A novel method for the purification of inositol phosphates from biological samples reveals that no phytate is present in human plasma or urine

Inositol phosphates are a large and diverse family of signalling molecules. While genetic studies have discovered important functions for them, the biochemistry behind these roles is often not fully characterized. A key obstacle in inositol phosphate research in mammalian cells has been the lack of straightforward techniques for their purification and analysis. Here we describe the ability of titanium dioxide (TiO2) beads to bind inositol phosphates. This discovery allowed the development of a new purification protocol that, coupled with gel analysis, permitted easy identification and quantification of InsP6 (phytate), its pyrophosphate derivatives InsP7 and InsP8, and the nucleotides ATP and GTP from cell or tissue extracts. Using this approach, InsP6, InsP7 and InsP8 were visualized in Dictyostelium extracts and a variety of mammalian cell lines and tissues, and the effects of metabolic perturbation on these were explored. TiO2 bead purification also enabled us to quantify InsP6 in human plasma and urine, which led to two distinct but related observations. Firstly, there is an active InsP6 phosphatase in human plasma, and secondly, InsP6 is undetectable in either fluid. These observations seriously question reports that InsP6 is present in human biofluids and the advisability of using InsP6 as a dietary supplement.


Summary
Inositol phosphates are a large and diverse family of signalling molecules. While genetic studies have discovered important functions for them, the biochemistry behind these roles is often not fully characterized. A key obstacle in inositol phosphate research in mammalian cells has been the lack of straightforward techniques for their purification and analysis. Here we describe the ability of titanium dioxide (TiO 2 ) beads to bind inositol phosphates. This discovery allowed the development of a new purification protocol that, coupled with gel analysis, permitted easy identification and quantification of InsP 6 (phytate), its pyrophosphate derivatives InsP 7 and InsP 8 , and the nucleotides ATP and GTP from cell or tissue extracts. Using this approach, InsP 6 , InsP 7 and InsP 8 were visualized in Dictyostelium extracts and a variety of mammalian cell lines and tissues, and the effects of metabolic perturbation on these were explored. TiO 2 bead purification also enabled us to quantify InsP 6 in human plasma and urine, which led to two distinct but related observations. Firstly, there is an active InsP 6 phosphatase in human plasma, and secondly, InsP 6 is undetectable in either fluid. These observations seriously question reports that InsP 6 is present in human biofluids and the advisability of using InsP 6 as a dietary supplement.

