Evidence-Based Benefits
- Iron metabolism — ceruloplasmin (a copper-dependent enzyme) is required to oxidize iron for transport by transferrin; copper deficiency causes a secondary iron deficiency anemia unresponsive to iron supplementation
- Connective tissue integrity — lysyl oxidase requires copper to cross-link collagen and elastin fibers, essential for skin, blood vessel, and bone strength
- Energy production — cytochrome c oxidase, the terminal enzyme in the mitochondrial electron transport chain, requires copper for ATP synthesis
- Antioxidant defense — copper-zinc superoxide dismutase (SOD1) is a critical cytoplasmic antioxidant enzyme that neutralizes superoxide radicals
- Neurological function — copper is involved in neurotransmitter synthesis (dopamine beta-hydroxylase converts dopamine to norepinephrine) and myelin maintenance