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2 USDA Agricultural Research Service, Beltsville Human Nutrition Research Center, Beltsville, MD 20705 and 3 USDA Agricultural Research Service, Western Human Nutrition Research Center, University of California, Davis, CA 95616
* To whom correspondence should be addressed. E-mail: janet.novotny{at}ars.usda.gov.
| ABSTRACT |
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| Introduction |
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In this study, compartmental modeling was used to investigate changes in molybdenum distribution and elimination that occur with changing molybdenum intake. An earlier kinetic model of molybdenum metabolism with differing levels of dietary molybdenum intake was developed previously by our group (7), but the model was limited because methodology for measuring molybdenum in plasma was insufficient to provide plasma data at that time. Because plasma was the central compartment in the earlier model, the lack of plasma data hindered the ability to determine parameters of molybdenum distribution (7). Since publication of the earlier model, we developed an inductively coupled plasma mass spectrometry method that was sensitive enough to measure plasma molybdenum at the concentrations observed in our study (8). Those measurements revealed major changes in plasma molybdenum concentration due to dietary intake (9).
The newly available plasma data allowed expansion of an earlier kinetic analysis (7,10) to include the pivotal compartment of blood molybdenum. This is an important expansion to improve prediction of molybdenum flow rates and to reliably demonstrate which paths are sensitive to molybdenum intake. The expanded model was applied to data from men who were subject to a molybdenum depletion diet, followed by a molybdenum repletion period (11). The kinetic analysis suggested that a dietary intake of 43 µg/d (0.45 µmol/d) was sufficient to maintain steady state, but because clearance rates of molybdenum are dependent on dietary intake and because the analysis was based on subjects consuming a very low molybdenum diet, it was clear that this prediction could be improved by studying men undergoing a wide range of molybdenum intake levels. Thus, a kinetic study at other levels of dietary intake was needed to establish the level at which plasma molybdenum concentrations can be maintained under normal conditions and to establish which pathways change with changes in dietary intake.
| Methods |
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-cellulose, and added salts and minerals (CaCO3, MgO, NaCl, KCl, KH2PO4, and trace elements). Energy content of the beverage varied among subjects and was calculated such that the total energy intake met the energy requirements of each subject. If a subject gained or lost weight, the amount of energy was adjusted. Diets plus supplements provided adequate levels of all essential nutrients except molybdenum. Deionized water was freely available throughout the study. The study consisted of 5 consecutive treatment phases, with each phase being 24 d in length. The phases differed only in the molybdenum content of the diet. Dietary molybdenum levels were 22, 72, 121, 467, and 1490 µg/d (0.23, 0.75, 1.3, 4.9, and 15.5 µmol/d), starting with the lowest level for treatment period 1 and progressing to the highest level for treatment period 5. Following the first treatment phase, ammonium molybdate was added to the base diet as part of the beverage formula to achieve the desired intake level.
Stable isotope tracers were administered orally and intravenously several times throughout the study. Subjects received a 33-µg (0.34 µmol) intravenous (IV) dose of 97Mo on d 7, 55, and 103. 97Mo was delivered in solution after filtration and pH adjustment and was injected intravenously over a 2-min period. Oral doses of 100Mo were administered at the midpoint of each study period, with a tracer dose of 24 µg (0.25 µmol) on d 13, a dose of 48 µg (0.50 µmol) on d 37, a dose of 95 µg (1.0 µmol) on d 61, a dose of 428 µg (4.5 µmol) on d 85, and a dose of 1378 µg (14.3 µmol) on d 109. The 100Mo doses replaced the same mass of molybdenum in the supplement on those days, except in the first period, when no ammonium molybdenum had been added. 100Mo and 97Mo were obtained from Oak Ridge National Laboratory.
Sample collection and analysis. During the first 24 h following each IV infusion of 97Mo, urine was collected in 8-h pooled samples. For fecal samples and all other urine samples, 6-d composite pools were collected for each subject. Blood was collected on d 1, 14, 25, 38, 49, 55, 62, 73, 86, 97, 103, 104, 110, and 121.
Molybdenum was isolated from diet, urine, and fecal samples and purified. Isotope ratios were determined in purified samples by magnetic sector thermal ionization mass spectrometry (13). Isotope ratios of molybdenum in the plasma were measured by inductively coupled plasma mass spectrometry was described previously (8). The amounts of molybdenum and isotope tracers in the samples were determined by isotope dilution by adding a weighed amount of a 94Mo solution to each weighed sample (3).
