Suttle N F
Vet Rec. 1986 Aug 16;119(7):148-52. doi: 10.1136/vr.119.7.148.
Three principles governing the interpretation of biochemical criteria of trace element status are identified; they concern the relationships between the concentration of the marker and the intake of the element, the time on an adequate regimen and disturbances of tissue function. From these principles, the concentrations of liver copper, liver vitamin B12 and ovine serum vitamin B12 are shown to be insensitive indices of deficiency but good indices of surfeit. Plasma copper less than 9 mumol/litre is a good index of marginally deficiency but values may have to fall below 3 mumol/litre before there is risk of dysfunction and loss of production in sheep and cattle. Serum vitamin B12 values below 188 pmol/litre are indicative of functional deficiency in sheep whereas cattle with values between 38 and 76 pmol/litre may be only marginally deficient. Concentrations of methylmalonic acid in the plasma greater than 5 mumol/litre may offer a surer guide to diagnosis of functional vitamin B12 deficiency. Blood selenium or glutathione peroxidase concentrations may be unreliable in diagnosing selenium-responsive conditions because other nutrients determine what is adequate. For all elements the surest diagnosis is an improvement in growth or health in response to a specific supplement. The adoption of preventive measures should be prompted by biochemical evidence of marginal deficiencies in animals (rather than soils or pastures) although economic responses will not necessarily follow.
确定了指导微量元素状况生化标准解读的三项原则;它们涉及标志物浓度与元素摄入量之间的关系、充足疗程的时长以及组织功能紊乱。基于这些原则,肝脏铜、肝脏维生素B12和绵羊血清维生素B12的浓度显示为缺乏的不敏感指标,但却是过量的良好指标。血浆铜低于9微摩尔/升是边缘性缺乏的良好指标,但在绵羊和牛出现功能障碍和生产损失风险之前,其值可能必须降至3微摩尔/升以下。血清维生素B12值低于188皮摩尔/升表明绵羊存在功能性缺乏,而值在38至76皮摩尔/升之间的牛可能只是边缘性缺乏。血浆中甲基丙二酸的浓度大于5微摩尔/升可能为功能性维生素B12缺乏的诊断提供更可靠的指导。血液硒或谷胱甘肽过氧化物酶浓度在诊断硒反应性疾病时可能不可靠,因为其他营养素决定了何为充足。对于所有元素,最可靠的诊断是对特定补充剂有生长或健康改善的反应。尽管不一定会带来经济回报,但应根据动物(而非土壤或牧场)边缘性缺乏的生化证据采取预防措施。