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Maternal APOE [epsilon]2 as a possible risk factor for elevated prenatal Pb levels
Neža Palir, Anja Stajnko, Darja Mazej, Alenka France Štiglic, Janja Snoj Tratnik, Agneta Annika Runkel, Janja Marc, Milena Horvat, Ingrid Falnoga, 2024, izvirni znanstveni članek

Povzetek: Lead (Pb) is a global contaminant associated with multiple adverse health effects. Humans are especially vulnerable during critical developmental stages. During pregnancy, exposure to Pb can occur through diet and release from maternal bones. Apolipoprotein E gene (APOE) variants (ɛ2, ɛ3, ɛ4 alleles) may influence sex steroid hormones, bone metabolism, and Pb kinetics. We examined the interplay among maternal APOE (mAPOE) genotypes, fetal sex, parity, and Pb in maternal and cord blood (mB-Pb, CB-Pb) using linear regression models. Our study involved 817 pregnant women and 772 newborns with measured adequate levels of zinc and selenium. We compared carriers of the ε2 and ε4 alleles to those with the ε3/ε3 genotype. The geometric means (range) of mB-Pb and CB-Pb were 11.1 (3.58–87.6) and 9.31 (1.82–47.0) ng/g, respectively. In cases with female fetuses, the maternal mAPOE ε2 allele was associated with higher, while the mAPOE ε4 allele was associated with lower mB-Pb and CB-Pb levels. Nulliparity increased the strength of the observed associations. These findings highlight the significance of mAPOE genetics, fetal sex, and parity in prenatal Pb kinetics. Notably, the maternal ε2 allele may increase the risk of Pb exposure.
Ključne besede: cord blood, maternal APOE ε2 allele, bone turnover, fetal sex, parity
Objavljeno v DiRROS: 05.06.2026; Ogledov: 158; Prenosov: 87
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3.
Associations between APOE genotypes, urine 8-isoprostane and blood trace elements in middle-aged mothers (CROME study)
Alenka France Štiglic, Anja Stajnko, Alenka Sešek-Briški, Janja Snoj Tratnik, Darja Mazej, Aleš Jerin, Milan Skitek, Milena Horvat, Janja Marc, Ingrid Falnoga, 2024, izvirni znanstveni članek

Povzetek: Background. There is almost no data on the combined associations between apolipoprotein E gene (APOE) genotypes, trace elements (TEs), and lipid peroxidation in vivo. The aim of our study was to evaluate the association between APOE genotypes and TE levels in blood (B-TEs) and erythrocytes (E-TEs), and 8-isoprostane in urine (U-8-isoprostane) in women with low exposure to potentially toxic TEs and with adequate supply of essential TEs. Methods. B-TEs, E-TEs and U-8-isoprostane were determined in 172 healthy women of childbearing age (30.1–51.4 years) using ICP-MS and ELISA competitive assay, respectively. All women were divided into three APOE genotype groups according to the presence of the ɛ4 allele, ɛ2 allele or ɛ3 homozygotic allele. The associations between B-TEs, E-TE, U-8-isoprostane, and the APOE genotype groups were estimated by multiple variable linear regression models with relevant explanatory variables (e.g., age, BMI, and seafood). Results. All TE and U-8-isoprostane levels were inside the reference ranges for the healthy population. In the multiple variable linear regression models, our results showed that urine 8-isoprostane levels increased by up to 43.3% in the APOE4 group compared to the APOE3 group and a negligible negative modifying effect for essential TEs. However, the APOE genotype groups were associated also with some TEs. A clear positive association was found between the APOE2 and APOE4 groups (vs. APOE3) with B-molybdenum. Conclusions. Our study suggests that the APOE4 genotype played an important role in 8-isoprostane variability in a population with an adequate supply of essential and with low exposure to potentially toxic TEs. Adequate copper, zinc and selenium status seemed to be protective against, while the levels of nonessential TEs were probably too low to play a decisive role in 8-isoprostane formation. The observed impact of the APOE2 and APOE4 groups on increased B-molybdenum opens a new research topic.
Ključne besede: apolipoprotein E, polymorphisms, trace elements, multiple variable linear regression models
Objavljeno v DiRROS: 05.06.2026; Ogledov: 148; Prenosov: 89
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4.
Method development and production of an ambient-stable blood certified reference material for total mercury, methylmercury, and trace elements
Koichi Haraguchi, Mineshi Sakamoto, Hiromitsu Nagasaka, Milena Horvat, Ermira Begu, Polona Klemenčič, Adna Alilović Osolin, Masaaki Nakamura, 2026, izvirni znanstveni članek

