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Characterization of biometal profiles in neurological disorders
Abstract
Many neurodegenerative and neuropsychiatric disorders have been reported to coincide with the dysregulation of metal ions in the body and central nervous system. However, in most cases, it is not the imbalance of a single divalent metal ion but a plethora of metal ions reported to be altered. Given that different divalent metal ions are often able to bind to a protein in a competitive manner, although with different affinities, and that they might use similar transporters for uptake and regulation, it is likely that the imbalance of one metal ion will downstream affect the homeostasis of other metal ions. Thus, based on this assumption, we hypothesize that the dysregulation of a specific metal ion will lead to a characteristic biometal profile. Similar profiles might therefore be detected in various neurological disorders. Moreover, if such shared biometal profiles exist across different neurological disorders, it is possible that shared behavioural impairments in these disorders result from the imbalance in metal ion homeostasis. Thus, here, we evaluate the reported excess or deficiency of metal ions in various neurological disorders and aim to integrate reported alterations in metal ions to generate a characteristic biometal profile for the disorder. Based on this, we try to predict which alterations in biometals will be caused by the overload or deficiency of one particular metal ion. Moreover, investigating the behavioural phenotypes of rodent models suffering from alterations in biometals, we assess whether a shared behavioural phenotype exists for disorders with similar biometal profiles. Our results show that observed behavioural aspects of some neurological disorders are reflected in their specific biometal profile and mirrored by mouse models suffering from similar biometal deregulations.
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“Metal ion imbalance in the brain is among the primary triggers in the etiology of AD and hence it is appropriate to tackle this said illness with a chelation therapy technique employing metal ions (Pfaender et al., 2014).”
From An update on the novel and approved drugs for Alzheimer disease (2022) · cites this paper as Pfaender et al., 2014
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Mattei, D., & Pietrobelli, A. (2019) · Current Nutrition Reports · doi:10.1007/s13668-019-0268-z · Cited by 117
Zinc in Gut-Brain Interaction in Autism and Neurological Disorders
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Behavioral impairments in animal models for zinc deficiency
Hagmeyer, S., Haderspeck, J., & Grabrucker, A. M. (2015) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2014.00443 · Cited by 100
“For example, low serum zinc levels have been reported in Autism Spectrum Disorders (ASD), Attention deficit hyperactivity disorder (ADHD), Mood Disorders, such as depression, Schizophrenia (SCZ), and Spinocerebellar ataxia type 2 (Pfaender and Grabrucker, 2014).”
BackgroundSauer, A. K., Pfaender, S., Hagmeyer, S., Tarana, L., Mattes, A.-K., Briel, F., Küry, S., Boeckers, T. M., & Grabrucker, A. M. (2017) · BioMetals · doi:10.1007/s10534-017-0033-y · Cited by 97
“Intriguingly, among individuals with Autism Spectrum Disorders (ASD), the incidence rate of Zn deficiency has been reported to be significantly higher compared to age matched healthy control subjects (Pfaender and Grabrucker 2014).”
Sauer, A. K., & Grabrucker, A. M. (2019) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.01295 · Cited by 87
“Clinical studies have reported a reduction of blood zinc concentration in depressed patients (McLoughlin and Hodge, 1990; Maes et al., 1997; Siwek et al., 2013; Swardfager et al., 2013; Pfaender and Grabrucker, 2014) A recent meta-analysis found that depression in subjects was associated with significantly lower perip…”
Stem Cell Transplantation Therapy and Neurological Disorders: Current Status and Future Perspectives
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“Increased iron levels are correlated with patients’ longevity [142,143].”
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Grabrucker, S., Boeckers, T. M., & Grabrucker, A. M. (2016) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2016.00037 · Cited by 79
“Nowadays, many studies on human patients report zinc deficiency to occur frequently associated with neuropsychiatric disorders such as ASD, Attention deficit hyperactivity disorder (ADHD), Mood Disorders such as Depression, and Schizophrenia (Pfaender and Grabrucker, 2014).”
