Trace Elements In Whole Blood Research Articles

The association of trace elements with arthritis in US adults: NHANES 2013–2016

BackgroundArthritis is a common chronic disease, and is a major cause of disability and chronic pain in adults. Considering inflammatory responses is closely related with trace elements (TEs), the role of TEs in arthritis has attracted much attention. This study aimed to assess the association between TEs and arthritis. MethodsConcentrations of TEs in whole blood [cadmium (Cd), lead (Pb), mercury (Hg), selenium (Se), and manganese (Mn)] and serum [copper (Cu) and zinc (Zn)] were measured in adults who participated in the US National Health and Nutrition Examination Survey. Logistic regression model and Bayesian kernel machine regression model were used to explore the association between TEs and arthritis. ResultsThe levels of five TEs (Pb, Hg, Cd, Se, and Cu) in the arthritis group changed significantly. Three TEs were found to be associated with an increased risk of arthritis: Pb [OR (95% CI): 2.96 (2.18, 4.03), p-value for trend (P-t) < 0.001], Cd [OR (95% CI): 2.28 (1.68, 3.11), P-t < 0.001], Cu [OR (95% CI): 2.05 (1.53, 2.76), P-t < 0.001]. The Relative Excess Risk of Interaction was 0.35 (95% CI: 0.06–0.65) and 0.38 (95% CI: 0.11–0.64), respectively, suggesting that Hg ions and Se ions have positive additional interactions with alcohol consumption, which reduced the risk of arthritis. Subgroup analysis showed that Pb ions and Cd ions were significantly correlated with osteoarthritis and rheumatoid arthritis. ConclusionElevated concentrations of Pb, Cd, and Cu were associated with increased risk of arthritis. Drinking with high levels of Hg or Se may be a protective factor for arthritis. Future studies are warranted to validate these findings in prospective studies.

Trace elements in whole blood in the general population in Trøndelag County, Norway: The HUNT3 Survey

BackgroundBiomonitoring of a cohort within a large health survey can provide reliable information on trace element status. The main aims of this study were 1) to determine the concentrations of 28 trace elements in whole blood samples from the general population of the Nord-Trøndelag region, Norway, and 2) to investigate how trace element concentrations vary with geographical area, lifestyle, and socio-demographic factors. MethodsWhole blood samples were collected in the third survey of the Trøndelag Health Survey (HUNT3), a large population-based study in Norway. In total, 1011 whole blood samples from individuals aged 20–91 years were analyzed using high resolution inductively coupled plasma-mass spectrometry (HR-ICP-MS). We compared trace element concentrations (As, B, Be, Br, Ca, Cd, Cr, Cs, Cu, Ga, Au, In, Fe, Pb, Hg, Tl, Mg, Mn, Mo, Ni, Rb, Sc, Se, Ag, Sr, Sn, W and Zn) between three geographical areas (coastal, fjord/town, inland/mountain) using multivariable linear regression and assessed differences in trace element concentrations with socio-demographic and lifestyle factors using general linear models. ResultsTrace element concentrations were generally comparable to levels reported in other recent studies and suggest low exposure to toxic trace elements in the region. We found geographical differences in concentrations of 19 trace elements. As, Br, Hg, and Se concentrations were higher on the coast compared to the fjord/town and inland/mountain areas, suggesting that the marine environment is an important source of exposure for these trace elements. In addition, socio-demographic and lifestyle characteristics, particularly age and sex, were associated with differences in trace element concentrations. ConclusionsWe report concentrations of 28 trace elements in the general population of a rural region with low exposure to pollution. Whole blood concentrations of trace elements varied with geographical area, the participants' lifestyle, and socio-demographic characteristics, highlighting the importance of considering these factors when evaluating trace element status in a population.

