Element profiling is an interesting approach for understanding neurodegenerative processes, considering that compelling evidences show that element toxicity might play a crucial role in the onset and progression of Alzheimer’s disease (AD). Aim of this study was to profile 22 serum elements in subjects with or at risk of AD. Thirtyfour patients with probable AD, 20 with mild cognitive impairment (MCI), 24 with subjective memory complaint (SMC) and 40 healthy subjects (HS) were included in the study. Manganese, iron, copper, zinc, selenium, thallium, antimony, mercury, vanadium and molybdenum changed significantly among the 4 groups. Several essential elements, such as manganese, selenium, zinc and iron tended to increase in SMC and then progressively to decrease in MCI and AD. Toxic elements show a variable behavior, since some elements tended to increase, while others tended to decrease in AD. A multivariate model, built using a panel of six essential elements (manganese, iron, copper, zinc, selenium and calcium) and their ratios, discriminated AD patients from HS with over 90% accuracy. These findings suggest that essential and toxic elements contribute to generate a distinctive signature during the progression of AD, and their monitoring in elderly might help to detect preclinical stages of AD.

Lead, cadmium and mercury are non-essential heavy metals that may interfere with biological systems, exhibiting high toxicity to human and marine biota. Due to bioaccumulation of heavy metals in the food chain, seafood may concentrate high levels of these contaminants since they are often at the top of aquatic food chain. In this study, 342 seafood samples, subdivided into four categories (bivalve molluscs, cephalopod molluscs, blue-fish and other sea fish), were analysed by inductively coupled plasma mass spectrometry, in order to assess the levels of lead, cadmium and mercury. Contamination levels higher than allowable limits were verified. In particular, two bivalve mollusc samples were non-compliant for lead and cadmium, four cephalopod mollusc samples non-compliant for cadmium and 14 samples (4 blue-fish and 10 other sea fish) non-compliant for mercury. This survey confirmed the necessity to perform routinely controls related to this type of food inspection.