Elemental mercury biotransformation

Literally hundreds of complex equilibria like this can be combined to model what happens to metals in aqueous systems. Numerous speciation models exist for this application that include all of the necessary equilibrium constants. Several of these models include surface complexation reactions that take place at the particle-water interface. Unlike the partitioning of hydrophobic organic contaminants into organic carbon, metals actually form ionic and covalent bonds with surface ligands such as sulfhydryl groups on metal sulfides and oxide groups on the hydrous oxides of manganese and iron. Metals also can be biotransformed to more toxic species (e.g., conversion of elemental mercury to methyl-mercury by anaerobic bacteria), less toxic species (oxidation of tributyl tin to elemental tin), or temporarily immobilized (e.g., via microbial reduction of sulfate to sulfide, which then precipitates as an insoluble metal sulfide mineral). 

Dimercaprol is FDA-approved as single-agent treatment of acute poisoning by arsenic and inorganic or elemental mercury and for the treatment of severe lead poisoning when used in conjunction with edetate calcium disodium (EDTA see below). Although studies of its metabolism in humans are limited, intramuscularly administered dimercaprol appears to be readily absorbed, metabolized, and excreted by the kidney within 4-8 hours. Animal models indicate that it may also undergo biliary excretion, but the role of this excretory route in humans and other details of its biotransformation are uncertain. 

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