Copper Accumulation Research Articles

Sediment quality classification in freshwater lakes predicted by the history of treatment with copper-based aquatic algaecides.

Copper-based aquatic algaecides have been widely used in the management of aquatic macrophyte and harmful algal blooms for decades due to their effectiveness and low cost. However, repeated treatment of freshwater lakes results in the accumulation of copper in the sediment, which may adversely affect the ecosystem of the lakes through toxicity to benthic invertebrates and other organisms. Consequently, copper-based aquatic herbicides and algaecides have been frequently subjected to regulations aimed at preventing further ecological deterioration in treated waterbodies. Many states in the US are taking or considering taking an approach that limits or prohibits copper treatment in waterbodies. Freshwater lakes with extensive historical copper treatments typically have significantly higher concentrations of copper in the sediment than untreated lakes. However, the correlation between the extent of the treatments and level of copper accumulation in the sediment has not been quantitatively characterized. In the present study, between 2006 and 2017, copper concentrations were measured in the sediment from selected lakes in New York State with different histories of copper-based aquatic algaecide treatment. Analysis of these data confirmed findings from earlier studies conducted by New York State that lakes with histories of copper treatment have significantly higher copper concentrations in the sediment. It also demonstrated that sediment copper concentrations were significantly higher in the sublittoral zone than the littoral zone in treated lakes. Moreover, a positive correlation was detected between sediment copper concentrations and the total number of treatments with copper-based aquatic algaecide for both littoral and sublittoral zones (p-value = 7.94 × 10-8 and 3.1 × 10-13, respectively). This relationship can be used as a screening tool for regulatory agencies to identify lakes with sediment copper levels possibly higher than the toxicity threshold for aquatic life. Consequently, additional ecological risk assessment may be required before allowing future treatment with copper-based aquatic algaecides. Integr Environ Assess Manag 2024;20:1586-1597. © 2024 SETAC.

Copper Deposition in Polydopamine Nanostructure to Promote Cuproptosis by Catalytically Inhibiting Copper Exporters of Tumor Cells for Cancer Immunotherapy.

Cuproptosis is an emerging programmed cell death, displaying great potential in cancer treatment. However, intracellular copper content to induce cuproptosis is unmet, which mainly ascribes to the intracellular pumping out equilibrium mechanism by copper exporter ATP7A and ATP7B. Therefore, it is necessary to break such export balance mechanisms for desired cuproptosis. Mediated by diethyldithiocarbamate (DTC) coordination, herein a strategy to efficiently assemble copper ions into polydopamine nanostructure (PDA-DTC/Cu) for reprogramming copper metabolism of tumor is developed. The deposited Cu2+ can effectively trigger the aggregation of lipoylated proteins to induce cuproptosis of tumor cells. Beyond elevating intracellular copper accumulation, PDA-DTC/Cu enables to break the balance of copper metabolism by disrupting mitochondrial function and restricting the adenosine triphosphate (ATP) energy supply, thus catalytically inhibiting the expressions of ATP7A and ATP7B of tumor cells to enhance cuproptosis. Meanwhile, the killed tumor cells can induce immunogenic cell death (ICD) to stimulate the immune response. Besides, PDA-DTC/Cu NPs can promote the repolarization of tumor-associated macrophages (TAMs ) to relieve the tumor immunosuppressive microenvironment (TIME). Collectively, PDA-DTC/Cu presented a promising "one stone two birds" strategy to realize copper accumulation and inhibit copper export simultaneously to enhance cuproptosis for 4T1 murine breast cancer immunotherapy.

Arabidopsis response to copper is mediated by density and root exudates: Evidence that plant density and toxic soils can shape plant communities.

