Evidence map›Paper›PMID 32668647›Full record

ReviewNutrients2020

Relevance of Essential Trace Elements in Nutrition and Drinking Water for Human Health and Autoimmune Disease Risk.

Daniela Cannas, Eleonora Loi, Matteo Serra, Davide Firinu, Paolo Valera, Patrizia Zavattari

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07109778 (Impact of Copper to Zinc Ratio on Outcome of End Stage Renal Disease Patients), which is not on this map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
8.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07109778 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Copper to Zinc Ratio on Outcome of End Stage Renal Disease Patients

TypeobservationalSponsorMinia UniversityRan2025 to 2026Enrolled150ConditionsESRD (End Stage Renal Disease), Control Condition
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 153 citations in OpenAlex.

  1. Pooled it
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  14. Excess copper exposure and male reproductive toxicity: molecular mechanisms and potential interventions.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Daniela CannasDepartment of Biomedical Sciences, Unit of Biology and Genetics, University of Cagliari, 09042 Cagliari, Italy.
Eleonora LoiDepartment of Biomedical Sciences, Unit of Biology and Genetics, University of Cagliari, 09042 Cagliari, Italy.
Matteo SerraDepartment of Civil, Environmental Engineering and Architecture, University of Cagliari, 09123 Cagliari, Italy.
Davide FirinuDepartment of Medical Sciences and Public Health, Monserrato Campus, University of Cagliari, 09042 Cagliari, Italy.
Paolo ValeraDepartment of Civil, Environmental Engineering and Architecture, University of Cagliari, 09123 Cagliari, Italy.ORCID 0000-0002-6812-5921
Patrizia ZavattariDepartment of Biomedical Sciences, Unit of Biology and Genetics, University of Cagliari, 09042 Cagliari, Italy.ORCID 0000-0002-0481-092X
University of Cagliari · IT

Funding

Fondazione di Sardegna F71/17000190002
6 · The paper itself

Abstract

Trace elements produce double-edged effects on the lives of animals and particularly of humans. On one hand, these elements represent potentially toxic agents; on the other hand, they are essentially needed to support growth and development and confer protection against disease. Certain trace elements and metals are particularly involved in humoral and cellular immune responses, playing the roles of cofactors for essential enzymes and antioxidant molecules. The amount taken up and the accumulation in human tissues decisively control whether the exerted effects are toxic or beneficial. For these reasons, there is an urgent need to re-consider, harmonize and update current legislative regulations regarding the concentrations of trace elements in food and in drinking water. This review aims to provide information on the interrelation of certain trace elements with risk of autoimmune disease, with a particular focus on type 1 diabetes and multiple sclerosis. In addition, an overview of the current regulations and regulatory gaps is provided in order to highlight the importance of this issue for everyday nutrition and human health.

Indexed as

AntioxidantsCoenzymesFood AnalysisImmunity, CellularImmunity, HumoralNutrientsRisk AssessmentTrace ElementsAnimalsAutoimmune DiseasesDiabetes Mellitus, Type 1Drinking WaterHumansMultiple SclerosisRiskAntioxidantsCoenzymesDrinking WaterNutrientsTrace Elementsautoimmune diseasesautoimmunityelements in water and foodelements legal regulationmetalloidsmetalsmultiple sclerosistrace elementstype 1 diabeteswater policy

Identifiers

PMID32668647
PMCPMC7400883
OpenAlexW3040804626

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.