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Browsing by Author "Bulat, Zorica (24066576300)"

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    Cadmium and lead implication in testis cancer; is there a connection?
    (2023)
    Anđelković, Milena (57214130136)
    ;
    Djordjevic, Aleksandra Buha (57216286846)
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    Vukelić, Dragana (58059251800)
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    Đukić-Ćosić, Danijela (26639264900)
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    Aćimović, Miodrag (6508256624)
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    Bojanić, Nebojša (55398281100)
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    Bartolović, Daniela (56955764400)
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    Bulat, Petar (6603213855)
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    Antonijević, Biljana (8323226000)
    ;
    Bulat, Zorica (24066576300)
    Testis cancer (TC) is the most common malignancy of young men. Current evidence from studies, alongside genetics and hormonal status, suggests a significant role of toxic metals, cadmium (Cd) and lead (Pb), in the origin and development of TC. Besides oxidative stress and endocrine disruption, interaction with bioelements is one of the critical mechanisms of Cd and Pb toxicity and malign transformation. This study aimed to investigate metal levels in blood, healthy, and tumor testis tissue and to reveal hormone, oxidative status, and bioelements levels in patients with TC. The study enrolled 52 patients with TC and 61 healthy volunteers. Toxic metals and bioelements levels were analyzed by atomic absorption spectrophotometry (AAS) while electrochemiluminescence immunoassay (ECLIA) and spectrophotometry methods were used for hormone and oxidative parameters evaluation. Significantly higher blood Cd levels were depicted in TC cohort. Furthermore, blood Cd elevation was associated with a 1.98 higher probability of TC developing. However, a metal concentration between healthy and tumor testis tissue did not differ significantly. Lower levels of estradiol and testosterone, established in a cohort of TC patients, followed the significant role of hormones in TC development. At the same time, ischemia-modified albumin (IMA) has been recognized as a parameter with very good accuracy as a potential diagnostic marker for TC. The study revealed different distribution patterns of copper (Cu) and zinc (Zn) in the three compartments of the patients, as well significant correlation between essential metals Cu/Zn and toxic metals Cd/Pb indicating metal-metal interactions as pivotal mechanisms of metals toxicity. © 2023 Elsevier Ltd
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    Cadmium and lead implication in testis cancer; is there a connection?
    (2023)
    Anđelković, Milena (57214130136)
    ;
    Djordjevic, Aleksandra Buha (57216286846)
    ;
    Vukelić, Dragana (58059251800)
    ;
    Đukić-Ćosić, Danijela (26639264900)
    ;
    Aćimović, Miodrag (6508256624)
    ;
    Bojanić, Nebojša (55398281100)
    ;
    Bartolović, Daniela (56955764400)
    ;
    Bulat, Petar (6603213855)
    ;
    Antonijević, Biljana (8323226000)
    ;
    Bulat, Zorica (24066576300)
    Testis cancer (TC) is the most common malignancy of young men. Current evidence from studies, alongside genetics and hormonal status, suggests a significant role of toxic metals, cadmium (Cd) and lead (Pb), in the origin and development of TC. Besides oxidative stress and endocrine disruption, interaction with bioelements is one of the critical mechanisms of Cd and Pb toxicity and malign transformation. This study aimed to investigate metal levels in blood, healthy, and tumor testis tissue and to reveal hormone, oxidative status, and bioelements levels in patients with TC. The study enrolled 52 patients with TC and 61 healthy volunteers. Toxic metals and bioelements levels were analyzed by atomic absorption spectrophotometry (AAS) while electrochemiluminescence immunoassay (ECLIA) and spectrophotometry methods were used for hormone and oxidative parameters evaluation. Significantly higher blood Cd levels were depicted in TC cohort. Furthermore, blood Cd elevation was associated with a 1.98 higher probability of TC developing. However, a metal concentration between healthy and tumor testis tissue did not differ significantly. Lower levels of estradiol and testosterone, established in a cohort of TC patients, followed the significant role of hormones in TC development. At the same time, ischemia-modified albumin (IMA) has been recognized as a parameter with very good accuracy as a potential diagnostic marker for TC. The study revealed different distribution patterns of copper (Cu) and zinc (Zn) in the three compartments of the patients, as well significant correlation between essential metals Cu/Zn and toxic metals Cd/Pb indicating metal-metal interactions as pivotal mechanisms of metals toxicity. © 2023 Elsevier Ltd
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    Can zinc supplementation ameliorate cadmium-induced alterations in the bioelement content in rabbits?
