Absorption, transport and tissue storage of essential trace elements

Abstract

Intestinal absorption of many essential trace elements probably occurs by saturable and carrier-mediated processes. The nature and efficiency of these are influenced by a range of physiological, nutritional and genetic variables. Special emphasis is given to the influence of exogenous and endogenous ligands of small molecular mass in the intestinal lumen on absorptive efficiency. The effect of enterocyte proteins such as metallothionein which, by sequestering metals, influence their fate during absorption is also considered. Changes in the metabolic activity of the intestinal mucosa induced by copper or zinc deficiencies influence the fate of other nutrients, either by inhibiting intracellular transport or by preventing the degradation of potential antagonists of absorption. Conflicting evidence of roles for plasma albumin, transferrin and caeruloplasmin in the transport of zinc and copper is considered. The extent, location and form in which trace elements are stored in tissues differs between elements and between species. Retention and utilization are also influenced by pregnancy, lactation, stage of foetal development and by genetic variables. Better definition of the effects of these variables would improve the validity of estimates of the trace element requirements of man and other animals.