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Some studies suggest high copper levels in blood are associated with increased risks of colorectal cancer, elevated blood pressure, depressive disorder, poorer working memory, and hematological malignancies, while other studies indicate protective roles against coronary artery disease, systolic blood pressure, iron deficiency anemia, lipid metabolism disorders, and nonalcoholic fatty liver disease in men.
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High blood copper levels have been significantly associated with an increased risk of colorectal cancer. A study conducted in Poland found that patients with colorectal cancer had higher mean blood copper levels (1031 µg/L) compared to matched controls (864 µg/L). The odds ratio for colorectal cancer was notably higher for individuals in the highest quartile of copper levels, suggesting a strong correlation between elevated copper and the prevalence of colorectal cancer.
The relationship between blood copper levels and cardiometabolic diseases has been explored with mixed findings. Observational studies have linked higher copper levels with increased cardiovascular risk. However, a Mendelian randomization study suggested that genetically higher copper levels might actually reduce the risk of coronary artery disease (CAD) and lower systolic blood pressure, indicating a potential protective role. This contrasts with previous observational evidence and highlights the complexity of copper's role in cardiometabolic health.
High serum copper concentrations have been associated with elevated blood pressure (EBP) in children and adolescents. A cross-sectional analysis of data from the National Health and Nutrition Examination Survey revealed that children in the highest quartile of serum copper had significantly higher odds of EBP compared to those in the lowest quartile. This suggests that elevated copper levels may contribute to hypertension from a young age.
Increased blood copper levels have also been linked to depressive disorders. A meta-analysis of observational studies found that patients with depression had higher blood copper levels compared to controls. This suggests that copper could potentially serve as a biomarker for depression, although the exact mechanisms remain to be fully understood.
Elevated copper levels can adversely affect cognitive function in children. A study on schoolchildren in China found that higher serum copper levels were associated with poorer working memory, particularly in boys. This indicates that excessive copper can have detrimental effects on cognitive development.
Patients with hematological malignancies often exhibit elevated copper levels. Research has shown that individuals with acute or chronic hematological neoplasms in relapse or progression had higher serum copper levels compared to those in remission or with stable disease. This suggests that copper levels could be a marker for disease activity in hematological cancers.
Higher blood copper levels have been associated with a lower risk of lipid metabolism disorders, including hyperlipidemia and hypercholesterolemia. A phenome-wide Mendelian randomization study indicated that elevated copper levels might reduce the risk of these conditions, highlighting a potential beneficial role of copper in lipid metabolism.
The association between blood copper levels and NAFLD appears to be sex-specific. In men, higher copper levels were found to be protective against NAFLD, whereas no significant association was observed in women. This suggests that copper's role in liver health may differ between sexes and warrants further investigation.
High copper levels in the blood are associated with a variety of health conditions, ranging from colorectal cancer and cardiometabolic diseases to mental health disorders and cognitive function. While elevated copper can indicate increased risk for certain diseases, it may also have protective effects in other contexts, such as lipid metabolism and NAFLD in men. These findings underscore the complex and multifaceted role of copper in human health, necessitating further research to fully understand its implications.
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