The influence of plant extracts on viability of ST3 and ST7 subtypes of Blastocystis sp.

Blastocystis sp. is one of the most frequently detected protozoa during stool specimen examination. In the last decade, the studies about the pathogenic potential of Blastocystis sp. have intensified. Additionally, treatment approaches against this parasite are still disputable. The study aimed to investigate the in vitro activity of the substances of natural origin against two subtypes (ST) of Blastocystis sp.-ST3 and ST7. Garlic and turmeric extracts exhibited the highest inhibitory effect in relation to the ST3 viability. While horseradish and turmeric were found to be the most effective extracts to the ST7 viability. The study showed that ginger, garlic, horseradish, and turmeric extracts have potent antimicrobial activity against Blastocystis ST3 and ST7, with the half-maximal inhibitory concentration (IC50) ranging from 3.8 to 4.8 µg/ml and from 3.3 to 72.0 µg/ml, respectively, and thus may be useful in the prevention and control of Blastocystis infections. Additionally, this research confirmed that Blastocystis ST7 is more resistant to the selected plant extracts treatment than Blastocystis ST3 which in consequence may bring some difficulties in its eradication.

Effect of Selected Entomopathogenic Fungal Species on Embryonic Development of Ascaris suum (Nematoda).

The aim of the study was to evaluate the potential of using five selected species of entomopathogenic fungi (Beauveria bassiana, B. brongniartii, Conidiobolus coronatus, Isaria fumosorosea, and Metarhizium robertsii) in the bioregulation of the dispersive stages of the parasitic nematode-Ascaris suum. Experimental cultures of each of the selected entomopathogenic fungi, as well as a control culture without fungi, were incubated with A. suum eggs at 26 °C for 28 days. Development of the A. suum eggs was observed using a light microscope on the 7th, 14th, 21st, and 28th days of incubation. The API-ZYM® test was used to determine, semiquantitatively, the activity of 19 hydrolytic enzymes from the entomopathogenic fungi. The cytotoxicity of the fungi was determined using tetrazole salt MTT. It was found that none of the five tested strains of entomopathogenic fungi showed an ovicidal effect, and none of them colonized the A. suum egg shells. However, ovistatic activity was observed mainly until the 14th day of incubation by I. fumosorosea, M. robertsii, and B. bassiana. In the MTT test, M. robertsii showed moderate cytotoxicity, while the other species showed low cytotoxicity. Among the strains tested, I. fumosorosea showed the highest spectrum of hydrolase production (13 out of 19 enzymes gave a positive reaction from 3 to 5; 20-40 nM or more). The absence of morphological changes in the A. suum egg shells suggests that the antagonistic effect of the studied entomopathogenic fungi may be due to their cytotoxicity, associated with the production of secondary metabolites-toxins (M. robertsii) and enzymatic activity (I. fumosorosea).

Red fox as a potential bioindicator of metal contamination in a European environment.

In times of widespread environmental pollution with heavy metals of anthropogenic origin and the increasing dynamics of this process, it is justified to collect as much data as possible on the concentration of metals in terrestial mammals from unpolluted areas. The purpose of this research was to present the concentration of essential (chromium, copper, iron, manganese, molybdenum, and zinc), probably essential (nickel, vanadium) and non-esential element (cadmium, lead, silver, strontium, and tin) in the liver, kidneys, muscles and brain of red fox (Vulpes vulpes) inhabiting north-western Poland. We revealed that the concentration of all metals, apart from Ni, was different between studied tissues. Sn and Mo have the highest affinity to the liver, whereas Ag, Sr, Cr had higher concentrations in the brain than in other organs. Various positive relationship between the concentrations of metals were observed in the tissues. Moreover, we noted negative correlations between Ag and Sn in the kidneys and brain, and between Cu and Ag in the liver. In our study the red fox was used as biomonitor for the assessment of exposure of carnivores to metals, in the generally unpolluted areas of Central Europe. Data presented in the report may be used as comparative values in similar ecotoxicological studies.

Mercury in the Polish part of the Baltic Sea: A response to decreased atmospheric deposition and changing environment.

Our review of the literature showed that since the beginning of the socio-economic transformation in Poland in the 1990s, the downward trend in Hg emissions and its deposition in the southern Baltic Sea was followed by a simultaneous decrease in Hg levels in water and marine plants and animals. Hg concentrations in the biota lowered to values that pose no or low risk to wildlife and seafood consumers. However, in the first decade of the current century, a divergence between these two trends became apparent and Hg concentrations in fish, herring and cod, began to rise. Therefore, increasing emission-independent anthropogenic pressures, which affect Hg uptake and trophodynamics, remobilization of land-based and marine legacy Hg deposits, as well as the structure of the food web, can undermine the chances of reducing both the Hg pool in the marine environment and human Hg exposure from fish.

