Am J Clin Nutr 1992 Friel 473 7

5
Am J C/in Nuir 1992;55:473-7. Printed in USA. © 1992 American Society for Clin cal Nutrition 47 3 Original Research Communications--methods The analysis of stable isotopes in urine to determine the fractional absorption of zinc13 James K Friel, Vernon L Naake, Jr , Leland V Miller, Paul V Fennessey, and K Michael Hambidge ABSTRA T We measured isotopic enrichment in urine af- ter oral and intravenous administration ofstable isotopes of zinc to determine fractional absorption (FA). 68Zn and 70Zn were administered orally and intravenously to four normal adults. Subseq ently, urine and fecal samples were collected for an d 14 d, respectively, ashed, and passed through ion-exchange col- umns to separate zinc from other elements. Samples were an- alyzed by fast-atom-bombardment mass spectrometry. From 32 h onwards the enric ment of 68Zn and 70Zn in urine declined proportionately so that FA could be determined as follows: FA = en ichment (oral/iv) X dose (iv/oral). FA determinations from urine and feces (cumulative excretion) were, respectively, for subject ZK1, urine 0.79 ± 0.03 and feces 0.70 ± 0.01; ZK2, 0.79 ± 0.05 and 0.69 ± 0.02; ZK3, 0.26 ± .0 1 and 0.25 ± 0.01; and ZK4, 0.41 ± 0.02 and 0.37 ± 0.02. ZK1 and ZK2 received the oral isotope while fasting whereas ZK3 and ZK4 received the oral isotope with meals. FA of zinc can be determined b measurement of isotope enrichment in urine. Am J C/in Nutr l992;55:473-7. KEY WORDS Zinc, stable isotopes, urine, fractional b- sorption Introduction Zinc metabolism has been studied in humans by using both radioactive and stable isotopes as tracers. Janghorbani and Young (1), Johnson (2), Turnlund et al (3), and Se fass et al (4) developed the method of fecal monitoring by using stab e isotopes to de- termine the bioavailability ofzinc in human diets. Zinc absorp- tion is calculated as the difference between the o se a dm in is ter ed and the tracer excreted in eces. Because ofendogenous secretion of absorbed isotope and incomplete excretion of unabsorbed isotope, Wastney and Henkin (5 ) further proposed a compart- mental model that refines calculations ofzinc absorption by use of fecal m onitoring. Yergey et al (6) recently reported measuring the fractional absorption ofan oral dose ofcalcium from the analysis of urine for the excretion of both orally and intravenously administered stable isotopes. This procedure provides an easier way to measure fractional absorption compared with current techniques requir- ing long fecal collection periods and/or multiple venipunctures (7 , 8). In the present report we present a new method for mea- suring fractional absorption (FA) of zinc by using the analysis oftwo stable isotopes in urine samples that were collected after an oral and intravenous dose of these stable isotopes were ad- ministered to human subjects. Methods A ll glassware and columns were washed in 0. mol nitric acid/ L before use. Disposable plastic containers and pipettes (Sarstedt, Princeton, NJ), Eppindorf icrotubes 233-9501 (Bio-Rad, Richmond, CA), and covered tubes 55.542 and 65/793 (Sarstedt) were used without being acid washed. This equipment has ee n found to be consistently free ofzinc by flame atomic-absorption spectrophotometry (AAS) analysis ofeach batch. The AAS anal- yses of total zinc values in all samples were done with a Perkin- E mer 503 atomic-absorption spectrophotometer (Perkin-Elmer, Norwalk, CT) as described previously (8). Baker Instr-analyzed atomic-absorption zinc st ndards were used for the AA S analyses (JT Baker, Phillipsburg, NJ) Deionized distilled water (> 18 mu, Millipore, El Paso, TX) and Baker-analyzed reagent-grade hydrochloric and nitri acids werese d throughout the study. Zinc isotopes with various enrichments were obtained as ZnO from the Stable Isotope Division of Oak Ridge National Labo- ratories (Oak Ridge, TN). Table 1 gives the natural abundance of zinc isotopes (9) as well as their abundance in the enri hed preparations used in the present study. Stock solutions were pre- pared as reported previously (8) and were used to prepare stan- dard curves for analysis of all samples. This study was approved by the hospital human ethics com- mittee and, after informed consent, isotopes were administered to four healthy adult human volunteers. Because this work was developmental in nature, we administered different isotopes in various amounts to each subject to evaluate possible differences in isotope absorption. Subject description, isotopes, routes of administration, and dose sizes are given in Table 2. For subjects ZK 1 and ZK2, oral and intravenous isotopes were administered simultaneously (at 0700) after an overnight fast and subjects From the Department of Pediatrics and Pharmacology, University ofColorado Health Sciences Centre, Denver. 2 Supported in part by NIH NIADDKD grant ROl AM I 2432, NIH grant RR-69 from General Clinical Research Centers, and NIH Clinical Mass Spectrometry Grant RROI 152. 3 Address reprint requests to JK Friel, Department of Biochemistry, Memorial University of Newfoundland St John’s, Newfoundland, Can- ada, A1B 3X9. Received April 12, 1991. Accepted for publication July 24, 1991.   b  y  g  u  e  s  t   o  J  u l   y 1 1  , 2  0 1 1 w w w .  a  j   c .  o r  g D  o w l   o  a  d  e  d f  r  o m  