The relatively higher concentrations of trace elements to arsenic may have influenced on methylation process of inorg- As in humans

The relatively higher concentrations of trace elements to arsenic may have influenced on methylation process of inorg- As in humans

Effects of storage conditions on the stability and distribution of clinical trace elements in whole blood and plasma: Application of ICP-MS

BackgroundKnowledge of trace element stability during sample handling and preservation is a prerequisite to produce reliable test results in clinical trace element analysis. MethodAn alkaline dissolution method has been developed using inductively coupled plasma mass spectrometry to quantify eighteen trace element concentrations: vanadium, chromium, manganese, cobalt, nickel, copper, zinc, arsenic, selenium, bromine, molybdenum, cadmium, antimony, iodine, mercury, thallium, lead, and bismuth in human blood, using a small sample volume of 0.1 mL. The study evaluated the comparative effects of storage conditions on the stability of nutritionally essential and non-essential elements in human blood and plasma samples stored at three different temperatures (4 °C, −20 °C and −80 °C) over a one-year period, and analysed at multiple time points. The distribution of these elements between whole blood and plasma and their distribution relationships are illustrated using blood samples from 66 adult donors in Queensland. ResultsThe refrigeration and freezing of blood and plasma specimens proved to be suitable storage conditions for many of the trace elements for periods up to six months, with essentially unchanged concentrations. Substantially consistent recoveries were obtained by preserving specimens at −20 °C for up to one year. Ultra-freezing of the specimens at −80 °C did not improve stability; but appeared to result in adsorption and/or precipitation of some elements, accompanied by a longer sample thawing time. A population sample study revealed significant differences between the blood and plasma concentrations of six essential elements and their relationships also varied significantly for different elements. ConclusionBlood and plasma specimens can be reliably stored at 4 °C for six months or kept frozen at −20 °C up to one year to obtain high quality test results of trace elements.

77 Trace elements in whole blood and mane hair of horses fed varying sources and levels of trace elements

There has been interest in using hair as a marker for mineral status in horses, but there is a lack of quality research to develop a method to do so. The objectives of this study were to determine if dietary supply of minerals would affect blood and mane hair element concentrations and if there would be a relationship between blood and mane hair element concentrations. Nine mature geldings were used in a replicated 3 × 3 Latin square design. All horses had ad libitum access to forage and 3 dietary treatments were provided by a soybean meal pellet: organic trace minerals (ORG), inorganic trace minerals (ING), and no added trace minerals (CON). The ING and ORG pellet provided the same amount of Co, Cu, Mn, Se, and Zn (between 100 and 380% of NRC requirements), but varied in source and CON provided levels of minerals between 15 and 170% of NRC requirements depending on the mineral. There were 3 21-d treatment periods, including a 5-d washout, so each horse received each treatment. Before the first period, a 3 to 4 cm section of mane hair at the poll was clipped close to the skin. On the last day of each treatment period, blood and mane hair were collected. Mane hair was clipped from the same poll area so only new hair growth was collected. Hair and blood were analyzed for Co, Cr, Cu, Mn, Se, Pb, and Zn using ICP-MS. Data were analyzed using ANOVA with treatment, period, and square replicate as effects. The effect of mane hair color on mineral concentration was evaluated using an ANOVA with hair color as the main effect (black, n = 5; chestnut, n = 3; 1 gray, not included). Means were separated using LSD test. Correlations between hair and blood elements were made using Pearson correlation coefficients. Blood Co tended to be lowest in CON compared with other treatments (P = 0.071). Blood Cr tended to be greatest (P = 0.107) and blood Se was greatest (P < 0.05) in ORG compared with CON, with ING not different from either group. Hair Co was greatest in ORG compared with ING, but CON was not different from either (P < 0.05). Hair Cr tended to be greatest in CON compared with ING, with ORG not different from either (P = 0.102). Hair Pb was greatest in CON compared with the other treatments (P < 0.05). The only correlation between blood and hair was a weak trend for blood Co to be correlated with hair Co (r = 0.347; P = 0.076). Across all treatments, black hair had greater concentrations of Se and lower concentrations of Zn than chestnut hair (P < 0.05). While this study did not find correlations between hair and blood, mineral level and source did alter blood and hair concentrations of certain elements independently, and hair color influences mineral deposition.

Trace Element Analysis in Whole Blood and Plasma for Reference Levels in a Selected Queensland Population, Australia.

