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ANNALS O F CLINICAL AND LABORATORY SCIEN CE, Vol. 26, No. 3Copyright © 1996, Institu te for Clinical Science, Inc.
Involvement of Analytical Chemistry in Chemical Spéciation of Metals in Clinical Samples*RITA CORNELIS, D.Sc.
Laboratory for Analytical Chemistry, Institute for Nuclear Sciences,
University o f Gent, Gent, Belgium
ABSTRACTThe different chemical species of the trace elements in a living system
are determinants for their physiological behaviour. Their study is necessary to improve the understanding of trace element kinetics and metabolism. In a complex matrix, such as biological fluids and tissues, some trace elements will occur as free or mononuclear ions; others as low molecular weight complexes, as reversible or irreversible macromolecular complexes. Spéciation investigations entail the separation of the compounds, followed by the measurement of the trace element in the different fractions. Frame- work-procedures are outlined and attention is drawn on the many difficulties that can be encountered. These include the complexity of the matrix, insufficient specificity of the separation of biocompounds, fortuitous contaminations with trace elements, and cutting the original metal-protein binding. State of the art description is given for the spéciation studies of Al, As, Cd, Cr, Co, Cu, Hg, Ni, Pb, Pt, Se, Sn, and Zn.
IntroductionThe approach to “spéciation,” outlined
in this paper, comes from the field of analytical chemistry. The objective is to measure trace element species in relation to physiological and metabolic processes associated with health and disease. In fact, much of the research done in other disciplines belongs to the domain of spéciation, although it will never be classi
* Send reprint requests to: Rita Cornelis, D.Sc., Laboratory for Analytical Chemistry, Institute for Nuclear Sciences, University of Gent, Proefuin- straat 86, B-9000 Gent, Belgium.
fied under such heading. It seems that “spéciation” is a word introduced by the analytical chemists at home in total element determinations. As a new line of research was started, there had to be a way to mark it off from past activities. First thing to do is to give it a new name. So at some time, someone, or some group, “borrowed” the name “spéciation” from the biologists, or simply derived it from “species,” a term already currently used by nuclear and configuration chemists. At any rate, in the 1980s research on spéciation became fashionable, and in the 1990s it is all over the literature.
2520091-7370/96/0300-0252 $01.80 © Institute for Clinical Science, Inc.
ANALYTICAL CHEMISTRY IN CHEMICAL SPECIATION OF METALS 2 5 3
Need for Speciation WorkKnowledge about the biochem ical
behaviour of the trace and, especially, the ultra-trace elements is blossoming. This is spurred not only by a scientific appetite for basic information, but also by pressing occupational, environmental, and economic needs to come up with explanations about mobility, storage, retention, and toxicity. It is a relatively new scientific field which is more at home in toxicology as it was there that the relationship between the toxicological effects and the chemical forms of the trace metals first was recognized. Many metals can form small organometallic compounds. For some of these, the toxic effects exceed those of the inorganic forms of the elements or of the compounds formed with large molecules. Methylmercury, triethyltin, and tetraethyllead are examples of this.
As m etal sp ec ies becom e better known, total element determinations of trace elements appear less relevant. In the past, this was the case for iron and iodine. Iron is perhaps the most widely studied element with the iron-binding proteins now being the prime clinically relevant parameters. The same is true for iodine, where the measurement has been replaced by that of the concentrations of the thyroid hormones T3 and T4 and other related hormonal compounds. Both iron and iodine provide good examples of elements whose role and pathways are now so well understood that the century- long interest in their total concentration has been completely superseded by that of components which need the elements for their biosynthesis and physiological functions.
A still different development is that of the biomarkers of exposure. These are measurements that reflect an event in a biological system, such as a human body. This may be exemplified with the methylated As-species for measuring the expo
sure to inorganic As. Another example is cadmium. In urine, Cd mainly reflects the amount stored in the body. Because most of the Cd in urine is probably bound to metallothionein, the changes in urinary metallothionein concentration parallel those of Cd.D e f i n i t i o n o f Sp e c i a t i o n a n d D e l i m i t a t i o n o f t h e I n v o l v e m e n t o f T r a c e E l e m e n t A n a l y t ic a l C h e m i s t r y
As the usage of the terms “species” and “speciation” become more widespread, a general definition is needed. At the second speciation meeting in Loen in 1994, the following definition was embraced1: “Speciation is the occurrence of an element in separate identifiable forms, ie, chemical, physical or morphological state.”