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Am J C /in N u ir 1992;55 :473-7 . P rin ted in U SA . © 1992 Am erican Soc ie ty fo r C lin ica l N utritio n 47 3

O rig in a l R esea rch Com mun ica tions --m ethods

The ana ly s is o f s tab le iso topes in u rin e to de te rm ine

th e frac tio n a l ab so rp tio n o f z in c13

Jam es K F riel, V ern o n L N a a ke, Jr , Le la n d V M ille r , P a u l V F en n essey, a n d K M ich a e l H am b id g e

A BSTRA CT W e m easu red iso top ic enrichm ent in u rin e af-

te r o ra l an d in travenou s adm in istratio n ofstab le iso to pes o f z inc

to de term in e fraction al absorp tion (FA ) . 68Zn and 70Zn w ere

adm in is te red ora lly and in travenous ly to fo ur no rm al adu lts .

Subsequen tly , u rine and feca l sam ple s w ere co llec ted fo ran d

14 d , respec tiv ely , ashed , and passed th rou gh io n-exchange co l-

um n s to separa te z in c f rom other e lem en ts . S am ples w ere an-

alyzed by fast-a tom -b om bardm ent m ass spec trom etry . F rom 32

h onw ards the en richm en t o f 6 8Zn and 70Zn in urine dec lin ed

propo rtio na te ly so tha t FA cou ld be de te rm ined as fo llow s: FA

= enrichm ent (o ra l/iv ) X dose ( iv /o ra l) . FA de te rm ina tions from

ur ine and feces (cum ula tive exc retio n ) w ere, respectiv ely , fo r

sub jec t ZK 1, u rine 0 .79 ± 0 .03 and feces 0 .7 0 ± 0 .0 1 ; ZK 2 ,

0 .79 ± 0 .05 and 0 .6 9 ± 0 .0 2 ; ZK 3 , 0 .26 ±.0 1 a n d 0 .25 ± 0 .01 ;

and ZK 4, 0 .4 1 ± 0 .0 2 and 0 .37 ± 0 .02 . ZK 1 and ZK 2 rece ived

the ora l iso tope w hile fas ting w hereas ZK 3 and ZK 4 rece ived

the ora l iso tope w ith m ea ls. FA of z inc can b e d ete rm ined by

m easurem en t o f iso tope enrichm en t in u rin e. Am J C /in

Nutr l992 ;55 :473-7 .

KEY W O RD S Z in c, stab le iso topes, u rin e, frac tion alb-

so rp t ion

In troduct ion

Z inc m etabo lism h as b een stud ied in hum ans by us ing bo th

rad ioac tiv e and s tab le iso top es as trace rs . Jangho rban i an d Y oung

(1) , John son (2 ), T urn lu nd e t a l (3 ), and S erfass e t a l (4 ) deve loped

the m ethod of feca l m onito ring b y using stab le iso topes to de-

te rm ine the b ioav ailab ility o fz inc in hum an d ie ts. Z inc absorp -

tion is calcu la ted as the d iffe rence be tw een theo se a dm in is ter ed

and th e trace r exc re ted ineces. B ecause ofendogenous secre tion

of absorbed iso tope an d incom p le te ex cre tion o f unabsorbed

iso to pe , W astn ey and H enk in (5 ) fu r the r p ro posed a com part-

m en ta l m ode l tha t ref ine s ca lcu la tion s o fz inc abso rp tion by use

o f feca l m on ito rin g .Y ergey et a l (6 ) recen tly reported m easuring the frac tiona l

absorp tion ofan ora l dose ofca lcium from th e ana lys is o f u rine

fo r the excre tion of bo th o ra lly an d in travenou sly adm in iste red

s tab le iso topes . Th is p ro cedu re pro v ides an eas ier w ay to m easure

fractio na l ab so rp tion com pared w ith cu rren t techn iq ues req u ir-

ing long feca l co llec tio n period s and /o r m u ltip le ven ip unc tu res

(7 , 8). In the presen t repor t w e presen t a n ew m eth od fo r m ea-

su ring frac tion al absorp tion (FA ) of z inc by us ing the an alys is

o ftw o s tab le iso top es in urine sam ples tha t w ere co llec ted afte r

an ora l and in travenous do se of these stab le iso top es w ere ad

m in iste red to h um an sub jec ts.

