diluted with 2% of inulin (LNU), CON diet diluted with 1.5% of inulin and 0.5% of cellulose (MIX1), CON diet diluted with 1.0% of inulin and 1.0% of cellulose (MIX2), CON diet diluted with 0.5% of inulin and 1.5% of cellulose (MIX3), and CON diet diluted with 2.0% of cellulose (CEL). Results demonstrated body weight (BW) (d42) and average daily gain (ADG) (d1 to 21, d22 to 42, d1 to 42) were significantly increased (p < 0.05), and the feed-to-gain ratio (F/G) (d1 to 21, d22 to 42, d1 to 42) was markedly decreased (p < 0.01) in the MIX1 group than those in the other treatments. Compared to broilers fed CON, AB, or other diets, broilers fed with the MIX1 diet had markedly improved (p < 0.05) nutrients utilization, lactase and superoxide dismutase (SOD) activities, and mRNA expression levels of jejunal function-related genes (SGLT1, GLUT2, PepT1, GLP-2, and ZO-1), while significantly decreased (p < 0.05) intestinal pH, TNF-α content and IL-6 mRNA level in jejunum at 21 or 42 days of age. Collectively, dietary fiber was included in broiler diets at a total level of 2%, and the MIX1 combination (combining 1.5% of inulin and 0.5% of cellulose) promoted growth performance, nutrient digestibility, and intestinal function, and this diet may be a potential alternative to antibiotics. Full article

Dromedary camels possess unique anatomical, physiological, and metabolic adaptations that enable survival in arid environments; however, these same adaptations make them highly sensitive to nutritional imbalance under modern feeding conditions. This review synthesizes current knowledge on nutritional pathologies and metabolic disorders in camels, emphasizing the links between diet composition, foregut fermentation, mineral status, and systemic health. Imbalances in energy and carbohydrates predispose camels to subacute and acute acidosis, negative energy balance, and ketosis-like syndromes, particularly when rapidly fermentable feeds are introduced without adequate fiber or water. Protein and nitrogen disorders, including ammonia toxicity and impaired urea recycling, arise from mismatches between degradable protein, fermentable energy, hydration, and mineral availability. Widespread deficiencies of phosphorus, copper, cobalt, zinc, selenium, and vitamins A and E remain major constraints, leading to pica, poor microbial fermentation, oxidative stress, immunosuppression, reproductive failure, and skeletal disorders. Nutritional disturbances frequently extend beyond the gastrointestinal tract, forming a gut–liver–kidney metabolic axis characterized by hepatic dysfunction, renal compromise, and systemic oxidative stress. The review also addresses gastrointestinal impaction, foreign-body ingestion, toxic plant consumption, and feeding on human food waste as emerging nutritional challenges, particularly in peri-urban systems. Advances in diagnostic ultrasonography, feed evaluation techniques, probiotics, mineral–vitamin supplementation, and omics-based approaches are discussed as tools for improving early diagnosis and precision nutrition. Despite growing research interest, the lack of camel-specific feeding standards and reliance on cattle-based recommendations remain critical gaps. This review highlights the need for species-specific nutrient requirement models, sustainable rangeland management, and integrative research to support the health, resilience, and productivity of camels under changing environmental and production systems. Full article

Reproductive efficiency in female cattle is significantly influenced by micronutrient status, particularly the availability and balance of essential trace minerals. Selenium, copper, zinc, cobalt, and iron serve as critical components of enzymatic systems, antioxidant defense networks, hormone synthesis, and cellular metabolism, collectively sustaining reproductive health. This review integrates current research evidence on the physiological functions and molecular mechanisms through which these five trace minerals regulate reproductive performance in female cattle, with a specific focus on iron—an often overlooked element—highlighting the novelty of this synthesis. Both deficiency and excess of these minerals impair key reproductive outcomes such as estrous cyclicity, conception rate, and embryonic survival. Furthermore, complex interactions among minerals influence their bioavailability and physiological responses. Advances in mineral supplementation strategies, particularly the application of organic minerals and precision feeding technologies, offer promising solutions to improve reproductive performance. Elucidating these interrelationships provides a theoretical foundation for optimizing trace mineral nutrition, thereby enhancing female cattle fertility, reducing metabolic disorders and promoting the sustainable development of beef and dairy industries. Full article

