RT Journal Article SR Electronic T1 Determination of Trimethylbismuth in the Human Body after Ingestion of Colloidal Bismuth Subcitrate JF Drug Metabolism and Disposition JO Drug Metab Dispos FD American Society for Pharmacology and Experimental Therapeutics SP 352 OP 358 DO 10.1124/dmd.107.020313 VO 37 IS 2 A1 Jens Boertz A1 Louise Michele Hartmann A1 Margareta Sulkowski A1 Joerg Hippler A1 Frank Mosel A1 Roland Arturo Diaz-Bone A1 Klaus Michalke A1 Albert Wolfgang Rettenmeier A1 Alfred Vitalis Hirner YR 2009 UL http://dmd.aspetjournals.org/content/37/2/352.abstract AB Biological methylation and hydride formation of metals and metalloids are ubiquitous environmental processes that can lead to the formation of chemical species with significantly increased mobility and toxicity. Whereas much is known about the interaction of metal(loid)s with microorganisms in environmental settings, little information has been gathered on respective processes inside the human body as yet. Here, we studied the biotransformation and excretion of bismuth after ingestion of colloidal bismuth subcitrate (215 mg of bismuth) to 20 male human volunteers. Bismuth absorption in the stomach and upper intestine was very low, as evidenced by the small quantity of bismuth eliminated via the renal route. Total bismuth concentrations in blood increased rapidly in the first hour after ingestion. Most of the ingested bismuth was excreted via feces during the study period. Trace levels of the metabolite trimethylbismuth [(CH3)3Bi] were detected via low temperaturegas chromatography/inductively coupled plasma-mass spectrometry in blood samples and in exhaled air samples. Concentrations were in the range of up to 2.50 pg/ml (blood) and 0.8 to 458 ng/m3 (exhaled air), with high interindividual variation being observed. Elimination routes of bismuth were exhaled air (up to 0.03‰), urine (0.03–1.2%), and feces. The site of (CH3)3Bi production could not be identified in the present study, but the intestinal microflora seems to be involved in this biotransformation if accompanying ex vivo studies are taken into consideration. The American Society for Pharmacology and Experimental Therapeutics