Meth od s

A ll g lassware an d co lum ns w ere w ash ed in 0 .1 m ol n itric acid /

L be fo re use . D isp osab le p la stic con ta ine rs an d p ipe tte s (S a rsted t,

P rin ce ton , N J), E pp indo rf m icro tu bes 23 3-9501 (B io -R ad ,

R ichm ond , CA ), and cov ered tubes55 .5 4 2 and 65 /79 3 (Sars ted t )

w ere used w ith ou t b e ing ac id w ash ed . T h is equ ipm en t hasee n

fou nd to be cons isten tly free ofz inc by f lam e a tom ic-abso rp tion

spectro pho tom etry (A A S ) ana lysis o feach ba tch . T he AA S ana l-

yses o f to ta l z inc v alu es in a ll sam ples w ere done w ith a P erk in -

E lm er 503 a tom ic -ab so rp tion sp ec troph o tom ete r (P e rk in -E lm er,

No rwa lk , CT ) as descr ibed prev iously (8 ) . B ak er Instr-ana lyzed

a tom ic-absorp tion z in c s tan dards w ere used fo r th e AA S ana lyses

(JT B ak e r, P h illip sb u rg , N J) . D e ion ized d istilled w a te r (> 1

m u, M illipo re , E l P aso , TX ) and B aker-ana lyzed reagen t-g rade

hydroch lo ric and n itr ic ac ids w erese d th rou ghou t th e stu dy .

Z in c iso top es w ith v ariou s en richm en ts w ere ob tain ed as Z nO

from the S tab le Iso tope D iv isio n of O ak R id ge N atio na l L abo-

rato r ies (O ak R idge , TN ). T ab le 1 g iv es the na tu ral abu ndan ce

o f zinc iso topes (9 ) as w ell as the ir abun dance in the enriched

p repara tion s used in th e p resen t stud y . S to ck so lu tions w ere pre -

p ared as repo rted p rev iou sly (8 ) and w ere used to p rep are stan -

dard curv es fo r ana ly sis o f a ll sam ples.

T h is s tu dy w as approv ed by the ho sp ita l hum an e th ics com -

m ittee and , a fte r in fo rm ed consen t, iso to pes w ere adm in iste red

to fou r hea lthy adu lt hum an vo lu n teers . B ecause th is w o rk w as

deve lopm enta l in na tu re , w e adm in is te red d if fe ren t iso topes i

v ariou s am oun ts to each su b ject to ev alu ate p ossib le d ifferences

in iso tope abso rp tion . Su b jec t d esc rip tion , iso topes, rou tes o

adm in istra tio n , and dose s izes a re g iv en in T ab le 2 . Fo r su b jec ts

ZK 1 a nd ZK2 , ora l and in traveno us iso to pes w ere adm in iste red

sim ultaneous ly (a t 070 0) a fte r an ove rn igh t fa st and sub jects

F rom the D ep artm en t o f P ed ia tric s an d Pharm aco logy , U nivers ity

o fC o lo rado H ea lth S c iences C en tre , D enver.2 Supported in part by N IH N IA D DK D gran tRO l A M I 2 43 2 , N IH

gran t RR -69 from G enera l C lin ica l R esea rch C en te rs , and N IH C lin ical

Ma s s Spec trom etry G ran t R RO I 152 .

3 A ddress rep rin t reques ts to JK F rie l, D epartm en t o f B ioch em is try ,

M em oria l U nivers ity o f N ew found land S t Jo hn’s , N ew found lan d , C an-

ada , A 1B 3X 9.

R ece iv ed A pril 12 , 1991 .

A ccep ted fo r pub lica tio n Ju ly 24 , 19 91 .