Plants grown at high densities show increased tolerance to heavy metals for reasons that are not clear. A potential explanation is the release of citrate by plant roots, which binds metals and prevents uptake. Thus, pooled exudates at high plant densities might increase tolerance. We tested this exclusion facilitation hypothesis using mutants of Arabidopsis thaliana defective in citrate exudation. Wild type Arabidopsis and two allelic mutants for the Ferric Reductase Defective 3 (FRD3) gene were grown at four densities and watered with copper sulfate at four concentrations. Plants were harvested before bolting and dried. Shoot biomass was measured, and shoot material and soil were digested in nitric acid. Copper contents were determined by atomic absorption. In the highest-copper treatment, density-dependent reduction in toxicity was observed in the wild type but not in FRD3 mutants. For both mutants, copper concentrations per gram biomass were up to seven times higher than for wild type plants, depending on density and copper treatment. In all genotypes, total copper accumulation was greater at higher plant densities. Plant size variation increased with density and copper treatment because of heterogeneous distribution of copper throughout the soil. These results support the hypothesis that citrate exudation is responsible for density-dependent reductions in toxicity of metals. Density-dependent copper uptake and growth in contaminated soils underscores the importance of density in ecotoxicological testing. In soils with a heterogeneous distribution of contaminants, competition for nontoxic soil regions may drive size hierarchies and determine competitive outcomes.

Arogyavardhini Vati – Critical Analysis of a Miracle Drug

Introduction: Arogyavardhini Vati is a herbomineral preparation which has miraculous effects on many diseases. It has the ability of balancing Tridosha and is beneficial in many liver disorders, dyslipidemia, metabolic syndrome, skin diseases, etc. Many clinical research and animal studies have been done to establish its actions in various diseases and its safety during use. Material and Methods: Here, in this article, an attempt is made to collect all the literary data about Arogyavardhini Vati from our treaties and all the research articles available. These data are compiled and analyzed and the results obtained are presented. Results: The Rasapanchaka analysis shows that Arogyavardhini Vati is Tikta Rasa Pradhana (27.59%) followed by Kashaya (24.14%) and Katu (20.69%) rasa, predominant in Laghu (29.03%) and Ruksha Guna (29.03%), Ushna Virya predominant (54.55%), and the Vipaka was katu (54.55%). Discussion: Research evidence shows that Arogyavardhini Vati is effective on various liver diseases such as hepatitis, non-alcoholic and alcoholic fatty liver, Jalodara or ascites due to liver disorder, and autoimmune liver disease. Animal experiments also proved its hepatoprotective activities. It has anti-hyperlipidemic action, helps in metabolic syndrome, and is beneficial in many skin diseases. It reduces the pus discharge in karna srava or chronic suppurative otitis media. Studies show that pharmaceutical and analytical parameters for Arogyavardhini Vati are validated by HPTLC method. Toxicity studies show no accumulation or toxic effect of mercury and copper on vital organs. Conclusion: Arogyavardhini vati is safe and miraculously effective in many diseases.

High-iron consumption decreases copper accumulation and colon length, and alters serum lipids

In this study, we aimed to demonstrate that a significant increase in dietary iron intake disrupts the regulation of copper availability, ultimately leading to systemic copper deficiency. To investigate this, we conducted experiments using five-week-old male weanling Sprague–Dawley rats fed diets based on AIN-93G with some modifications. These diets featured varying iron content, offering choices of adequate iron (~ 120 μg/g, near the upper limit [UL]) or high iron (~ 7544 μg/g), along with low (~ 0.3 μg/g), adequate (~ 6 μg/g), or high (~ 153 μg/g) levels of dietary copper over a 5-week period. Rats consuming the high-iron diets displayed anemia, reduced copper levels in their organs and feces, and shortened colon lengths. Increased dietary iron intake resulted in an overall reduction in copper distribution within the body, likely leading to severe copper deficiency-related disorders in the experimental rats. However, the physiological disturbances caused by a high-iron diet were prevented when additional copper was included in the rodent diet. Furthermore, high iron intake led to copper deprivation, and high iron consumption resulted in elevated serum cholesterol levels. However, increasing dietary copper consumption led to a decrease in overall serum cholesterol levels. Additionally, serum alkaline phosphate and aspartate aminotransferase levels were increased by high-iron feeding, regardless of dietary copper concentration, while alanine aminotransferase levels decreased.

