1 Physiology and metabolism of essential trace elements: An outline

Man depends on at least nine trace elements—iron, zinc, copper, manganese, iodine, chromium, selenium, molybdenum and cobalt—for optimum metabolic function. These elements serve a variety of functions including catalytic, structural and regulatory activities in which they interact with macromolecules such as enzymes, pro-hormones, presecretory granules and biological membranes. These micronutrients are involved, therefore, in all major metabolic pathways at levels which are so fundamental that the features of deficiency of many of them are protean and non-specific. In considering the metabolism of the elements themselves, they fall into two groups: those which exist normally as cations and those present as anions. The latter group are absorbed relatively easily and whole-body homeostasis is mediated mainly by renal excretion. The cations need specific pathways for absorption and their homeostasis is effected by gastrointestinal and biliary secretion. Some elements are absorbed more efficiently as organic complexes. The net achievement of the metabolic pathways for each element is to deliver it to its functional site(s) by exploiting its physicochemical characteristics to avoid interactions with other inorganic nutrients.