Kinetic modeling. The WinSAAM software package was used to develop a compartmental model of molybdenum kinetics to determine which pathways, if any, were sensitive to molybdenum intake. The initial model, in which molybdenum disposition was analyzed for subjects undergoing depletion and repletion, was developed by Novotny and Turnlund (11). Initial parameter values used for fitting were averages of values reported for subjects undergoing molybdenum depletion (11). Using these parameters, model predictions were compared with measured data for tracer and tracee (100Mo, 97Mo, and total Mo) molybdenum in plasma, urine, and feces. Parameters were then adjusted in physiologically compatible ways to improve the fit of the model prediction to observed data values. The tracer and tracee data were fit simultaneously for the lowest intake level (22 µg/d) first. The resulting parameters were used to extend model prediction through the other 4 intake levels. Next, data for each intake level were fit consecutively, based on the Minimal Principle (changing the minimal number of parameters necessary to obtain sufficient fit of the data) (14). For each intake level, the model predictions for plasma, urine, and fecal 100Mo, 97Mo, and total molybdenum were compared with observed values, and this comparison was used to adjust the parameter values to improve agreement of the model prediction with the measured data. Once the model and parameters provided good visual fits for both tracer and tracee at all intake levels for all subjects, a least-squares procedure was used to minimize the difference between model prediction and observed data. Data from Rosoff and Spencer (13) were used to account for short term kinetics of labeled doses, as described previously (12).
Model parameter values across treatments were compared using a 1-way repeated measures ANOVA, and pairwise comparisons were made with a Tukey's test. Values were considered statistically different when P-values were <0.05. Statistics were performed using SigmaStat version 3.0 (SPSS).
| Results |
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Three pathways were sensitive to molybdenum intake: urinary output, tissue deposition, and GIT absorption. Higher molybdenum intake resulted in higher rates of urinary excretion. Increasing dietary molybdenum intake from 22 µg/d to 72 µg/d (i.e. from 0.23 µmol/d to 0.75 µmol/d) caused a 3-fold increase in fractional transfer of molybdenum from plasma to urine, and an additional 2-fold increase was observed when subjects transitioned from 121 µg/d to 467 µg/d (from 1.3 µmol/d to 4.9 µmol/d). The deposition of plasma molybdenum into tissues was reduced at the highest molybdenum intake (1490 µg/d, or 15.5 µmol/d), but the response among subjects was highly variable. Finally, absorption efficiency was greater when higher amounts of molybdenum were present in the diet.
Based on the fractional transfer coefficients for each intake level, the model was used to calculate the steady-state flow rates and pool sizes that would result from habitual consumption of each of the 5 daily intake levels of molybdenum. Flow rates are shown in Table 2, and pool sizes are shown in Table 3. In general, increasing intakes resulted in increased flow rates and pool sizes, but because some of the pathways adapt to changing intake levels, the pattern of increase over the intake levels was not simply linear. At the highest intake level, plasma-tissue molybdenum exchange was highly variable among subjects, as evidenced by the large SDs for those flow rates. Increasing intakes of molybdenum resulted in increasing masses of molybdenum in plasma, tissues, and the GIT. Total body molybdenum ranged from 907 µg (9.43 µmol) for the lowest intake to 5421 µg (56.4 µmol) for the highest intake.
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| Discussion |
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Urinary output appears to be the key pathway for regulating the body's exposure to molybdenum. Transitioning from 22 µg/d to 72 µg/d resulted in a tripling of the fraction of plasma molybdenum excreted into urine. Further transitioning from 121 µg/d to 467 µg/d resulted in an additional doubling of fractional transfer of plasma molybdenum into urine. Fractional transfer of molybdenum from plasma into urine did not increase further at highest level, which may suggest that the capacity for urinary excretion was exceeded. The high intake combined with the lack of increase in fractional excretion led to a substantial retention in molybdenum at the highest intake level.
Fractional uptake of molybdenum from plasma into tissues was constant for intakes below 467 µg/d but decreased by
72% when daily molybdenum intake increased to 1490 µg. The decrease at the highest level could suggest the capacity of the tissues to store molybdenum was exceeded.
Absorption of molybdenum from the intestine increased at higher molybdenum intakes, which led to a decreased fractional transfer of molybdenum from the GIT into feces. Absorption efficiency was 90% for the lower intake levels and 94% for the higher intake levels. Increased absorption with increased intake may be due to saturation of binding of molybdenum to other food components as luminal Mo content increases.
Comparison of parameter values for the first phase of this study and the depletion phase of the previous study (11) provides insight into the effect of adaptation on molybdenum kinetics. In the depletion study, tissue deposition of molybdenum occurred more rapidly than in this study. In addition, transfer of molybdenum into the GIT via bile occurred more slowly in the previous study. Differences may be explained by the different lengths of treatment periods between the 2 studies (24 d for this study vs. 102 d for the previous study). It is likely that the subjects undergoing the shorter treatment period did not fully adapt to the intake level. The adaptation would result in conservation of tissue molybdenum during low intake.
It is likely that the tissue compartment represents predominantly liver and kidney (17). Schroeder et al. (17) reported total body molybdenum to range between 2286 and 2378 µg (
24 µmol). Our study suggested total body molybdenum to range from 907 µg to 5421 µg (9.456.4 µmol), depending on intake. In this study, the experimental treatment closest to estimates of free-living molybdenum intake (18,19) was 121 µg/d (1.3 µmol/d), and this intake level produced an estimate for total body molybdenum of 2224 µg (23.1 µmol), which is in good accord with the findings of Schroeder et al. (17).