Selected Metal Concentration in Maternal and Cord Blood.

Essential and non-essential elements deficiencies may lead to various birth complications. The aim of this paper was to determine calcium (Ca), copper (Cu), iron (Fe), potassium (K), magnesium (Mg), sodium (Na), phosphorus (P), lead (Pb), strontium (Sr), and zinc (Zn) concentrations in maternal blood and cord blood. Whole blood and cord blood samples collected from pregnant women (n = 136) were analyzed for the concentration of the elements by spectrophotometric atomic absorption in inductively coupled argon plasma (ICP-OES). The results showed that Ca, Pb, and Sr concentrations were similar in maternal and cord blood, while Fe and K levels were higher in cord blood than in maternal blood. The cord blood Cu, Na, and Zn concentrations were lower than those in maternal blood, suggesting transplacental transfer of these elements were limited. Moreover, checking the influence of studied elements on the anthropometric parameters of the newborns, we found that the highest number of associations was between Cu in cord blood. Due to the fact that the pregnant women were healthy, and the newborns were without any disorders, we suggest that the values obtained in our study are normal values of studied elements in whole blood and cord blood in patients from Poland.

Pathomechanisms in the Kidneys in Selected Protozoan Parasitic Infections.

Leishmaniasis, malaria, toxoplasmosis, and acanthamoebiasis are protozoan parasitic infections. They remain important contributors to the development of kidney disease, which is associated with increased patients' morbidity and mortality. Kidney injury mechanisms are not fully understood in protozoan parasitic diseases, bringing major difficulties to specific therapeutic interventions. The aim of this review is to present the biochemical and molecular mechanisms in kidneys infected with Leishmania spp., Plasmodium spp., Toxoplasma gondii, and Acanthamoeba spp. We present available mechanisms of an immune response, oxidative stress, apoptosis process, hypoxia, biomarkers of renal injury in the serum or urine, and the histopathological changes of kidneys infected with the selected parasites. Pathomechanisms of Leishmania spp. and Plasmodium spp. infections have been deeply investigated, while Toxoplasma gondii and Acanthamoeba spp. infections in the kidneys are not well known yet. Deeper knowledge of kidney involvement in leishmaniasis and malaria by presenting their mechanisms provides insight into how to create novel and effective treatments. Additionally, the presented work shows gaps in the pathophysiology of renal toxoplasmosis and acanthamoebiasis, which need further research.

Status and trends of mercury pollution of the atmosphere and terrestrial ecosystems in Poland.

The goal of this paper is to assess the current status and trends of total mercury (THg) contamination of the atmosphere and terrestrial ecosystems in Poland. The study shows that the reduced domestic and worldwide atmospheric emission of Hg resulted in decreased THg level in the terrestrial biotope and biosphere. Considering that Poland is one of the main Hg emitters in Europe, the THg concentrations in its abiotic environment are still elevated. However, the THg level in terrestrial organisms is relatively low, which is because a large proportion of Hg deposited on land is accumulated in organic-rich soils. Regarding the THg concentration, consumption of wildlife and livestock from Poland is safe for humans. Nevertheless, the authors indicate the need for effective environmental monitoring, based on selected bioindicators, which is crucial considering the slowing reduction of Hg emission combined with the consequences of the changing climate.

Current and historical nephric and hepatic mercury concentrations in terrestrial mammals in Poland and other European countries.

