Selenium, Copper and Zinc Levels in Female Subjects with Uterine Fibroid in Port Harcourt, Nigeria
DOI:
https://doi.org/10.37899/mjdh.v3i3.377Keywords:
Copper, Selenium, Trace Elements, Uterine Fibroids, Uterine Leiomyoma, Zinc-Copper RatioAbstract
Uterine fibroids are common benign tumors whose biological mechanisms remain incompletely understood. Altered trace-element homeostasis may be relevant to the oxidative and cellular processes associated with fibroid biology. This study examined serum selenium, copper, zinc, and copper/zinc ratio among women with uterine fibroids. The study included 140 women aged 20–50 years, comprising 80 participants with uterine fibroids and 60 controls. Serum selenium, copper, and zinc concentrations were determined using atomic absorption spectrophotometry, and the copper/zinc ratio was calculated. Between-group differences were evaluated using an independent-samples t-test, while differences according to disease duration were assessed using analysis of variance. Women with uterine fibroids had lower mean selenium and zinc concentrations than controls, whereas copper concentration and copper/zinc ratio were higher. The reported between-group differences were statistically significant. Among the 50 participants with available disease-duration data, no significant differences were observed in selenium, copper, zinc, or copper/zinc ratio across the three duration categories. The study provides population-specific evidence of altered serum trace-element profiles in women with uterine fibroids. The findings support further investigation of trace-element homeostasis as a potential component of fibroid biology, while longitudinal research is required to establish temporal relationships and clinical relevance.
References
Adhab, H. G., Mahdi, L. H., & Al-Hilo, E. M. (2024). Comparison of serum zinc and copper concentrations in females with ovarian and uterine tumors. Journal of Medical Physics, 49(4), 551. https://doi.org/10.4103/jmp.jmp_126_24
Afzal, S., Abdul Manap, A. S., Attiq, A., Albokhadaim, I., Kandeel, M., & Alhojaily, S. M. (2023). From imbalance to impairment: the central role of reactive oxygen species in oxidative stress-induced disorders and therapeutic exploration. Frontiers in pharmacology, 14, 1269581. https://doi.org/10.3389/fphar.2023.1269581
Ahmad, A., Kumar, M., Bhoi, N. R., Badruddeen, Akhtar, J., Khan, M. I., ... & Ahmad, M. (2023). Diagnosis and management of uterine fibroids: current trends and future strategies. Journal of basic and clinical physiology and pharmacology, 34(3), 291-310. https://doi.org/10.1515/jbcpp-2022-0219
AlAshqar, A., Lulseged, B., Mason-Otey, A., Liang, J., Begum, U. A. M., Afrin, S., & Borahay, M. A. (2023). Oxidative stress and antioxidants in uterine fibroids: Pathophysiology and clinical implications. Antioxidants, 12(4), 807. https://doi.org/10.3390/antiox12040807
An, Y., Li, S., Huang, X., Chen, X., Shan, H., & Zhang, M. (2022). The role of copper homeostasis in brain disease. International journal of molecular sciences, 23(22), 13850. https://doi.org/10.3390/ijms232213850
Anyalebechi, E. O., Onwuli, D. O., & Elechi-Amadi, K. N. (2024). Evaluation of copper/zinc ratio, total protein, albumin and reproductive hormones among infertile women in Port Harcourt, Nigeria. Journal of Medicine and Health Research, 9(1), 31–43. https://doi.org/10.56557/JOMAHR/2024/v9i18645
Awiwi, M. O., Badawy, M., Shaaban, A. M., Menias, C. O., Horowitz, J. M., Soliman, M., Jensen, C. T., Gaballah, A. H., Ibarra-Rovira, J. J., Feldman, M. K., Wang, M. X., Liu, P. S., & Elsayes, K. M. (2022). Review of uterine fibroids: Imaging of typical and atypical features, variants, and mimics with emphasis on workup and FIGO classification. Abdominal Radiology, 47(7), 2468–2485. https://doi.org/10.1007/s00261-022-03545-x
Bayır, H., Dixon, S. J., Tyurina, Y. Y., Kellum, J. A., & Kagan, V. E. (2023). Ferroptotic mechanisms and therapeutic targeting of iron metabolism and lipid peroxidation in the kidney. Nature Reviews Nephrology, 19(5), 315-336. https://doi.org/10.1038/s41581-023-00689-x
Bulun, S. E., Yin, P., Wei, J.-J., Zuberi, A., Iizuka, T., Suzuki, T., Saini, P., Goad, J., Parker, J. B., Adli, M., Boyer, T., Chakravarti, D., & Rajkovic, A. (2025). Uterine fibroids. Physiological Reviews, 105(4), 1947–1988. https://doi.org/10.1152/physrev.00010.2024
Chasapis, C. T., Loutsidou, A. C., Spiliopoulou, C. A., & Stefanidou, M. E. (2012). Zinc and human health: an update. Archives of toxicology, 86(4), 521-534. https://doi.org/10.1007/s00204-011-0775-1
Chaudhary, V., Sharma, B., Kumari, S., Kumar, R., Siddiqui, N. A., Pandey, K., & Pal, B. (2025). Serum Levels of Zinc and Copper in Patients with Endometrial Cancer: a Systematic Review and Meta-analysis: V. Chaudhary et al. Biological Trace Element Research, 203(12), 6406-6414. https://doi.org/10.3390/antiox14101238