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47 4 FRIEL ET A L

T A B L E 1

Iso tope abundan ce o f n atu ral z in c and enriched z inc preparatio n s

Na t u r a l

Z inc iso top e abun dance*

%

Z nt

%

# { 1 7 6 }Z n t

%

64 48 .63 0 .22 5 .83

66 27 .90 0 .24 3 .78

6 7 4 . 1 0 0 . 1 2 0 . 7 1

68 18 .75 99 .3 8 4 .6 5

70 0.62 0 .04 85.03

S V alues tak en f rom O ak R idg e N ational L abo rato ry D o cum en tation

and D eB iev re and B arnes (9 ). A v erag e atom ic w e igh t 65 .38 .

t A verage atom ic w e ig h t 67 .99 .

:1 :A v erage atom ic w eig h t 6 9 .38 .

con tinued to f ast f o r the n ex t 2 h . For su b jec ts Z K 3 and Z K 4 ,

the in trav enous iso to pe w as g iv en at70 0 and th e oral iso tope

w as g iv en in th ree equal po rtio ns, one portion at eachea l

during the day . T he oral dose w as prepared g rav im e trically and

then m easured by A A S be f ore an app rop riate am oun t w as m ea-

sured for adm in istration . T he o ral dose w as g iv en in w ater (pH

= 3 ) w ith cop ious rin s ing (4 X 10 m L ) w ith d is tilled de ion iz ed

w ater. T he in trav enous do se (1 0 m L ) w as p repared grav im e t-

rically and passed through a 0 .4 - m f ilter. T h e in trav enous do se

w as tested to en sure th at it w as py rog en f ree (L im u lus A m beocy te

Lysa te Te s t K it, W h ittak er B iop roduc ts, W alk e rsv ille , M D ). T he

in trav enous dose w as g iv en ov er a 5 -m m in te rv al th rou gh a

w in ged in f u sion se t (T erum o M ed ical, E lk to n , M D ) in se rted in

the an tecub ital v e in . A three -w ay sto pcock w asse d to w ith draw

a blo od sam ple be f ore iso to pe adm in istratio n , to in trodu ce the

iso to pe , and to f lu sh th e iso top e through the line w ith salin e (30

m L ) in an alternate sy ring e .

A ll sub jec ts w ere m ain tained on a constan t daily d ie t f or 1

w k be f ore the adm in is tration o f iso to pe and for 2 w k thereaf ter.

U nique d ie t p lan s w ere con struc ted f o r each ind iv id ual to p rov id e

a constan t daily calo ric in tak e and to m ain tain constan t w e igh t.

Iden tical m eals w ere eaten each day at the sam e tim es. T he

av erag e z inc in tak e f o r all o f th e stud y su b jec ts w as 9 ± 4

mg / d .

T w enty m illilite rs o f w hole b lood w as co llec ted b e fore the

iso to pes w ere adm in iste red (base lin e ) and ev ery m o rn ing f o r the

nex t 14 d by v en ipunc ture. B lood sam p les (15-20 m L ) w ere

tak en f rom a v e in in the an tecub ital f o ssa w ith the u se o f a

w inged in fu sion se t and dispo sab le 50 -m L p lastic sy ringes

(B ec ton D ick in son , R u therfo rd , N J). A f te r th e b lo od w as p laced

in to tw o hep arin -treated tu bes, th e p lasm a w as sep arated by

cen trif u gation at 1400 X g f o r 10 m m .

Fecal sam p le s w ere co llec ted d irec tly in to ind iv id ual, z in c -

f ree p lastic bags , w hich w ere clo sed and f roz en . A ll su b jects co l-

lec ted stoo l on ce be fo re the iso tope w as adm in iste red (base line )

and all s too ls f o r 14 d af te rw ard s.

U rine sam ples w ere co llected in 1-L ac id -w ashed bo ttle s

(N algene , R oches te r, N Y ) beg inn in g w ith the v o id v o lum e be f o re

iso to pe adm in is tration and th en po o led f o r 8 -h period s f o r the

f o llow ing 3 d . For day s 4-7 , urine w as poo led and co llec ted ov er

24 h in 3 .8 -L p las tic u rine -co llec tion bo ttle s. A pp rox im ate ly 250

m L of each co llec tion w as f roz en fo r fu ture analy sis af ter the

sam p le v o lum e had been recorded . T he tim e o f the urine sam p le

w as tak en as th e end po in t o f each co llec tion perio d .

