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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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668<br />

Chapter | 22 Trace Minerals<br />

P i PP i<br />

substrates<br />

CH 3 -substrates<br />

ATP<br />

S-adenosyl methionine<br />

methionine<br />

S-adenosyl homocysteine<br />

B 12<br />

homocysteine<br />

N 5 -methyl THE<br />

adenosine<br />

THF<br />

and (2) 5 -methyltetrahydr<strong>of</strong>olate-homocysteine methyltransferase,<br />

which demethylates 5 -methyltetrafolate and<br />

regenerates methionine and tetrahydr<strong>of</strong>olate.<br />

The former reaction is critical for glucose homeostasis<br />

in ruminants because a primary gluconeogenic precursor<br />

for these animals is propionic acid. Because propionic acid<br />

has three carbons, propionyl-CoA cannot enter b-oxidation<br />

nor the citric acid cycle; thus, in most vertebrates it is<br />

carboxylated to D-methylmalonyl-CoA, isomerized to<br />

L-methylmalonyl-CoA, and rearranged to yield succinyl-<br />

CoA via the vitamin B 12 -dependent step shown previously.<br />

Succinyl-CoA is an intermediate <strong>of</strong> the citric acid cycle<br />

and can be readily incorporated there.<br />

Another aspect <strong>of</strong> Co in mammalian systems is the<br />

potential pharmacological effect <strong>of</strong> high doses <strong>of</strong> Co on<br />

erythropoietin production ( Katsuoka et al. , 1983 ). Whether<br />

physiological concentrations <strong>of</strong> Co influence erythropoietin<br />

production is not known. Dietary requirements (as<br />

B 12 ) in most animals are usually met either by ingestion<br />

<strong>of</strong> animal tissues or products or by coprophagy. Because<br />

<strong>of</strong> the rumen micr<strong>of</strong>lora, ruminants can be fed ionic Co,<br />

and the microbes will synthesize cobalamin for absorption.<br />

Nevertheless, the relative inefficiency <strong>of</strong> vitamin B 12 production<br />

in the rumen and poor absorption <strong>of</strong> B 12 predispose<br />

ruminants to deficiency. Between 2 and 5 mg/day (1.5 to<br />

3.9 μ mol/day) <strong>of</strong> CoCl for sheep and 20 to 30 mg/day (15.4<br />

to 23.1 μ mol/day) for cattle are required for normal B 12<br />

production ( Kennedy et al. , 1995 ; Kincaid et al. , 2003 ) .<br />

B . Absorption and Transport<br />

In rats, 80% <strong>of</strong> orally administered Co appeared in the<br />

feces. High amounts <strong>of</strong> iron in the diet can depress Co<br />

absorption and vice versa. Co absorption is enhanced in<br />

iron deficiency ( Domingo, 1989 ). Excretion <strong>of</strong> Co is primarily<br />

via the kidneys and is linearly related to the ingested<br />

dose. Additional sites <strong>of</strong> excretion have been reported to be<br />

the large intestine in chicks and the bile and small intestine<br />

in mammals.<br />

Absorption <strong>of</strong> vitamin B 12 depends on normal gastric<br />

parietal cell synthesis <strong>of</strong> intrinsic factor and a healthy<br />

ileal mucosa for the binding and transport <strong>of</strong> the vitamin<br />

B 12 . Response to therapy and a ration containing less than<br />

0.08 mg Co/g (1.4 μ mol/g) <strong>of</strong> diet is diagnostic <strong>of</strong> Co deficiency<br />

in ruminants. In sheep, hepatic vitamin B 12 levels<br />

<strong>of</strong> less than 0.1 μ g/g (0.07 n mol/g), or serum levels <strong>of</strong> less<br />

than 0.3 ng/ml (0.2 nmol/liter), are associated with impending<br />

or frank deficiency. Thus, vitamin B 12 status can be<br />

used to assess Co adequacy in sheep. Although measurement<br />

<strong>of</strong> plasma cobalamin levels has been considered sufficient<br />

for assessment <strong>of</strong> Co status in sheep, it has been<br />

suggested that liver cobalamin should also be included in<br />

assessment studies as plasma levels do not always reflect<br />

s<strong>of</strong>t tissue levels ( Mills, 1987 ). In this regard, it should be<br />

considered that the measurement <strong>of</strong> plasma cobalamin is<br />

complicated by the presence <strong>of</strong> cobalamin analogues that<br />

interfere with the assay ( Halpin et al. , 1984 ). Therefore,<br />

the measurement <strong>of</strong> plasma methylmalonate levels is<br />

used as an indirect indicator <strong>of</strong> the functional cobalamin<br />

status <strong>of</strong> the animal. The increase in methylmalonate<br />

is due to a reduction in the activity <strong>of</strong> mehylmalonyl-<br />

CoA mutase, for which adnosylcobalamin is a c<strong>of</strong>actor<br />

(discussed earlier).<br />

C . Disorders <strong>of</strong> Cobalt Metabolism<br />

The signs and biochemical lesions that are manifested in<br />

Co deficiency are referable to a deficiency <strong>of</strong> vitamin B 12 .<br />

The pathways that are most severely impaired are those <strong>of</strong><br />

purine biosynthesis and glucogenesis. Deficiencies <strong>of</strong> Co<br />

have been correlated with a reduction in blood glucose and<br />

an increase in methylmalonic acid excretion. A primary<br />

defect in Co deficiency underlying the previous discussion<br />

has been attributed to a reduction in the activity <strong>of</strong>

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