Zinc binding to RNA recognition motif of TDP-43 induces the formation of amyloid-like aggregates
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Socha, K., Klimiuk, K., Naliwajko, S. K., Soroczyńska, J., Puścion‐Jakubik, A., Markiewicz‐Żukowska, R., & Kochanowicz, J. (2021) · Nutrients · doi:10.3390/nu13020287 · Cited by 72
“In AD, abnormal homeostasis of trace elements has been regarded as a contributing factor [19].”
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Pfaender, S., Sauer, A. K., Hagmeyer, S., Mangus, K., Linta, L., Liebau, S., Bockmann, J., Huguet, G., Bourgeron, T., Boeckers, T. M., et al. (2017) · Scientific Reports · doi:10.1038/srep45190 · Cited by 71
“It was also shown that a low Zn level may lead to Cu toxicity 28 , which can cause neurological deficits in children.”
InfluentialZinc as a therapy in a rat model of autism prenatally induced by valproic acid
Cezar, L. C., Kirsten, T. B., da Fonseca, C. C. N., Lima, A. P., Bernardi, M. M., & Felício, L. F. (2018) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2018.02.008 · Cited by 69
“ciated with neuropsychiatric disorders (Gao et al., 2011; Pfaender and Grabrucker, 2014; Takeda et al., 2007; Whittle et al., 2009).”
MethodSharma, A., Pachauri, V., & Flora, S. J. S. (2018) · Frontiers in Pharmacology · doi:10.3389/fphar.2018.01247 · Cited by 67
“biometals might be playing a crucial role in the pathogenesis of AD (Zhang, 2005; Mandel et al., 2007; Henry et al., 2010; DeToma et al., 2012; Kotler et al., 2014; Pfaender and Grabrucker, 2014).”
BackgroundDesign and synthesis of donepezil analogues as dual AChE and BACE-1 inhibitors
Gabr, M. T., & Abdel‐Raziq, M. S. (2018) · Bioorganic Chemistry · doi:10.1016/j.bioorg.2018.06.031 · Cited by 65
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“The consequence of interactions between the metal ions and the crucial proteins APP and its derivatives, Aβ and tau, metal imbalances in the brain are seen in AD [4, 36] (Fig.”
Across the spectrum: integrating multidimensional metal analytics for in situ metallomic imaging
Stewart, T. J. (2018) · Metallomics · doi:10.1039/c8mt00235e · Cited by 46
Zinc Binding to S100B Affords Regulation of Trace Metal Homeostasis and Excitotoxicity in the Brain
Hagmeyer, S., Cristóvão, J. S., Mulvihill, J. J., Boeckers, T. M., Gomes, C. M., & Grabrucker, A. M. (2018) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2017.00456 · Cited by 44
“…and neuropsychological disorders such as mood disorders, autism spectrum disorders (ASD), Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), multiple sclerosis (MS), TBI and amyotrophic lateral sclerosis (ALS) (Pfaender and Grabrucker, 2014; Prakash et al., 2015).”
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“Shank3 and Zinc Transporters Aside from GI problems, zinc deficiency was shown to be highly prevalent in individuals with PMDS (Grabrucker et al., 2014; Pfaender and Grabrucker, 2014; Pfaender et al., 2017) and ASD (Yasuda et al.”
Lan, J., Zeng, R., Jiang, X., Hou, J., Liu, Y., Hu, Z.-H., Li, H., Li, Y., Xie, S., Ding, Y., et al. (2019) · Bioorganic Chemistry · doi:10.1016/j.bioorg.2019.103413 · Cited by 41
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“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript variety of health problems (Pfaender and Grabrucker, 2014; Pochwat et al., 2015).”
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“Zinc deficiency is implicated in several neurological disorders (Pfaender and Grabrucker, 2014).”
