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Assays / Trace
Metals/ Manganese
Manganese is an essential trace element which is widely distributed
in the environment. It is used as a component of steels and a variety
of other metal alloys, and in the battery, glass and ceramic industries.
Concentrations in body tissues are extremely low and only a small
amount is absorbed through the intestine. Excess manganese is eliminated
through the bile and there appears to be an efficient blood/brain
barrier to the passage of this element. There is possibly less protection
against exposure to manganese in the form of dust.
Deficiency
Manganese is an essential component of a number
of enzymes, and although deficiency states are clearly documented
in some animal species, evidence of deficiency in man is less well
defined. Manganese deficiency in animals is associated with poor
growth, impaired reproduction, impaired glucose tolerance, neurological
deficits and defective collagen formation. Manganese deficiency
may also play a role in intrauterine malformation. In man, even
during prolonged intravenous nutrition, little evidence of deficiency
has emerged, possibly due to the ubiquitous nature of the element
and the low nutritional requirements. Generally, however, manganese
is added to such regimes.
Toxicity
Toxicity has been clearly defined for many
years in workers handling a variety of manganese compounds in mining
and in industry. Intoxication is well known in manganese miners,
producing manganism - a clinical entity similar to Parkinson's disease.
There is evidence that in patients suffering from iron deficiency
anaemia, the increased intestinal absorption of iron is accompanied
by increased manganese absorption.
Manganese overload may occur during TPN, especially
where there is biliary stasis.
Laboratory Indices
Measurement of the serum and urine manganese
concentrations is useful in the detection of possible excess absorption.
Analysis of whole blood is likely to be more useful for monitoring
deficiency states.
References:
Stokinger HE Chapter 29 - Metals, in Patty's
Industrial Hygiene and Toxicology, 3rd Revised Edition, Volume 2A.
Eds Clayton GD and Clayton FE. Wiley Interscience, 1981.
Taylor A. Detection and monitoring for disorders of
essential trace elements. Annals of Clinical Biochemistry 1996;
33: 486-510
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