The levels of trace elements in whole blood and plasma have been widely used for assessing nutritional status and monitoring exposure and can vary widely in populations from different geographical regions. In this study, whole blood samples (n = 120) and plasma samples (n = 120) were obtained from healthy donors attending the Red Cross Blood Bank (Queensland Red Cross Blood Service), which provided information for age and sex. There were 71 males (age range: 19–73 years) and 49 females (age range: 18–72 years) for whole blood samples, and 59 males (age range: 19–81 years) and 61 females (age range: 19–73 years) for plasma samples. The main aim of the study was to provide information on blood reference levels of 21 trace elements (Ag, Al, As, Bi, Br, Cd, Co, Cr, Cu, Hg, I, Mn, Mo, Ni, Pb, Sb, Se, Tl, U, V, Zn) in Queensland. The study also aimed to assess differences in trace element blood levels between males and females and the effect of age. The trace element levels in blood samples were analysed using inductively coupled plasma mass spectrometry (ICP-MS) and the standard reference materials of Seronorm (Trace Elements Whole Blood) and UTAK (Trace Elements Serum) were used for quality control and assurance. The study found wide variations of trace element levels in whole blood and plasma, and generally the levels were comparable to other countries. No detectable levels were found for Bi, Cr, U and V in whole blood, but V levels were found in plasma samples. There were significant differences between males and females for whole blood Cu (p < 0.001), I (p = 0.009), Tl (p = 0.016) and Zn (p = 0.016). Significant differences were also found for plasma Cu (p < 0.001) and Se (p = 0.003) between males and females. There were trends of increased levels of blood Pb, Se and Zn with age. The study has provided further information on a wide range of trace elements in blood as reference levels for Queensland and Australia which are currently lacking.

Nutrition status and quantification of blood minerals by TXRF spectroscopy in vegetarian and non-vegetarian university students

This study investigated whether university students following a vegetarian diet differed from non-vegetarian students in nutrient intake, biochemical, hematological and blood mineral profile of nutritionally relevant elements. In total, 107 students from a university, following either a non-vegetarian or a vegetarian diet for at least 1 year prior to the study, were recruited in two stages, setting up two experiments. Nutrient intake (experiment 1, n = 58), and biochemical and hematological parameters (experiment 2, n = 49) were evaluated. TXRF spectroscopy was used for determination of trace elements in whole blood. Vegetarians showed differences in nutrient intake, mainly higher consumption of unsaturated fatty acids and fiber. No significant differences in the biochemical and hematological parameters were found. The prevalence of abnormal parameters in a considerable number of vegetarians and non-vegetarians were found, mainly regarding high density lipoprotein (HDL-c) and total cholesterol (TC). TXRF spectroscopy proved to be a simple tool for determining nutrition-relevant elements (K, Fe, Cu and Zn) in blood samples. The high incidence of abnormal parameters, regardless of the dietary pattern, raises concern about the high prevalence of bad eating habits among young university students. Particularly for the vegetarian students, these results may partly counteract the beneficial lifestyle of a vegetarian diet evidenced by previous studies. It is important for students to be aware of its potential nutritional limitations. In this context, food and nutrition education programs in the academic context could contribute to set up autonomous and healthy subjects, regardless of the diet chosen.

Serum Biochemical Analytes and Trace Elements in Juvenile Whooping Cranes (Grus americana)

Biochemical and trace element analyses of blood from wild Whooping Cranes (Grus americana) were performed to assess the health of the only self-sustaining, migratory population in North America. Juvenile cranes (n=31) approximately 49-70 d-old were sampled at Wood Buffalo National Park, Northwest Territories, Canada, in midsummer from 2010 to 2012. Archived serum (n=24) and whole blood (n=31) samples from captive juvenile cranes were selected as age-matched controls. Reference values were calculated for serum biochemical analytes and trace elements in whole blood from the captive juvenile Whooping Cranes reared under controlled conditions and with known health histories. Several statistical differences among blood biochemical and trace element values of the wild and captive juveniles were identified and were likely attributable to dietary differences between the populations.