Children living in resource-limited regions with inadequate environmental sanitation, such as the Bolivian highlands, are affected by parasitic infections that may compromise nutritional status. Objective: This study aimed to assess the prevalence of intestinal parasitic infections and their associations with nutritional status, micronutrient deficiencies, and anemia in school-aged children from La Paz, Bolivia. Methods: A cross-sectional study was conducted among 212 schoolchildren aged 5–13 years in the municipality of La Paz, in highland areas characterized by high poverty levels. Parasitological examination, anthropometric measurements, and biochemical assessment of micronutrients (vitamins A and D, zinc, iron) were performed to evaluate children’s health status. Results: Mild malnutrition was more prevalent than moderate-to-severe forms. Micronutrient analysis revealed substantial deficiencies in vitamin A (39%), zinc (25%), and vitamin D (18%). Zinc deficiency was significantly more common in children aged 11–13 years compared to younger age groups (p = 0.034). Intestinal protozoan infections showed significant associations with micronutrient deficiencies. Giardia lamblia infection was associated with both vitamin A (30.9%, p = 0.042) and vitamin D (78.9%, p = 0.001) deficiencies. Blastocystis spp. infection was similarly linked to higher prevalence of vitamin A (35.8%, p = 0.025) and vitamin D (69.7%, p = 0.004) deficiencies. Entamoeba coli infection was significantly associated with vitamin D deficiency (p = 0.021), while Iodamoeba bütschlii infection showed a significant association with zinc status (p = 0.027), with notably lower zinc deficiency prevalence in infected children (7.7%) compared to non-infected children. Among helminth infections, Ascaris lumbricoides was significantly associated with vitamin D deficiency (37%, p = 0.018). Moderate-to-severe anemia was highly prevalent, affecting over half of the children regardless of sex. Wasting (BAZ) was significantly associated with age (p = 0.030), with moderate-to-severe cases most prevalent in children aged 5–7 years and absent in older groups, while mild wasting increased with age. In univariate logistic regression analysis, zinc deficiency emerged as a significant risk factor for anemia (OR = 2.51, 95% CI: 1.19–5.29, p = 0.016). No significant associations were observed between anemia and sex, age group, vitamin A or D status, or anthropometric indicators including underweight, stunting, or wasting. Conclusions: These findings highlight the substantial burden of micronutrient deficiencies, parasitic infections, and anemia among children in this impoverished region, underscoring the urgent need for targeted public health interventions addressing nutritional supplementation, parasite control, and improved sanitation. Full article

Micronutrient deficiencies remain a persistent challenge to global health and food security, particularly in low- and middle-income countries where evidence-based strategies are urgently needed. Biofortification of staple crops has been promoted as a complementary intervention to supplementation and food fortification, but its effective implementation requires locally relevant studies. Such evidence is essential because the performance and adoption of biofortified crops depend on context-specific factors, including crop varieties, soil micronutrient dynamics, dietary patterns, cultural acceptability, and bioavailability, which limit the transferability of findings across settings. This perspective examines whether countries with the highest micronutrient burdens generate sufficient local research to inform biofortification policy decisions. We conducted a bibliometric mapping of peer-reviewed literature indexed in Scopus and compared country-level publication counts with indicators of iodized salt coverage, zinc deficiency, and childhood anemia, which were selected because they are prioritized metrics in global health and food security. From 776 eligible articles, most publications originated from a small group of high- and middle-income countries, whereas regions facing the greatest nutritional burdens, including parts of Sub-Saharan Africa and South Asia, contributed little to the scientific output. Countries with low iodized-salt coverage, high zinc deficiency, or childhood anemia above 40% frequently showed zero or minimal publications. This misalignment suggests that countries facing the greatest nutritional vulnerabilities may be underrepresented in the indexed scientific literature. These findings highlight the value of further strengthening research participation and visibility in high-burden settings to ensure that the evidence base more accurately reflects global needs. Full article