Only the particular approach of chemical speciation will be considered. It covers the qualitative and quantitative measurements in body fluids and tissues of (1) organometallic compounds and (2) biologically active compounds to which the trace element is bound, including the quantification of the element in relation to those particular molecules. These investigations require first the separation of the biomolecules, followed by the determination of the trace element in the different fractions. It is assumed that the biom olecule and the trace elem ent, which are detected in the same fraction, are associated with one another. This is an indirect way to measure species, different from the direct measurement of a specific property such as Co in vitamin B12. Its 3-dimensional structure was explained by X-ray diffraction crystallography by Dorothy Hodgkin in 1956 (Nobel Prize in 1964).
The speciation of unstable metal complexes by a direct experimental technique is a difficult problem as the experimental method must not disturb the
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equilibria established in solution.2 It is unfortunate that the few direct methods which may prove useful, such as nuclear magnetic resonance and Raman spectroscopy, lack the sensitivity necessary to probe samples containing only trace levels of metal complex species. A similar shortcoming limits the possibilities of all so-called indirect speciation studies. As a main objective consists of the measurement of the trace elements, many bioactive compounds will escape detection because the amount of trace element they contain lies far below the detection limit of current analytical methods. Take again the example of Co in vitamin B12. As it is still a challenge to measure accurately the concentration of Co in serum at about 0.2 |uug/l, it is not feasible to measure the share of Co attributable to vitamin B12 at0.03 jxg/1.
Another example is the large family of metalloproteases. Generally, they also escape detection by the kind of procedures outlined in this paper because the trace element concentration, for instance that of Zn, lies below the detection limit of conventional methods.
In all those cases, measuring directly the property of a particular compound in the sam ple is much easier, eg, the enzym e activities of the sp ecific metalloenzymes.
Considering the limitations of such a working strategy, it looks as if only the link between the trace element and its main “bio-partners” can be defined. Nevertheless, it is an interesting field of research which collects useful information about some dominant species of an element in the body, and it surely is a valuable tool for kinetic and metabolic studies.
Classification of Trace Element Species in Clinical Samples
Elements documented in relation to their speciation in biological fluids and
tissues are: aluminum, arsenic, cadmium, chromium, copper, cobalt, mercury, n ick e l, lead , p latinum , se len iu m , and zinc.
The species can be categorized into five groups:1. Small organom etallic m olecu les,
either contaminants of food, water or air; overall they remain unchanged in the body. Examples: organotin orga- nolead compounds, methylmercury,
2. Biomarkers of exposure: detoxifying mechanisms change the species of the trace element from the inorganic to small organometallic compounds: eg, arsenite and arsenate are metabolized to monomethylarsonic acid (MMA) and dimethylarsinic acid (DMA).
3. Elements with different valence states that affect their biological action; eg, Cr(III)/(VI), Fe2+/Fe3 + .
4. The trace elem ent is an essential building block of the biomolecule: eg, Cu in ceruloplasmin, Co in cobala- min, or vitamin B12, metalloenzymes.
5. The trace elem ent forms a metal- ligand complex with a low molecular weight compound such as Al with citrate, or with a macromolecular biomolecule; eg, Al and Cr to transferrin and albumin; arsenate to transferrin and hemoglobin; Zn to albumin and a2-macroglobulin. Their mechanism is governed by thermodynamic stability constants and by rates of formation and dissociation.
Group 5 also includes the trace elements bound to unidentified proteins (at best some knowledge is available about the MM of the protein).
Within this scheme, three different lines of analytical procedures can be discerned according to whether the speciation concerns:A. Small organometallic compounds, as
is the case for categories 1 & 2;
ANALYTICAL CHEMISTRY IN CHEMICAL SPECIATION OF METALS 2 5 5
B. Valence state studies, with element specific procedures (category 3); and
C. Complexes of the trace element with small and large biomolecules (category 5).
In the case of category 4, the compound is directly measured with specific biochemical techniques. Measurement of the trace element become redundant.
Separations of type A schematically consist of the separation of the species, usually with high performance liquid chromatography (HPLC), the retention time is characteristic for each species; as a rule the species are separated with very high resolution and elute as single compounds; the eluent is analyzed by its trace element detection system and so allows quantification of the species through comparison with calibrants. The spéciation of As-species in urine (figure 1) illustrates this. It shows chromatographic separation of arsenic metabolites
As(III), dimethylarsinic acid (DMA), monomethylarsonic acid (MMA) and As(V) achieved by Hakala and Puy.3
In the case of type B, separation of different valence states, the procedures will be fashioned according to the element and the matrix.