The long-term anthropogenic release of mercury (Hg) into the environment has led to contamination of the biosphere, with all forms of Hg showing toxic effects and the ability to accumulate in organisms. Since the 1970s, efforts have been made in Western Europe to reduce Hg emissions and for the economic use of Hg, leading to a reduction in Hg exposure to humans and entire ecosystems. The purpose of this research was to present the total mercury (THg) burden in three mustelids (the piscivorous Eurasian otter and American mink, and the invertebrativorous European badger) inhabiting north-western Poland (mostly floodplains) and other European countries (literature data). Moreover, we wanted to investigate whether reductions in the environmental Hg burden in Europe have resulted in reductions in liver and kidney levels in wild terrestrial mammals (Eurasian otter, wild boar, red deer, roe deer, cervids, leporids, rodents, and ecotrophic groups: piscivorous mustelids, non-mustelids whose diets include aquatic prey, canids and other carnivores, omnivores, herbivores), between samples collected before and after 2000. We revealed significantly higher nephric THg levels in roadkilled than in trapped American minks. As roadkilled piscivorous mustelids from the same floodplain had similar hepatic and nephric THg concentrations, we suggest that the European research on Hg ecotoxicology should more often use alien American mink instead of the protected Eurasian otter. Badgers inhabiting Polish and other European floodplains bioaccumulated higher amounts of THg than those from other areas, and as such, may be recommended as bioindicator of mercury soil contamination. Our analysis of abundant data on mammalian hepatic and nephric THg concentrations (excluding non-piscivores mustelids) showed that in 12 of 21 cases, Hg concentrations had dropped significantly since 2000. This data signals a reduction in Hg contamination in terrestrial mammals, such as the Eurasian otter, and may be reason for cautious optimism.

Comparison of Copper Concentration Between Rejected Renal Grafts and Cancerous Kidneys.

In the body, disorders in the composition and concentration of trace elements, including copper, can lead to the development of various alterations that may result in incorrect functioning of the kidneys. Data on the concentrations of copper in human kidneys are discussed; however, little is known about the concentration of trace elements within rejected renal grafts and kidneys with tumor lesions. The aim of our study was to compare the copper concentration between cancerous kidneys and rejected renal grafts with the division on renal cortex and renal medulla. Material consisted of kidneys from patients hospitalized at the Department of Urology and General Surgery and Transplantation of the Independent Public Clinical Hospital No. 2 at the Pomeranian Medical University in Szczecin, north-western Poland. The study material consisted of kidneys with tumor lesions (n = 33), and renal grafts (n = 10), obtained from patients belongs to the north-western areas of Poland. The examination was performed using ICP-AES method. Regarding the pathological kidneys, excluding grafts, the concentration of Cu in the renal cortex was 52% higher than in medullary region and the difference between the compared concentrations was statistically confirmed (p < 0.05). Taking into account renal grafts, the concentration of Cu in the medulla was slightly lower than in the cortex (less than 3%). In summary, copper in rejected and cancerous kidneys tends to accumulate in higher amount in the renal cortex than medulla, what can be explained by the fact that renal corpuscles, where the first phase of filtration is performed, are located only in the cortical region of the kidney. Furthermore, renal grafts accumulate significantly less copper than kidneys with neoplastic changes, what could have been caused by immunosuppressive medicines used by the graft recipients. The lower copper concentration in renal grafts could be a consequence of the altered immune system, including inflammatory process or/and non-immune mechanisms. Additionally, cancerous and non-cancerous kidneys exhibit different perfusion rate in renal glomeruli, what can finally lead to disparity in chemical elements concentration, including copper.

Methylmercury and total mercury content in soft tissues of two bird species wintering in the Baltic Sea near Gdansk, Poland.

Of the various forms of Hg occurring in nature, (mono) methylmercury (MeHg) is an especially toxic form and practically all forms of Hg can be converted into MeHg as a result of natural processes. Total mercury (THg) and MeHg were determined in tissues of two piscivorous birds: razorbill Alca torda and black-throated loon Gavia arctica to provide baseline data on current mercury concentrations for liver, kidneys and pectoral muscle mercury concentrations of birds which winter on the south Baltic Sea coast. Intra and inter-specific comparisons were carried out. The study is conducted between winter and autumn and the distributions of mercury in tissues were compared with data in other studies. The following paper contains discussion of the results based on the statistical analysis and ecology aspect. The highest average Hg content was in the liver (loon ≈ 3.86 mg kg-1 dw; razorbill ≈ 1.57 mg kg-1 dw), then in the kidneys (loon ≈ 3.14 mg kg-1 dw; razorbill ≈ 1.53 mg kg-1 dw) and the lowest concentrations were in pectoral muscles (loon ≈ 1.97 mg kg-1 dw; razorbill ≈ 0.67 mg kg-1 dw).

Mercury concentration and the absolute and relative sizes of the internal organs in cormorants Phalacrocorax carbo (L. 1758) from the breeding colony by the Vistula Lagoon (Poland).

