Despite the well-known physiological importance of manganese (1-7) and its implication in some disease states (2,(8)(9)(10), the exact nature of its metabolic role remains undefined (11,12).In mammals manganese concentrates in organs rich in mitochondria, notably the liver (2-7, 11, 13, 14); and previous work from this group (11) has shown these organelles to be the major pool of radiomanganese turnover shortly after injection into animals. In vitro traces of the element have widespread biochemical activity (2,3,(15)(16)(17)(18)(19), especially in relationship to mitochondria (20) and those of their enzyme systems that carry out oxidative phosphorylation (16,(21)(22)(23)(24)(25)(26).The present study of blood clearance and of radiation measured at the body surface following Mn" injection in man is an attempt to describe and to determine the kinetics of this turnover, which appears to correlate with mitochondrial function. From the analysis of these data in relation to the work of others it is also possible to gain insight into the mechanisms of transport directly from the blood. Our results further suggest that most of the normal body manganese is readily exchangeable and is not bound in metalloproteins or other highly stable configurations. EXPERIMENTAL Radioisotopic tracer. Mn" (half-life: 2.58 hr.) 2 was generated in the Brookhaven research reactor. One ml. aliquots containing 11.1 ,g. of MnSOgH2O (3.6 ,ug. of Mn' 3 were injected into patients. The radiation decay of other aliquots was followed for 48 to 72 hours with a well-type NaI(Ti) scintillating crystal and scaling circuit. The resultant activity curves indicated the only contaminating radioelement to be a small amount of Na' (about 0.5 per cent of the Mn' activity at injection time), which was ignored in the subsequent treatment of the data.Route of administration and withdrawal of blood samples. Following an overnight fast, patients received Mn" tracer intravenously. Thereafter serial venous blood samples of approximately 3 ml. volume were withdrawn from the contralateral arm. Samples were promptly assayed for radioactivity and weighed. Corrections for radioactive decay were then made. Frequent samples were obtained during the first few minutes after injection, but later sampling frequency was decreased gradually to intervals of approximately five minutes. Surface counting technique. Concurrently with thewithdrawal of blood samples, radiation was monitored over the body surface with collimated detectors whose outputs were transcribed automatically.4 As anticipated from animal data (2, 4-7, 11), preliminary scanning following Mn' injection revealed localization of the greatest radioactivity in the region of the liver. Accordingly, one scanner was positioned on the skin surface over the liver area, usually about 3 cm. above the costal margin in the right midclavicular line ("liver area" counter). A second counter was located over the right femur about 18 cm. above the patella ("thigh" counter). This was taken to be a "reference area" that would not...