Type C consists of separation of the biomolecules for trace element determination purposes. Generally spoken the resolution of separation is very poor. Illustrated in figure 2 are the speciation of Cr-species in plasma proteins. Each fraction may still contain tens of different molecules of which only a few do carry the trace element. In the case of chromatographic separations, the ultraviolet (UV) detection of the biomolecule in the eluent is not specific. Therefore, each fraction must be split into a larger portion for trace element measurement and a small portion for the specific measurement of the biomolecule that presumably carries the trace element.4,5
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F i g u r e 1. Chromatog raph ic se p a ra tio n of arsenic m etabolites (50 jjLg/1 of As). Injection volume 50 |xl. HPLC on 2 Chrom -Sep colum ns in series packed with 5 (Jim C h r o m S p h e r C 18 reversed phase, followed by hydride genera tion atomic absorption spectrometry. (Hakala E, Pyy L. J A n a l A to m Spec 1992;7:191-6. Permission to reprint figure granted by JM Gordon, editor of J A na l A to m Spec , T he Royal Society of Chemistry, Cambridge, UK.)
Time/min
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Elution volume (ml)F ig u r e 2. Protein and 51Cr profiles of plasma of CAPD patient after instillation of olCr spiked perito
neal dialysate (anion exchange chromatography on a MonoQ HR 16/10, eluent 0.05 Mol/1 NaCl in 0.025 Mol/1 Tris-HCl (pH 8) of the pooled fractions of unbound proteins from the cation exchange MonoS HR 16/10 in 0.025 Mol/1 Tris-HCl, pH 8). (Borguet F , Cornelis R, Delanghe J, Lambert MC, Lameire N. Clin Chim Acta 1995;2328:71-84. Permission to reprint figure granted by DW Moss, editor of Clin Chim Acta, London, UK.)
Frameworks to Identify and Measure Trace Element Species
The general scheme to do this kind of research consists of the two main steps: (1) isolation and identification of the species, and (2) quantification of the species.
A large array of techniques is at hand for the separation of species: size exclusion chromatography (SEC), ion exchange chromatography and affinity chromatography applied in a system of fast protein liquid chromatography (FPLC) or HPLC, electrophoresis, capillary electropho
ANALYTICAL CHEMISTRY IN CHEMICAL SPECIATION OF METALS 2 5 7resis, dialysis, ultrafiltration, ultracentrifugation, liquid-liquid extraction, electrod ep osition on H g-electrode, supercritical fluid extraction, etc.
In the development stage of doing separations of biomolecules it is wise to have them based on two different properties: eg, molecular mass using solvent exclusion chromatography (SEC) and electric charge using ion exchange chromatography. UV on-line detection of the proteins is not very specific and for qualitative surveys this method has to be complemented with eg, electrophoretic measurements. For precise quantitative measurements of proteins, nephelome- try is one reliable possibility. Other methods are radial immunodiffusion, kinetic immunoturbidity.
Detection of the trace element is feasible by either of the following techniques: flame atomic absorption spectrophotometry (FAAS), hydride generation atomic absorption spectrophotometry (HGAAS), cold vapor atomic absorption spectrophotometry (CVAAS), electrothermal atomic absorption spectrophotometry (ETAAS), inductively coupled plasma optical emission spectroscopy (ICPOES), inductively coupled plasma mass spectroscopy (ICPMS), magnetically inductive plasma optical emission spectroscopy (MIPOES), and direct current plasma optical emission spectroscopy (DCPOES). Ideally, the separation and detection techniques should be hyphenated. Sometimes radiotracer experiments are feasible, follow ed by gamma or beta measurements.
A Survey of Existing Knowledge about Trace Element Species
An overview of information on trace element species is included, but it is not an elaborate review of the existing literature. Many valuable contributions in this field may not have been cited in this paper. Details about procedures used to
obtain “speciation-knowledge” are not specified. The reason is that they are variations on a similar theme: a particular type of colum n, a different buffer, another ingenious coupling system, a better sensitivity for detection of the trace element, a particular procedure of electrophoretic separations, etc. These details, although most relevant, would be outside the scope o f the p resent overview.A l u m i n u m
Speciation is basic in the understanding of its role in the etiology of a variety of neurological and skeletal disorders in man. The behavior of Al3+ species in biolog ica l flu id s and c e lls has b een described by four different ligand-states or forms6: as free or mononuclear ions, low molecular weight complexes, reversible macromolecular complexes, and irreversible macromolecular complexes.