This work analyses the effect of mercury on the condition of cormorants (Phalacrocorax carbo) from an extensive breeding colony in northern Poland, the largest in Europe. A total of 55 birds (44 adults and 11 immature) were obtained. Total mercury (Hg) concentrations were measured in the liver, kidneys, breast muscles, heart, gullet (oesophagus), stomach, intestines, trachea, lungs and eyeballs. The total body mass (TBM) and empty body mass (EBM) were measured, and the body parts taken for analysis were weighed. The relative mass of the tissues and the L/K index were expressed as percentages. Based on the L/K index the birds were divided into three condition classes: (A) very good, (B) good and (C) moderate. The mean TBM and EBM in these cormorants were 2286 and 2184 g respectively. The greatest contributions to EBM were from the breast muscles (~11%), liver (3.7%) and intestines (3.0%). The stomach, gullet, lungs, heart and kidneys made up from ~1.0-2.8% EBM, and the trachea and eyeballs < 0.4%. 31 of the 55 birds analysed were allocated to class B; mean Hg levels in them were the highest in the kidneys, liver, lungs and muscles (18.3, 9.78, 2.70, 1.86 µg/g dw respectively); they were ≤ 1 µg/g in the other tissues. In ecotoxicology it is assumed that a hepatic concentration > 16.7 µg Hg/g dw can lead to adverse effects in the reproduction of non-marine birds. In the light of the present results, the reproductive parameters of the cormorants from the colony in northern Poland, though mostly in good or very good condition, may be depressed as a result of elevated Hg levels in their body tissues.

Effects of biological factors and health condition on mercury and selenium concentrations in the cartilage, meniscus and anterior cruciate ligament.

Due the long-term nature of joint tissue remodeling processes, knee structures including meniscus and anterior cruciate ligament (ACL) can be a model for studying the bioaccumulation of mercury (Hg) and selenium (Se). The accumulation and retention of Hg in human tissues can have a negative effect on the proper functioning of homeostasis-affecting organisms. A factor of chronic poisoning with Hg forms is probably the Se:Hg ratio in tissues. Se:Hg molar ratios below one may increase Hg toxicity potentials, while molar ratios that approach or exceed one effectively may protect against Hg toxicity. Therefore, the aim of the study was to determine total mercury (THg), Se, and Se:THg molar ratios in the cartilage, meniscus and ACL of patients with osteoarthritis (OA) from northwestern Poland. In all studied samples (n=95), we observed higher Se than THg concentration. Taking into consideration the biological factors, we found significantly higher THg levels in the cartilage of women, patients under 65 years of age, patients without hypertension and in the ACL of patients with spinal degenerative disease. We found higher Se levels in the meniscus in women than in men. In all studied parts of the knee joint, we found the Se:THg molar ratio higher than one, which suggests that the joint forming structures are not much exposed to THg. Moreover the results reported here may provide a basis for establishing reference values for the meniscus and ACL in patients with OA who had undergone knee replacement surgery.

The Concentration of Vanadium in Pathologically Altered Human Kidneys.

Vanadium has a unique and beneficial effect on both humans and animal organisms; however, excessive amount of the above-mentioned metal can cause many alterations in tissues and organs, including the kidneys. The aim of the study was to determine the concentration of vanadium (V) in the kidneys removed from patients due to lesions of various etiologies, including the rejection of the transplanted kidneys. Additionally, we determined the influence of selected biological and environmental factors on the V concentration. The study material consisted of the kidneys with tumor lesions (n = 27) and extracted kidney grafts (n = 10) obtained from patients from the north-western Poland. The V concentrations were assessed by atomic absorption spectrophotometry emission in inductively coupled argon plasma and expressed in concentrations in dry weight (dw). Statistically significant differences were observed for V concentrations in the renal medulla between the kidneys with tumors and renal grafts, where the lowest concentration of V was observed. The kidneys in more advanced stages of the tumor (T3 + T4) contained more vanadium than the kidneys of T1 + T2 stages and medians were 2.07 and 1.51, respectively. We also compared the V concentration in the kidneys between the renal grafts (K2) and the kidneys with tumor (K1) in two stages of advancement: T1 with T2 (K11 + 2) and T3 with T4 (K13 + 4). Statistically significant differences were noted between the renal medullae of the above-mentioned groups of kidneys.According to the previous studies on the concentrations of other heavy metals, renal grafts accumulate less vanadium than cancerous kidneys, what can be associated with the immunosuppressive drugs taken by patients after the transplantation.

Muscle mercury and selenium in fishes and semiaquatic mammals from a selenium-deficient area.