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Hagmeyer, S., Mangus, K., Boeckers, T. M., & Grabrucker, A. M. (2015) · Neural Plasticity · doi:10.1155/2015/985083 · Cited by 39
“The authors declare that there is no conflict of interests regarding the publication of this paper.”
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Holbein, B. E., & Lehmann, C. (2023) · Antioxidants · doi:10.3390/antiox12030671 · Cited by 37
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“Due to these interactions, the increase or the loss of one metal can lead to the establishment of a completely new metal profile affecting many others [168].”
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Rehman, Q., Rehman, K., & Akash, M. S. H. (2021) · Emerging Contaminants and Associated Treatment Technologies · doi:10.1007/978-3-030-66376-6_4 · Cited by 39
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“Furthermore, Mg and Zn deficiency and lower levels of Ca, Fe, Mn and Se and increased level of Cu and other toxic metals have been observed, and these differences have been more pronounced in autistic children then in controls [121,126,128-130].”
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The Role of Trace Metals in Alzheimer’s Disease
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“Due to these interactions, the loss of, or increase in, one trace metal can lead to the establishment of a completely new biometal profile affecting many other trace metals of a system (9).”
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“Zinc is one of the most abundant trace metals in the brain, playing a pivotal role in neuronal activities, synaptic plasticity, and in the regulation of post-synaptic proteins [57,58].”
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“…of acetylcholine (ACh), mitochondrial dysfunction, oxidative stress, inflammation and dyshomeostasis of biometals might be actively involved in AD (Querfurth and LaFerla, 2010; Pfaender and Grabrucker, 2014; Stancu et al., 2014; Selkoe and Hardy, 2016; Wilkins and Swerdlow, 2016; Hardy, 2017).”
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The enteric nervous system deficits in autism spectrum disorder
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“However, the prevalence of zinc deficiency has been found to be significantly higher among individuals with ASD compared to age-matched healthy controls (Grabrucker, 2013; Pfaender and Grabrucker, 2014).”
BackgroundRice: a potential vehicle for micronutrient fortification
Junaid-ur-Rahman, S., Chughtai, M. F. J., Khaliq, A., Liaqat, A., Pasha, I., Ahsan, S., Tanweer, S., Saeed, K., Siddiqa, A., Mehmood, T., et al. (2022) · Clinical Phytoscience · doi:10.1186/s40816-022-00342-3 · Cited by 20
“5 Selenium Keshan disease, Keshin‐Beck disease and myxedema‐ tous cretinism [91] (Westermark, 2021)”
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“com pathological changes in the neuronal balance of metal ions such as zinc, calcium, iron and copper [3–5] in these diseases.”
BackgroundN-cadherin-mediated cell adhesion is regulated by extracellular Zn2+
Heiliger, E., Osmanagic, A., Haase, H., Golenhofen, N., Grabrucker, A. M., Weth, A., & Baumgärtner, W. (2015) · Metallomics · doi:10.1039/c4mt00300d · Cited by 19
Effects of High Levels of Copper on the Depression-Related Memory Disorders
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Unravelling neurological disorders through metallomics-based approaches
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Zinc Binds to RRM2 Peptide of TDP-43
Golovin, A. V., Devred, F., Yatoui, D., Roman, A. Y., Zalevsky, A. O., Puppo, R., Lebrun, R., Guerlesquin, F., & Tsvetkov, P. O. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21239080 · Cited by 16