Povzetek: Background. Certified reference materials (CRMs) for mercury speciation of biological fluids have hitherto been limited to frozen or cold-storage types, which impedes the participation of laboratories in tropical or remote regions. Existing CRMs often do not fully meet user needs, particularly regarding storage stability and concentration relevance. Results. Using pooled Japanese human blood, we developed a freeze-dried, ambient-stable blood CRM, with certified values of 6.16 μg L−1 for total mercury (THg) and 5.46 μg L−1 for methylmercury (MeHg, as Hg). These concentrations are congruent with median exposure levels in fish-consuming populations (e.g., small island states and riverine Amazonian communities) derived from global biomonitoring data. Homogeneity, stability, and traceability were validated through inter-laboratory comparisons and rigorous uncertainty assessment. Significance. This ambient-stable blood CRM broadens global access to high-quality QA/QC of mercury speciation, especially in regions lacking cold-chain infrastructure. It contributes to capacity building under the Minamata Convention and strengthens interlaboratory comparability. Registration in COMAR and international collaborative deployment are under active development, enhancing the global infrastructure for mercury biomonitoring.
Ključne besede: passive monitoring, methylmercury, blood samples, mercury detection, human biomonitoring, trace elements
Objavljeno v DiRROS: 04.05.2026; Ogledov: 190; Prenosov: 173
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5.
Sustainable mercury monitoring using graphitic carbon nitride as a 2D binding layer in diffusive gradient thin films
Dmitrii Deev, Raghuraj S. Chouhan, Igor Živković, Ermira Begu, Ana Drinčić, Francisco Ruiz-Zepeda, Andraž Krajnc, Ivan Jerman, Roman Viter, Aleš Lapanje, Milena Horvat, 2026, izvirni znanstveni članek

Povzetek: Mercury (Hg) is a highly toxic and persistent environmental pollutant whose accurate monitoring remains challenging due to limitations in existing diffusive gradients in thin films (DGT) binding materials, including insufficient selectivity, complex synthesis, and sustainability concerns. In this study, we report the first application of graphitic carbon nitride (GCN) nanosheets as a metal-free and sustainable binding material for Hg²⁺ monitoring in DGT systems, addressing key limitations of current approaches. Few-layer GCN nanosheets were synthesized via thermal polymerization followed by protonation-assisted exfoliation and comprehensively characterized using X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), transmission electron microscopy (TEM), atomic force microscopy (AFM), Raman spectroscopy, and scanning electron microscopy (SEM). These analyses confirmed the formation of a structurally stable, nitrogen-rich framework with abundant coordination sites. The GCN–agarose (AG–GCN) composite binding layer demonstrated high mercury binding efficiency (>90%) at environmentally relevant concentrations (2.5–10 ng/mL) and near-neutral pH, attributed to strong coordination between Hg²⁺ ions and electron-donating nitrogen sites within the heptazine structure. Compared to conventional DGT binding phases, the proposed system offers enhanced sustainability, metal-free composition, and strong affinity toward mercury, highlighting its potential for next-generation passive environmental monitoring and advanced nanomaterial-based sensing platforms.
Ključne besede: passive monitoring, graphitic carbon nitride nanosheets, adsorbent, mercury detection, nanosheets
Objavljeno v DiRROS: 04.05.2026; Ogledov: 225; Prenosov: 158
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6.
Association of trace elements with polycystic ovary syndrome in women - a case-control study
Tinkara Srnovršnik, Bojana Pinter, Milena Horvat, Janja Snoj Tratnik, Ingrid Falnoga, Darja Mazej, Ivan Verdenik, Irma Virant-Klun, 2025, izvirni znanstveni članek

