Evidence map›Paper›PMID 40869301›Full record

ArticleInternational journal of molecular sciences2025

Relationship Between Urinary Copper, Zinc, and Cadmium and Kidney Damage Biomarkers in Young People.

Manolo Ortega-Romero, Elodia Rojas Lima, Olivier C Barbier, Octavio Gamaliel Aztatzi-Aguilar, Juan Carlos Rubio-Gutiérrez, Juana Narváez Morales, Mariela Esparza García, Ángel Barrera-Hernández, Mónica I Jiménez-Córdova, Luz María Del Razo and 2 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

12 authors.

Manolo Ortega-RomeroUnidad de Investigación en Salud en el Trabajo, Centro Médico Nacional "Siglo XXI", Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico.ORCID 0000-0002-6616-4521
Elodia Rojas LimaUnidad de Investigación en Salud en el Trabajo, Centro Médico Nacional "Siglo XXI", Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico.
Olivier C BarbierDepartamento de Toxicología, CINVESTAV IPN, Ciudad de Mexico 07360, Mexico.ORCID 0000-0002-0378-3675
Octavio Gamaliel Aztatzi-AguilarDepartamento de Toxicología, CINVESTAV IPN, Ciudad de Mexico 07360, Mexico.
Juan Carlos Rubio-GutiérrezDepartamento de Toxicología, CINVESTAV IPN, Ciudad de Mexico 07360, Mexico.ORCID 0009-0000-7572-8459
Juana Narváez MoralesDepartamento de Toxicología, CINVESTAV IPN, Ciudad de Mexico 07360, Mexico.ORCID 0000-0002-6411-036X
Mariela Esparza GarcíaUnidad de Investigación en Nefrología y Metabolismo Mineral Óseo, Hospital Infantil de México Federico Gómez, Ciudad de Mexico 06720, Mexico.
Ángel Barrera-HernándezDepartamento de Toxicología, CINVESTAV IPN, Ciudad de Mexico 07360, Mexico.
Mónica I Jiménez-CórdovaDepartamento de Toxicología, CINVESTAV IPN, Ciudad de Mexico 07360, Mexico.ORCID 0000-0001-6228-1037
Luz María Del RazoDepartamento de Toxicología, CINVESTAV IPN, Ciudad de Mexico 07360, Mexico.ORCID 0000-0001-9705-3077
Pablo Mendez-HernándezFacultad de Ciencias de la Salud, Universidad Autónoma de Tlaxcala, Tlaxcala 90750, Mexico.
Mara MedeirosUnidad de Investigación en Nefrología y Metabolismo Mineral Óseo, Hospital Infantil de México Federico Gómez, Ciudad de Mexico 06720, Mexico.ORCID 0000-0002-6848-8933

Funding

Consejo Nacional de Humanidades, Ciencias y Tecnologías 2017-01-663Consejo Nacional de Humanidades, Ciencias y Tecnologías Pronaii321320Hospital Infantil de México Federico Gómez HIM/2029/025
6 · The paper itself

Abstract

Chronic kidney disease (CKD) is a global public health issue linked to toxic elements like cadmium (Cd) and mercury (Hg), which harm the kidneys even at low exposure levels. Copper (Cu) and zinc (Zn) imbalances could exacerbate inflammation, oxidative stress, and kidney damage because the Cu/Zn ratio could be a critical marker of renal dysfunction. The study evaluated 914 adolescents aged 11-18 through urine samples to assess the presence of kidney damage biomarkers (OPN, KIM-1, CLU, NGAL, and Cys-C) by using Luminex Magpix and trace metals (Cd, Hg, Cu, Zn) by using ICP-mass. Overweight (18.71%) and obesity (12.58%) rates were noted. Cd and Cu showed positive correlations with kidney damage biomarkers, while Zn exhibited protective effects. Regression models indicated that Cd exposure increased kidney damage markers, emphasizing the importance of Cu/Zn ratio. Environmental exposure to Cd affects kidney health even at low levels, as the Cu/Zn ratio correlates with kidney damage markers in low-Cd exposure, suggesting that the Cu/Zn ratio could participate in the nephrotoxicity process, highlighting trace element imbalance as a potential predictor of kidney function decline.

Indexed as

BiomarkersCadmiumCopperKidneyRenal Insufficiency, ChronicZincAdolescentChildEnvironmental ExposureFemaleHumansMaleBiomarkersCadmiumCopperZincbiomarkers of early kidney damagecopper–zinc ratiolow levels of cadmiumpediatric population

Identifiers

PMID40869301
PMCPMC12386480

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.