Fecal sam p les w ere dry ed to a con stan t w e ig h t and ground

and a w eig hed portion w as p laced in tared Py rex cruc ib les and

ash ed fo r 48 h in a m uf f le f u rn ace (m ode l 1 86 , Fisher S cien tif ic ,

O ttaw a, O N ) at 425 #{ 17 6} Cs prev io u sly repo rted (8 ). A shed sam p le s

w ere tak en up in 6 m ol H C1/L and m ade up to 10 m L v o lu-

m etrically in p reparation f o r ion -ex ch an ge chrom atograp hy (10 ).

A 0. 1 m L portio n o f ashed f eces w as rem ov ed f or to tal z inc

analy s is b y A A S .

Plasm a z inc concen tration w as de term ined b y A A S bef oreash ing . Plasm a sam ples w ere then dried and w eig hed in tared

Py rex cru cib le s . T he dried p lasm a w as then treated in the sam e

w ay as f eces to prov ide a z inc ch loride so lu tion .

U rine sam p le s (1 00 m L ) w ere p laced in 600-m L beak ers and

slow ly ev aporated on a ho t p late . S m alllass beads w ere added

to each beak er to redu ce sp latte rin g and 2 m L con cen trated

n itric ac id and 1 m L H 2O 2 w ere ad ded near the end o f the ev ap -

o ration to aid in th e d igestion . D ried sam p le s w ere p laced in the

m uf f le f urnace f or 24 h at 425 #{ 176} Co e lim in ate organ ic m aterials .

A t th e end o f the d igestio n period , 0 .44 m L con cen trated n itric

acid w ere added to d is so lv e th e rem ain ing salts and the sam ple

w as brough t up to 50 m L v olum etrically w ith w ater. T w o m il-

lilite rs o f und igested urine w ere allocated f or analy sis o f to tal

z inc by A A S .

For all tissues w e chose A A S fo r to tal z in c analy s is rather than

the m eth od o f iso to pe d ilu tion becau se o f the adv an tage in cost

and our estab lished sensitiv ity and prec ision (< 1% f or g quan -

tities of z inc ) w ith th is m e thod (8). Fu rther, the use o f an ad-

d itio nal iso to pe for in v itro m easurem ents w ou ld lim it the num -

ber o f iso to pes av ailab le f or iso top e adm in istration to ou r sub-

jects.

For the p repu rif ication o f urine sam ples on ly , C he lex00

che lating re sin (B io -R ad ) w as used to separate the h igh concen -

tratio ns o f calc ium , so d ium , po tassium , and m agnes ium (m il-

ligram quan tities) f rom the trace e lem ents (m icrog ram quanti-

tie s). T h is procedure w as d ev e loped by K ingsto n e t al (1 1) f or

us e w ith seaw ater.

Che lex 100 res in , 1 00 -20 0 m esh s iz e (sod ium f o rm ) w as pre-

c lean ed by soak in g in 2 m o l HN O 3/L f or 24 h and rinsed w ith

w ater. D isp osab le Po ly -Prep chrom atog raphy co lum n s (12 m L ,

B io-R ad) w ere lo ad ed w ith 3 m L resin , w hich w as con v erted to

the N H+ f orm . E ach urine sam p le had the pH ad justed to 5 .3

± 0 .2 and w as stab iliz ed w ith 0 .07 m L 8 m o l am m on ium ace tate /

L . T h e bu f f e red sam ples w ere add ed to each co lum n w ith oc

cas ional ag itation o f th e top o f th e resin bed w ith a p lastic p ipe tte

to break up the salt lay er that o ccasionally form ed , lead ing t

reduced co lum n f low . C o lum n perfo rm ance w as no t af f ec ted b y

the larg e resin v o lum e. S od ium , calc ium , m agn esium , and po-

tassium w ere e lu ted w ith 1 m o l am m onium ace tate /L be fo re

T A B L E 2

S ub jec t and iso tope adm in istration in f o rm ation

Sub jec t , age,

and sex

Oral

iso tope

Oral

dose

In t ravenous

iso tope

In t ravenous

dose

mg mg

Z K 1, 2 4 y, M 68Z n 4 .07 70Z n 0 .792

Z K 2 , 56 y , F 68Z n 4 .03 7 0Z n 0 .806

Z K 3, 33 y , M 70Z n 2 .98 68Z n 2 .87

Z K 4, 3 4 y , M 70Z n 2 .97 68Z n 2 .78

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3 . 0

I -

z 2. 4w

I

(_) 1 8

zw

I - . 1 . 2z

LUC)

LU 0 . 6

0 . 0

2 . 0 ’

1 . 6 ’

1 . 2 ’

I -

zLU

I

0

zLU

I -

zLU

0

LU

a-

0 . 8

0. 4

ZN 6 8 IV

7 0 ORAL

0 4 0 8 0 1 2 0 1 6 0 2 0 0

ZINC ABSORPTION FROM URINE SAMPLES 47 5

the e lution o f trace e lements w ith 1 5 mL 2 .5 mo l HNO3/L. A ll

samples w ere taken to dryness on a ho t plate and dried overnight

in the muffle furnace to sublimate ammonium nitrate and am -

monium chlo ride (1 1 ) and w ere brought to 10 mL vo lumetrically

w ith 6 mol HC1/L.