Background
Inositol is present in all eukaryotes, most archaea and some bacteria [1], but only nucleated cells have taken advantage of the metabolic stability of this sugar to evolve the complex array of phosphorylated signalling molecules known as inositol phosphates (if water soluble) or inositides (if lipid-bound) [2]. Attention has been drawn to the soluble inositol phosphates by the elucidation of the signalling pathway that connects receptor activation, via phospholipase C, to the release of the second messenger Ins(1,4,5)P 3 [3]. A variety of inositol phosphates are also generated using Ins(1,4,5)P 3 as precursor through a series of kinases and phosphatases [2]. Notably, the sequential action of the kinases IPMK (inositol polyphosphate multikinase, also known as Ipk2) [4] and IP 5 -2kinase (also known as IPPK or Ipk1) [5] convert Ins(1,4,5)P 3 to InsP 6 (inositol hexakisphosphate; phytic acid) [6,7]. InsP 6 was originally discovered as a phosphate storage molecule in plant seeds but is now known to be present in all eukaryotic cells. It is the most abundant intracellular inositol phosphate species, with concentrations ranging between 10 and 50 mM in mammalian cells [8,9]. The social amoeba Dictyostelium discoideum has the highest known (non-plant seed) concentration, where InsP 6 levels can reach 0.5 mM [8,10,11]. Biophysical studies have indicated that at cytoplasmic pH and salt concentrations, InsP 6  pentamagnesium form with a solubility limit of 49 mM [12], so it is likely that in D. discoideum some of the InsP 6 is compartmentalized in vesicles, or that this organism has unusual cytoplasmic conditions permitting higher InsP 6 solubility.
In mammals, were extracellular InsP 6 to exist, it should only do so complexed to proteins, since it would be expected to precipitate in the prevailing salt and pH conditions. The suggested presence of InsP 6 in human biofluids is currently relevant as 'natural products' companies are selling InsP 6 as a supposedly beneficial dietary supplement. The claim is that dietary InsP 6 is absorbed by the intestinal mucosa and transported in plasma, both of which assumptions have proved highly divisive. Specific InsP 6 transporters are yet to be identified in mammals, and a molecule as polar as InsP 6 cannot diffuse through the plasma membrane; thus its intestinal absorption is unlikely. By a variety of assays, the InsP 6 concentration in human plasma has been calculated as 0.2-0.5 mM [13,14], but a more direct and highly specific mass assay was unable to confirm these values [8], showing that InsP 6 could be present in human plasma at only sub-nanomolar concentrations, if at all.
Many signalling roles have been attributed to InsP 6 , notably a role in the control of nuclear-cytoplasm mRNA export [15]. The InsP 6 -derived inositol pyrophosphates have their own signalling roles and have been implicated in the pathophysiology of important human diseases such as diabetes, obesity, cancer, blood coagulation and viral infection (for reviews, see [16][17][18]). In these studies, the cellular biochemistry of InsP 6, InsP 7 and InsP 8 is often incompletely characterized, however. This is due to the technical difficulty of accurate measurement, which requires radioactive metabolic labelling and HPLC analysis [19]. These cumbersome techniques have held back InsP 6 and inositol pyrophosphate research, which consequently lags far behind sister fields such as InsP 3 /Ca 2þ and the inositol lipids [2]. The development of new methods to facilitate the analysis of InsP 6 and inositol pyrophosphates is therefore imperative. A few years ago, a polyacrylamide gel electrophoresis (PAGE)-based method was developed for this purpose. This technique can easily resolve highly phosphorylated inositol species that are then visualized and quantified by staining with toluidine blue or DAPI [20,21]. This method has been well received as it does not require radioactive tracers and is now in common use for in vitro studies.
Because of the abundance of InsP 6 , InsP 7 and InsP 8 in D. discoideum, the PAGE technique can be used to study inositol pyrophosphate metabolism in this amoeba [10]. For mammalian extracts, however, the lower concentrations of inositol phosphates and thus larger extraction volumes have precluded direct analysis by PAGE. Here we describe a new inositol phosphate extraction method that overcomes these limitations, allowing the direct analysis of unlabelled InsP 6 and inositol pyrophosphates extracted from mammalian cells and tissues. Since this newly developed technology allows the extraction of inositol phosphates from large sample volumes, we also used it to test for the presence of InsP 6 in human biofluids in an attempt to resolve the controversy [8,22,23] surrounding this issue.

Cell culture and treatment
Mammalian, plant and fly cells used were gifts from several different laboratories and were grown in standard conditions for each cell type. HCT116 cells were cultured in DMEM (Invitrogen) supplemented with 10% FBS, in 5% CO 2 . Vegetative state Dictyostelium discoideum cells were grown at 228C in a shaking HL5 medium supplemented with 100 U ml 21 penicillin and 100 mg ml 21 streptomycin (Invitrogen). For sodium fluoride treatment, 90% confluent HeLa, MCF7 and HCT116 cells (2Â 14 cm dishes) were treated with 10 mM sodium fluoride (Sigma) for 1 h before harvesting by trypsinization. For oligomycin treatment, the cells were pre-treated with glucosefree DMEM for 30 min, before addition of 5 mM oligomycin (Sigma) for 3 h. Cells were harvested by trypsinization.

