“…When fluoride enters a cell, the greater part will be bound to cell constituents. Binding of fluoride to enolase and complexed by Al 3+ to ATPase inhibits these enzymes effectively, resulting in a reduction of carbohydrate metabolism [Marquis, 1990;Kaufmann and Bartholmes, 1992;Murphy and Coll, 1992;Curran et al, 1994;Guha-Chowdhury et al, 1997;Marquis et al, 2003]. Inhibition of enolase results in a reduction in the level of phosphoenolpyruvate (PEP), which will subsequently lead to a reduction of glucose uptake by the PEP phosphotransferase system [Kanapka and Hamilton, 1971;Hamilton, 1977;Bender et al, 1986].…”