Phytoremediation & Valorization of Cu-contaminated Soils Through Cannabis sativa (L.) Cultivation: A Smart Way to Produce Cannabidiol (CBD) in Mediterranean Soils

PurposeThe potential of industrial hemp (Cannabis sativa L.) for phytoremediation of copper-contaminated Mediterranean soils was investigated. The accumulation of copper in hemp’s parts and the effect of contaminated soil on the production of cannabidiol (CBD) were, also, of primary concern.MethodsTwo soil types, a Clay Loam & a Sandy Clay Loam, were exposed to two levels of Cu contamination, with low & high Cu concentrations. The soils’ total and available Cu content, along with Cu in plant tissues, were determined. Height, fresh aboveground biomass and leaf chlorophyll content were further evaluated. Furthermore, the amount of cannabidiol (CBD) in the hemp flowers was determined.ResultsHemp appeared to be highly resistant, as can successfully grow in both soil types having low or high Cu levels. The maximum Cu content was detected in the highest part of the plant roots, with a progressive decline towards the upper parts of the plant (CuRoots > CuShoots > CuLeaf), in both soil types. It has been observed that more than 50% of the plant’s copper concentration is accumulated in the roots. Furthermore, the hemp plants cultivated in high Cu-contaminated soils produced greater amounts of cannabidiol (CBD).ConclusionΗemp proved to be a promising plant for phytostabilization in Cu-contaminated soils, as its above-ground biomass is almost free of metals and can be used further for fiber production. The presence of Cu in soils did not appear to disrupt the production of the important secondary metabolite CBD, but rather increased following increasing soil Cu content.Graphical

Copper: Evaluation of the Nutritional Status of Oil Palm Cultivated in the Eastern Amazon

ABSTRACT Oil palm is the main palm tree cultivated in the tropics, but little is understood about copper (cu) management in this crop. The objective of this study was to evaluate the nutritional status of copper in oil palms plants in the Eastern Amazon. The experiment was carried out in Tailândia, in the state of Pará (Brazil), using a completely randomized experimental design, with four replications and seven treatments (ages of oil palm plants: 2, 3, 4, 5, 6, 7, and 8 years). The concentration, accumulation, cycling, immobilization, export, and efficiency of copper use in the different organs of the plants were evaluated. The highest copper concentrations occurred in the palm heart in the second year, and copper accumulation (481 g ha−1) and export were highest in the eighth year of growth. Among the plant organs, the highest copper exports occurred in the bunches (69.38 g ha1). The highest proportion of copper was immobilized (326 g ha−1), while the lowest proportion of the nutrient accumulated in the export organs. Copper use efficiency increased with plant age, and efficiency was greater in the petiole and lower in the palm heart. The copper requirement increased with the age of oil palms grown in the Eastern Amazon.

Interplay of Ferroptosis and Cuproptosis in Cancer: Dissecting Metal-Driven Mechanisms for Therapeutic Potentials

Iron (Fe) and copper (Cu), essential transition metals, play pivotal roles in various cellular processes critical to cancer biology, including cell proliferation, mitochondrial respiration, distant metastases, and oxidative stress. The emergence of ferroptosis and cuproptosis as distinct forms of non-apoptotic cell death has heightened their significance, particularly in connection with these metal ions. While initially studied separately, recent evidence underscores the interdependence of ferroptosis and cuproptosis. Studies reveal a link between mitochondrial copper accumulation and ferroptosis induction. This interconnected relationship presents a promising strategy, especially for addressing refractory cancers marked by drug tolerance. Harnessing the toxicity of iron and copper in clinical settings becomes crucial. Simultaneous targeting of ferroptosis and cuproptosis, exemplified by the combination of sorafenib and elesclomol-Cu, represents an intriguing approach. Strategies targeting mitochondria further enhance the precision of these approaches, providing hope for improving treatment outcomes of drug-resistant cancers. Moreover, the combination of iron chelators and copper-lowering agents with established therapeutic modalities exhibits a synergy that holds promise for the augmentation of anti-tumor efficacy in various malignancies. This review elaborates on the complex interplay between ferroptosis and cuproptosis, including their underlying mechanisms, and explores their potential as druggable targets in both cancer research and clinical settings.