Titanium dioxide bead extraction
All steps in the extraction until elution were performed at 48C to avoid acid degradation of inositol pyrophosphates. First, the titanium dioxide (TiO 2 ) beads (Titansphere TiO 5 mm; GL Sciences) were weighed and prepared by washing once in water then once in 1 M perchloric acid (PA). Generally 4-5 mg of beads was used for each sample. After centrifuging at 3500g for 1 min, the beads were resuspended in PA.
Cells were harvested as appropriate and washed in PBS. A small aliquot was removed for later protein quantification, enabling normalization. The cells were pelleted and extracted using 800 ml PA ( pH 1). After resuspension in the acid, samples were kept on ice with vortexing for 10 min, then centrifuged at 18 000g for 5 min, at 48C. The supernatants were removed into new eppendorfs and TiO 2 beads added (4 mg in 50 ml PA). Samples were vortexed briefly then rotated at 48C for 15 min; the inositol phosphates and other molecules were adsorbed onto the beads at this point. Beads were pelleted by centrifuging at 3500g for 1 min, and then washed twice in PA with supernatants discarded. To elute, 200 ml 10% ammonium hydroxide ( pH 10) was added to the beads. Samples were vortexed briefly before rotation for 5 min. After centrifuging, the supernatants (containing the inositol phosphates) were transferred into new eppendorfs. The elution procedure was repeated on the beads to ensure full recovery, and the second supernatants added to the first. The samples were then vacuum evaporated to 50 ml for PAGE or other further analysis. Alternatively, samples were evaporated until at pH 7 then stored at 48C or 2208C.
The protocol used for TiO 2 extraction from Dictyostelium PA extracts, diluted InsP 6 standards and radioactive 3 H-Ins(1,4,5)P 3 (PerkinElmer) or 3 H-InsP 6 (Amersham) was the same as above, except that the standards were directly added to 1 ml PA. For the radioactive experiments, 5 ml of Ultima Gold (PerkinElmer) scintillation cocktail was added to the TiO 2 eluate and the samples were counted in a b-counter.
Mouse liver and brain were collected from newborn (P1) pups and rapidly frozen. PA (2 ml) was added to approximately 0.5 g of tissues, equivalent to one liver or two brains. The organs were rapidly homogenized in an electric blender and incubated in ice for 10 min. The samples were centrifuged at more than 15 000g for 15 min and the supernatant used for TiO 2 bead extraction.

Plasma, serum and urine extraction
Bovine and horse serum and plasma were bought from Life Technologies and Sigma Aldrich. Human serum and plasma were bought from TCS Biosciences and Sigma Aldrich. Alternatively, human plasma was prepared from anonymous rsob.royalsocietypublishing.org Open Biol. 5: 150014 donors. Two 20 ml samples of blood from each volunteer were collected into tubes pre-filled with 1.6 mg of EDTA per ml of blood (5.5 mM) and immediately cooled on ice for 10 min. One of the samples was then spiked with 1 nmol of InsP 6 prior to removal of cells and platelets by centrifugation at 1500g for 10 min at 48C. This yielded plasma for analysis. To extract InsP 6 , half volume of 2 M PA was added to 10-20 ml of serum or plasma and the sample rotated at 48C for 30 min. The denatured proteins were removed by centrifugation at 15 000g at 48C for 30 min. The supernatant was subjected to the extraction procedure as described above, using 5 mg of TiO 2 beads.
Human urine was obtained from anonymous donors. After centrifugation at 2000g at 48C for 5 min to remove any epithelial cells, which were discarded, the samples were split in half; one half was spiked with 2 nmol InsP 6 . Concentrated PA was added to a final concentration of 1 M and rotated at 48C for 30 min. The denatured proteins were removed by centrifugation at 15 000g at 48C for 30 min. The supernatant was subjected to the extraction procedure as described above.

Enzymatic treatment
Cell extracts were treated with apyrase (New England Biolabs) following the manufacturer's instructions.

Polyacrylamide gel electrophoresis of inositol phosphates
PAGE was performed as previously described [20]. Briefly, 35% polyacrylamide/TBE gels were used to resolve the TiO 2extracted samples. Samples were mixed with either orange G or bromophenol blue loading buffers. The gels were pre-run for 30 min at 300 V and run overnight at 48C at 600 V and 6 mA, until the orange G had run through two-thirds of the gel. Gels were stained as previously described [20] with either DAPI or toluidine blue. Gels stained with toluidine blue were scanned using a desktop computer scanner for image analysis. IMAGEJ was used for densitometry (n ¼ 3 per experiment), and amounts of inositol pyrophosphates are expressed as a ratio of their band density over InsP 6 . Nucleotides and polyP standards were bought from Sigma Aldrich, while InsP 6 , InsP 5 , InsP 4 and InsP 3 were bought from Sichem.

