TRACE ELEMENTS Flashcards
— very small amount in the body; almost half of the elements in the periodic table can be found in our body but in small amount only
Trace Elements
— are consist of metals, [EXCEPT: 4]
Fluoride
Iodine
Hallogens
Selenium
✔ Trace Elements (mg/dL)- [3]
✔ Ultra Trace Elements (ug/L)- [3]
Copper
Iron
Zinc
Selenium
Magnesium
Chromium
2 TYPES OF TRACE ELEMENTS
Essential Trace Elements
Non-essential Trace Elements
● Deficiency impairs biochemical functions
● They have an important role in our body
Essential Trace Elements
Doesn’t have a role in our body; not really important but can be toxic.
- In high dosage → toxicity
Non-Essential Trace Elements
Blood: <23 ug/L
Urine: 50 ug/L
Arsenic
— Ubiquitous/common in nature
— NON-ESSENTIAL trace element
Arsenic
ARSENIC
— Natural sources are [2]
- Anthropogenic sources
: produced from ____________.
volcanoes
weathering of minerals
human intervention
Uses of Arsenic
pesticide
poison gases
ammunition
as treatment to Acute Promyelocytic Leukemia
Arsenic Trioxide
NON-TOXIC ORGANIC FORMS of Arsenic
[2]
Arsenobetaine
Arsenocholine
__________________
— Cleared rapidly in our body between [#] days
— can be obtained by our body thru the _________ and can also [INC] arsenic to the ________.
Non-Toxic Organic Forms
1-2 days
seafood
urine
_________________
— Cleared slowly in our body bet. [#]
[3 TYPES]
[Subtype] ___________odorless and tasteless even in 0.01-0.05g
✔ [acute/chronic] exposure can result to _____.
Toxic Inorganic Forms
1-3 weeks
Pentavalent
Trivalent
Methylated form
White powder of arsenic trioxide
acute
death
SYMPTOMS
BM
Cardiovascular
CNS
GI Symptoms
Hepatic
Renal
Arsenic
✔Arsenic Chronic Exposure: [5]
cardiovascular
CNS
malignant change
hepatic
dermatologic
Methods of Arsenic
ICP-MS
GFAAS
HGAAS
common method for Arsenic
Hydride generation Atomic Absorption Spectroscopy/ HGAAS
Urine: < 2.6 ug/L
✔ 24 Hr urine-_____ug/Day
Blood: <5.0 ug/L
✔ Special consideration: _____-colored plastic in particular often contain Cd.
Cadmium
< 3.3
yellow
— Soft, bluish-white metal, easily cut w/ knife
Cadmium
Use:
batteries
Cadmium, Lead
Use:
plastic industries
Cadmium
Use:
pigments
cadmium
Use: metal plating
Cadmium
Use:
ammunition
Arsenic, Lead
Use:
foil
Lead
Toxicity of Cadmium
Nervous system
Renal dysfunction
Chemical pneumonitis/edema
N/V, Abdominal pain
Bone
Blood
Immune
TOXICITY of Cadmium
Renal dysfunction: # + can cause _________.
Vapor Inhalation: can cause __________ as well as of the lungs
Bone, immune, blood, nervous system
Chemical pneumonitis & edema
– obtained thru its ________.
N/V, abdominal pain — thru ________.
proteinuria
nasal epithelial damage
fumes
ingestion
___________- when protein
bind → Cadmium denaturation = loss of proteins function.
Protein Cd Adducts
METHODS OF CADMIUM
ICP-MS
GFAAS
ICP-AES
Cd bound to blood is [#]%- use for monitoring for [ACUTE/CHRONIC] exposure
70%
CHRONIC
— Heavy metal; # found in the environment
Metallic lead is soft, bluish, white, highly malleable + ductile.
