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690<br />

Chapter | 22 Trace Minerals<br />

In addition to plasma Zn analysis, whole blood or<br />

erythrocyte Zn has been used to assess Zn status; however,<br />

whereas low erythrocyte Zn indicates a Zn deficiency, it<br />

is <strong>of</strong>ten too insensitive for accurate diagnosis. Neutrophil<br />

Zn has been reported to be more sensitive to Zn status<br />

than erythrocyte Zn, but its usefulness is limited, as an<br />

assay requires about 10 to 20 ml <strong>of</strong> blood for conventional<br />

assays. In experimental settings, liver Zn has been useful in<br />

diagnosing Zn toxicity, but it is <strong>of</strong> little value in diagnosing<br />

Zn deficiency as values rarely decrease by more than 20%<br />

even in severe deficiencies. Liver metallothionein has been<br />

used to gauge Zn deficiency in nonhuman primates. The<br />

use <strong>of</strong> Zn transporter measurements to assess status has<br />

also been proposed ( Keen and Uriu-Adams, 2006 ).<br />

VIII . CONCLUDING COMMENTS<br />

Metal ions in combination with numerous organic accessory<br />

and catalytic factors (e.g., various vitamins) play important<br />

roles in enhancing specificity and providing additional properties<br />

that allow complementary forces and arrangements<br />

to improve the orientation and efficiency <strong>of</strong> catalysis. In<br />

enzyme transition states, metals influence the entropic components<br />

<strong>of</strong> enzymatic reactions. Metals allow the formation<br />

<strong>of</strong> metastable bonds and play roles in entasis (enzyme shape<br />

and configuration). Some minerals are important to organizing<br />

water structure; others act as Lewis acids and bases.<br />

Appropriate intake levels <strong>of</strong> certain chemical elements<br />

are required to maintain optimal health. On a per food<br />

energy basis (e.g., kcal or joules), the requirements <strong>of</strong> most<br />

animals are similar. Most commonly, a conventional diet<br />

will meet the requirements. However, most deficiency situations<br />

occur when the diet is simple and monotonous in<br />

terms <strong>of</strong> composition. The extensive range <strong>of</strong> supplements,<br />

such as for Se, Fe, and Zn, reflect the success <strong>of</strong> research<br />

in ways that were unimaginable even a decade ago.<br />

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