Urinary Excretion of Trace Elements in Humans After Sodium 2,3-Dimercaptopropane-1-Sulfonate Challenge Test

Objective: To evaluate the effects of intravenous sodium 2,3-dimercaptopropane-1-sulfonate (DMPS, Dimaval®) on urinary excretion of essential trace elements in subjects who received this chelating agent as a mercury challenge test. Subjects: Eleven subjects sought medical attention due to concern with the toxicity of mercury released from dental amalgam fillings. Design: The subjects were given DMPS 3 mg kg intravenously. Spot urine samples were collected 1 hour before and 1 hour after the DMPS dose for laboratory analysis. In addition to mercury, the urinary excretion of copper, zinc, selenium, magnesium, manganese, molybdenum, chromium, cobalt, and aluminum were measured. Results: A significant increase in urinary excretion of mercury (3- to 107-fold) was observed after the DMPS dose. The DMPS treatment led to a 2- to 119-fold increase in copper excretion; 3- to 43.8-fold in selenium excretion; 1.6- to 44-fold in zinc excretion; and 1.75- to 42.7-fold in magnesium excretion. The excretion of manganese, chromium, cobalt, aluminium, and molybdenum remained unchanged. Conclusions: In this study, an intravenous DMPS challenge test produced a significant increase in mercury excretion and also led to an increased excretion of copper, selenium, zinc, and magnesium.