Melissa S Totten

Dr. Melissa S Totten

University of North Carolina at Greensboro
+1
orcid

Research Focus & Metrics

Academic Career Length

8Years (2019-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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21 February 2019 in Expert Review of Neurotherapeutics
Verified
Journal Article
Closed access
PCPan Chen
Pan Chen
Melissa S TottenMelissa S Totten
Melissa S Totten
ZZZiyan Zhang
Ziyan Zhang
HBHana Bucinca
Hana Bucinca
KEKeith Erikson
Keith Erikson
Michael AschnerMichael Aschner
Michael Aschner
Introduction: Iron (Fe) and manganese (Mn) are essential nutrients for humans. They act as cofactors for a variety of enzymes. In the central nervous system (CNS), these two metals are involved in diverse neurological activities. Dyshomeostasis may interfere with the critical enzymatic activities, hence altering the neurophysiological status and resulting in neurological diseases. Areas covered: In this review, the authors cover the molecular mechanisms of Fe/Mn-induced toxicity and neurological diseases, as well as the diagnosis and potential treatment. Given that both Fe and Mn are abundant in the earth crust, nutritional deficiency is rare. In this review the authors focus on the neurological disorders associated with Mn and Fe overload. Expert commentary: Oxidative stress and mitochondrial dysfunction are the primary molecular mechanism that mediates Fe/Mn-induced neurotoxicity. Although increased Fe or Mn concentrations have been found in brain of patients, it remains controversial whether the elevated metal amounts are the primary cause or secondary consequence of neurological diseases. Currently, treatments are far from satisfactory, although chelation therapy can significantly decrease brain Fe and Mn levels. Studies to determine the primary cause and establish the molecular mechanism of toxicity may help to adapt more comprehensive and satisfactory treatments in the future.

20 February 2023 in Dietetics
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Journal Article
Open access
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Melissa S TottenMelissa S Totten
Melissa S Totten
TDTyler Davenport
Tyler Davenport
LELaken F. Edwards
Laken F. Edwards
JHJenna M. Howell
Jenna M. Howell
Anxiety disorder is characterized by excessive fear or avoidance of perceived threats that can be persistent and debilitating. Diet is a modifiable risk factor that may contribute to the pathogenesis or treatment of anxiety, depending on diet quality. Although the biological mechanisms by which food, specific nutrients, and nutraceuticals impact mental health are not completely understood, implicated pathways include inflammation, oxidative stress, brain plasticity effects, mitochondrial dysfunction, and neurotransmitter metabolism. Essential dietary trace minerals such as zinc, copper, iron, and selenium are critical components for numerous biological proteins and may have a role in these proposed mechanisms related to brain health and anxiety. This narrative review examines the influence of essential trace elements zinc, copper, iron, and selenium on anxiety symptoms based on the latest peer-reviewed scientific evidence. Current research indicates that deficiencies in zinc, iron, and selenium are associated with anxiety, while copper overload may impact anxiety to a greater degree than copper deficiency. Further investigation is needed to understand the specific neurobiological mechanisms involved. Overall, the collective findings demonstrate the importance of optimizing trace mineral homeostasis for the mitigation of anxiety disorders and preservation of mental health.

25 October 2021 in Nutritional Neuroscience
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Journal Article
Closed access
Melissa S TottenMelissa S Totten
Melissa S Totten
CWConner W. Wallace
Conner W. Wallace
DPDerek M. Pierce
Derek M. Pierce
SFSteve Fordahl
Steve Fordahl
KEKeith Erikson
Keith Erikson
Obesity has been linked to behavioral and biochemical changes, such as reduced physical activity, dysregulated dopamine metabolism, and gene expression alterations in the brain. The impact of a con...

21 December 2020 in Nutrients
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Journal Article
Open access
PDF file
Melissa S TottenMelissa S Totten
Melissa S Totten
DPDerek M. Pierce
Derek M. Pierce
KEKeith Erikson
Keith Erikson
The aim of this study was to determine the impact of diet-induced obesity (DIO) on trace element homeostasis and gene expression in the olfactory bulb and to identify potential interaction effects between diet, sex, and strain. Our study is based on evidence that obesity and olfactory bulb impairments are linked to neurodegenerative processes. Briefly, C57BL/6J (B6J) and DBA/2J (D2J) male and female mice were fed either a low-fat diet or a high-fat diet for 16 weeks. Brain tissue was then evaluated for iron, manganese, copper, and zinc concentrations and mRNA gene expression. There was a statistically significant diet-by-sex interaction for iron and a three-way interaction between diet, sex, and strain for zinc in the olfactory bulb. Obese male B6J mice had a striking 75% increase in iron and a 50% increase in manganese compared with the control. There was an increase in zinc due to DIO in B6J males and D2J females, but a decrease in zinc in B6J females and D2J males. Obese male D2J mice had significantly upregulated mRNA gene expression for divalent metal transporter 1, alpha-synuclein, amyloid precursor protein, dopamine receptor D2, and tyrosine hydroxylase. B6J females with DIO had significantly upregulated brain-derived neurotrophic factor expression. Our results demonstrate that DIO has the potential to disrupt trace element homeostasis and mRNA gene expression in the olfactory bulb, with effects that depend on sex and genetics. We found that DIO led to alterations in iron and manganese predominantly in male B6J mice, and gene expression dysregulation mainly in male D2J mice. These results have important implications for health outcomes related to obesity with possible connections to neurodegenerative disease.

17 September 2021 in NeuroToxicology
Verified
Journal Article
Closed access
JWJordyn M. Wilcox
Jordyn M. Wilcox
APAnna C. Pfalzer
Anna C. Pfalzer
ATAdriana A. Tienda
Adriana A. Tienda
IDInes F. Debbiche
Ines F. Debbiche
ECEllen C. Cox
Ellen C. Cox
ABAaron B. Bowman
Aaron B. Bowman

30 September 2020 in Journal of Trace Elements in Medicine and Biology
Verified
Journal Article
Closed access
Melissa S TottenMelissa S Totten
Melissa S Totten
DPDerek M. Pierce
Derek M. Pierce
KEKeith Erikson
Keith Erikson