Daini, E., Hagmeyer, S., Benedictis, C. A. D., Cristóvão, J. S., Bodria, M., Ross, A. M., Raab, A., Boeckers, T. M., Feldmann, J., Gomes, C. M., et al. (2021) · Translational Psychiatry · doi:10.1038/s41398-021-01694-z · Cited by 19
Sauer, A. K., Hagmeyer, S., & Grabrucker, A. M. (2016) · InTech eBooks · doi:10.5772/63203 · Cited by 16
Human Serum Albumin-Inspired Glycopeptide-Based Multifunctional Inhibitor of Amyloid-β Toxicity
Roy, R., Pradhan, K., Khan, J., Das, G., Mukherjee, N., Das, D., & Ghosh, S. (2020) · ACS Omega · doi:10.1021/acsomega.0c01028 · Cited by 14
Metalloneurochemistry and the Pierian Spring: ‘Shallow Draughts Intoxicate the Brain’
Goldberg, J. M., Loas, A., & Lippard, S. J. (2016) · Israel Journal of Chemistry · doi:10.1002/ijch.201600034 · Cited by 12
Putative contributions of the sex chromosome proteins SOX3 and SRY to neurodevelopmental disorders
Tahira, A. C., Barbosa, A. R., Feltrin, A. S., Gastaldi, V. D., de Toledo, V. H. C., de Carvalho Pereira, J. G., Lisboa, B. C. G., de Souza Reis, V. N., dos Santos, A. C. F., Maschietto, M., et al. (2019) · American Journal of Medical Genetics Part B: Neuropsychiatric Genetics · doi:10.1002/ajmg.b.32704 · Cited by 11
“Low serum zinc levels were also observed in neuropsychiatric disorders (Pfaender & Grabrucker, 2014), including ASD (Grabrucker, 2014).”
BackgroundAmbeskovic, M., Laplante, D. P., Kenney, T., Elgbeili, G., Beaumier, P., Azat, N., Simcock, G. P., Kildea, S. V., King, S., & Metz, G. A. S. (2022) · Journal of Trace Elements in Medicine and Biology · doi:10.1016/j.jtemb.2022.127036 · Cited by 11
Liu, Y., Zhou, Q., Zhao, Y., Wang, Y., Wang, Y., Wang, J., Xu, J., & Xue, C. (2015) · Biological Trace Element Research · doi:10.1007/s12011-015-0517-y · Cited by 11
“Biometals such as zinc, iron, copper, vanadium, and calcium play key roles in diverse physiological processes for living organisms, including humans, but can be toxic in excess [3].”
Targeting Metal Homeostasis as a Therapeutic Strategy for Alzheimer’s Disease
Department of Biomedical, M. A. N. S., Vilella, A., Daini, E., Department of Biomedical, M. A. N. S., De Benedictis, C. A., Cellular Neurobiology and Neuro-Nanotechnology Lab, D. O. B. S., Grabrucker, A. M., Cellular Neurobiology and Neuro-Nanotechnology Lab, D. O. B. S., Bernal Institute, U. O. L., & Health Research Institute (HRI), U. O. L. (2020) · Alzheimer’s Disease: Drug Discovery · doi:10.36255/exonpublications.alzheimersdisease.2020.ch5 · Cited by 12
Elemental Metabolomics: Modulation of Egg Metallome with Flavonoids, an Exploratory Study
Pappas, A. C., Zoidis, E., Goliomytis, M., Simitzis, P., Sotirakoglou, Κ., Charismiadou, M. A., Nikitas, C., Danezis, G., Deligeorgis, S. G., & Georgiou, C. A. (2019) · Antioxidants · doi:10.3390/antiox8090361 · Cited by 10
“Biometals are considered the trace metals that play a role in the normal body function [1].”
BackgroundExtracerebral Dysfunction in Animal Models of Autism Spectrum Disorder
Hill‐Yardin, E. L., McKeown, S. J., Novarino, G., & Grabrucker, A. M. (2017) · Advances in anatomy, embryology and cell biology · doi:10.1007/978-3-319-52498-6_9 · Cited by 8
Protective effects of neocuproine copper chelator against oxidative damage in NSC34 cells
Nunes, E. A., Manieri, T. M., Matias, A. C., Bertuchi, F. R., da Silva, D. A., Lago, L., Sato, R. H., & Cerchiaro, G. (2018) · Mutation Research/Genetic Toxicology and Environmental Mutagenesis · doi:10.1016/j.mrgentox.2018.06.019 · Cited by 7
Total Reflection X-ray Fluorescence Analysis of Plasma Elements in Autistic Children from India
Hegde, R., Hegde, S., Kulkarni, S. S., Kulkarni, S. S., Pandurangi, A., Kariduraganavar, M. Y., Das, K. K., & Gai, P. B. (2022) · Biological Trace Element Research · doi:10.1007/s12011-022-03199-2 · Cited by 7
“Genetic factors might be largely responsible for the occurrence of ASD that alone or in a combination with specific environmental factors trigger the development of ASD [1].”