The bioavailability of food-bound molybdenum was found to be lower than that for purified molybdenum. On average, the bioavailability of the food-bound molybdenum was 83%, as determined from fitting data for molybdenum in the supplement form vs. the food-bound form. Without this reduction in the bioavailability of food-bound molybdenum, plasma and urine total molybdenum were overestimated by the model and fecal total molybdenum was underestimated. Our previous kinetic analysis (11) found the bioavailability of food-bound molybdenum to be 76%, in good accord with these findings. Another study also showed that the food matrix can alter molybdenum bioavailability (20). In that study, foods were intrinsically labeled with molybdenum, and although the kale matrix did not inhibit the absorption of molybdenum, the soy matrix reduced molybdenum bioavailability by 37% compared with the purified dose.
For each set of transfer coefficients, the model was used to calculate the daily molybdenum intake that would be required to maintain plasma molybdenum at its prestudy value. For a subject in the metabolic state reflected by Phase 1 (which resulted from an intake of 22 µg/d, or 0.23 µmol/d), it would be necessary to consume 49.8 µg (0.52 µmol) molybdenum/d to maintain plasma concentrations. Because molybdenum sparing occurs at low intakes (as evidenced by the reduced transfer of molybdenum into urine for the lowest intake level compared with higher intake levels), this may underestimate the intake that would maintain baseline plasma molybdenum. For a subject in the metabolic state of Phase 2 (72 µg/d, or 0.75 µmol/d), 121 µg/d would maintain initial plasma concentrations. Compared with Phase 1, Phase 2 showed increased urinary loss; thus, this estimate is less likely to be an underestimate. For a subject in a similar state to our subjects during Phase 3 (121 µg/d, or 1.3 µmol/d), 114 µg (1.2 µmol) molybdenum/d would maintain plasma concentrations. Because this value is fairly close to the actual intake during Phase 3, then this is likely a good reflection of actual intake needed to maintain initial plasma concentrations. Further, this would suggest that the mean molybdenum intake by subjects prior to the study (thus producing the initial plasma molybdenum concentrations) was in this range. For a subject in a state similar to our subjects in Phases 4 or 5,
270 µg (2.8 µmol) molybdenum/d would be required to maintain plasma molybdenum at the prestudy value. This higher level would be required to compensate for increased urinary losses. This analysis suggests that the molybdenum intake required to maintain initial plasma concentrations would be 115120 µg/d (1.201.25 µmol/d). If one could identify a target plasma concentration based on the biological functionality of molybdenum, then a strongly justified molybdenum requirement could be calculated from this model. The value of 115120 µg/d (1.201.25 µmol/d) to maintain initial plasma molybdenum concentrations is very similar to Pennington and Jones' estimate that the mean molybdenum intake of men was 109 µg/d (1.1 µmol/d) (18) and also close to the intake range of 120 to 240 µg/d (1.2 to 2.5 µmol/d) reported by Tsongas et al. (19) for molybdenum intake in the United States.
The model estimated that an intake of 115120 µg/d (1.201.25 µmol/d) would maintain plasma concentrations at prestudy plasma levels, which is probably a good reflection of dietary habits prior to the study. This prediction of routine intake is substantially higher than the Recommended Dietary Allowance (4), suggesting that the usual dietary intake may generally be above the dietary molybdenum requirement. In the 2002 Dietary References Intakes, which were based on balance studies (21), a minimum requirement of 25 µg/d (0.26 µmol/d) was estimated, which was consistent with estimates for minimum requirements of several animal species (22). An average bioavailability factor of 75% was used, leading to an Estimated Average Requirement of 34 µg/d (0.35 µmol/d). To broaden the requirement to cover 97% of the population, an additional factor of 15% was added, resulting in a Recommended Dietary Allowance of 45 µg/d (0.47 µmol/d). The model suggests that the usual dietary intake is considerably higher than the dietary molybdenum requirement. The prediction that an intake of 115120 µg/d (1.201.25 µmol/d) is sufficient to maintain initial plasma levels is higher than that predicted in the previous modeling analysis of men undergoing molybdenum depletion (11). The earlier prediction was lower, because it was calculated from model values of subjects in a different physiologic state.
In conclusion, these kinetic results provide a clearer understanding of the sensitivity of molybdenum disposition to differing molybdenum intakes. New insights show that several pathways adapt to molybdenum intake such that excesses are eliminated at high intakes and sparing occurs at low intakes. This reduces the risks of molybdenum deficiency and toxicity. This model also provides a means of determining dietary molybdenum intake required to maintain target plasma concentrations.
| FOOTNOTES |
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Manuscript received 7 June 2006. Initial review completed 10 July 2006. Revision accepted 29 September 2006.
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