Povzetek: Objectives: There are still limited or lacking data on the association of trace elements (TEs) with polycystic ovary syndrome (PCOS). This case–control study aimed to determine levels of essential TEs (manganese (Mn), copper (Cu), zinc (Zn), selenium (Se), molybdenum (Mo)) and non-essential TEs (arsenic (As), cadmium (Cd), mercury (Hg), lead (Pb)) in urine, whole blood, and serum to investigate a possible association with kidney and liver function, endocrine and metabolic parameters, and environmental and lifestyle sources of potential exposure and provide possible recommendations. Methods: In our case–control study, women with PCOS (n = 35) and healthy controls (n = 35) underwent clinical and ultrasonographic examination, filled in questionnaires targeting general, lifestyle, and environmental information, and provided fasting venous blood samples and first morning urine for biochemical, hormonal, and TE analysis. Multiple linear regression models were used to evaluate the association between TE levels and data obtained through questionnaires. Results: In women with PCOS, lower Mo levels in whole blood (p = 0.024) and serum (p = 0.011) and higher serum Cu levels (p = 0.026) were detected when compared to healthy controls. Results of this study show that amendments in Cu and Mo levels might be related to altered kidney and liver function and disrupted hormonal balance in PCOS women. Cu levels positively correlated with leukocyte count. There was a negative correlation of Mo levels with proteinuria and luteinizing hormone levels. Regarding liver function, Mo negatively correlated with urinary bilirubin levels, and there was a positive association with alanine and aspartate aminotransferase, respectively. Dietary supplement consumption and certain diet habits appeared to be important predictors of exposure to Cu (beef consumption) or Mo (cereal and boiled vegetable consumption) and modify Mo and Cu levels in women. Conclusions: Concentrations of the chemical elements Mo and Cu in biological samples of women appear to be related to PCOS and nutrition. To our knowledge, this is a novel finding for Mo. Additional research is needed to provide more insights into the causality of the PCOS relationship with Mo and Cu in humans.
Ključne besede: essential elements, non-essential elements, polycystic ovary syndrome, endocrine disruptors, hepatic damage, trace elements
Objavljeno v DiRROS: 16.04.2026; Ogledov: 166; Prenosov: 119
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7.
The Exposure and Health Examination Survey mother-child(ren) cohort profile : applying the exposome to the comprehension of child’s health and development joining singletons and twins data
Mohamed-Yassir Errahmani, Sara Maio, Sandra Baldacci, Neža Palir, Darja Mazej, Janja Snoj Tratnik, Ingrid Falnoga, Milena Horvat, Isabella Annesi-Maesano, 2025, izvirni znanstveni članek

Povzetek: he Exposure and Health Examination Survey (EXHES) cohort aims to elucidate the impact of environmental exposures (the external exposome) and their biological markers (the internal exposome) on childhood health conditions, asthma and allergies, obesity, and cognitive development in particular. Utilizing singletons and twins helped differentiate environmental effects from genetic influences due to the shared genetic background in twins. The EXHES cohort includes 2356 mother-child pairs across 10 European countries, comprising 1945 singletons and 411 twins, with data collected during the crucial first 1000 days of life. Data were gathered through epidemiological questionnaires and biomarkers, including blood, urine, hair, and breast milk from mothers, and cord blood, placenta, and cord tissues from children. Findings confirm that twin pregnancies are linked with increased risks of pregnancy complications, preterm birth, cesarean delivery, low birthweight, maternal health problems during pregnancy and a lower risk of macrosomia. Moreover, mothers of twins were more likely to have asthma, while higher maternal education was associated with a lower likelihood of twin births. The EXHES cohort provides a robust framework to be adopted in other studies for comparing singletons and twins to better understand how the exposome affects early child development and health outcomes. This approach offers new insights into the interplay between environmental and biological factors in shaping long-term health.
Ključne besede: environmental exposure, biomarkers
Objavljeno v DiRROS: 18.02.2026; Ogledov: 417; Prenosov: 244
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8.
Human biomonitoring in support of the Minamata Convention : a case of phasing out dental amalgam
Vanja Usenik, Adna Alilović Osolin, Janja Snoj Tratnik, Marta Jagodic Hudobivnik, Darja Mazej, David Kocman, Davor Kontić, Milena Horvat, 2026, izvirni znanstveni članek

