Evidence map›Paper›PMID 40745149›Full record

ArticleBiometals : an international journal on the role of metal ions in biology, biochemistry, and medicine2025

The serum trace metal signature distinguishes patients with psychiatric disorders from healthy controls.

Rosanna Squitti, Cristian Bonvicini, Silvia Fostinelli, Mauro Rongioletti, Altea Severino, Andrea Geviti, Antonio Fiorenza, Sonia Bellini, Alessandra Martinelli, Giovanni Battista Tura and 1 more

Abstract read
In one paragraph

Article in Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Rosanna Squitti *Molecular Markers Laboratory, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, 25125, Brescia, Italy.
Cristian Bonvicini *Molecular Markers Laboratory, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, 25125, Brescia, Italy. cbonvicini@fatebenefratelli.eu.
Silvia FostinelliMolecular Markers Laboratory, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, 25125, Brescia, Italy.
Mauro RongiolettiDepartment of Laboratory Science, Research and Development Division, Ospedale Isola Tiberina Gemelli Isola Rome, 00186, Rome, Italy.
Altea SeverinoDepartment of Laboratory Science, Research and Development Division, Ospedale Isola Tiberina Gemelli Isola Rome, 00186, Rome, Italy.
Andrea GevitiService of Statistics, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, 25125, Brescia, Italy.
Antonio FiorenzaDepartment of Psychology, Uninettuno University, 00186, Rome, Italy.
Sonia BelliniMolecular Markers Laboratory, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, 25125, Brescia, Italy.
Alessandra MartinelliUnit of Epidemiological Psychiatry and Digital Mental Health, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, 25125, Brescia, Italy.
Giovanni Battista TuraPsychiatry Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, 25125, Brescia, Italy.
Roberta GhidoniMolecular Markers Laboratory, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, 25125, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mental health disorders (MHD) are conditions marked by disturbances in thinking, mood, or behavior that can cause significant distress or impair daily functioning. Diagnosis remains challenging, particularly in precision medicine, due to the scarcity of reliable biomarkers as objective diagnostic tools and external validators. This study investigates essential trace metals, cofactors in vital enzymes, as potential biomarkers for MHD. A total of 168 patients with mood spectrum disorders (MSD), schizophrenia spectrum disorders (SSD), and personality disorders (PD) and 61 healthy controls (HC) were evaluated for serum levels of zinc (Zn), copper (Cu), iron (Fe), magnesium (Mg), as well as transferrin (TF), transferrin saturation (% TF-sat), ferritin (F), and Cu/Zn, Cu/Mg, Fe/Cu ratios. Principal Component Analysis (PCA) and regression models assessed the relationship between these biological variables and MHD. Zn levels were lower in patients, particularly in the PD group. Fe, TF, and % TF-sat were also lower in patients, with the SSD group showing the greatest decrease. Mg levels were similarly lower in patients than in controls. Zn, Fe, Fe/Cu, and TF showed protective effects against MHD, with odds ratios ranging from 0.22 to 0.50. The Cu/Zn ratio was higher in all patients' groups. The Cu component, including Cu, Cu/Zn, and Cu/Mg levels, was linked to an 84% increase in the odds of having an MHD. This study highlights the potential of trace metals as adjunctive biomarkers in psychiatry, supporting clinical diagnosis and offering new insights into psychiatric pathophysiology.

Indexed as

Mental DisordersTrace ElementsAdultBiomarkersCase-Control StudiesCopperFemaleHumansIronMagnesiumMaleMiddle AgedTransferrinZincBiomarkersCopperIronMagnesiumTrace ElementsTransferrinZincCopperIronMagnesiumMental health disordersZinc

Identifiers

PMID40745149
PMCPMC12508000

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.