Titanium dioxide binds to inositol phosphates
The ability of titanium dioxide (TiO 2 ) to bind with very high affinity to phosphate groups is used in phosphopeptide enrichment protocols, an essential step in modern phosphoproteomic studies [24]. We used this TiO 2 property [25] to develop a simple enrichment method (schematized in figure 1a) to extract inositol phosphates from acidic solutions, normally 1 M PA [19]. Initially, a specific amount of InsP 6 diluted in PA was incubated with TiO 2 beads for 30 min. After two washes with PA, InsP 6 was eluted from the beads by a pH change induced by 10% ammonium hydroxide. After removing the ammonium hydroxide and reducing the volume using a centrifugal evaporator, the samples were resolved by PAGE and visualized with toluidine blue staining, demonstrating an almost complete recovery of the input InsP 6 (figure 1b). We next tested this procedure on a D. discoideum extract, and recovered quantifiable levels of InsP 6 and its pyrophosphate derivatives InsP 7 and InsP 8 (figure 1c). To precisely quantify the inositol phosphate recovery, radioactive 3 H-Ins(1,4,5)P 3 and 3 H-InsP 6 tracers were each mixed with 2 nmol of Ins(1,4,5)P 3 and InsP 6 and subjected to TiO 2 enrichment. These experiments demonstrated that 87 + 4.6 and 84 + 3.5% (average + s.d., n ¼ 4) for Ins(1,4,5)P 3 and InsP 6 , respectively, of input radioactivity was recovered after TiO 2 elution, while about 2-4% remained attached to the TiO 2 beads (figure 1d). The TiO 2 beads are in fact completely efficient at binding and releasing inositol phosphates; the small loss is intrinsic to the manual handling involved.

Titanium dioxide purifies inositol phosphates and nucleotides from mammalian cell extracts
The lower concentration of inositol phosphates in mammalian cells has previously rendered extracts from these cells impracticable for PAGE analysis. Either the volume is too large to load onto the gel, or volume reduction by evaporation results in salt concentrations that cause aberrant gel migration. The ability to concentrate inositol phosphates using TiO 2 beads overcomes these limitations.
We tested TiO 2 enrichment on extracts from HCT116 cells (human colon cancer cell line). PAGE analysis (figure 2a) of the phosphate-rich molecules extracted revealed the presence of three inositol phosphate bands that co-migrate with D. discoideum-extracted InsP 6 , InsP 7 and InsP 8 [10]. Interestingly, unlike D. discoideum extracts, mammalian cell extracts revealed extra bands that co-migrate with the nucleotide standards ATP and GTP. We confirmed the identity of the bands presumed to be ATP and GTP by treating the TiO 2purified samples with apyrase, an enzyme that specifically hydrolyses nucleotides (figure 2b). We also detected a faint, slower migrating band of unknown nature (labelled Unk), which is particularly abundant in liver extract (figure 3c). This band does not represent an InsP 9 species since it is not fully degraded after phytase treatment unlike the InsP 6 , InsP 7 and InsP 8 bands (data not shown). The partial action of phytase on this unknown band suggests a complex molecule containing an inositol phosphate group. Inositol pyrophosphates in mammalian cells are known to be dramatically regulated by sodium fluoride (NaF) [26]. To confirm the identity of the observed InsP 7 and InsP 8 bands, we incubated three human cell lines with NaF: firstly, MCF7 cells, which usually have undetectable levels of inositol pyrophosphates; secondly, HeLa cells, which have detectable levels of InsP 7 ; and thirdly, HCT116 cells, which have detectable levels of InsP 7 and InsP 8 . PAGE analysis after TiO 2 extraction revealed that NaF treatment increases inositol pyrophosphate levels, and decreased the level of their precursor InsP 6 , in all three cell lines (figure 2c).

