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

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678<br />

Chapter | 22 Trace Minerals<br />

influence absorption and its susceptibility to Mn toxicity.<br />

Studies in poultry have demonstrated that under conditions<br />

<strong>of</strong> duodenal coccidiosis Mn is utilized more efficiently.<br />

Coccidial infection exacerbated Mn toxicity as evidenced<br />

by depressed hematological parameters and increased bone<br />

and bile Mn concentrations ( Southern and Baker, 1983 ).<br />

In contrast to other essential trace elements, Mn<br />

absorption does not appear to be increased under conditions<br />

<strong>of</strong> Mn deficiency ( Keen et al. , 2000 ). Mn absorption<br />

is increased under conditions <strong>of</strong> Fe deficiency. Because <strong>of</strong><br />

the connection between the transport <strong>of</strong> iron and Mn, the<br />

transferrin receptor (TfR) and the divalent metal transporter-1<br />

(DMT-1) seem to play a role in Mn transport,<br />

which could be the basis for the connection (Aschner and<br />

Aschner, 2005; Culotta et al. , 2005 ; Keen et al. , 2000 ). Mn<br />

from the gastrointestinal tract entering the portal blood can<br />

either remain free or rapidly becomes bound to alpha-2-<br />

macroglobulin and transferrin, particularly as Mn 3 . Mn<br />

uptake by cells is usually unidirectional and saturable.<br />

The metabolic fate <strong>of</strong> newly absorbed Mn entering the<br />

hepatocyte has not been well defined, although several cellular<br />

pools <strong>of</strong> Mn can be identified. The first represents Mn<br />

taken up by the lysosomes. Lysosomal uptake <strong>of</strong> Mn is also<br />

considered to be an essential step to egress as it is thought<br />

that lysosomes concentrate Mn for delivery to the bile canaliculus<br />

(i.e., whole body homeostatic regulation <strong>of</strong> Mn is<br />

maintained through biliary excretion). In this regard, up to<br />

50% <strong>of</strong> Mn injected intravenously can be recovered in the<br />

feces within 24 h. Another pool <strong>of</strong> Mn is associated with<br />

the mitochondria. Mitochondria have a large capacity for<br />

Mn 2 uptake, and it has been suggested that mitochondrial<br />

Mn 2 and Ca 2 uptake can be linked. Nuclear, cytoskeletal<br />

(microsomal), and cytosolic pools <strong>of</strong> Mn 2 also exist. In<br />

contrast to Zn, Cu, and Fe for which only a few atoms per<br />

cell exist in free form, a portion <strong>of</strong> Mn can be viewed as<br />

dissociable, somewhat analogous to Ca 2 and Mg 2 ( Keen<br />

et al. , 2000 ).<br />

E . Deficiency and Excesses<br />

1 . Defi ciency<br />

Manifestations <strong>of</strong> Mn deficiency in domestic animals<br />

include impaired growth, skeletal abnormalities, disturbed<br />

or depressed reproductive function, ataxia <strong>of</strong> the newborn,<br />

and defects in lipid and carbohydrate metabolism ( Keen<br />

et al. , 2000 ). Biochemical lesions associated with these<br />

defects are discussed later.<br />

The effects <strong>of</strong> Mn deficiency on skeletal development<br />

have been reported extensively. Mn deficiency results in<br />

limbs that are shortened and thickened and joints, which<br />

are swollen and enlarged (Lui et al. , 1994 ). Multiple<br />

reports <strong>of</strong> Mn deficiency in cattle are also present in the literature.<br />

One interesting case describes 47 Holstein calves<br />

with dwarfism, joint laxity, superior brachygnathism, and<br />

domed foreheads that were born to heifers grazing naturally<br />

on one farm in South Africa. Seepage from seawater<br />

evaporation pans on an adjacent farm was believed to cause<br />

Mn deficiency in the dams by leaching Mn from the soil.<br />

The seawater contained high levels <strong>of</strong> strontium, calcium,<br />

and iron, which likely further inhibited Mn absorption<br />

( Staley et al. , 1994 ). As noted earlier, a basic biochemical<br />

lesion underlying the development <strong>of</strong> bone defects with<br />

Mn deficiency is a reduction in proteoglycan biosynthesis,<br />

which is secondary to a reduction in the activities <strong>of</strong> glycosyltransferases.<br />

These enzymes are specifically activated<br />

by Mn and are needed for the synthesis <strong>of</strong> chondroitin sulfate<br />

side chains <strong>of</strong> proteoglycan molecules ( Hansen et al. ,<br />

2006) .<br />

Ataxia in the <strong>of</strong>fspring <strong>of</strong> Mn-deficient animals was first<br />

observed in the chick and in rats in the 1940s. Ataxia is the<br />

result <strong>of</strong> impaired vestibular function caused by impaired<br />

otolith development in utricular and secular maculae. The<br />

precise biochemical lesion underlying the block in otolith<br />

development has not been identified, although it is thought<br />

to involve a defect in proteoglycan biosynthesis. Further,<br />

defects in carbohydrate metabolism, in addition to those<br />

known to arise from impairment <strong>of</strong> the activities <strong>of</strong> glycosyltransferases,<br />

have been observed in Mn-deficient rats<br />

and guinea pigs. In the guinea pig, Mn deficiency results<br />

in severe pancreatic pathology with aplasia or marked<br />

hypoplasia <strong>of</strong> all cellular components including fewer and<br />

less intensely granulated islet cells than controls. When<br />

glucose is given either orally or intravenously to Mn-deficient<br />

guinea pigs, they display diabetic-like glucose tolerance<br />

curves. Mn supplementation completely reverses the<br />

abnormal glucose tolerance. Mn deficiency can also affect<br />

carbohydrate metabolism through an effect on insulin<br />

metabolism ( Keen et al. , 2000 ; O’Dell and Sunde, 1997 ).<br />

Mn associated with the islet cell exists in two pools: a<br />

readily exchangeable pool associated with the cell surface<br />

and an intracellular pool. Mn fluxes between these pools<br />

can affect insulin release. Accumulation <strong>of</strong> Mn associated<br />

with the islet cell membrane inhibits insulin release,<br />

whereas increases in the intracellular concentration <strong>of</strong><br />

Mn are associated with a stimulation <strong>of</strong> insulin synthesis<br />

or release, consistent with the idea that Mn has a regulatory<br />

role in insulin synthesis/release. In rats, Mn deficiency<br />

depresses pancreatic insulin synthesis and secretion, and<br />

it enhances intracellular insulin degradation ( Keen et al. ,<br />

2000 ).<br />

Regarding lipid metabolism, Mn-deficient pigs, rats,<br />

and mice are characterized by deposition <strong>of</strong> excess fat in<br />

the liver. Abnormal lipid metabolism has been suggested<br />

as a cause <strong>of</strong> some <strong>of</strong> the ultrastructural abnormalities seen<br />

in tissues <strong>of</strong> Mn-deficient animals, which include alterations<br />

in the integrity <strong>of</strong> cell membranes, swollen and irregular<br />

endoplasmic reticulum, and elongated mitochondria<br />

with stacked cristae. The effect <strong>of</strong> Mn deficiency on cell<br />

membrane integrity could be due to changes in membrane

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