Lead
— Uses: batteries, ammunition, foil
Lead
— Paint banned in _____ bec. of the toxic effect of lead
1972
Lead Distribution:
Soft tissue:[#]%
Bone: [#]%
5-30%
70-95%
Lead excretion [5]
urine
feces
hair
nail
sweat
General toxicity of Lead
CNS symptoms
GI symptoms
Spx used for Lead
whole venous blood
urine
hair
nail
Spx used for recent exposure to lead or
monitor chelation therapy
urine
Other tests used for Lead
[4]
Free Erythrocyte Protoporphyrin
Plasma Levunilic Acid
Whole Blood ZPP
X-ray Fluorescence
Methods used for Lead
ICP-MS
ICP-AES
AAS
Blood in non-pregnant adult: 30 ug/L
Urine: <80 ug/24hr
Lead
Heavy, silvery metal
It is EXTREMELY TOXIC
Mercury/Quicksilver
Mercury is Liquid: [Temperature] & pressure
RT
3 naturally occurring oxidation state of Merucry:
Hg (0)
Hg (I)
Hg (II)
Excretion:
Urine, Feces, can pass thru placenta
mercury
Highest accumulation: brain, liver, kidney, pituitary, thyroid, reproductive organ, spleen.
mercury
Symptoms of Mercury
Hepatic dysfunction
Polyneuropathy
Proteinuria
Health Effects of Mercury:
✔ Before use in medicine:
● Mercuric chloride- [3]
● ____________- vaccine preservative
● Mercuric based preservative causes _______.
diuretics
topical disinfectant
laxative
Thiomersal
autism
METHODS used for mercury
Cold Vapor Atomic Absorption Spectroscopy
ICP-MS
Reference Value:
✔ Urine: f 0-15 ug/L or 24 hr collection
✔ Blood: 0-60ug/L
Mercury
Inhalation, Ingestion, water
arsenic
Inhalation, Ingestion, smoking
cadmium
produced from burning of fossil fuel + waste incineration
cadmium
Ingestion of these elements may impair lead adsorption
FCRIM
fat
calcium
ROH/Alcohol
Iron
Magnesium
Ingestion of these low dietary elements may enhance lead adsorption
Zinc
Vit. C
Citric acid
Inhalation, Ingestion, Injection, Tattooing, Cutaneous, Dental amalgam
Mercury/Quicksilver
[ENHANCES] Insulin action; for glucose and lipid metabolism
Chromium
Hb synthesis components of Vit. B 12
Cobalt
Cellular respiration Collagen synthesis
Copper
Prevents dental carries
Flurorine
Thyroid hormone
synthesis
Iodine
O2 transport component of Hb
Iron
Bone & CT functions
Manganese
DNA metabolism
Molybdenum
Prevents Oxidative, lipid damage
Selenum
Protein synthesis
Zinc
Deficiency may cause:
Insulin resistance
IGT [Type 2 DM]
Hyperlipidemia
Chromium
Menke’s kinky hair syndrome
Muscle weakness
Copper
Anemia [IDA]
Cobalt
Iron
When molybdenum is deficient theses conditions manifest:
cretinism
goiter
growth depression
Skeletal defects
Manganese
When selenium is deficient these conditions manifest:
Kashinbeck disease
Keshan disease
Cretinism
Goiter
Myxerdema
iodine
Acrodermatitis enterropathica
Delayed wound healing
Growth retardation Infertility
Osteoporosis
Zinc
When chromium is in its toxic levels these conditions manifests:
Skin ulcers
Renal & Hepatic necrosis
When cobalt is in its toxic levels these conditions manifests: [2]
Hypothyroidism
Heart failure
Iron & zinc interference
Copper
When iodine is in its toxic levels these conditions manifests:
Thyrotoxicosis
When iron is in its toxic levels these conditions manifests:
Hemachromatosis
Identify their elements:
Thyrotoxicosis
Hypothyroidism
Hemachromatosis
Iodine, Molybdenum
Cobalt
Iron
When manganese is in its toxic levels these conditions manifests: [2]
Psychiatric disorders
Parkinson’s disease
Hair & nail loss
Liver failure
Selenum
Anemia
Thyrotoxicosis
Molybdenum
When zinc is in its toxic levels this condition manifests:
gastrointestinal irritation
Identify their element:
- Cretinism, Goiter, Myxedema
- Cretinism, Goiter, Growth depression
Iodine
Molybdenum