Screening of mammalian cell lines and tissues for the presence of inositol pyrophosphates
Next, we decided to screen 27 mammalian, one plant and one Drosophila cell line for the presence of inositol pyrophosphates, to identify the best cell line(s) for studying the different aspects of inositol pyrophosphate metabolism. TiO 2 purification was rsob.royalsocietypublishing.org Open Biol. 5: 150014 performed from 90% confluent cells grown in two 14 cm adherent culture dishes or shaking culture, as appropriate. The use of DAPI to better visualize inositol pyrophosphates [20] revealed the presence of InsP 7 in almost all cells analysed (electronic supplementary material, figure S1), while InsP 8 is easily detectable in mouse ES cells, Drosophila S2 and the human HCT116 cell line, where inositol pyrophosphates seem to be particularly abundant. An exact comparative analysis cannot be achieved since cell density, size and shape differ greatly between cell lines. Furthermore, DAPI staining is not linear, unlike toluidine blue, the staining intensity of which depends only on the number of phosphates [10]. Therefore, we chose several human cell lines to investigate their relative inositol pyrophosphate levels more thoroughly, normalizing the different extracts by protein mass. The normalized analysis of six mammalian cell lines by DAPI confirmed the screening result ( figure 3a). Parallel toluidine blue staining confirmed a variable amount of InsP 7 and especially InsP 8 between the cell lines ( figure 3a,b). Coupling the TiO 2 method with PAGE analysis also allows extraction and investigation of inositol pyrophosphates from previously intractable sources, including animal organs such as mouse brain or liver, where InsP 6 and InsP 7 can be easily detected (figure 3c).

Effect of altered energetic metabolism on inositol pyrophosphates levels
The ability to enrich and analyse InsP 7 and InsP 8 from mammalian extracts has the potential to revolutionize this field of research. As inositol pyrophosphates have been linked to cellular and organismal metabolism [27 -29], we took advantage of the TiO 2 method to observe their changes     Since large volumes of acidified fluid can be subject to TiO 2 bead extraction, this gave us the opportunity to assay InsP 6 in biofluids. Initially, we used commercially available serum from bovine, equine and human sources. We extracted 20 ml of serum with TiO 2 beads and analysed the extracts by PAGE. While we were able to detect an almost complete InsP 6 recovery in the spiked samples, we did not recover any InsP 6 in non-spiked serum (electronic supplementary material, figure S2A,B). We next analysed human plasma from a commercial source. Similar to serum, TiO 2 extraction and PAGE analysis showed that InsP 6 could not be recovered from non-spiked samples of human plasma (figure 4a). The lower limit of InsP 6 standard detection on PAGE is about 0.25 nmol (figures 4a,b and 5), therefore TiO 2 -extracting 20 ml of plasma with a recovery of approximately 85% (figure 1e) indicates that the lower limit of plasma InsP 6 we are able to extract and detect is approximately 15 nM. Consequently, we conclude that substantially less than 15 nM InsP 6 is present in human plasma, in agreement with the enzymatic radio-assay previously reported [8].
Conversely, using less direct assays, others have suggested that the InsP 6 concentration in human plasma is in the 0.2-0.5 mM range [13,14]. They suggested that the previous failure [8] to detect InsP 6 in plasma was due to losses during plasma preparation [23]. To investigate this possibility, we here prepared plasma from anonymous donors following the extraction protocol described in [13,14] (which uses EDTA as an anti-coagulant [23]). While we were able to detect a good recovery of InsP 6 from plasma when whole blood was spiked with 1 nmol (0.05 mM) of InsP 6 , we were again unable to detect any InsP 6 in non-spiked human plasma (figure 4b).
Interestingly, in the spiked samples, other faster migrating bands of weak intensity, probably lower forms of InsP x , were detected besides InsP 6 , and we only recovered spiked InsP 6 with a high efficiency if the blood was cooled on ice before spiking. These observations suggested the presence of a phosphatase activity in plasma. To test this directly, we incubated InsP 6 -spiked human plasma at 378C. Just 5 min of incubation resulted in substantial conversion of InsP 6 to InsP 5 (figure 4c); 20 min led to the complete removal of InsP 6 , while after 40 min all the exogenous InsP 6 was converted to InsP 3 and even lower forms of inositol phosphates. It is likely that a recently reported secreted mammalian phosphatase, MINPP1 rsob.royalsocietypublishing.org Open Biol. 5: 150014 (multiple inositol polyphosphate phosphatase) [30], is responsible for the observed activity. To further confirm the presence of phosphatase activity in plasma, a different source of human plasma together with bovine plasma was tested for the presence of this enzymatic activity (figure 4d). InsP 6 phosphatase activity was detectable in both cases, indicating that this activity may be a common characteristic of mammals.