    (2017)
    Bulat, Zorica (24066576300)
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    Dukić-Ćosić, Danijela (26639264900)
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    Antonijević, Biljana (8323226000)
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    Buha, Aleksandra (57216286846)
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    Bulat, Petar (6603213855)
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    Pavlović, Zoran (59572367900)
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    Matović, Vesna (6603086233)
    The study was designed to investigate the influence of zinc (Zn) supplementation on cadmium-induced alterations in zinc, copper (Cu), and magnesium (Mg) status in rabbits. For this purpose, the concentrations of cadmium (Cd), Zn, Cu, and Mg were estimated in the blood, liver, kidney, and bone. The rabbits were divided in a control group, a Cd group-animals intoxicated orally with Cd (10 mg kg-1 bw, as aqueous solution of Cd-chloride), and a Cd+Zn group-animals intoxicated with the same dose of Cd and co-treated with Zn (20 mg kg-1 bw, as aqueous solution of Zn-sulphate). Solutions were administered orally, every day for 28 days. Sample mineralisation was performed with concentrated nitric acid (HNO3) and perchloric acid (HClO4) (4:1) and metal concentrations were determined by atomic absorption spectrophotometry (AAS). Zinc supplementation improved some of Cd-induced disturbances in bioelement levels in the investigated tissues. Beneficial effects of Zn on Zn and Cu levels were observed in blood, as well as on the Cu kidney level. The calculated values for Cu/Zn, Mg/Zn, and Mg/Cu ratios in blood suggest that Zn co-treatment reduces Cd-induced changes in bioelement ratios in blood. © Institute for Medical Research and Occupational Health 2017.
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    Can zinc supplementation ameliorate cadmium-induced alterations in the bioelement content in rabbits?
    (2017)
    Bulat, Zorica (24066576300)
    ;
    Dukić-Ćosić, Danijela (26639264900)
    ;
    Antonijević, Biljana (8323226000)
    ;
    Buha, Aleksandra (57216286846)
    ;
    Bulat, Petar (6603213855)
    ;
    Pavlović, Zoran (59572367900)
    ;
    Matović, Vesna (6603086233)
    The study was designed to investigate the influence of zinc (Zn) supplementation on cadmium-induced alterations in zinc, copper (Cu), and magnesium (Mg) status in rabbits. For this purpose, the concentrations of cadmium (Cd), Zn, Cu, and Mg were estimated in the blood, liver, kidney, and bone. The rabbits were divided in a control group, a Cd group-animals intoxicated orally with Cd (10 mg kg-1 bw, as aqueous solution of Cd-chloride), and a Cd+Zn group-animals intoxicated with the same dose of Cd and co-treated with Zn (20 mg kg-1 bw, as aqueous solution of Zn-sulphate). Solutions were administered orally, every day for 28 days. Sample mineralisation was performed with concentrated nitric acid (HNO3) and perchloric acid (HClO4) (4:1) and metal concentrations were determined by atomic absorption spectrophotometry (AAS). Zinc supplementation improved some of Cd-induced disturbances in bioelement levels in the investigated tissues. Beneficial effects of Zn on Zn and Cu levels were observed in blood, as well as on the Cu kidney level. The calculated values for Cu/Zn, Mg/Zn, and Mg/Cu ratios in blood suggest that Zn co-treatment reduces Cd-induced changes in bioelement ratios in blood. © Institute for Medical Research and Occupational Health 2017.