The final step in the purification o f plasma, fecal, and urine

samples w as accomplished by ion-ex change chromatography (8 ,

10 ). B rie fly , w ashed AG-i ion-exchange res in (chloride fo rm ,

B io-Rad) w as packed in 12 -mL columns (0 .7 -mL co lumn bed

for plasma and urine , 2 .5 mL fo r feces ). A fter ac idification w ith

6 mo l HC1/L, urine , fecal and plasma samples prev iously pre-

pared in 10 mL 6 mol HC1 /L w ere applied to the co lumns .

These co lumns w ere w ashed w ith successive ly w eaker concen-

trations o fhydrochlo ric ac id and finally w ith sixo lumn volumes

o fw ater to remove the z inc . The second to fifth e luants o f plasma

and urine w ere poo led and ev aporated by us ing a ro tary evap-

o rator and brought up to 0 . 1 mL in 0 .5 mol HC1/L for analy sis

by mass spectrometry . Fo r feces the second to fifth e luants w ere

applied directly to the probe .

Zinc concentrations in all reagents and resins w ere measured

by A A S . The blank value for the to tal procedure w as de term ined

by us ing ultrapure w ater for the digestion and co lumn procedures

in equal vo lumes to that o f the urine samples . B lank v alues fo r

all de term inations w ere < 0 .5 g to tal z inc . B lank correc tio ns

were not needed fo r iso tope determ inations because calculations

show ed that alteration o f enrichment ratio s due to exogenous

addition o f zinc had < 2% affec t on final de term inatio ns o f FA .

Iso tope analysis w as performed by fas t-atom-bombardment-

induced seco ndary -ion mass spec trometry (FAB -S IMS) on a VG

70 70 E HF double -focus ing mass spec trometer (V G A naly tical,

Manchester, UK) equipped w ith an Ion Tech (London) atom

gun. The FA B sample targ e t w as made o fsilv er to e lim inate any

po tential interferences from the orig inal stainle ss s teel targ et.

Tw enty m icro liters o f sample in w ater w as placed on the targe t

and evaporated w ith a heat gun. The FAB probe was then in-

serted into the source and the sample w as analy zed. This sample

application procedure was repeated after six measurement runs,

each an average o f 100 scans,to obtain a to tal o f 10- 1 2 runs

for each sample . The mass spec trometer w as o perated in the

low -reso lution mode and ion energy se lec tion was used to dim -

mate po lyatom ic interferences (LV M iller, PV Fennessey , un-

published observ ations , 199 0 ). 70Zn-”Zn and 6SZnMZn ratio s

T IM E AFTER ADM IN ISTR AT ION O F IV ISO TO PE (HOURS)

FIG 1. U rinary enrichment w ith 68Zn (intrav enous ) and 70Zn (oral)

iso to pes for subjec t ZK3 .

L : : :RAL

0 4 0 8 0 1 2 0 1 8 0 2 0 0

T IM E AFTER ADM IN ISTRAT ION OF IV ISOTOPE (HOURS )

FIG 2. U rinary enrichment w ith 68Zn (intravenous) and 70Zn (oral)

iso to pes for subjec t ZK4 .

w ere measured to de term ine 70Zn and 68Zn enrichment. D e tails

o f the mass spec trometer operation, data acquisition, and en-

richment calculations w ere reported prev iously (8 ). Iso tope-ratio

determ inations for indiv idual samples had re lative SD sf< 5%.

D etec tion lim its fo r percent enrichment w ere 0 .04% for 70Zn

and 0 .03% for 68Zn.

FA ofthe oral dose w as calculated for plasma and urine sam-

pies according to the method of Y ergey et al (6 ) by use of the

fo llow ing formula:

FA = enrichment (oral/iv ) X dose (iv /oral)

w here iso tope enrichment w as de term ined by FA B -S IM S (8 )

N e ither the to tal sample v o lume nor the z inc concentration

required to determine FA . The determination ofFA can be done

w ith a s ing le -sample measurement because bo th iso tope enrich-

ments are analyzed s imultaneously .