Absence of InsP 6 in human urine revealed by titanium dioxide extraction
Another human biofluid in which InsP 6 has been contentiously reported is urine, with some literature indicating that it reaches 1-3 mM concentration [31]. Therefore, we processed 10 -25 ml of urine from anonymous donors using TiO 2 and visualized the extraction on PAGE. Similar to the serum and plasma experiments, we were unable to detect any InsP 6 in non-spiked urine (figure 5). Thus, less than 12 nM InsP 6 is present in human urine, a maximal value in accordance with the earlier report using a specific enzymatic assay [8].

Discussion
TiO 2 beads and pre-packed columns are useful tools for the enrichment of phosphopeptides and have contributed hugely to the development and application of phosphoproteomic studies [24]. We have taken advantage of this TiO 2 phosphate binding property [25] to develop a new inositol phosphate purification protocol. Crucially, it allows for the purification of inositol phosphates from large volumes of acidified extracts and so makes feasible the extraction/enrichment of the low concentration inositol phosphates in mammalian extracts. The direct analysis of mammalian InsP 6 and its pyrophosphate derivatives InsP 7 and InsP 8 by coupling TiO 2 enrichment with PAGE analysis negates the requirement for HPLC and 3 H-inositol labelling. This new procedure therefore simplifies inositol pyrophosphate analysis in particular and also solves the often forgotten but ever-present problem of determining the labelling time necessary for metabolic equilibrium. Among the new research possibilities opened up by TiO 2 purification is the analysis of inositol phosphates from animal tissues. Animal welfare and monetary considerations made this previously troublesome, as it would require treating the live animal with 3 H-inositol tracer; analysis of human tissues and fluids was completely unattainable. The method described permits the extraction and analysis of inositol phosphates from animal organs including but not limited to mouse brain or liver, where InsP 6 and InsP 7 can be detected, or chicken egg white, where InsP 5 and InsP 6 are particularly abundant (Saiardi laboratory, unpublished data).
The ability of InsP 3 to bind to TiO 2 indicates that lower phosphorylated inositol species can also be purified from biological samples. As these stain poorly by toluidine blue they cannot be quantified by gel electrophoresis, but mass assays for other inositol phosphates exist that, coupled with TiO 2 purification, can be used in quantifying lower phosphorylated inositol species from biological specimens. Beyond the soluble inositol phosphates, it will be interesting to take advantage of this newly discovered ability of TiO 2 to bind and purify phosphate groups attached to an inositol ring to develop new inositol lipid purification methods, since the current approaches are essentially adaptations of Folch's extraction method, developed more than 60 years ago [32].
The parallel analysis of D. discoideum and mammalian cell extracts revealed quite different patterns of extracted molecules. While InsP 6 , InsP 7 and InsP 8 are extracted from both amoeba and mammalian cells, the nucleotides ATP and GTP are only visible in the mammalian extract. A quantitative comparison between the two experimental models is inappropriate since the number of cells extracted and analysed is different (in figure 2, 4 Â 10 6 cells for D. discoideum were compared to 80 Â 10 6 human HCT116 cells). However, the relative proportion between inositol pyrophosphate and nucleotides is unquestionably different in the two experimental models analysed. Since inositol pyrophosphates are able to regulate energetic metabolism and specifically are inversely connected with ATP level [27], we might speculate that the high levels of inositol pyrophosphates present in D. discoideum are lowering nucleotide levels. This hypothesis is currently under investigation.