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    Correlation of oxidative stress markers and semen parameters with the outcome of in vitro fertilization
    (2020)
    Tulić, Lidija (6504063680)
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    Ćurčić, Marijana (26321006800)
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    Stojnić, Jelena (13613250800)
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    Bulat, Zorica (24066576300)
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    Protić, Isidora (57217538917)
    Introduction/Objective The aim was to assess the effect of oxidative stress parameters on sperm count, motility, and morphology of spermatozoa, and the influence of different semen parameters on the outcome of in vitro fertilization (IVF) procedure – the number of fertilized oocytes, fertilization, and pregnancy rate of female partners. Method In 52 male patients superoxide dismutase (SOD), malondialdehyde (MDA), and sulfhydryl (-SH) groups were determined in serum, before beginning the IVF cycle. Semen samples were collected after 2–3 days of sexual abstinence. Results Patients were divided into two groups, the normozoospermic, and those with pathological sperm findings. The second group was divided into oligozoospermic, asthenozoospermic, and teratozoospermic groups. SOD activity was lower, while MDA and-SH groups, while not significantly, was higher in groups with sperm parameter disorders. Fertilization rate was significantly lower in the group of asthenozoospermia and teratozoospermia (p = 0.034), as well as delivery rate (p = 0.020). The group with oligozoospermia had significantly lower delivery rate (p = 0.013). Conclusion Our study found higher fertilization and delivery rate in men with normozoospermia. However, no significant correlation between OS markers and semen parameters was found. © 2020, Serbia Medical Society. All rights reserved.
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    Effect of urine adulterants on commercial drug abuse screening test strip results
    (2020)
    Rajšić, Ivana (57217475920)
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    Javorac, Dragana (57213622549)
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    Tatović, Simona (57211798039)
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    Repić, Aleksandra (57212208218)
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    Dukic-Cosić, Danijela (26639264900)
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    Dordevic, Snezana (8370499000)
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    Lukić, Vera (55743833000)
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    Bulat, Zorica (24066576300)
    Immunochromatographic strips for urine drug screening tests (UDSTs) are common and very suitable for drug abuse monitoring, but are also highly susceptible to adulterants kept in the household, which can significantly alter test results. The aim of this study was to see how some of these common adulterants affect UDST results in practice and whether they can be detected by sample validity tests with pH and URIT 11G test strips. To this end we added household chemicals (acids, alkalis, oxidizing agents, surfactants, and miscellaneous substances) to urine samples positive for amphetamine, 3,4-methylenedioxymethamphetamine (MDMA), tetrahydrocannabinol, heroin, cocaine, or benzodiazepines (diazepam or alprazolam) and tested them with one-component immunochromatographic UDST strips. The UDST for cocaine resisted adulteration the most, while the cannabis test produced the most false negative results. The most potent adulterant that barely changed the physiological properties of urine specimens and therefore escaped adulteration detection was vinegar. Besides lemon juice, it produced the most false negative test results. In conclusion, some urine adulterants, such as vinegar, could pass urine specimen validity test and remain undetected by laboratory testing. Our findings raise concern about this issue of preventing urine tampering and call for better control at sampling, privacy concerns notwithstanding, and better sample validity tests. © 2020 Ivana Rajšić et al., published by Sciendo 2020.