Interspecific features of copper accumulation and variability in the skeletal muscle of farm animals

The results of a study of copper levels in the skeletal muscles of cattle, sheep, pigs and yaks, carried out on clinically healthy animals raised in the Siberian region, are presented. The living conditions of the animals corresponded to the standard ones depending on the species. Elemental analysis of muscle tissue samples was performed using inductively coupled plasma atomic emission spectral analysis. Data processing was done using Microsoft Office Excel and the R programming language in the data analysis environment RStudio version 2023.03.1 (RStudio, PBC). In most cases, the distribution did not correspond to normal, and the variances were not homogeneous. Based on the average value and median, a descending ranked series of copper content in tissue was established: cattle < yaks < sheep < pigs, in numerical terms based on the median: 1.57: 1.29: 1.02: 1.0. The medians for copper in cattle, yaks, sheep and pigs were 1.40; 1.15; 0.024; 0.91; 0.89 mg/kg, respectively, reference intervals are 0.40–2.13, 0.30–2.16, 0.39–1.43 and 0.28–1.47 mg/kg. The most significant range of variability,based on the standard deviation and the ratio of extreme variants, is characteristic of cattle. Based on the Kruskal-Walli’s test, muscle copper accumulation differed significantly between species (H = 18.277, df = 3, p < 0.001). Pairwise comparison showed significant differences in the pairs “cattle – pigs”, “cattle – sheep” and “pigs – yaks”. Two clusters were identified based on the similarity of copper accumulation: cattle - yaks and sheep - pigs. The results can serve as an approximate physiological norm for the concentration of copper in the skeletal muscles of animals of different species and confirm the genotype’s influence on the organism’s cumulative abilities.

Accumulation of copper and lead in ruminants grazing on a contaminated shooting range in Nordland County, Norway

Shooting ranges contain copper (Cu) and lead (Pb) contamination, which can be a risk for grazing ruminants. This study examines the accumulation of lead and copper in blood of lambs and calves, as well as in the liver of lambs. It compares these results with those of a previous study, which calculated the ingested dose of copper and lead based on soil ingestion and concentration in soil and plants. Blood samples were collected both before and after the grazing period that lasted from late May to mid-September. Liver samples were obtained during the slaughter of the lambs in the fall. Out of 61 liver samples, only one (3.7 mg Pb/kg dw) exceeding the presumed normal level in lamb liver of 3 mg/kg (dw). Copper concentrations exceeding the normal (300 mg/kg dw) concentration was found in 14 of the liver samples (341–1877 mg Cu/kg dw). Among these, two liver samples (1069 and 1877 mg Cu/kg dw) exceeded the level at which sheep are poisoned (1000 mg/kg dw). There was no statistically significant difference in the copper and lead concentration in liver of lambs that did and did not have the shooting range as part of their pasture. The average concentration of copper (lamb: 1.1 ± 0.37 µg Cu/g, calves: 0.6 ± 0.16 µg Cu/g) and lead (lamb: 0.010 ± 0.008 µg Pb/g calves: 0.01 ± 0.014 µg Pb/g) in the blood samples collected from the lambs and calves did not exceed the upper limit of what is considered normal (sheep: 1.35 mg Cu/kg and 0.3 mg Pb/kg, cattle: 1.7 mg Cu/kg and 0.35 mg Pb/kg). Copper concentration in the blood was notably higher in samples collected from the sheep before (1.3 ± 0.35 µg Cu/g) compared to after (0.8 ± 0.22 µg Cu/g) the grazing period. No statistically significant difference was found in lead and copper concentrations in the blood of lambs and calves grazing inside (lamb: 0.7 ± 0.21 µg Cu/g and 0.01 ± 0.008 µg Pb/g, calves: 0.6 ± 0.16 µg Cu/g and 0.02 ± 0.020 µg Pb/g) and outside (lamb: 0.9 ± 0.21 µg Cu/g and 0.13 ± 0.008 µg Pb/g, calves: 0.6 ± 0.17 µg Cu/g and 0.009 µg Pb/g) the shooting range. Grazing on areas contaminated by shooting activity did not appear to have any major implications for the accumulation of copper and lead in blood of cattle and sheep, as well as in the liver of sheep. The findings from this study indicate that employing site specific risk assessments for ruminants incorporating soil ingestion represents a viable approach.