A major group is the binding of Al3+ to low m olecular w eigh t com pounds, mainly citrate and polyphosphate species.6 The citrate complex provides the means by which Al3+ may pass through membranes; the polyphosphates may bind Al3+ in tissues. Reversible macromolecular binding occurs when Al binds with transferrin. Based on stability constants, transferrin may be the ultimate carrier of Al3+ in plasma. As irreversible macromolecular complexes, the polyphosphates in chromatid DNA have been postulated.
Most interesting studies are published on citrate and transferrin as the main com plexing agents for Al in serum. Ohman and Martin7 have recently suggested (based on stability constants) that of the Al3+ in human serum, —89 percent (±5 percent) binds to transferrin and ~11 percent (±5 percent) to citrate. In their theory, they also leave room for small amounts of other ligands.
Serum of dialysis patients has been investigated with SEC and ultrafiltration
2 5 8 CORNELIS
by several research centers. One of the first studies on Al speciation in serum with SEC was done in the group of J. Savory at the beginning of the 1980s.8 Recently, very interesting analytical work has been published by D ’Haese and coworkers9 on speciation of Al in serum, using HPLC-ETAAS. A major merit is their achieving contamination free analytical procedures and quantitative recovery of the compounds at clinically relevant concentrations. This is a very challenging task, considering that the total concentration of serum aluminum in healthy individuals is about 1.3 to1.6 |xg/l.10 Values are much higher in dialysis patients, up to 30 jxg/1 sometimes 100 ug/1.10
A r s e n i c
For arsenic, most of the studies deal with arsenic speciation in urine to evaluate occupational and environmental exposure.3,11,12,13,14 The species are arse- nite (AsO3 - ), arsenate (AsO|~), MMA monomethylarsonic acid (MMA), dimeth- ylarsinic acid (DMA), arsenobetain (AsB), and arsenocholine (AsC). They are presently measured in urine. Whereas AsB and AsC are considered nontoxic species absorbed from the diet, mainly from seafood, the presence of arsenite, arsenate, MMA, and DMA are evidence for exposure to toxic arsenite and arsenate from food, water or air. Both MMA and DMA are the relevant biomarkers of exposure. Measurement of total As in irrelevant. The latter value amounts to about 10 (Jig/1.10
Speciation studies in serum and packed cells are more difficult because of very low concentrations in healthy, unexposed individuals. Values of total arsenic in healthy individuals vary between 1 and 5 jxg/1 serum. Similar concentrations are found in packed cells.10
A low cost, on-line procedure for the measurement of the toxic inorganic,
MMA, DMA species and the non toxic species, AsB, AsC, in serum of uraemic patients was recently published by Zhang et al.15
Besides the presence of the As-com- pounds mentioned, in vivo radio tracer studies of rabbits with 74As-labelled arsenate revealed the binding of As with transferrin. In their packed cells arsenate is bound to haemoglobin.5,16
C a d m iu m
The element cadmium has been found to form ligands with proteins of many different molecular masses. The group of the metallothionein is without any doubt the best documented .17,18 This topic appears mainly focused on biomarkers of effect of cadmium, especially in relation to its nephrotoxicity, and does not include measurements of the Cd concentrations in the different markers.19
There are, however, some exceptions. Carson describes the binding of Cd to human a 2-m acroglobu lin ,20 and Michalke et al21 report on the speciation of Cd in human breast milk where it was measured in the fraction corresponding to metallothionein.
c h r o m iu m
The valence state of Cr in the body is Cr(III). There is so much reducing capacity in saliva and in the stomach that any normal intake of Cr(VI) from food and drinks will be readily reduced to Cr(III).22,23 When Cr(VI) is inhaled, it is transported into erythrocytes as chromate and easily crosses the cell membranes. In the cell, it is reduced to Cr(III), and it is this reduction (or perhaps intermediate valence states) that causes damage to deoxyribonucleic acid (DNA).