SR-TXRF analysis of trace elements in whole blood and heart of rats: effects of irradiation with low and high doses

In the last decades, studies showed that the exposure to low doses of ionizing radiation of the body could sense and activate the cell signaling pathways needed to respond to any induced cellular damage. This procedure reduces cell killing compared with a single dose of high radiation dose. Damage to the vasculature can affect the function of most body organs by restricting blood flow and oxygen to tissues; however, the heart and brain are of main concern. The precise relationship between long-term health effects and low-dose exposures remain poorly understood. Biological markers are powerful tools that can be used to determine dose- response relationships and to estimate risk, especially when dealing with, the effects of low dose exposures in humans. These markers should be specific, sensitive, as well as easy and fast to quantify. Various types of biologic specimens are potential candidates for identifying biomarkers but blood has the advantage of being minimally invasive to obtain. In this study, we propose to apply total reflection X-ray fluorescence to quantify possible chemical elemental concentration (sulfer, iron, zinc, potassium and calcium) changes in blood and heart tissues of Wistar rats after total body irradiation with low (0.1 Gy) and high (2.5 Gy) doses. The fluorescence measurements were carried out at the X-ray Fluorescence beamline in the Brazilian Synchrotron Light Laboratory. The results showed that the irradiated animals with low doses have significant alterations in blood and cardiac tissue when compared with animals that received high doses of radiation. Taken together the analysis of all the elements, we can observe that the radiation induced oxidative stress may be the leading cause for alteration of the elemental level in the studied samples.

Trace element status in patients with type 2 diabetes in Norway: The HUNT3 Survey

Several epidemiological studies have indicated that a number of trace elements may play a role in type 2 diabetes (T2D). We investigated the association between prevalent T2D and the concentrations of 25 trace elements in whole blood, and the relationships between T2D duration and blood levels of the trace elements that we found to be related to T2D prevalence. In this population based case-control study, 267 patients with self-reported T2D and 609 controls (frequency matched), were selected from the third Nord-Trøndelag Health Survey. Trace element blood levels were determined by high resolution inductively coupled plasma-mass spectrometry. Multivariable conditional logistic regression and multivariable linear regression were used to estimate associations. The prevalence of T2D was positively associated with boron, calcium and silver, and inversely associated with indium, lead and magnesium (Ptrend<0.05). We found no statistical evidence for associations between blood levels of arsenic, bromine, cadmium, cesium, chromium, copper, gallium, gold, manganese, mercury, molybdenum, nickel, rubidium, selenium, strontium, tantalum, thallium, tin and zinc and T2D prevalence. After corrections for multiple testing, associations remained significant for calcium and lead (Qtrend<0.05), and borderline significant for magnesium, silver and boron. With increasing disease duration, higher calcium levels were observed (P<0.05). This study suggests an association between prevalent T2D and blood levels of boron, calcium, indium, lead, magnesium and silver.

Biomonitoring of 29 trace elements in whole blood from inhabitants of Cotonou (Benin) by ICP-MS

This study aimed to investigate the blood concentration of 29 trace elements, metals or metalloids, in a healthy population of Cotonou not directly exposed to metals in order to propose reference values. Blood samples from 70 blood donors were collected in K2 EDTA tubes for trace elements during September 2015 and a questionnaire was used to assess lifestyle exposure. Blood metal concentrations were determined by inductively coupled plasma mass spectrometry (ICP-MS) equipped with a quadrupole-based reaction cell. Among the selected blood donors 51.4% were aged from 18 to 36 years and 49.6% from 37 to 65 years. Among the 29 elements analyzed As, Pb, Mn, Pd, Sb, Co, Se, Sr showed blood concentrations higher than the reference values found in the literature for non-exposed healthy European populations and their geometric means were respectively 5.81; 47.39; 19.71; 1.91; 7.50; 0.66; 163.01; 30.53μg/L. This study provides the first reference value (5th–95th percentiles) for each element in Cotonou, which enables us to carry out further investigations on environmental and occupational exposure.

Reference Intervals of and Relationships among Essential Trace Elements in Whole Blood of Children Aged 0-14 years.

