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Hello. My name is Susan Fairweather-Tait. I'm a professor of human nutrition in the Norwich Medical School at the University of East Anglia in the UK. I'm going to be talking about cobalt.
0:14
Cobalt is an essential component of vitamin B12 and it plays an important role in the formation of the myelin sheath in nerve cells and the formation of amino acids and some proteins. So, cobalt itself is not essential, but vitamin B12 is. Dorothy Hodgkin in 1955 and her colleagues published the final structure of vitamin B12, which they obtained by X-ray crystallography. She was awarded the Nobel Prize in chemistry in 1964 for this work. You can see the structure of vitamin B12 with cobalt at the center of it on the right-hand side of the slide.
0:51
If we look at cobalt intakes, the average intake ranges from 5-8 micrograms per day, which is a very small amount and it's often called a trace element and vitamin B12, although it contains cobalt, it's only about 4% of the molecule. So, it's not considered to be a dietary supply of cobalt, but cobalt is widely distributed in the diet. It's mainly present in the form of arsenide, oxide, and sulphide, but the content of plants and animal foods will depend on the concentration of the soil and water from where the food originates. So, it's very much affected by the environment. The foods we know have a high content of cobalt include: yeast products and yeast, coffee, nuts, seeds and grains, cereals, and chocolate and condiments.
1:38
So, cobalt can enter into the body by several different routes. First is the oral intake, which is what I'm going to concentrate on today because that's nutrition, but you can get cobalt through the air, through your lungs, and also through your skin. Then, cobalt-chromium implants such as those used for hip and knee replacements, these will also introduce some cobalt into the body. The absorption of the diet averages something from 57-97%. It's quite variable and these figures are found from balance studies. So, they're not terribly accurate, but we can see it's quite a big range in absorption. The duodenum and the upper intestine are the primary sites for cobalt ion absorption. Now, the absorption is affected by a number of things. The chemical form of cobalt will affect how well it's absorbed; the dose; the formation of complexes with organic ions. This will happen in the lumen of the gut. Also, the age and the nutritional status of the individual will have a great effect. For example, if somebody is iron deficient because iron is transported on the same transporter as cobalt, which is divalent metal transporter (DMT-1 in the gut). If you're iron deficient, you will produce a greater amount of DMT-1 because you're trying to acquire iron. You require it. You will at the same time have more protein transport ready to take cobalt into the body. So, if you're iron deficient, you will absorb cobalt to a much greater extent than if you have a normal iron status.

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