BackgroundNutrition, Neurotransmitters, and Behavior
Kumar, S., Mishra, T., Prajapati, A., & Sethi, P. (2022) · Nutritional neurosciences · doi:10.1007/978-981-19-5021-6_5 · Cited by 6
Sustainable remediation of paint factory wastewater using electrocoagulation
Horváth, G., Szalay, Z., Šimo, F., Vidová, B., Hlavanda, P., Szarka, A., Hrouzková, S., Debnárová, S., Zažímal, F., & Homola, T. (2024) · Environmental Science Water Research & Technology · doi:10.1039/d3ew00845b · Cited by 6
Kennedy, R. H., Wiqas, A., & Curley, J. P. (2017) · Neuroscience Letters · doi:10.1016/j.neulet.2017.04.037 · Cited by 7
Neurochemistry of lead and manganese
Austin, R. N., Freeman, J. L., & Guilarte, T. R. (2016) · Metallomics · doi:10.1039/c6mt90017h · Cited by 6
Ebner, B. A., Erdahl, S. A., Lundgreen, C. S., Vassilaki, M. E., Kremers, W. K., Knopman, D. S., Petersen, R. C., Berry, D. J., Lewallen, D. G., Jannetto, P. J., et al. (2025) · Acta Neuropathologica · doi:10.1007/s00401-025-02856-9 · Cited by 6
Mazhar, W., Farooq, S., Iqbal, A., Ansari, S. H., Choudhary, M. I., Rahman, A., & Musharraf, S. G. (2017) · RSC Advances · doi:10.1039/c6ra28514g · Cited by 5
How Single Site Mutations Can Help Understanding Structure Formation of Amyloid β1−40
Schwarze, B., & Huster, D. (2023) · Macromolecular Bioscience · doi:10.1002/mabi.202200489 · Cited by 5
Investigation of the Genotoxicological Profile of Aqueous Betula pendula Extracts
Efthimiou, I., Vlastos, D., Triantafyllidis, V., Eleftherianos, A., & Αντωνοπούλου, Μ. (2022) · Plants · doi:10.3390/plants11202673 · Cited by 4
Ciubotariu, D., Lupușoru, R. V., Luca, E., Mititelu-Tarțău, L., & Lupușoru, C. E. (2017) · Biological Trace Element Research · doi:10.1007/s12011-017-0995-1 · Cited by 4
Grabrucker, S., & Grabrucker, A. M. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-804562-6.00009-9 · Cited by 4
de Jesus, J. R. (2019) · Springer theses · doi:10.1007/978-3-030-29473-1_3 · Cited by 4
Morán, V. H., & Lowe, N. M. (2016) · doi:10.1201/9781315372402-14 · Cited by 3
The history of metals in autism spectrum disorders
Grabrucker, A. M. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-821132-8.00003-3 · Cited by 3
Molecular Mechanisms and Aspects on the Role of Neuropeptide Y as a Zn2+ and Cu2+ Chelator
Ben-Shushan, S., & Miller, Y. (2020) · Inorganic Chemistry · doi:10.1021/acs.inorgchem.0c03350 · Cited by 3
Pakyürek, M., Azarang, A., Iosif, A., & NORDAHL, T. E. (2018) · Acta Psychopathologica · doi:10.4172/2469-6676.100162 · Cited by 3
Metals and amyloid gain-of-toxic mechanisms in neurodegenerative diseases
Cristóvão, J. S., Moreira, G. G., Grabrucker, A. M., & Gomes, C. M. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-819132-3.00009-9 · Cited by 3
How does “Protein Corona” Affect the In vivo Efficiency of Polymeric Nanoparticles? State of Art
(2017) · BENTHAM SCIENCE PUBLISHERS eBooks · doi:10.2174/9781681084930117020011 · Cited by 4
ZINC IMBALANCE AND THE OPPORTUNITY OF ZINC SUPPLEMENTATION IN ALCOHOLICS AND DRUG USERS
Ciubotariu, D., Ghiciuc, C. M., & Lupușoru, C. E. (2015) · The Medical-Surgical Journal · Cited by 2
Moran, V. H., & Lowe, N. M. (2016) · CRC Press eBooks · doi:10.1201/9781315372402-8 · Cited by 2
BIOMETALS IN NEURODEGENERATIVE DISEASES: THEIR BENEFICIAL AND DETRIMENTAL ROLES IN BRAIN HEALTH.