Analyzing soil enzymes to assess soil quality parameters in long-term copper accumulation through a machine learning approach

Soil contamination by agrochemicals is a big concern for soil health and ecosystem functioning. This is especially true for non-degradable substances like heavy metals (HM) that, because of their long-term use, are reaching significant values today due to soil accumulation. Among agrochemicals, copper (Cu) has been important in fighting fungal diseases on perennial crops for centuries.Laboratory experiments can be useful to understand the highest potential toxic effect of Cu but need to reflect what happens with long-term application in a dynamic and living agroecosystem. This study uses multivariate data analysis and machine learning to investigate long-term Cu accumulation on soil quality parameters, especially soil extracellular enzymatic activities. We collected soil samples from 21 apple orchards in South Tyrol, Italy. The orchards had different concentrations of Cu. We took 315 samples in total and analyzed them for various soil properties. We also measured the concentrations of elements in apple leaves and the activities of soil extracellular enzymes. We depicted the effect of Cu on several enzymatic activities, shedding light on the effect of Cu on the soil microbial communities functionality. Our results show that Cu concentrations in the study area affect only phosphatase activity, showing effects above 60 mg kg−1 of available Cu. Protease activity was positively correlated with Cu, while soil organic matter and management mainly influenced the carbon (C) cycle enzymes. Phosphatase decrease could be of concern for the potential disruption of the Phosphorus (P) cycle in the soil and plays a role in plant nutrition, as seen by P concentration in apple trees' leaves.We demonstrated how machine learning can help interpret complex and multivariate environmental data and overcome some downsides of traditional statistical models.

Copper stress shapes the dynamic behavior of amoebae and their associated bacteria.

Amoeba-bacteria interactions are prevalent in both natural ecosystems and engineered environments. Amoebae, as essential consumers, hold significant ecological importance within ecosystems. Besides, they can establish stable symbiotic associations with bacteria. Copper plays a critical role in amoeba predation by either killing or restricting the growth of ingested bacteria in phagosomes. However, certain symbiotic bacteria have evolved mechanisms to persist within the phagosomal vacuole, evading antimicrobial defenses. Despite these insights, the impact of copper on the symbiotic relationships between amoebae and bacteria remains poorly understood. In this study, we investigated the effects of copper stress on amoebae and their symbiotic relationships with bacteria. Our findings revealed that elevated copper concentration adversely affected amoeba growth and altered cellular fate. Symbiont type significantly influenced the responses of the symbiotic relationships to copper stress. Beneficial symbionts maintained stability under copper stress, but parasitic symbionts exhibited enhanced colonization of amoebae. Furthermore, copper stress favored the transition of symbiotic relationships between amoebae and beneficial symbionts toward the host's benefit. Conversely, the pathogenic effects of parasitic symbionts on hosts were exacerbated under copper stress. This study sheds light on the intricate response mechanisms of soil amoebae and amoeba-bacteria symbiotic systems to copper stress, providing new insights into symbiotic dynamics under abiotic factors. Additionally, the results underscore the potential risks of copper accumulation in the environment for pathogen transmission and biosafety.

