There is evidence in previous studies that high levels of heavy metals may play a key role in the development of COPD due to the induction of chronic inflammation and oxidative stress. In this preliminary study, we used atomic absorption spectrophotometry to measure the levels of four heavy metals (Cu, Zn, Cd, and Pb) in blood serum of COPD patients and controls over 2 years. Clinical data on disease progression or absence were collected in patients living in the industrial region of Stara Zagora, Bulgaria. The mean values of Cu in the serum of patients with COPD and the control group were 374.29 ± 15.03 μg/L and 238.55 ± 175.31 μg/L, Zn—2010.435 ± 670.006 μg/L and 1672.78 ± 934.27 μg/L, Cd—0.334 ± 0.0216 μg/L and 0.395 ± 0.110 μg/L and Pb—0.0732 ± 0.009 μg/L and 0.075 ± 0.0153 μg/L. This is probably because these elements are biogenic and are used in the body for its anti-oxidant protection. In fact, it cannot be stated with certainty that elevated levels of Cu and Zn in the environment have a negative impact in COPD patients. There was a trend towards higher levels of the toxicants lead and cadmium in COPD patients compared to the control group of patients. There is a statistically unproven trend toward higher levels of lead and cadmium in COPD patients compared to controls, which to some extent supports our hypothesis that there is a relationship between environmental lead and cadmium levels and the COPD manifested. In COPD patients, a positive correlation was found between BMI and serum Cu levels (r = 0.413, p = 0.005). A higher concentration of serum Cu was found in men with BMI ≥ 30, compared to those with BMI < 30. There is also a positive correlation to a lesser extent between CRP and cadmium (r = 0.380; p = 0.019) and lead (r = 0.452; p = 0.004). The correlation of lead and cadmium with PSA also shows that these elements may also be associated with the presence of inflammatory processes. A significant negative correlation exists between Pb in the serum of patients with COPD and their blood hemoglobin (r = −356; p = 0.028). The results of our study suggest that higher doses of the trace elements Cu and Zn do not always have a negative effect in patients with COPD, while the toxicants Pb and Cd may be involved in COPD exacerbation and can be used as prognostic biomarkers for progression. Further studies are warranted to confirm these preliminary results.

The purpose of this review is to describe the contents of Pb and Zn in sediments and hydrobionts as ecological markers for the pollution assessment of freshwater objects in Bulgaria, and the data are compared with other countries and regions. Symmetry was found regarding the levels of Zn in the sediment of the Ovcharitsa and Zhrebchevo dams, which were twice the MAC for arable land (Regulation № 3 of Bulgarian legislation). Symmetry was also observed between the results for Zn and Pb in the studied sediments, and the “favorites” in terms of content were the samples from Zhrebchevo Dam and, especially, from Ovcharitsa Dam. Asymmetry was established in the accumulation of Zn in the livers of carps inhabiting Topolnitsa Dam in comparison with these in Ovcharitsa Dam. A similar asymmetry was observed for lead. The analysis of the muscles and livers of the studied fish showed an asymmetry in the accumulation of zinc, and this process was more intense in the liver. Symmetry was found in the accumulation of Pb in the liver and muscle tissues of the carp from the studied water bodies.

The present study aimed to assess the pollution of Bulgarian brackish lakes based on their ability to accumulate the heavy metals Cd, Zn and Ni. Physicochemical parameters, including pH, electrical conductivity and salinity of the waters, were determined by potentiometric methods. The heavy metal content of the water and crustacean samples was determined by atomic absorption spectrophotometry. The highest pH in the investigated lakes (Atanasovsko Lake, Poda and Pomorie Lake) in the period May–September 2021 was found in the month of September, in the waters of Atanasovsko Lake (8.84). The concentrations of Cd measured in Atanasovsko Lake in the fall were in the order of 0.0125 µg/L—the highest value recorded for all the studied water bodies. The concentrations of zinc and nickel in the waters did not exceed the norms in Bulgarian legislation. The dynamics of biogenic elements (Zn and Ni) in crustaceans were inversely proportional to those found in the waters. The levels of the toxicant cadmium as well as the metals zinc and nickel in the species Gammarus spp. and Atremia spp., inhabiting all analyzed water bodies, were significantly lower than those specified in the Bulgarian and European legislation. The pH and electrical conductivity parameters of the tested waters, as well as the concentrations of the heavy metals, cadmium, zinc and nickel, were within the recommended values. High positive correlations were determined between the content of nickel, on the one hand, and cadmium and zinc, on the other, in the organism of the investigated crustaceans. A longer period of research is needed to accurately determine the degree of contamination of these waters.

The aim of the present study was to evaluate the bioavailability and associated bioactivity of p-coumaric (p-COA), caffeic (CA), and ferulic (FA) hydroxycinnamic acids (HCAs) isolated from an aqueous extract of plant material. An aqueous extract is more applicable in practice because this form is the most commonly used for oral administration. The p-COA, CA, and FA acids were evaluated for their behavior in the processes of absorption, distribution, metabolism, and excretion (ADME) using modern methods for assessing their functional groups according to Lipinski’s Rule of Five and the Rule of Nines. Given the available data on extensive metabolism of hydroxycinnamic acids during the first pass through the liver, it is necessary to consider an alternative route of administration, namely the sublingual route. Sublingual delivery of exogenous molecules obtained from plant material by extraction may represent a preferable alternative to oral administration, as first-pass hepatic metabolism is bypassed when dosage forms are administered sublingually.