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Wilson´s disease, a rare genetic disorder of the copper metabolism, causes the copper accumulation in various organs, leading to manifold hepatic, neurological and psychiatric symptoms. To study the elemental distribution, human Wilson´s disease liver samples were analyzed by means of LA-ICP-MS. Results demonstrated an inhomogeneous copper and iron distribution in human liver with hotspots of very high intensities. Both elements were quantified by an external calibration using matrix-matched standards made of gelatin, showing concentrations up to several thousand micrograms per gram. Additionally, results were validated by means of synchrotron radiation based μXRF at the BAMline at BESSYII (Helmholtz-Zentrum Berlin).
Wilson´s disease (WD) is a rare genetic disorder of the copper metabolism, causing the accumulation of copper in different organs, including the liver, the central nervous system and cornea. This way, WD initiates manifold hepatic, neurological or psychiatric symptoms. To learn about the elemental distribution and present species in WD, liver samples were analyzed by laser ablation-inductively coupled plasma-mass spectrometry (LA-ICP-MS), micro X-ray fluorescence (μXRF) and X-ray absorption near edge structure spectroscopy (XANES).
Within this work, LA-ICP-MS was applied to study the distribution of copper and iron in human liver samples, which were collected by a liver biopsy of WD and control patients within a medical investigation. The analysis by LA-ICP-MS was performed with a 213 nm Nd:YAG laser using a spatial resolution of 10 μm and a scan rate of 20 μm/s. In a next step, copper and iron were quantified by LA-ICP-MS using homemade matrix-matched standards made of gelatin. Results showed an inhomogeneous copper and iron distribution in human liver with hotspots up to several thousand micrograms per gram liver within the hepatocytes.
Additionally, results for the elemental distribution in WD were validated by means of synchrotron radiation-based μXRF with a beam size of 4 μm at the BAMline at BESSYII (Helmholtz-Zentrum Berlin). Furthermore, XANES was performed to identify the present oxidation states of copper in WD, indicating a mixture of copper(I) and copper(II) within the liver tissue.
In the contemporary medicine, rhodanine staining is routinely used to determine the copper distribution in liver tissues. Nevertheless, this method does not provide results with a high sensitivity in comparison to LA-ICP-MS. Therefore, the presented LA-ICP-MS method offers a new possible diagnostic tool. These results may also contribute to a better understanding of Wilson´s disease and its development.