Essential trace elements are vital to human health. In this study, our aim was to establish reference intervals of and to evaluate relationships among Ca, Fe, Cu, Mg, and Zn for children. We collected blood samples of 3210 children aged 0-14 years from Lu'an, China, and concentrations of the above elements were determined by atomizer absorption spectrophotometer. A nonparametric method was used to establish the reference intervals. Gender-related differences in concentrations were not statistically significant for the elements, except for Fe. There were strong positive and negative correlations between age and Fe (R = 0.305, P < 0.001), Zn (R = 0.573, P < 0.001); and age and Ca (R = -0.372, P < 0.001), Cu (R = -0.127, P < 0.001), respectively. Correlations between Ca-Mg (r = 0.222~0.384, P < 0.001), Fe-Mg (r = 0.495~0.614, P < 0.001), and Fe-Zn (r = 0.239~0.471, P < 0.001) were the strongest compared with others. In multivariable linear regression, after adjusted for confounding factors, the associations between Zn-Fe and Mg-Fe were the strongest with per concentration quintile increase of Fe caused Zn and Mg increasing by 4.19% (β = 0.041; 95% CI: 0.037, 0.045; P < 0.001) and 3.87% (β = 0.038; 95% CI: 0.036, 0.040; P < 0.001), respectively. Gender- and age-based reference intervals of Ca, Fe, Cu, Mg, and Zn for children were established, and correlations between them were quite complex. More works are needed to illuminate these relationships and their impacts on children's health.

Blood lead: Its effect on trace element levels and iron structure in hemoglobin

Lead is a ubiquitous environmental pollutant that induce a broad range of physiological and biochemical dysfunctions. The purpose of this study was to investigate its effects on trace elements and the iron structure in hemoglobin. Blood samples were collected from rats that had been exposed to lead. The concentration of trace elements in whole blood and blood plasma was determined by ICP-MS and the results indicate that lead exists mainly in the red blood cells and only about 1–3% in the blood plasma. Following lead exposure, the concentrations of zinc and iron in blood decrease, as does the hemoglobin level. This indicates that the heme biosynthetic pathway is inhibited by lead toxicity and that lead poisoning-associated anemia occurs. The selenium concentration also decreases after lead exposure, which may lead to an increased rate of free radical production. The effect of lead in the blood on iron structure in hemoglobin was determined by EXAFS. After lead exposure, the Fe–O bond length increases by about 0.07 Å and the Fe–Np bond length slightly increases, but the Fe–N ε bond length remains unchanged. This indicates that the blood content of Hb increases, but that the content of HbO 2 decreases.

XRF and TXRF techniques for multi-element determination of trace elements in whole blood and human hair samples

XRF and TXRF were established as useful techniques for multi-element analysis of whole blood and human head hair samples. Direct-XRF with different collimation units and different X-ray excitation modes was successfully used for the determination of S, P, K, Ca, Fe, and Br elements in blood samples and K, Ca, Mn, Fe elements in human hair samples. Direct analysis by TXRF was used for the determination of Rb and Sr in digested blood and human hair samples, respectively, while, the co-precipitation method using APDC for TXRF analysis was used for the determination of Ni, Cu, Zn, and Pb elements in both matrices. As a result, the improved XRF and TXRF methods were applied for multi-element determination of elements in whole blood and human hair samples in non-occupational exposed population living in Damascus city. The mean concentrations of analyzed elements in both matrices were on the reported range values for non-occupational population in other countries.

Determination of 16 trace elements in whole blood with microwave digestion-inductively coupled plasma mass spectrometry

目的 探讨微波消解电感耦合等离子体质谱法测定人全血中16种微量元素的可行性.方法血样经微波消解法,在最佳仪器条件下,以内标参比脉冲计数ICP-MS法测定.结果方法回收率为87.3%～102.4%,检出限为0.01～2.ng/ml,RSD为0.26%～6.80%.结论该方法具有快速、简便、灵敏、准确的优点,适于人全血样中微量元素的测定。

Major and trace elements in whole blood of phlebotomized patients with porphyria cutanea tarda

