Manganese is also used in portland cement mixtures. Manganese is an important element for human health, essential for development, metabolism, and the antioxidant system. Nevertheless, excessive exposure or intake may lead to a condition known as manganism, a neurodegenerative disorder that causes dopaminergic neuronal death and symptoms similar to Parkinson's disease. The classes of enzymes that have manganese cofactors is large and includes oxidoreductases, transferases, hydrolases, lyases, isomerases, ligases, lectins, and integrins. The reverse transcriptases of many retroviruses (though not lentiviruses such as HIV) contain manganese. The best-known manganese-containing polypeptides may be arginase, the diphtheria toxin, and Mn-containing superoxide dismutase (Mn-SOD).
Manganese white magnesia alba (magnesium oxide), which provided the name magnesium for the free element when it was isolated much later. Several colorful oxides of manganese, for example manganese dioxide, are abundant in nature and have been used as pigments since the Stone Age. The cave paintings in Gargas that are 30,000 to 24,000 years old contain manganese pigments. Manganese compounds were used by Egyptian and Roman glassmakers, either to add to, or remove color from glass. Use as "glassmakers soap" continued through the Middle Ages until modern times and is evident in 14th-century glass from Venice. Because it was used