An accurate determination of FA by measurement of the in-

travenously and orally adminis tered isotope in a s ing le sample

assumes that both iso topes entered the plasma at the same time .

Espec ially w ith ZK3 and ZK4 , signif icant tim e e lapsed be tw een

entrance o f intravenous and oralsotopes into the plasma. To

determine the potential inaccuracy that this time difference may

intro duce into o ur de term inations o fFA , w e fitted an ex ponential

decay func tion to each se t o f data. The resulting curve for th

oral data w as shifted by an appropriate amount of time (10 h

re lative to the iv curve and FA values w ere recalculated. This

procedure changed the FA value for ZK3 from 0 .26 to 0 .25 and

fo r ZK4 from 0 .41 to 0 .39 , a m inor change , smaller than our

measurement prec ision. For feces, FA w as determ ined by cx-

trapo lating the curve o f cumulative fecalxcre tion of iso tope

back to the y-ax is as described prev iously (12).

Results a nd d iscu ss io n

We measured abso rption of an isotope tracer g iven orally by

comparing the urinary enrichment o f this iso tope w ith that o

a second iso tope g iven intravenously . U rinary enrichment data

fo r bo th the oral and intrav enous iso topes are presented in Figure

1 for subjec t ZK3 and in Figure 2 for subjec t ZK4 . Error bars

are not included because each point on the figure is the result

o fone sample determination. In bo th figures it can be seen that

the enrichment of urine w ith the intravenous iso tope dec lines

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3 . 0

2 .5

LU

I 2 .0C)

1 . 5

I-.

zLU 1 . 00

LU

a-

Zn 88 IV

Zn 70 ORAL

* I ± SD .

0 . 5

04

0 . 3

0 . 2

0 . 1

z0

I -

0

I ’

0C, )

cc

-j

z0

I -

0

I I

U-

I ZK-3

A P P ROP R IA TE COLLECTION TIME. --- -.

476 FR IEL ET AL

0

0 40 80 120 160 200

TIME AFTER ADMIN IS TRATION O F IV IS OTOP E (HOURS )

FIG 3. Plasm a enrichm ent w ith Z n (in trav en ous) and 70Zn (ora l)

iso topes fo r sub ject ZK 4.

from its m ax im um seen in the firs t 8 -h co llec tion . T he ora l iso -

to pe reach es its h ighest en richm en t by th e 16-24 -h co llec tion

p eriod , re flec tin g the d elay due to the la te r adm in istra tion of

o ra l trace r and tim e requ ired fo r abso rp tio n . F igu re shows the

iso tope en richm en t in p lasm a fo r sub jec t ZK 4 . I t is no t su rp ris in g

th at the se d ata are sim ila r to the u rina ry en richm en t d ata becau se

the k id ney sh ou ld exc rete u rine w ith th e sam e iso top ic com -

position as the p la sm a tha t it is filte r ing (13 ) .

O n ce the slop es o f the iso to p ic d isapp ea ran ce cu rves in u rine

d ec line in a p rop ortiona l m ann er , in th is s tu dy at40 h , it is

poss ib le to calcu la te the FA (F ig 4 ). M easu rem en ts m ade by

us ing d a ta from th e firs t 36 h , b efo re the trace r fromll do ses

d isappeared a t th e sam e ra te, u nd ere stim a ted FA as w as foun d

p rev io usly fo r ca lcium (6) . The tim e at w h ich FA valu es reach

a p la teau , 40 h , is som ew ha t la ter th an w as foun d by Y ergey e t

a l (6 ) in d ete rm in in g the FA for calc ium from u rin e sam ple s fo r

an ad o le scen t (24 h) andtw o in fan ts (1 2 h). A lthou gh th is is in

par t du e to th e d elay in g iv ing th e o ral iso top e an d pe rtu rba tion

o f zin c hom eo sta sis from th e adm in istra tion of do ses, it m igh t

a lso ref lect d ifferences in age andody s ize and /o r d iffe ren ces

in th e m e tab o lism of zin c and ca lcium .

0 0 i , ,

0 40 80 120 160 200

T IME AFTER ADM IN ISTRAT ION OF IV ISOTOPE (HOURS )

FIG 4. Frac t iona l absorp t ion o f7 0Zn at each co llec tion tim e fo r sub jec ts

ZK 3 and ZK 4 .