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    Effect of urine adulterants on commercial drug abuse screening test strip results
    (2020)
    Rajšić, Ivana (57217475920)
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    Javorac, Dragana (57213622549)
    ;
    Tatović, Simona (57211798039)
    ;
    Repić, Aleksandra (57212208218)
    ;
    Dukic-Cosić, Danijela (26639264900)
    ;
    Dordevic, Snezana (8370499000)
    ;
    Lukić, Vera (55743833000)
    ;
    Bulat, Zorica (24066576300)
    Immunochromatographic strips for urine drug screening tests (UDSTs) are common and very suitable for drug abuse monitoring, but are also highly susceptible to adulterants kept in the household, which can significantly alter test results. The aim of this study was to see how some of these common adulterants affect UDST results in practice and whether they can be detected by sample validity tests with pH and URIT 11G test strips. To this end we added household chemicals (acids, alkalis, oxidizing agents, surfactants, and miscellaneous substances) to urine samples positive for amphetamine, 3,4-methylenedioxymethamphetamine (MDMA), tetrahydrocannabinol, heroin, cocaine, or benzodiazepines (diazepam or alprazolam) and tested them with one-component immunochromatographic UDST strips. The UDST for cocaine resisted adulteration the most, while the cannabis test produced the most false negative results. The most potent adulterant that barely changed the physiological properties of urine specimens and therefore escaped adulteration detection was vinegar. Besides lemon juice, it produced the most false negative test results. In conclusion, some urine adulterants, such as vinegar, could pass urine specimen validity test and remain undetected by laboratory testing. Our findings raise concern about this issue of preventing urine tampering and call for better control at sampling, privacy concerns notwithstanding, and better sample validity tests. © 2020 Ivana Rajšić et al., published by Sciendo 2020.
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    Nickel as a potential disruptor of thyroid function: benchmark modelling of human data
    (2023)
    Maric, Djurdjica (57344204000)
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    Baralic, Katarina (57213621761)
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    Javorac, Dragana (57213622549)
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    Mandic-Rajcevic, Stefan (49964171500)
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    Zarkovic, Milos (7003498546)
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    Antonijevic, Biljana (8323226000)
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    Djukic-Cosic, Danijela (57983607500)
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    Bulat, Zorica (24066576300)
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    Djordjevic, Aleksandra Buha (57216286846)
    Introduction: Nickel (Ni) is one of the well-known toxic metals found in the environment. However, its influence on thyroid function is not explored enough. Hence, the aim of this study was to analyse the potential of Ni to disrupt thyroid function by exploring the relationship between blood Ni concentration and serum hormone levels (TSH, T4, T3, fT4 and fT3), as well as the parameters of thyroid homeostasis (SPINA-GT and SPINA-GD) by using correlation analysis and Benchmark (BMD) concept. Methods: Ni concentration was measured by ICP-MS method, while CLIA was used for serum hormone determination. SPINA Thyr software was used to calculate SPINA-GT and SPINA-GD parameters. BMD analysis was performed by PROAST software (70.1). The limitations of this study are the small sample size and the uneven distribution of healthy and unhealthy subjects, limited confounding factors, as well as the age of the subjects that could have influenced the obtained results. Results and discussion: The highest median value for blood Ni concentration was observed for the male population and amounted 8,278 µg/L. Accordingly, the statistically significant correlation was observed only in the male population, for Ni-fT4 and Ni-SPINA-GT pairs. The existence of a dose-response relationship was established between Ni and all the measured parameters of thyroid functions in entire population and in both sexes. However, the narrowest BMD intervals were obtained only in men, for Ni - SPINA-GT pair (1.36-60.9 µg/L) and Ni - fT3 pair (0.397-66.8 µg/L), indicating that even 78.68 and 83.25% of men in our study might be in 10% higher risk of Ni-induced SPINA-GT and fT3 alterations, respectively. Due to the relationship established between Ni and the SPINA-GT parameter, it can be concluded that Ni has an influence on the secretory function of the thyroid gland in men. Although the further research is required, these findings suggest possible role of Ni in thyroid function disturbances. Copyright © 2023 Maric, Baralic, Javorac, Mandic-Rajcevic, Zarkovic, Antonijevic, Djukic-Cosic, Bulat and Djordjevic.