Dolmans, M.-M., Petraglia, F., Catherino, W. H., & Donnez, J. (2024). Pathogenesis of uterine fibroids: Current understanding and future directions. Fertility and Sterility, 122(1), 6–11. https://doi.org/10.1016/j.fertnstert.2024.02.048
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
Fletcher, N. M., Abusamaan, M. S., Memaj, I., Saed, M. G., Al-Hendy, A., Diamond, M. P., & Saed, G. M. (2017). Oxidative stress: A key regulator of leiomyoma cell survival. Fertility and Sterility, 107(6), 1387–1394.e1. https://doi.org/10.1016/j.fertnstert.2017.04.015
Gansemer, E. R., & Rutkowski, D. T. (2022). Pathways linking nicotinamide adenine dinucleotide phosphate production to endoplasmic reticulum protein oxidation and stress. Frontiers in molecular biosciences, 9, 858142. https://doi.org/10.3389/fmolb.2022.858142
He, Q., Ma, R.-H., & Tang, Y. (2002). Determination of trace element Cu, Zn, Mg, Cr in serum of women with barrenness and hysteromyoma disease. Guang Pu Xue Yu Guang Pu Fen Xi, 22(4), 685–686.
Huang, H., Chen, Y., Lu, Y., Yuan, Z., Zahoor, A., Ren, L., ... & Ning, L. (2026). Copper-Iron Cell Death Axis: Mechanistic Crosstalk, Disease Implications and an Integrated Metallo-Redox-Metabolic Framework. International Journal of Biological Sciences, 22(11), 5706. https://doi.org/10.7150/ijbs.132221
Ishikawa, H., Goto, Y., Hirooka, C., Katayama, E., Baba, N., Kaneko, M., Saito, Y., Kobayashi, T., & Koga, K. (2024). Role of inflammation and immune response in the pathogenesis of uterine fibroids: Including their negative impact on reproductive outcomes. Journal of Reproductive Immunology, 165, 104317. https://doi.org/10.1016/j.jri.2024.104317
Islam, M. A., Alam, M. A., Ahmed, S., Rakib, A., Uddin, M. G., Islam, M. N., ... & Uddin, S. N. (2025). The Relationship Between Lipid Peroxidation, Serum Antioxidant Vitamin, Inflammatory Biomarker, Trace Elements, and Macro‐Minerals With Bangladeshi Fibromyalgia Patients: A Case‐Control Study. Health Science Reports, 8(9), e71222.
Jomova, K., Alomar, S. Y., Valko, R., Nepovimova, E., Kuca, K., & Valko, M. (2025). The role of redox-active iron, copper, manganese, and redox-inactive zinc in toxicity, oxidative stress, and human diseases. EXCLI journal, 24, 880. https://doi.org/10.17179/excli2025-8449
Jomova, K., Raptova, R., Alomar, S. Y., Alwasel, S. H., Nepovimova, E., Kuca, K., & Valko, M. (2023). Reactive oxygen species, toxicity, oxidative stress, and antioxidants: Chronic diseases and aging. Archives of Toxicology, 97, 2499–2574. https://doi.org/10.1007/s00204-023-03562-9
Li, D., Jiang, T., Wang, X., Yin, T., Shen, L., Zhang, Z., ... & Ji, D. (2023). Serum Essential Trace Element Status in Women and the Risk of Endometrial Diseases: a Case–Control Study: Serum Essential Trace Element Status in Women and the Risk of Endometrial Diseases: a Case–Control Study. Biological Trace Element Research, 201(5), 2151-2161. https://doi.org/10.1007/s12011-022-03328-x
Lima, L. G., Dos Santos, A. A. M., Gueiber, T. D., Gomes, R. Z., Martins, C. M., & Chaikoski, A. C. (2022). Relation between selenium and female fertility: a systematic review. Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics, 44(07), 701-709. https://doi.org/10.1055/s-0042-1744288
Liu, Y., Zhu, J., Yang, Y., Chen, Z., Zhou, Y., Fei, W., ... & Zheng, Y. (2025). Extracellular matrix dysregulation in PCOS: pathogenesis, therapeutic strategies, and innovative technologies. Journal of Biological Engineering, 19(1), 61. https://doi.org/10.1186/s13036-025-00533-9
López-Alonso, M., Rivas, I., & Miranda, M. (2025). Trace mineral imbalances in global health: challenges, biomarkers, and the role of serum analysis. Nutrients, 17(13), 2241. https://doi.org/10.3390/nu17132241
Makary, M. S., Zane, K., Hwang, G. L., Kim, C. Y., Ahmed, O., Knavel Koepsel, E. M., Monroe, E. J., Scheidt, M. J., Smolock, A. R., Stewart, E. A., Wasnik, A. S., & Pinchot, J. W. (2024). ACR Appropriateness Criteria® Management of uterine fibroids: 2023 update. Journal of the American College of Radiology, 21(6S), S203–S218. https://doi.org/10.1016/j.jacr.2024.02.022
Michalczyk, K., Kapczuk, P., Kupnicka, P., Witczak, G., Michalczyk, B., Bosiacki, M., ... & Cymbaluk-Płoska, A. (2023). Assessment of serum Zn, Cu, Mn, and Fe concentration in women with endometrial cancer and different endometrial pathologies. Nutrients, 15(16), 3605. https://doi.org/10.3390/nu15163605
Mohy, A. (2026). The Role of Nutrition on Sleep Health among Midlife Women: Exploring Sustainable Diets, Manganese, and Meal Timing Associations (Doctoral dissertation).
