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20 Cards in this Set

  • Front
  • Back
Which form of Iron is most bio-available
heme
ferrous
ferric
elemental
which form of iron is most abundant
ferric
Which two things lower bio-availability
antacids
achlohydria
(needs acidic ph)
Heme Iron Absorption
taken up in tact then degraded by heme oxygenase (HO-1)
Non-heme iron absorption
DMT1 is a specific carrier for Fe2+
Cytosolic Iron
common pool of heme/nonheme

bound by mobilferrin-like transport proteins
Basolateral surface- only known iron exporter
ferroportin (FPN) into blood
why is iron always associated with a protein and is transported/stored in the oxidized ferric state?
ferrous unbound catalyzes OH radical in the fenton reaction

can damage almost every cellular component
Transferrin
abundant serum protein that binds Fe3+ (can bind 2)
transferrin = iron transport
0- apoferric transferrin
1- monoferric transferrin
2-diferric transferrin
Iron uptake by cells
Transferrin receptor!!
endocytosis into the cell as endosome

iron is released into the cell and apotransferrin and transferrin receptor are recycled
ferritin
intracellular protein used to store iron- in all cells but especially macrophages of spleen, liver, and bone marrow
whats the best way to measure body iron stores
serum ferritin level
hemosiderin
another form of ferritin-partially degraded in lysosomes. It contains 30% more stored
iron than ferritin seen in conditions of iron overload.
What are the 4 cells ferroportin is found in
Macrophages (export iron from RBC degradation)
- Hepatocytes (export iron from storage)
- Duodenal enterocytes (export iron from diet)
- Placental trophoblasts (export iron to the embryo)
hepcidin
AA protein made by the liver hepatocytes- controls the iron abs/mobilization

binds ferroportin and degrades it- prevents iron release from ferroporting containing cells when iron is high
When there is low hepcidin
ferroportin is high
increased iron export from enterocyte (increased absorption) and increased export from macrophages/hepatocytes
High Hepcidin
ferroportin is low
decresed export/absorption
increased iron stores
Hepcidin deficiency
can be hereditary hemochromatosis, results in uncontrolled release of iron from macrophages/enterocytes
increased iron= more OH radicals
How is hepcidin controlled
positive regulators- increase hepcidin levels: increased iron availability

negative: decrease hepcidin
decreased iron availability
hypoxia
hemochromatosis
increased erythroid demand
1 ml of blood has ____ iron?
0.5 mg of iron/ml of blood