We have also taken advantage of the high efficiency of TiO 2 extraction to independently re-address the question of whether human body fluids such as plasma and urine contain any InsP 6 (the relevance of this question is discussed below). In contrast with some other groups (e.g. [13,14]), but in agreement with an earlier study that used a specific  Figure 5. Absence of InsP 6 in human urine. Freshly collected urine from healthy anonymous donors (D1 -D3) was centrifuged to remove any epithelial cells. The samples were divided into two aliquots (25 ml each for D1 and D2, 10 ml for D3), EDTA was added and InsP 6 (2 nmol) was supplemented into the spiked (InsP 6 ) aliquots. The samples were then PA extracted and subjected to TiO 2 enrichment. The extracted inositol phosphates were resolved by PAGE and visualized with toluidine blue staining. The gel presented is representative of three experimental repeats.
rsob.royalsocietypublishing.org Open Biol. 5: 150014 and sensitive enzyme-based InsP 6 assay [8], we find that there is no InsP 6 present, with a detection limit more than an order of magnitude below the levels claimed to be there by others. We have carefully controlled for InsP 6 recovery using InsP 6 -spiked controls (including adding exogenous InsP 6 to whole fresh blood), and it is important to stress that our discovery of a highly active phosphatase in human (and bovine) plasma, probably secreted MINPP1 [30], which hydrolyses any spiked InsP 6 within minutes at 378C, in itself rules out the possibility of any InsP 6 being present in plasma in vivo. Eiseman et al. [33] reported that in rats the half-life of intravenously injected radiolabelled InsP 6 is 8 min, suggesting that the presence of an active InsP 6 phosphatase in plasma is not confined to humans and cattle. Given the potent ion-chelating power of InsP 6 , it actually makes evolutionary sense to immediately remove such a compound (which might be released by cell lysis or damage) from extracellular fluids. We should add that the available evidence suggests that ingested InsP 6 , if absorbed through the gut, enters the blood plasma exclusively as inositol [33], with possibly also some small amounts of inositol monophosphate [34]; the dephosphorylation of InsP 6 before absorption is apparently caused by gut flora [35]. These observations have relevance for the reported effects of dietary InsP 6 on, for example, kidney stone formation [36,37] and other calcifications [38], or on cancer growth [39]. Understanding these effects does not need to invoke InsP 6 in extracellular fluids, as they can readily be explained either by InsP 6 acting as a chelator of cations (e.g. Ca 2þ , Fe 3þ ) in the gut and thus altering uptake [8], or because InsP 6 is a major source of our dietary inositol [8]. In the latter context, in studies on cancer where inositol has been compared directly with InsP 6 , the two have similar efficacies (e.g. [40] and see [39] for other references).
This discussion then points to a key question: if all the effects of dietary InsP 6 (other than as a source of inositol) are mediated by modulating cation absorption from the gut, could taking InsP 6 supplements ever be harmful? In humans on a poor diet the answer is clearly 'yes' [41], and there is a significant effort in the plant breeding world to produce low InsP 6 varieties of maize and rice to reduce these deleterious effects [42]. Shamshuddin [43] has argued that the ion-chelating effect of InsP 6 in the gut is not harmful in well-fed individuals, but this has only been examined for a few divalent cations (e.g. Zn 2þ and Cu 2þ [44,45]), while trivalent metals, whose affinity for InsP 6 is very much higher than divalents [46] and which are essential dietary components (e.g. Cr 3þ [47]), have not been studied in this context. Overall, this leads us to the conclusion that chronically altering cation absorption from the gut by artificially loading the diet with a non-specific chelator [39] in the hope that it might impact indirectly on cancer or other pathologies seems highly inadvisable.