Akingbade, T. O., Ojo, E. A., & Adebisi, O. P. (2025) · Greener Journal of Biomedical and Health Sciences · doi:10.15580/gjbhs.2025.1.032425045 · Cited by 1
“The body obtains its essential biometals from food sources and water (Kawahara et al., 2023; Pfaender & Grabrucker, 2014).”
A Bright Spiropyran-Based Zinc Sensor for Live-Cell Imaging
Pick, A. M., Weber, K., Jakobs, M. F., Carlsson, M. J., Wittmann, S., Fahrer, J., & Becker, S. (2025) · ACS Omega · doi:10.1021/acsomega.5c04186 · Cited by 1
Yadav, J., Verma, A., Singla, A., & Garg, R. K. (2023) · Indian Journal of Behavioural Sciences · doi:10.55229/ijbs.v26i2.10 · Cited by 1
Engineered biodegradables fibres for brain metal ion regulation
Borisova, Т., Ariza, J. F. S., Pozdnyakova, N., Krisanova, N. V., Pastukhov, A. O., Dudarenko, M., Gréa, T., Montembault, A., Benkhaled, I., Pinaud, N., et al. (2025) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2025.144346 · Cited by 1
The role of trace elements in Alzheimer's disease
Purushothaman, S., Ragavi, A., Basavaraju, P., Moorthi, P., & Anand, A. V. (2020) · Archives of Mental Health · doi:10.4103/amh.amh_18_20 · Cited by 1
Metadata
- Authors
- Pfaender, S., & Grabrucker, A. M.
- Affiliations
- Universität Ulm (DE)
- Corresponding author
- Grabrucker, Andreas M.
- Venue
- Metallomics
- Publisher
- Oxford University Press (OUP)
- Published
- 2014
- Volume
- 6
- Issue
- 5
- Pages
- 960-977
- ISSN
- 1756-5901 (ISSN-L)
- 1756-591X
- OpenAlex
- W2018891401
- Cited by
- 117
- References
- 169
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 14 · 2021: 7 · 2020: 14 · 2019: 10 · 2018: 13 · 2017: 14 · 2016: 11 · 2015: 9 · 2014: 6
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Metallomics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Alzheimer's Association (NIRG-12-235441, L.SBN.0083)
- Royal Society
- Royal Society of Chemistry
- Universität Ulm (“Baustein 3.2”)
- International Graduate School in Molecular Medicine Ulm
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Trace Elements in Health
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Heavy Metal Exposure and Toxicity
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Keywords
- metal homeostasis, neurological disorders, neurodegenerative diseases, neuropsychiatric disorders, metal transporters, behavioral phenotypes, rodent models, metal deficiency
- MeSH terms
- Humans, Metals, Nervous System Diseases
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