Metalloenzymes have an important role in repair and regenerative processes in skin wounds. Demands for
different enzymes vary according to the phase in the healing cascade and constituent events. Sequential
changes in the concentrations of calcium, copper, magnesium and zinc were studied in the incisional wound
model in the rat over a 10 d period. Copper levels remained low (<10 μg/g dry weight) throughout, but
calcium, magnesium and zinc increased from wounding and peaked at about 5 d at a time of high
inflammation, granulation tissue formation and epidermal cell proliferation. Metal concentrations declined
to normal by 7 d when inflammation had regressed, re-epithelialisation of the wound site was complete and
the ‘normalisation’ phase had commenced. Although the wound was overtly healed by 10 d, the epidermis
was still moderately hyperplastic. In view of competitive binding of trace metals at membrane receptors and
carrier proteins, the ratios or balance between these trace metals was examined and the significance is
discussed. Using immunocytochemistry, we demonstrated increases in metallothionein immunoreactivity as
an indication of zinc and copper activity in the papillary dermis and in basal epidermal cells near the wound
margin 1–5 d after wounding. This is consistent with metalloenzyme requirements in inflammation and
fibrogenesis. Calmodulin, a major cytosolic calcium binding protein was highest in maturing keratinocytes
and in sebaceous gland cells of normal skin; it was notably more abundant in the epidermis near the wound
margin and in re-epithelialising areas at a time when local calcium levels were highest.