As the global population continues to rise, sustainable agricultural systems such as aquaponics have gained attention for their potential to maximize food production while minimizing resource use. This study evaluated the growth performance, yield, and mineral composition of okra (Abelmoschus esculentus) grown in a coupled aquaponic system with Nile tilapia (Oreochromis niloticus), comparing two production methods: floating raft and flooded media bed. Okra was cultivated at two planting densities (32 and 48 plants/m²) over a 12-week period, and multiple plant growth parameters and tissue mineral compositions were assessed at harvest. Results showed that plant production method significantly (p < 0.05) influenced okra growth and yield, while planting density had limited impact. Okra grown in media beds exhibited greater (p < 0.05) stem length, stem and root weights, number of leaves, and okra (fruit) production compared to those grown on floating rafts. Although root length was longer (p < 0.05) in raft-grown plants, root biomass was notably higher (p < 0.05) in plants grown in media beds. Mineral composition of plant tissues also varied with production method and density. Media-grown okra generally had higher (p < 0.05) concentrations of calcium, phosphorus, and copper in leaves and stems, whereas raft-grown plants showed elevated levels of sodium and zinc in several tissues. Plant density affected a few specific mineral concentrations, particularly in roots and fruit, though effects were inconsistent. While fish growth was not high, possibly due to some water quality parameters (such as alkalinity and hardness) not being optimal, plant performance in media beds without supplemental nutrient inputs highlights the viability of fired clay media in aquaponic okra production. These findings suggest that media beds offer agronomic advantages over floating rafts for okra cultivation in aquaponic systems, with implications for optimizing nutrient delivery and plant health in sustainable food production systems. Full article

Due to its antioxidant and immunomodulatory properties, using passion fruit seed oil (PFSO) is a promising strategy to mitigate the effects of heat stress in laying hens, potentially optimizing the absorption of essential minerals such as selenium (Se) and zinc (Zn). Therefore, this study investigated the profile of selenium- and zinc-binding proteins (Se/Zn-BPs) in the hepatic proteome of Lohmann White laying hens (26 weeks old, n = 96) subjected to heat stress and whose diet was supplemented with 0.9% PFSO, using a metalloproteomic approach that combined two-dimensional electrophoresis (2D PAGE), graphite furnace atomic absorption spectrometry (GFAAS), and liquid chromatography–tandem mass spectrometry (LC-MS/MS). The experimental design was a 2 × 2 factorial (temperature: thermoneutral/stress × diet: control/PFSO) design. After 84 days, liver samples were collected and subjected to metalloproteomic analyses. GFAAS analysis showed higher concentrations of Zn and Se in the protein pellets and in 11 specific protein spots of the supplemented groups (thermoneutral/PFSO and stress/PFSO). LC-MS/MS analysis identified 56 Se/Zn-BPs, with a predominance of heat shock chaperones (HSPs) and proteins involved in energy metabolism. In conclusion, PFSO supplementation modulates Se and Zn absorption, promoting a mineral balance that optimizes immune and antioxidant defense processes. This mechanism can lead to a positive impact on the health and productive performance of laying hens under heat stress. Full article