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    Perceptions and awareness of endocrine disruptors among mothers in serbia and health implications
    (2025)
    Zivančević, Katarina (57214136709)
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    Maric, Đurđica (57344204000)
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    Manic, Luka (57216728084)
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    Bonderovic, Vera (57939212800)
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    Zivanovic, Jovana (58549458900)
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    Djukic-Cosic, Danijela (57983607500)
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    Bulat, Zorica (24066576300)
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    Antonijevic, Biljana (8323226000)
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    Vilendecic, Zoran (23996155800)
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    Ilic, Sandra (57202507682)
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    Zezelj, Iris (34871182900)
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    Djordjevic, Aleksandra Buha (57216286846)
    Endocrine-disrupting chemicals are significant contributors to various detrimental conditions, mechanistically disrupting the endocrine system and causing adverse health effects. Mounting evidence suggests they can induce multigenerational and transgenerational effects, yet awareness among individuals remain insufficient. This study aimed to assess the knowledge, attitudes and ways of informing mothers in Serbia about endocrine disruptors based on information from 190 women in Serbia. The research was conducted using a survey consisting of multiple-choice questions comprising: The first part aimed to collect sociodemographic data, the second part related to knowledge and attitudes about endocrine disruptors, and the third part focused on the sources of information about endocrine disruptors. Cronbach’s alpha was used to check for scale reliability, and Pearson correlation was used to test the relations between interval variables. ANOVA was employed to test for group differences. The results indicated that mothers in Serbia do not have adequate knowledge about endocrine disruptors (potential sources, categories of substances and alternatives) nor confidence in their ability to mitigate exposure to endocrine disruptors. Also, the estimation of the health risks of exposure to endocrine disruptors was perceived as high, and the mothers thought that they should get additional information about endocrine disruptors before pregnancy. Although with several limitations (i.e. mothers were recruited among those with higher education and mainly from urban areas), the study results highlight the necessity for enhanced maternal education in Serbia regarding endocrine disruptors. Health professionals are deemed most suitable for providing this education, given the respondents’ high level of trust in them. © 2025 the author(s)
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    Perceptions and awareness of endocrine disruptors among mothers in serbia and health implications
    (2025)
    Zivančević, Katarina (57214136709)
    ;
    Maric, Đurđica (57344204000)
    ;
    Manic, Luka (57216728084)
    ;
    Bonderovic, Vera (57939212800)
    ;
    Zivanovic, Jovana (58549458900)
    ;
    Djukic-Cosic, Danijela (57983607500)
    ;
    Bulat, Zorica (24066576300)
    ;
    Antonijevic, Biljana (8323226000)
    ;
    Vilendecic, Zoran (23996155800)
    ;
    Ilic, Sandra (57202507682)
    ;
    Zezelj, Iris (34871182900)
    ;
    Djordjevic, Aleksandra Buha (57216286846)
    Endocrine-disrupting chemicals are significant contributors to various detrimental conditions, mechanistically disrupting the endocrine system and causing adverse health effects. Mounting evidence suggests they can induce multigenerational and transgenerational effects, yet awareness among individuals remain insufficient. This study aimed to assess the knowledge, attitudes and ways of informing mothers in Serbia about endocrine disruptors based on information from 190 women in Serbia. The research was conducted using a survey consisting of multiple-choice questions comprising: The first part aimed to collect sociodemographic data, the second part related to knowledge and attitudes about endocrine disruptors, and the third part focused on the sources of information about endocrine disruptors. Cronbach’s alpha was used to check for scale reliability, and Pearson correlation was used to test the relations between interval variables. ANOVA was employed to test for group differences. The results indicated that mothers in Serbia do not have adequate knowledge about endocrine disruptors (potential sources, categories of substances and alternatives) nor confidence in their ability to mitigate exposure to endocrine disruptors. Also, the estimation of the health risks of exposure to endocrine disruptors was perceived as high, and the mothers thought that they should get additional information about endocrine disruptors before pregnancy. Although with several limitations (i.e. mothers were recruited among those with higher education and mainly from urban areas), the study results highlight the necessity for enhanced maternal education in Serbia regarding endocrine disruptors. Health professionals are deemed most suitable for providing this education, given the respondents’ high level of trust in them. © 2025 the author(s)