Molenda, M., & Kolmas, J. (2023). The Role of Zinc in Bone Tissue Health and Regeneration—a Review: The Role of Zinc in Bone Tissue Health and Regeneration—a Review. Biological trace element research, 201(12), 5640-5651. https://doi.org/10.1007/s12011-023-03631-1
Pokorska-Niewiada, K., Ziętek, M., Szydłowska, I., Ryterska, K., & Szczuko, M. (2025). The Role of Antioxidant Minerals in the Pathophysiology and Treatment of Endometriosis—Systematic Review. Antioxidants, 14(10), 1238.
Saporito Magriñá, C., Martinez Sarrasague, M., Cimato, A., Lopez Montañana, L., Topp, N., Bellida, J. I., ... & Repetto, M. G. (2026). Organ-specific and time-dependent oxidative damage induced by chronic copper exposure: modulation by vitamin E. Metallomics, 18(1), mfag023. https://doi.org/10.1093/mtomcs/mfag023
Simancas-Racines, D., Campuzano-Donoso, M., Román-Galeano, N. M., Zambrano-Villacres, R., Memoli, P., Verde, L., ... & Carbone, L. (2025). Obesity and endometrial cancer: Biological mechanisms, nutritional strategies, and clinical perspectives. Food and Agricultural Immunology, 36(1), 2510961. https://doi.org/10.1080/09540105.2025.2510961
Su, X., Yue, X., Zhang, Y., Shen, L., Zhang, H., Wang, X., ... & Liang, C. (2024). Elevated levels of Zn, Cu and Co are associated with an increased risk of endometriosis: Results from a casecontrol study. Ecotoxicology and Environmental Safety, 271, 115932. https://doi.org/10.1016/j.ecoenv.2024.115932
Tatavarthi, S., Vanos, V., Combs, A. L., Pan, A., Saini, M., & Borahay, M. A. (2026). HIF-1α Signaling in Uterine Fibroids: A Central Integrator of Hypoxic, Hormonal, and Fibrotic Pathways. Oxygen, 6(2), 9. https://doi.org/10.3390/oxygen6020009
Tlak Gajger, I., Dar, S. A., Ahmed, M. M. M., Aly, M. M., & Vlainić, J. (2025). Antioxidant capacity and therapeutic applications of honey: Health benefits, antimicrobial activity and food processing roles. Antioxidants, 14(8), 959. https://doi.org/10.3390/antiox14080959
Ukamaka, E., Uchechukwu, C. J., & Nnodim, J. (2026). Assessment of Trace Elements on Newborns with Neonatal Jaundice Attending Federal Teaching Hospital, Owerri. International Journal of Applied Medical and Health Sciences, 1(1), 1-8.
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. PLoS Medicine, 4(10), e296. https://doi.org/10.1371/journal.pmed.0040296
Wang, S., You, W., Ding, D., Liu, F., Han, F., & Tang, L. (2026). The estrogen-progestogen-oxidative stress network in uterine fibroids: Mechanistic insights and therapeutic opportunities. Redox Report, 31(1), 2622747. https://doi.org/10.1080/13510002.2026.2622747
Yang, Q., Ciebiera, M., Bariani, M. V., Ali, M., Elkafas, H., Boyer, T. G., & Al-Hendy, A. (2022). Comprehensive review of uterine fibroids: Developmental origin, pathogenesis, and treatment. Endocrine Reviews, 43(4), 678–719. https://doi.org/10.1210/endrev/bnab039
Zheng, X., Zhang, W., Yang, F., Wang, L., Yu, B., & Liang, B. (2025). Evaluative performance of TyG-ABSI versus traditional indices in relation to cardiovascular disease and mortality: evidence from the US NHANES. Cardiovascular diabetology, 24(1), 344. https://doi.org/10.1186/s12933-025-02902-6
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