Povzetek: This study analysed urinary mercury (U-Hg) concentrations in 1412 Slovenian children across four human biomonitoring campaigns conducted between 2007 and 2024. Median U-Hg levels declined from 0.76 ng mL−1 (0.72 µg g−1 creatinine) in the 2007 PHIME cohort to 0.22 ng mL−1 (0.21 µg g−1 creatinine) in the 2018–2024 SLO-HBM-II cohort, paralleling a decrease in the prevalence (from 65 to 3%) and the average number of dental amalgam fillings in children. Multilevel mixed-effects models showed a consistent temporal decline in U-Hg that persisted after adjustment for demographic and environmental covariates. In contrast, the inclusion of the amalgam number substantially attenuated the time trend, indicating that reduced amalgam use likely contributed to the observed decrease. As amalgam prevalence fell, other sources of exposure, such as fish consumption, became relatively more prominent predictors of U-Hg, while children living in historically Hg-contaminated areas showed persistently higher levels. Although Slovenia had already phased down dental amalgam in children before ratifying the Minamata Convention, these long-term biomonitoring data illustrate how changes in exposure sources are reflected in internal Hg levels. The study demonstrates the value of repeated national HBM programmes for identifying dominant exposure pathways, investigating their evolution over time, and providing evidence relevant to effectiveness-evaluation frameworks under Article 22 of the Minamata Convention.
Ključne besede: concentrations in blood
Objavljeno v DiRROS: 10.02.2026; Ogledov: 566; Prenosov: 190
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9.
Optimisation of a sample preparation method for the determination of multi-elemental compositions in human hair by triple quadrupole ICP-MS analysis
Agneta Annika Runkel, Marta Jagodic Hudobivnik, Igor Živković, Polona Klemenčič, Darja Mazej, Milena Horvat, 2026, izvirni znanstveni članek

Povzetek: Monitoring toxic elements has a long tradition in Slovenia due to historical mining. More recently, attention has shifted to essential elements, since both deficiencies and excesses can harm health. Regular monitoring of (non-)essential elements supports risk assessment and policymaking. While urine and blood are common biomonitoring matrices, hair offers a non-invasive alternative that reflects exposure over several months, though standardised methodologies for hair analysis remain limited. This study aimed to develop and validate a sensitive and robust analytical method for the determination of 29 elements in human hair, addressing key challenges in sample preparation and contamination control. We developed a sensitive and robust method for the determination of 29 elements (Ag, Al, As, Ba, Ca, Cd, Co, Cr, Cu, Fe, Hg, K, Mg, Mn, Mo, Na, Ni, P, Pb, Rb, S, Sb, Se, Sn, Sr, Ti, U, V, and Zn) in 3 cm segments of human hair that involves a washing procedure with acetone and Milli-Q water, microwave digestion with 65% HNO3, and analysis with Triple Quadrupole Inductively Coupled Plasma Mass Spectrometry (ICP-MS/MS). Evaluation of preparation steps revealed stainless-steel scissors as a major contamination source. Glass digestion vessels were unsuitable for several elements due to high detection limits and relative standard deviations. The optimised method reduced analytical variability and improved sensitivity compared to published protocols. This validated method enables reproducible multi-elemental analysis in hair, highlights overlooked contamination risks, and is now applied in human biomonitoring studies to strengthen exposure assessment and standardisation efforts.
Ključne besede: determination of elements, optimization, human biomonitoring
Objavljeno v DiRROS: 27.01.2026; Ogledov: 375; Prenosov: 256
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10.
Quantification of phthalate and DINCH metabolites in human urine and maternal breast milk : assessing maternal body burden and infant exposure
Agneta Annika Runkel, Žan Rekar, Neja Kosirnik, Darja Mazej, Milena Horvat, Janja Snoj Tratnik, Tina Kosjek, 2026, izvirni znanstveni članek

Povzetek: Based on toxicological evidence, human exposure to phthalates (PHs) and diisononylcyclohexane-1,2-dicarboxylate (DINCH) may contribute to adverse health effects, especially during vulnerable developmental stages. To support the exposure assessment for this group of endocrine disruptors, we developed and validated a method for the analysis of 14 PH and 3 DINCH metabolites in human urine and maternal milk, applied the method in a pilot study, and identified crucial obstacles in the path of establishing maternal milk as a routine matrix in human biomonitoring. Urine and milk samples were extracted with solid-phase extraction (SPE) and QuEChERS salts, respectively, and analysed by liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS). The method accuracy was confirmed for urine samples via a certified standard reference material and the G-EQUAS intercomparison programme. We identified a need for sampling protocols, reference materials, and external method verification schemes in order to establish maternal milk as a routine matrix. Finally, the method was tested for its applicability in a pilot biomonitoring study on 30 paired urine and milk samples from lactating mothers, with medians ranging from Ključne besede: phthalate metabolites, DINCH, human biomonitoring
Objavljeno v DiRROS: 14.01.2026; Ogledov: 367; Prenosov: 236
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