Equilibrium model for speciation of aluminum in serum.

An equilibrium model for the speciation of Al3+ in normal serum has been developed in which 81% of the aluminum is bound to transferrin. The remaining 19% exists primarily as Al(PO4)(OH)-, with minor amounts of citrate and hydroxide species. The model meets several key criteria. The concentration of free aluminum is below the upper limit set by the solubility product of aluminum phosphate. The fraction of low-molecular-mass aluminum species agrees with experimental studies on the fraction of ultrafiltrable aluminum in both normal and uremic serum. Lastly, the model accounts for the relative effectiveness of EDTA, citrate, and desferrioxamine B for binding aluminum in serum by including competition from zinc, magnesium, and calcium for these ligands. Uncertainties in the available thermodynamic database are discussed.