In plasma or serum, Cr is present at about 0.1 to 0.2 (xg/1,10 and is bound to
ANALYTICAL CHEMISTRY IN CHEMICAL SPECIATION OF METALS 2 5 9large biomolecules, mainly to transferrin and to albumin. In figure 2 is shown a chromatogram of plasma proteins with the concomitant Cr-elution profile. In the case of serum from dialysis patients, a shift was observed from albumin to prealbumin. An attempt to identify this compound revealed the binding of Cr to a yet unidentified molecule with a MM of about 5 000 D .24
In urine Cr is present as a Cr(III) compound, probably bound to small ligands.*C o b a l t
Besides the fact that cobalt is present in the body partly as cobalamines, no further know ledge about other species seems available for the time being.C o p p e r
The best documented compound of copper is ceruloplasmin, an a2-glycopro- tein of MM 132 000 D, the main Cu-con- stituent in serum.25,26 Wirth and Lind- ler27 found an additional Cu transport protein in plasma, named transcuprein (MM 270 000 D). There also occurs some binding to albumin.28 More difficult to fit into the scope of trace element measurement procedures are the many Cu-en- zymes (cytochrome c oxidase, lysyl oxidase, Cu-Zn dismutase). The copper concentration in serum or plasma of healthy individuals ranges from 0.8 to 1.4 mg/1.10 In urine, the mean concentration ranges from 15 to 36 fig/day.10 Copper is present as chloride or chlorocomplexes.29 In tissue, copper binding to liver metal- lothionein is reported in the literature.30
M e r c u r y
The main item about mercury is to distinguish the inorganic from the short-
* Cornelis R. Unpublished results.
chain alkyl (mainly methylmercury) species. The method based on the so-called Magos principle is probably the best- known and most accessible.31 Samples are treated with L-cysteine and trichloroacetic acid. The protein-free supernatant is treated with SnCl2 and CdCl2 for the determination of total Hg or with SnCl2 for selective reduction of inorganic vapor. The Hg° is next m easured w ith co ld vapor a to m ic a b so r p tion spectrometry.
Up to date research uses chromatographic separations, after extraction of the species, and coupling to AAS or AES systems. The species of interest are Hg2*, (CH3)Hg+, and (C2H5)Hg+. The matrixes analyzed are blood, urine, and hair.32,33 The total Hg concentration in serum of healthy individuals amounts to0.5 fjLg/1; in packed cells, the level is about 5 |xg/kg. In urine of non-exposed individuals, the Hg level lies at the 1 to 10 (xg/1.10
N ic k e l
In 1988, Nomoto and Sunderman34 defined some Ni-components in human serum. They found an association with a2-macroglobulin, albumin and ultra filterable constituents, such as amino acids, binding Ni. Similarly, N ielsen et al showed that nickel-binding occurs with albumin, a2-macroglobulin and other proteins such as prealbumin, c^-anti- trypsin, o^-lipoprotein.35 Reference values for Ni in serum are <0.3 jxg/1.10
Very interesting findings on nickel- binding proteins are reported using a protein blotting method with radioactive 63Ni tracer.36,37
L e a d
The analyzed lead species are mainly organic alkyllead, contaminants from anthropogenic origin: R4Pb, R3PbX, R2PbX2; R = CH3, C2H5; X = anion. These
2 6 0 CORNELIS
compounds have not yet been widely investigated in clinical samples. This may be due not only to the lim ited amount of material typically available for this type of study, but also to the analytical difficulties related to this type of spe- ciation work.38 The concentrations in clinical samples are also very low. For instance, in urine of workers who are occupationally exposed, trimethyllead and triethyllead lie below the detection limits of 0.43 and 0.45 jxg/1, respectively.P l a t in u m
The in terest paid to platinum is focused on the derivatives of cisplatin, the cancer treatment drug.39,40 Experiments with rats (in vivo) and mice (in vitro) revealed the binding of Pt antitumour compounds to plasma proteins with high and low molecular weight. Over time and for certain compounds, transfer occurs to the low MM proteins.40
Se l e n i u m
Selenium may be the hottest topic in speciation world at present. Among the many research teams working on this topic are the groups of Whanger and co-workers at the Oregon State University ,41 Bratter and co-workers,42 and Behne and co-workers, both at the Hahn- Meitner Institut Berlin,43 and Akesson at the University of Lund, Sweden.44 The list is not complete by far. The previously mentioned authors describe how Se in human serum is associated with glutathione peroxidase, selenoprotein P, and concanavalin .44,45,46,47 The serum or plasma-Se concentrations in adults vary between 0.04 and 0.16 mg/1 depending on the Se intake from food and beverages.10 Total Se is not indicative for the Se status of an individual. (If so, residents of New Zealand who have 48 |J.g/L Se in serum would all suffer from Se-defi- ciency, as they are at about half of the
value in Western Europe.) Defining the clinically essential Se-species would, therefore, be very interesting. It is likely that m easurem ent of selen ium may become superfluous, and that selenoprotein P, Se in glutathione peroxidase, or another compound will become the functional indicators for the Se-status in man.