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    Toxic effect of acute cadmium and lead exposure in rat blood, liver, and kidney
    (2019)
    Andjelkovic, Milena (57214130136)
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    Djordjevic, Aleksandra Buha (57216286846)
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    Antonijevic, Evica (56910295300)
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    Antonijevic, Biljana (8323226000)
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    Stanic, Momcilo (57205530846)
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    Kotur-Stevuljevic, Jelena (6506416348)
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    Spasojevic-Kalimanovska, Vesna (6602511188)
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    Jovanovic, Milos (57203071527)
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    Boricic, Novica (56515320500)
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    Wallace, David (7402643352)
    ;
    Bulat, Zorica (24066576300)
    Background: Cadmium and lead are widespread and non-biodegradable pollutants of great concern to human health. In real life scenarios, we are exposed to mixtures of chemicals rather than single chemicals, and it is therefore of paramount importance to assess their toxicity. In this study, we investigated the toxicity of Cd and Pb alone and as a mixture in an animal model of acute exposure. Methods: Experimental groups received a single treatment of aqueous solution of Cd-chloride (15 and 30 mg/kg body weight (b.w.) and Pb-acetate (150 mg/kg b.w.), while the mixture group received 15 mg Cd/kg b.w. and 150 mg Pb/kg b.w. Toxic effects of individual metals and their mixture were investigated on hematological and biochemical parameters, and the redox status in the plasma, liver, and kidneys of treated Wistar rats. Results: Tissue-specific changes were recorded in various parameters of oxidative damage, while the accumulation of metals in tissues accompanied the disturbances of both hematological and biochemical parameters. It was observed that the level of toxic metals in tissues had a different distribution pattern after mixture and single exposure. Conclusions: Comprehensive observations suggest that exposure to Cd and Pb mixtures produces more pronounced effects compared to the response observed after exposure to single metal solutions. However, further research is needed to confirm toxicokinetic or toxicodynamic interactions between these two toxic metals in the organisms. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.
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    Toxic effect of acute cadmium and lead exposure in rat blood, liver, and kidney
    (2019)
    Andjelkovic, Milena (57214130136)
    ;
    Djordjevic, Aleksandra Buha (57216286846)
    ;
    Antonijevic, Evica (56910295300)
    ;
    Antonijevic, Biljana (8323226000)
    ;
    Stanic, Momcilo (57205530846)
    ;
    Kotur-Stevuljevic, Jelena (6506416348)
    ;
    Spasojevic-Kalimanovska, Vesna (6602511188)
    ;
    Jovanovic, Milos (57203071527)
    ;
    Boricic, Novica (56515320500)
    ;
    Wallace, David (7402643352)
    ;
    Bulat, Zorica (24066576300)
    Background: Cadmium and lead are widespread and non-biodegradable pollutants of great concern to human health. In real life scenarios, we are exposed to mixtures of chemicals rather than single chemicals, and it is therefore of paramount importance to assess their toxicity. In this study, we investigated the toxicity of Cd and Pb alone and as a mixture in an animal model of acute exposure. Methods: Experimental groups received a single treatment of aqueous solution of Cd-chloride (15 and 30 mg/kg body weight (b.w.) and Pb-acetate (150 mg/kg b.w.), while the mixture group received 15 mg Cd/kg b.w. and 150 mg Pb/kg b.w. Toxic effects of individual metals and their mixture were investigated on hematological and biochemical parameters, and the redox status in the plasma, liver, and kidneys of treated Wistar rats. Results: Tissue-specific changes were recorded in various parameters of oxidative damage, while the accumulation of metals in tissues accompanied the disturbances of both hematological and biochemical parameters. It was observed that the level of toxic metals in tissues had a different distribution pattern after mixture and single exposure. Conclusions: Comprehensive observations suggest that exposure to Cd and Pb mixtures produces more pronounced effects compared to the response observed after exposure to single metal solutions. However, further research is needed to confirm toxicokinetic or toxicodynamic interactions between these two toxic metals in the organisms. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.