The aim of this study was to investigate and compare total mercury (Hg), selenium (Se), and Se:Hg molar ratios in fish muscles (phytophages n=3; benthophages n=32; predators n=5) and semiaquatic carnivores, including piscivores (the European otter n=8, the feral American mink n=7) and the omnivorous raccoon (n=37) from a riverine European ecosystem in a Se-deficient area. The Hg concentration in fish reached 0.337µg/g dry weight, dw (0.084µg/g wet weight, ww). We found significant differences among Hg levels in tested vertebrate groups (predators vs benthophages: 0.893 vs 0.281µg/g; piscivores vs omnivores: 6.085 vs 0.566µg/g dw). Fish groups did not differ in Se concentrations, with a mean value of 0.653µg/g dw. Significant differences were revealed between Se levels in piscivorous and omnivorous carnivores (0.360 vs 0.786µg/g dw, respectively). Fish Se:Hg molar ratio values were >2.2. Benthophages had higher the ratio than predators but similar to phytophages. Among carnivores, piscivores had much lower the ratio than raccoon (0.14 vs 3.75) but raccoon and fish medians did not significantly differ. We found almost two times higher Se levels in fish and raccoons compared to piscivores, possibly resulting from lower fish Se digestibility by piscivores in contrast to higher absorption of plant Se by many fish and omnivorous raccoons. Considering that a tissue Se:Hg molar ratio <1 may be connected with a Hg toxicity potential increase, we assume that piscivores in Se-deficient area are in worse situation and more exposed to Hg than fish and omnivores.

Cadmium, lead and mercury concentrations in pathologically altered human kidneys.

Heavy metals, including cadmium (Cd), lead (Pb) and mercury (Hg) act as nephrotoxic agents, particularly in the renal cortex. The aim of the study was to determine the concentrations of Cd, Pb and Hg in kidneys removed from patients due to lesions of various etiologies and from patients after the rejection of transplanted kidneys. Additionally, we determined the influence of selected biological and environmental factors on the concentrations of toxic metals. The study material consisted of kidneys with tumor lesions (n = 27), without tumors (n = 7) and its extracted grafts (n = 10) obtained from patients belongs to the north-western areas of Poland. The determined metal concentrations in the renal cortex and medulla may be arranged in the following descending order: Cd > Pb > Hg. The highest concentrations of Cd and Hg were found in the cortex, while the maximum content Pb was observed in the medulla. Significant correlations were found in the concentrations of the same metals between cortex and medulla and between Pb and Hg in the renal medulla. Pb content was higher in the renal medulla of men than in the cortex of the elderly (above 60 years of age). The highest concentrations of Pb and Hg were found in the cortex and medulla, of the kidneys had not neoplastic changes, and lower content of these metals were found in the extracted kidney grafts. In summary, renal grafts accumulate less heavy metals than cancerous kidneys, what could have been caused by immunosuppressors taken by the graft recipients. Moreover, sex, age and smoking are key factors responsible for xenobiotics concentrations.

The Occurrence of Trichinella spp. in Red Foxes (Vulpes vulpes) in Different Regions of Poland: Current Data.

Trichinellosis is one of the most widespread parasitic zoonoses. Trichinella Owen, 1835 nematodes are found in pigs, horses, and humans in the domestic cycle, and in many carnivores and omnivores in the sylvatic cycle, such as wild boars, red foxes, raccoon dogs, and wolves. Carnivores are known to be involved in the circulation of Trichinella nematodes and they act as a reservoir in the sylvatic environment. The aim of this study was to determine the occurrence of Trichinella spp. infection in red foxes in Poland. Samples were collected from 2010 to 2015 in different regions of the country and then tested for Trichinella nematodes using HCl-pepsin digestion. Trichinella larvae were found in 10.02% of examined samples (145/1447). The larvae were identified as T. spiralis (11.03%), T. britovi (71.72%), and T. pseudospiralis (0.69%). No mixed infection was observed. The prevalence of infection varied between years and different voivodeships of the country. Our findings confirm that red foxes are involved in the maintenance of Trichinella spp. in the sylvatic cycle in Poland.

Brains of Native and Alien Mesocarnivores in Biomonitoring of Toxic Metals in Europe.