TA BLE 3

F rac tion al absorp tion as ca lcu lated from urinary and feca l da ta fo r

ea ch sub jec t

Sub jec t U rine Feces

ZK1 0 .79 ± 0 .03 0 .68 ± 0 .02

ZK 2 0 .7 9 ± 0 .05 0 .70 ± 0 .03

ZK3 0 .26 ± 0 .01 0 .24 ± 0 .01

ZK4 0 .41 ± 0 .02 0 .37 ± 0 .02

Feca l an d urina ry m easu res o f FA are ind ep enden t m easu res

in th e sam e sub jec t du rin g the sam e tim e period . In T ab le 3

can be seen tha t FA as d ete rm ined from n ine sepa rate u rin a ry

iso to pe m easu rem en ts > 40 h are clo se to th ose m easurem en ts

based on cum ula tive feca l exc retio n o f o ra l iso to pes. P la sm a

d ata , p rov id ing an o the r m easu re o f FA , w ere av ailab le fo r sub -

jects Z K 3 (FA = 0 .3 4 ± 0 .0 2 , n = 3 ) and ZK 4 (FA = 0 .42

± 0 .07 , n = 7) an d a re reasonab ly c lose to th e ca lcu la tion s from

urine . W e atta in g ood precisio n w ith u rine becau se w e a re no t

lim ited by the am oun t th at w e ana lyze . Th is is in con tra st

p la sm a w here w e can no t tak e m ore th an a few m illiliters fo

each ana ly sis .

T he asse ssm en t o f FA by u sing en riched u rin e sam ple s isp-

p licab le ov er a w ide rang e ofsub jec t abso rp tions. S u b jec ts ZK 1

an d ZK 2 to ok the ir iso tope w h ile fa stin g and co nsequ en tly h ad

a greate r abso rp tion of the te st do se than w as seen w hen th

d ose w as con sum ed w ith a m ea l (ZK 3 and ZK 4). Th ese resu lts

fo r FA are sim ila r to tho se rep orted fo r fa sting and non fasting

sub jects(14 , 15).

Because on ly o ne v en ipun ctu re is requ ired a t th e sta rt o f the

stud y to in fuse the in traveno us iso top e , th is p roced ure is ea sie r

fo r investiga to rs an d is les s inv asive fo r the sub jec t th an is th e

collection of b loo d sam ples an d feca l sam ple s ove r an en tire

stud y p eriod . I t m ay a lso p ro ve to be m ore re liab le than to ta l

qu an tita tive feca l co llec tion s, w h ich area rd to ach iev e espec ially

in am bu la to ry stud ies and requ ire co rrec tion fo r en dog en ous

exc retio n . T he urine co llectio ns n eed n o t be com ple te and an y

sam p le tak en at the app rop ria te tim e w ill p ro v ide th e necessary

in fo rm a tion requ ired to de te rm ine FA .

These p ilo t s tud ies dem on stra te tha t the concep t o f co ncurren t

s tab le -iso tope adm in is tration p rov ides inves tig ato rs w ith a m ean s

of u sing u rin e sam p le s to m easu re the frac tion al ab so rp tion o

z inc . W e th ink th at m ore w ork is needed to im prove the ana -

lytical te chn ique , tha t is , to sh ow a sm ooth decay cu rv e a fter

iso to pe adm in istra tion (F ig s 1 -3 ). T h is va ria tion from a sm ooth

cu rve cou ld be d ue to p rob lem s durin g co llec tion , iso la tion , o

m easurem en t o f iso to p ic enrichm ent. W ork is in p rogress

e lim in ate o r reduce these sou rces o f e rro r .

In the p re sen t stud ie s w e adm in iste red tw o d ifferen t stab le

i so topes at low leve ls in sub jec ts w ho w ere fa stin g and non fastin g .

W e found consis ten t re su lts bo th w ith in the u rin e co llectio ns

and am ong feca l, p lasm a , and ur in e co llec tio ns fo r FA . T here fo re ,

w e suggest tha t u rin e en richm en t w ith stab le iso topes o f z inc

can be used to easily an d accu ra te ly m easu re the FA of an ora l

d ose o f z inc in h um an su b jects . T h is p ro cedu re p ro bab ly ha

app lica tion to th e m easu rem en ts o f o th er e lem en ts o f h um an -

nu tritio n in te res t tha t have su itab le iso top es. U

W e thank A llan Q uick and Sh erri D e lM onte fo r the ir techn ica lssis-

tance in prep ar in g the sep ara tion co lum n s.

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Z IN C A B SO R PT IO N FR OM UR IN E S A M PL ES 47 7

Re fe rences

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