Interesting results were obtained by Ducros et al48 on sera of patients who received stable isotope 74Se-selenite supplementation. Besides glutathione peroxidase, two Se-peaks were noted after SEC in unequal proportions over a period of 24 h. No labelling of red blood cells was found.
In the erythrocytes, Se is mainly associated with hemoglobin and for a small amount with glutationperoxidase; Se is present in packed cells at the same concentration as in serum.
The species distinguished in urine are selenomethionine, trimethylselenonium ion (TMSe + ) [detoxification metabolite in urine], selen ite S eO f- , selenate S e O f- , se len o a m in o a cid s, se len o choline, proteins with different MM.49,50 The Se concentration in urine is at about 100 |a,g/l, but it is very dependent on the Se intake.10
As for tissue, very interesting studies have been published by Behne et al43 on the distribution and characteristics of new-mammalian Se-containing proteins. The results were obtained with electrophoretic separations and autoradiography on experimental animal proteins.
T in
The analyzed tin species are mainly organic Sn contaminants from anthropogenic origin, such as trimethyl, tributyl- and triphenyltinchloride. Up to now, studies have been dealing with environmental problems.51 Considering that the total concentration of tin in the serum of unexposed individuals is < |xg/l,52 it
ANALYTICAL CHEMISTRY IN CHEMICAL SPECIATION OF METALS 2 6 1will take some time before these conta m in a n ts can b e m e a su r e d in human samples.Z in c
For zinc there is binding to albumin, a2-macro-globulin, dissolved species, and proteins with different MM.26,53,54 More difficult, if not impossible, to assess with trace element measurements are the ~300 enzymes that require Zn to modulate their activities and the Zn-finger proteins and their involvement in genetic expression. The serum or plasma total Zn concentrations amount to 1 mg/1.10 Zinc in packed cells is one order of magnitude higher10 and in urine is present as chlorides or chlorocomplexes.29 The total concentration in urine may vary between 50 to 1,000 (xg/day, depending on the Zn intake.10
Experimental Problems Encountered in Trace Element Spéciation Work
The many factors that are liable to influence chemical spéciation studies of trace e lem ents in c lin ica l samples have been very thoroughly reviewed by G ardiner .55,56 A long the same line of thoughts, other researchers have described their own experimental problems.4,5,57
Many separation techniques do not meet the requirements for trace element determinations, and they all pose huge hazards of contamination and loss of the trace element. Developments in biotechnology are focusing on systems that process very small quantities of biocompounds, offering increasing resolution and specificity. As the proteins carry just one or a few atoms per molecule, the diluted fractions of the isolated proteins more often than not contain trace element quantities far below the detection limit of the analytical methods. Therefore, separation of proteins for spéciation
studies has to be done on a preparative scale with less resolution and questionable specificity. To improve the detection sensitivity of the trace elements, 100 times enrichment procedures in the fractions have to be developed, or new, more sensitive detection should become available. High resolution ICP-MS is the newcomer on the horizon.
Contamination hazards and insufficient detection sensitivity for the element are the two major obstacles in spéciation work. They can be partially remedied by doing feasibility studies with in vivo and in vitro labelled radioactive compounds. Radiotracers virtually eliminate the immense hazard of distorting the results with exogenous amounts of the trace element. Because they are not radioactive, they escape detection. This eases to a great extent the determination of very low concentrations in the various fractions. Another interesting line is the in vivo application of enriched stable isotopes, with mass spectrometry as the trace element detection method.48
In the case of supplementation studies, it is to be expected that the increases in tissue concentration observed at high trace element intakes w ill be mainly caused by non-specific incorporation of the element into many proteins. High accuracy is evidently requested for all quantitative measurements. This can only be assured by the availability of representative reference materials.58 As spéciation results are only just beginning, it will be a long time before universally accepted certified reference materials will become available.Conclusion
Analytical chemistry is most relevant in the development and application of trace element spéciation to toxicological, environmental, and occupational exposure issues. Trace element spéciation already provided useful insights in the toxicological, m etabolic and kinetic
2 6 2 CORNELIS
understanding of different trace element species. It can be postulated that gradually, as the understanding about trace element species is growing, these will become the relevant parameters for clinical decisions.References
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