Background/Objectives: Zinc is an essential trace element involved in multiple aspects of immune function, including epithelial barrier integrity, innate and adaptive immune responses, regulation of inflammation and oxidative stress. Zinc deficiency has been associated with increased susceptibility to infections, particularly in the pediatric population. This narrative review aims to summarize and discuss current evidence on the role of zinc in the prevention and management of pediatric respiratory infections. Methods: A comprehensive literature review was conducted including randomized controlled trials, real-world studies, and international guidelines published in recent years. Both zinc monotherapy and multicomponent dietary supplements containing zinc were considered. Results: Evidence consistently supports a preventive role of zinc supplementation in reducing the incidence and burden of respiratory infections, particularly in children with recurrent disease and in zinc-deficient populations. Zinc-containing multicomponent supplements demonstrated significant reductions in infection frequency and duration, alongside improved patient and parent-reported outcomes, with a favorable safety profile. In contrast, data on zinc as an adjunctive treatment during acute infections, especially severe pneumonia, are less consistent, with limited impact on major clinical outcomes. The effectiveness of zinc appears to be influenced by treatment duration, baseline nutritional status, and formulation. Conclusions: In conclusion, zinc may represent a valuable component of preventive immune-nutritional strategies for pediatric respiratory infections, especially when administered as part of multicomponent formulations and over prolonged periods. While its role in acute disease management remains uncertain, optimizing zinc status may contribute to reducing infection recurrence and overall disease burden. Further well-designed trials are warranted to clarify optimal dosing, timing, and target populations. Full article

Background/Objectives: Hypozincemia associated with severe trauma contributes to immune dysfunction and poor prognosis; however, the clinical utility and optimal dosage of zinc supplementation remain unclear. In particular, it is unclear whether high-dose administration exceeding standard recommendations improves prognosis. Thus, we aimed to verify this in patients with severe trauma requiring mechanical ventilation. Methods: This single-center retrospective observational study included patients with severe trauma (Injury Severity Score [ISS] > 15) requiring mechanical ventilation admitted to our emergency intensive care unit (ICU) between April 2015 and March 2023. Patients were classified into three groups based on their mean daily zinc supplementation dose: low (<15 mg), medium (15–50 mg), and high (>50 mg). The primary outcome was the 30-day survival rate. Secondary outcomes included the 90-day survival rate, length of ICU stay, and hospital-acquired pneumonia. Multivariable regression evaluated the association between high-dose zinc supplementation and clinical outcomes after adjusting for confounding factors. Results: Of 196 patients, 86, 16, and 94 were in the low-, medium-, and high-dose groups, respectively. The high-dose group had significantly poorer nutritional status and lower serum zinc levels, whereas no significant differences were observed in severity scores or study outcomes. High-dose zinc supplementation showed no significant association with improved 30-day survival in adjusted analyses. Conclusions: In patients with severe trauma requiring mechanical ventilation, high-dose zinc supplementation did not improve 30-day survival or other clinical outcomes compared with standard doses. These results do not support the use of high-dose zinc supplementation for severe trauma. Full article

The objective of this research was to investigate how injectable trace minerals and vitamins influence the mineral and vitamin status, hematological parameters, antioxidant capacity, metabolic profile, and performance of Nellore calves during the pre-weaning phase. A total of 38 grazing Nellore male calves with access to creep feeding were randomly assigned to two treatments: injectable supplementation of saline solution (saline; n = 19) or injectable supplementation of trace minerals (copper, manganese, zinc, and selenium) and vitamins (A and E) (ITMV; n = 19), administered on days 75 and 150 of the calves’ age. The injectable supplementation did not affect (p > 0.05) body weight, average daily gain, body measurements, or carcass measurements throughout the experimental period from 75 to 218 days (7 days before weaning) of age. However, ITMV-treated calves showed higher (p ≤ 0.05) liver concentrations of Cu and Se on day 195 than saline calves. Higher plasma concentrations of Cu (days 195 and 218) and Se (days 135, 195, and 218) were observed for ITMV calves compared to the saline group. Furthermore, the ITMV group showed greater (p ≤ 0.05) glutathione peroxidase activity, higher red blood cell count, hemoglobin, and hematocrit levels, and a lower neutrophil/lymphocyte ratio (p = 0.04). In the metabolic profile, only a day effect was observed (p ≤ 0.05). In conclusion, the injectable supplementation of trace minerals and vitamins in suckling Nellore calves improved copper and selenium status and optimized antioxidant capacity and hematological parameters, in addition to modulating the immune response towards a less inflammatory state, although it did not affect performance or the metabolic profile. Full article