Copper Nanoparticles as a Prophylactic Agent in Aquaculture and Accumulation of Copper in Fish

In this study, we evaluate the ability of fish to accumulate copper when using copper(II) oxide (CuO) nanoparticles as a sanitation agent in bodies of water. For this purpose, we performed chemical–toxicological analysis of fish organs and tissues. The results showed that after treating the body of water with CuO at a concentration of 20 µg/L, copper concentration in fish tissues slightly increased and remained within the normal range. When determining toxicity limits, it was established that higher concentrations of CuO can be used with short-term exposure. The obtained data indicate the possibility of using CuO as a prophylactic agent in aquaculture.

Studies on bioaccumulation patterns, biochemical and genotoxic effects of copper on freshwater fish, Catla catla: an in vivo analysis.

During present study, the copper (Cu) mediated oxidative stress was measured that induced DNA damage by concentrating in the tissues of fish, Catla catla (14.45±1.24g; 84.68±1.45mm) (Hamilton,1822). Fish fingerlings were retained in 5 groups for 14, 28, 42, 56, 70 and 84 days of the exposure period. They were treated with 2/3, 1/3, 1/4 and 1/5 (T1-T4) of 96h lethal concentration of copper. Controls were run along with all the treatments for the same durations. A significant (p < 0.05) dose and time dependent concentration of Cu was observed in the gills, liver, kidney, muscles, and brain of C. catla. Among organs, the liver showed a significantly higher concentration of Cu followed by gills, kidney, brain, and muscles. Copper accumulation in these organs caused a significant variation in the activities of enzymes viz. superoxide dismutase (SOD), catalase (CAT) and peroxidase (POD). The SOD activity varied significantly in response to the exposure time of Cu as 56 > 70 > 42 > 84 > 28 > 14 days while CAT activity exhibited an inverse relationship with the increase in Cu concentration. POD activity showed a significant rise with an increase in Cu exposure duration. Comet assay exhibited significant DNA damage in the peripheral erythrocytes of Cu exposed C. catla. Among four exposure concentrations, 2/3rd of LC50 (T1) caused significantly higher damage to the nuclei compared to control. Increased POD and SOD activity, as well as a decrease in CAT activity in response to Cu, demonstrates the involvement of a protective mechanism against reactive oxygen species (ROS), whereas increased ROS resulted in higher DNA damage. These above-mentioned molecular markers can be efficiently used for the biomonitoring of aquatic environments and conservation of edible fish fauna.

The influence of mineral soil fertilization on the intensity of accumulation of lead, zinc, and copper in the grain of winter cereals in the conditions of the Right-Bank Forest-Steppe

The influence of mineral soil fertilization on the intensity of accumulation of lead, zinc, and copper in the grain of winter cereals in the conditions of the Right-Bank Forest-Steppe

Systematic Analysis and Insights Into the Mutation Spectrum and Ethnic Differences in ATP7B Mutations Associated With Wilson Disease.