Porphyria cutanea tarda (PCT) is a disorder of hem biosynthesis resulting from a decreased activity of the uroporphyrinogen decarboxylase enzyme. Hem precursors are accumulated in the blood, liver and skin. Inherited and acquired factors also contribute to the pathogenesis of PCT. Hem precursors and porphyrins are excreted with urine and faeces. Whole blood of 8 PCT patients and 6 volunteers of Caucasian origin were analysed. In addition to routine laboratory measurements, 19 elements (Al, B, Ba, Ca, Cd, Co, Cu, Fe, K, Li, Mg, Mn, Mo, Na, Ni, P, S, V, Zn) were determined by means of inductively coupled plasma optical emission spectrometry (ICP-OES). Mg, P and S concentrations in whole blood were decreased significantly ( p < 0.05 ), whereas Ba was increased in PCT patients compared to controls. Metabolic alterations are reflected in the correlation of parameters. Positive correlations were found between the element pairs of Zn–Al, Zn–Mg, Zn–Mn, B–S, Fe–Mg, K–P, Mg–Mn for PCT patients, whereas in the control group Al–Mn, Ca–Cu, Ca–Na, Cu–Mg, Fe–K, Mg–Na, Zn–P showed positive correlations.

Separation of Fe from whole blood matrix for precise isotopic ratio measurements by MC-ICP-MS: a comparison of different approaches

Anion-exchange and precipitation procedures for Fe separation from unspiked human whole blood after microwave digestion and ashing decomposition techniques were thoroughly evaluated in terms of Fe recoveries, decreases in matrix element concentrations and elimination of interfering species for subsequent Fe isotope ratio measurements by multi-collector ICP-MS. During isotope ratio measurements involving 54Fe, 56Fe and 57Fe, on-line mass discrimination correction using Ni isotopes was applied, significantly reducing uncertainties both within and between Fe sample runs. Despite Fe recoveries below 100% for all separation procedures studied, no artificial isotope fractionation was detected. The degree of Fe fractionation in a commercially available, whole blood sample (Trace Elements in Whole Blood, Level 1, Sero AS), expressed as 56δ (−2.83 ± 0.06‰) and 57δ (−4.23 ± 0.08‰) values relative to IRMM-014 Fe isotopic reference material, agrees well with previously published data. Of the tested separation procedures, precipitation using NH3 was found to be the most rapid and cost-effective method, yielding high Fe recovery and low levels of concomitant elements.

Electrothermal atomic absorption spectrometry determination of molybdenum in whole blood

A method for the determination of molybdenum in whole blood by atomic absorption spectrometry with electrothermal atomization was developed and evaluated. Erbium (25 μg) was chosen from several potential chemical modifiers (Sm, Lu, Ho, Eu and Pd+Mg) as the most appropriate for the sensitive and reliable determination of molybdenum in such sample. The process used was direct dilution of the sample in a ratio 1:2 with a 0.1% (v/v) Triton X-100 solution. The injection of 20 μl of a solution of 15% (w/v) hydrogen peroxide and running the temperature program after 5 firings greatly reduced the effect of build-up of carbonaceous residues within the atomizer. The limit of detection and working ranges, respectively, were 0.6 and 2.0–100.0 μg l −1, and the characteristic mass was 7.2 pg. The relative standard deviation varied from 0.8 to 1.5% for within and between batch determinations, respectively. The determination of molybdenum in Seronorm™ Trace Elements in Whole Blood with known added amounts of the analyte was performed to asses the accuracy. The optimized procedure has been applied to the determination of molybdenum in whole blood specimens of 20 subjects taken before and 10–12 h after receiving an over-supply of 1 mg of molybdenum. The molybdenum concentrations (±S.D.) were 10.9±0.4 μg Mo l −1 (range 9.9–11.6 μg Mo l −1) and 15.4±0.4 μg Mo l −1 (range 13.1–16.9 μg Mo l −1) for the individuals before and after the administration of molybdenum.