Mercury (Hg), lead (Pb) and cadmium (Cd) are involved in mammalian brain damage. However, little is known about Pb and Cd brain levels in wildlife that reflect the geochemical background. The aims of the study include the estimation of Hg, Pb and Cd concentrations, and the determination of relationships between these elements in the brains of 94 mesocarnivores. Road-killed or hunted animals were obtained from north-western Poland near the Polish-German border. The investigation covered the native Eurasian otter Lutra lutra, badger Meles meles, pine marten Martes martes, beech marten M. foina, European polecat Mustela putorius, red fox Vulpes vulpes, and alien species: feral and ranch American mink Neovison vison, raccoon Procyon lotor and raccoon dog Nyctereutes procyonoides. Depending on the diet and environmental pollution, the carnivore brains accumulated toxic metals in varying amounts. The highest median Hg levels (in mg/kg dry weight, dw) were found in the piscivorous Eurasian otter and feral mink (2.44 and 3.96), Pb in the omnivorous raccoon (0.47), while Cd in minks (~0.06). We indicated that Pb-based ammunition is a significant source of the element in scavengers from hunting area, and we also found a significant correlation between Pb and Cd levels in the fox brain. Finally, this study is the first to suggest background levels for brain Pb and Cd in mesocarnivores (<0.50 and <0.04 mg/kg dw, respectively).

Influence of Environmental Factors and Relationships between Vanadium, Chromium, and Calcium in Human Bone.

The aim of this study was to investigate the impact of environmental factors on the concentrations of vanadium (V), chromium (Cr), and calcium (Ca) and to examine the synergistic or antagonistic relationships between these metals, in cartilage (C), cortical bone (CB), and spongy bone (SB) samples obtained following hip joint surgery on patients with osteoarthritis in NW Poland. We found significantly higher concentrations of V and Cr in spongy bone in patients who consumed game meat and also those with prosthetic implants. Chromium levels were significantly lower in patients with kidney diseases. The greatest positive correlations were found between spongy bone V and (i) the amount of consumed beer and (ii) seafood diet. Correlation analysis also showed a significant correlation between Cr levels and seafood diet. To a certain extent these results indicate that the concentrations of V, Cr, and Ca in the human hip joint tissues are connected with occupational exposure, kidney diseases, diet containing game meat, sea food, beer, and the presence of implants. Furthermore, we noted new types of interactions in specific parts of the femoral head. Vanadium may contribute to the lower bone Ca levels, especially in the external parts (cartilage and cortical bone).

[Fluorides in the human bones ­ selected issues].

Long -term intake of 􀏐luoride leads to skeletal 􀏐luorosis. The toxicity of 􀏐luoride, not only for the human body, but also the entire ecosystem makes it necessary to constantly monitor their content in the environment. Accordingly, there is a need to control the level of 􀏐luorides (F⁻) in humans, particularly in bone tissue, which re􀏐lects long -term accumulation of these compounds. The aim of the study was to determine the concentration of 􀏐luoride in the human bones depending on biological factors and environmental conditions on the basis of the published literature. Given the importance of bone tissue as the main reservoir of 􀏐luoride ions is an important issue to continue to monitor the concentration of F⁻ in this tissue, particularly for people living in the polluted environment 􀏐luorine compounds. There are numerous works on concentrations of this element in human bones in world literature which proves the great interest in the subject. It should be underlined the need for further study of this issue for people living in different regions of Poland.

The Effect of Risk Factors on the Levels of Chemical Elements in the Tibial Plateau of Patients with Osteoarthritis following Knee Surgery.

The aim of this study was to evaluate the aforementioned chemical elements in tibial plateau samples obtained during knee arthroplasty. The gender-specific analysis of chemical element levels in the bone samples revealed that there were statistically significant differences in the concentration of Pb and Se/Pb ratio. The contents of elements in the tibial plateau in the patients with osteoarthritis (OA) can be arranged in the following descending order: F(-) > K > Zn > Fe > Sr > Pb > Mn > Se > Cd > THg. We observed statistical significant effects of environmental factors including smoking, seafood diet, and geographical distribution on the levels of the elements in tibial bone. Significant positive correlation coefficients were found for the relationships K-Cd, Zn-Sr, Zn-F(-), THg-Pb, Pb-Cd, Se-Se/Pb, Se-Se/Cd, Se/Pb-Se/Cd, Pb-Cd/Ca, Cd-Cd/Ca, and F(-)-F(-)/Ca·1000. Significant negative correlations were found for the relationships THg-Se/Pb, Pb-Se/Pb, Cd-Se/Pb, K-Se/Cd, Pb-Se/Cd, Cd-Se/Cd, THg-Se/THg, Pb-Se/THg, Se-Pb/Cd, Zn-Cd/Ca, and Se/Cd-Cd/Ca. The results reported here may provide a basis for establishing reference values for the tibial plateau in patients with OA who had undergone knee replacement surgery. The concentrations of elements in the bone with OA were determined by age, presence of implants, smoking, fish and seafood diet, and sport activity.