Trace Elements-Role in Joint Function and Impact on Joint Diseases

Abstract

Proper joint function has a significant impact on people's quality of life. Joints are the point of connection between two or more bones and consist of at least three elements: joint surfaces, the joint capsule, and the joint cavity. Joint diseases are a serious social problem. Risk factors for the development of these diseases include overweight and obesity, gender, and intestinal microbiome disorders. Another factor that is considered to influence joint diseases is trace elements. Under normal conditions, elements such as iron (Fe), copper (Cu), cobalt (Co), iodine (I), manganese (Mn), zinc (Zn), silver (Ag), cadmium (Cd), mercury (Hg), lead (Pb), nickel (Ni) selenium (Se), boron (B), and silicon (Si) are part of enzymes involved in reactions that determine the proper functioning of cells, regulate redox metabolism, and determine the maturation of cells that build joint components. However, when the normal concentration of the above-mentioned elements is disturbed and toxic elements are present, dangerous joint diseases can develop. In this article, we focus on the role of trace elements in joint function. We describe the molecular mechanisms that explain their interaction with chondrocytes, osteocytes, osteoblasts, osteoclasts, and synoviocytes, as well as their proliferation, apoptosis, and extracellular matrix synthesis. We also focus on the role of these trace elements in the pathogenesis of joint diseases: rheumatoid arthritis (RA), osteoarthritis (OA), psoriatic arthritis (PsA), ankylosing spondylitis (AS), and systemic lupus erythematosus (SLE). We describe the roles of increased or decreased concentrations of individual elements in the pathogenesis and development of joint diseases and their impact on inflammation and disease progression, referring to molecular mechanisms. We also discuss their potential application in the treatment of joint diseases.

Keywords: anjylosing spondylitis; joints; metallomics; osteoarthritis; psoriatic arthritis; rheumatoid arthritis; rheumatology; trace elements.

Figure 1

The role of trace elements in the functioning of joint components. Abbrevitions: Ag—silver; BMSCs—bone marrow mesenchymal stem cells; B—boron; Cd—cadmium; Co—cobalt; Cu—copper; Fe—iron; GSH-Px—glutathione peroxidise; Hg—mercury; I—iodine; Mn—manganese; MSCs—mesenchymal stem cells; Ni—nickel; Pb—lead; Se—selenium; Si—silicon; TH—thyroid hormones; Zn—zinc.

Figure 2

Beneficial and detrimental interactions between trace elements in the human body. Abbreviations: B—boron; Co—cobalt; Cu—copper; Fe—iron; Hg—mercury; I—iodine; Mn—manganese; Ni—nickel; Se—selenium; Si—silicon; Zn—zinc.