Multielement Analysis of Whole Blood Using a Capacitively Coupled Microwave Plasma Atomic Emission Spectrometer

A capacitively coupled microwave plasma atomic emission spectrometer (CMP-AES) has been evaluated as a means for the direct analysis of several of the primary and trace elements in whole blood. A tungsten filament spiral electrode was used with the CMP, and whole blood samples were deposited on the electrode and subsequently dried, ashed, and atomized. The emission was measured with a spectrometer and a charge-coupled-device detector. A sample size of only 2 μl was required and the time for each sample run was under 4 min. This method has a wide dynamic range, allowing the determination of both the primary elements in blood and elements present in trace quantities. Potassium, sodium, lithium, magnesium, manganese, and zinc were studied. Good linearity was observed and the concentration levels obtained for these elements were consistent with literature values. The primary advantages of this method are that no sample pretreatment or dilution is required, the instrument cost is low, and the method is capable of simultaneous multielement analysis on small, discrete samples.

Trace Elements in Hemodialysis and Continuous Ambulatory Peritoneal Dialysis Patients

Alterations in blood and tissue concentrations of trace elements in patients with chronic renal failure have been extensively investigated. Selenium, zinc and copper are elements which play an important role in biological systems as components of proteins, enzymes and antioxidants. The concentrations of selenium, zinc and copper were determined in the plasma, erythrocytes and whole blood of patients on regular hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) treatment using the method of inductively coupled plasma mass spectrometry (ICP-MS). Analysis of isotopes ⁷⁷Se, ⁶⁶Zn and ⁶⁵Cu was performed. Methodology presents the major limitation to valid studies on trace element levels in biological materials. One of the widely used contemporary techniques is ICP-MS. It is the most sensitive one and has a high dynamic range. The selenium concentration in the studied compartments (plasma 46.1 ± 3.0 vs. 78.0 ± 3.4 μg/l, p < 0.001; erythrocytes 90.4 ± 6.5 vs. 134.2 ± 7.6 μg/l, p < 0.01; whole blood 67.3 ± 3.1 vs. 106.4 ± 3.4 μg/l, p < 0.001) was significantly lower in HD patients compared to healthy controls. The same result was observed in plasma (63.2 ± 5.8 vs. 78.0 ± 3.4 μg/l, p < 0.05) and whole blood (82.7 ± 7.4 vs. 106.4 ± 3.4 μg/l, p < 0.01) from CAPD patients, but the selenium level of erythrocytes in CAPD patients was the same as in the control group (126.0 ± 8.8 vs. 134.2 ± 7.6 μg/l). The cooper content of erythrocytes was lower in HD patients than in controls (0.55 ± 0.02 vs. 0.66 ± 0.01 mg/l, p < 0.01) and CAPD groups (0.55 ± 0.02 vs. 0.68 ± 0.02 mg/l, p < 0.001). There were no differences in copper content in plasma (HD 1.02 ± 0.06; CAPD 1.11 ± 0.09; controls 1.02 ± 0.05 mg/l) and whole blood (HD 0.87 ± 0.04; CAPD 0.90 ± 0.05; controls 0.85 ± 0.02 mg/l) in HD and CAPD patients and healthy controls. The zinc concentration was increased in the whole blood of CAPD patients (6.68 ± 0.36 vs. 5.52 ± 0.11 mg/l, p < 0.001) and erythrocytes of HD (12.30 ± 0.23 vs. 10.11 ± 0.42 mg/l, p < 0.001), and CAPD groups (13.71 ± 0.56 vs. 10.11 ± 0.42 mg/l, p < 0.001) compared to controls. However, the plasma zinc concentration was lower in HD patients compared to blood donors (0.69 ± 0.03 vs. 0.92 ± 0.03 mg/l, p < 0.001) and CAPD patients (0.69 ± 0.03 vs. 0.95 ± 0.04 mg/l, p < 0.001). We did not find a significant increase in trace elements in whole blood after HD. These results suggest differences between plasma, erythrocytes and whole blood concentrations of the studied trace elements. The levels of trace elements are altered by HD and CAPD. A modern precise method with high accuracy, ICP-MS, which was used in our study, eliminated analytical errors and possible interferences.