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    Toxic Metal and Trace Element Concentrations in Blood and Outcome of In Vitro Fertilization in Women
    (2019)
    Tulić, Lidija (6504063680)
    ;
    Vidaković, Snezana (9434348100)
    ;
    Tulić, Ivan (6602743219)
    ;
    Ćurčić, Marijana (26321006800)
    ;
    Bulat, Zorica (24066576300)
    The aim of this study was to investigate the association of trace element and toxic metal concentrations in blood and the outcome of in vitro fertilization (IVF). The study included 104 consecutive patients that underwent assisted reproductive technology (ART) procedures. The following parameters were determined: cadmium (Cd), mercury (Hg), arsenic (As), and lead (Pb); and copper (Cu), zinc (Zn), selenium (Se), and magnesium (Mg). Serum samples were obtained before commencing stimulation. Patients with smoking habit had significantly higher Pb concentrations (P = 0.022), as well as higher concentrations of As and Hg but not significantly. All subjects were divided into groups of pregnant and nonpregnant patients. Pregnant patients had lower mean values of Mg (P = 0.009), As (P < 0.05), and Pb (P = 0.034), compared to nonpregnant, and a significant correlation between pregnancy outcome and concentrations of Mg, Cd, and Pb was found. Women who had had delivered had lower Mg (P = 0.009) and Cd (P = 0.014) concentrations. There was a significant correlation of the negative outcome of IVF procedure with higher concentrations of Pb (P = 0.046) and Cd (P = 0.012). In conclusion, our results suggest that there is a difference in Mg, Pb, and Cd concentrations between pregnant and nonpregnant women. There was no association between toxic metals and number and quality of oocytes and embryos, while there was with fertilization rate. Concerning trace elements, we did not find the correlation of trace elements with oocyte number and quality, nor with a number of fertilized oocytes, except for Cu. Patients who were pregnant had lower concentrations of Mg. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
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    Toxic Metal and Trace Element Concentrations in Blood and Outcome of In Vitro Fertilization in Women
    (2019)
    Tulić, Lidija (6504063680)
    ;
    Vidaković, Snezana (9434348100)
    ;
    Tulić, Ivan (6602743219)
    ;
    Ćurčić, Marijana (26321006800)
    ;
    Bulat, Zorica (24066576300)
    The aim of this study was to investigate the association of trace element and toxic metal concentrations in blood and the outcome of in vitro fertilization (IVF). The study included 104 consecutive patients that underwent assisted reproductive technology (ART) procedures. The following parameters were determined: cadmium (Cd), mercury (Hg), arsenic (As), and lead (Pb); and copper (Cu), zinc (Zn), selenium (Se), and magnesium (Mg). Serum samples were obtained before commencing stimulation. Patients with smoking habit had significantly higher Pb concentrations (P = 0.022), as well as higher concentrations of As and Hg but not significantly. All subjects were divided into groups of pregnant and nonpregnant patients. Pregnant patients had lower mean values of Mg (P = 0.009), As (P < 0.05), and Pb (P = 0.034), compared to nonpregnant, and a significant correlation between pregnancy outcome and concentrations of Mg, Cd, and Pb was found. Women who had had delivered had lower Mg (P = 0.009) and Cd (P = 0.014) concentrations. There was a significant correlation of the negative outcome of IVF procedure with higher concentrations of Pb (P = 0.046) and Cd (P = 0.012). In conclusion, our results suggest that there is a difference in Mg, Pb, and Cd concentrations between pregnant and nonpregnant women. There was no association between toxic metals and number and quality of oocytes and embryos, while there was with fertilization rate. Concerning trace elements, we did not find the correlation of trace elements with oocyte number and quality, nor with a number of fertilized oocytes, except for Cu. Patients who were pregnant had lower concentrations of Mg. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

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