ATP7B (ATPase copper transporting beta gene) is constituted of 21 exons, and codes for a 1465 amino acid. The protein of ATP7B plays an key role of copper metabolism. Many previous reports indicated that mutations in ATP7B are well known to cause defective copper transporting copper-transporting ATPase 2 protein leading to the accumulation of copper, resulting the Wilson disease. The meta-analysis was performed to comprehensive gain a thorough grasp of the spectrum of genetic variations. A meta-analysis was conducted according to the guiding of PRISMA. aiming to assess the diversity and frequency of mutations in the ATP7B gene, with an emphasis on mutations located within specific exons. The dataset of detected mutations within their positions, types as well as nomenclature, were recorded from previous studies (spanning the year from 2013 to 2023). The analysis focused on exon-specific variations and their prevalence across different populations. A total of 40 studies were enrolled into current data analysis. Our comprehensive study revealed a variety of mutations, most notably over 50% of single nucleotide changes described, distributed over the 21 exons of the gene. Focusing on the exon 8, itisplayed the most diversity of mutations, with 18 studies identifying 53 unique variants, the majority of which were missense mutations (81.13%). Additionally, the variations c.2333G>A/T (p.R778Q/L), c.2305A>G (p.M769V), c.2336G>A (p.W779*), and c.2304dupC (p.M769HfsX26) are reported in many populations. The weighted mean of variants' proportion was used to calculate the pooled estimate of these percentages, which were 14.19% for c.2333G>A/T (p.R778Q/L), 2.70% for c.2305A>G (p.M769V), 1.42% for c.2336G>A (p.W779*), and 2.33% for c.2304dupC (p.M769HfsX26). This design demonstrate to identify the spectrum of ATP7B gene's mutations, especially exon 8, offering important insights into the prevalence and significance of exon 8 mutations. Understanding the mutation in the ATP7B gene offers insights into the mechanisms behind WD and guides strategies for diagnosis and treatment.

Integrated H2O2 self-supplying PLGA@CQDs–CuPox nanoparticles enabling accumulation of copper during the Fenton reaction

Chemodynamic therapy is an emerging therapeutic modality that utilizes the Fenton reaction for the production of reactive oxygen species to selectively target and kill cancer cells.

Copper release by MOF-74(Cu): a novel pharmacological alternative to diseases with deficiency of a vital oligoelement.

Copper deficiency can trigger various diseases such as Amyotrophic Lateral Sclerosis (ALS), Parkinson's disease (PD) and even compromise the development of living beings, as manifested in Menkes disease (MS). Thus, the regulated administration (controlled release) of copper represents an alternative to reduce neuronal deterioration and prevent disease progression. Therefore, we present, to the best of our knowledge, the first experimental in vitro investigation for the kinetics of copper release from MOF-74(Cu) and its distribution in vivo after oral administration in male Wistar rats. Taking advantage of the abundance and high periodicity of copper within the crystalline-nanostructured metal-organic framework material (MOF-74(Cu)), it was possible to control the release of copper due to the partial degradation of the material. Thus, we simultaneously corroborated a low accumulation of copper in the liver (the main detoxification organ) and a slight increase of copper in the brain (striatum and midbrain), demonstrating that MOF-74(Cu) is a promising pharmacological alternative (controlled copper source) to these diseases.

NEUROLOGIC WILSON'S DISEASE: A CASE REPORT

Wilson's disease is a rare autosomal recessive genetic disorder characterized by an abnormal accumulation of copper, particularly in the liver, brain and eyes. The disease results from mutations in the ATP7B gene on chromosome 13, which encodes a copper transport protein essential for copper excretion. We present a case of Wilson's disease in a 21-year-old female patient with significant neurological involvement. Initial brain CT and MRI revealed bilateral and symmetrical capsulolenticular hypodensities and involvement of the basal ganglia and brainstem, respectively. The diagnosis was confirmed by biochemical analysis of copper metabolism. Early detection and copper chelation therapy are crucial to prevent irreversible neurological and liver damage. Neuroimaging plays an essential role in assessing the extent of brain damage and monitoring treatment efficacy.

Management of Wilson’s disease in a 5 year old patient

Wilson's disease is a rare inherited disorder characterized by excess copper accumulation in the liver, brain, and other vital organs. This case report describes a 5-year-old patient diagnosed with Wilson’s disease after exhibiting symptoms like jaundice, shortness of breath, and ascites. The patient was treated with a low-copper diet and medication, which led to significant improvements. The case underscores the importance of early diagnosis and nutritional management in managing Wilson's disease