Hematopoietic Growth Factors Flashcards
Nutritional growth factors
- Ferrous Iron
- Folic Acid
- Hydroxocobalamin (b12)
Hormonal Growth factors
- Epoeitin alpha, Darbopoetin
- G-CSF
- GM-CSF
Who is must susceptible to anemia?
*women-childbearing age
What type of anemia does B12 cause?
Megaloblastic
Not macrocytic?
Erythropoiesis
required nutrients
- iron
- folic acid
- Hydroxycobalamine
Erythropoiesis
Required growth factors
G-CSF
GM-CSF
Epoetin
Most common anemia?
Iron deficiency
Non-heme iron in non-meat foods must be
Reduced to ferrous iron (ascorbate/Vit C + HCl helps)
Iron
Absorption
- duodeunum + proximal jejunum
* increases w/ low stores
Iron
Elimination
- no excretion MOA
- regulate - change absorption/storage
- body iron stores high = stored
- body iron stores low = transported ot bone marrow for Hb production
Apoferritin
- Free iron low = synthesis inhibited, iron to transferrin
* Free iron high = synthesis stimulated, iron to ferritin (no toxicity)
Iron toxicity
(Kills gut lining)
Acute Tx
Deferoxamine
Bowel irrigation
Iron toxicity
(Heart, liver, pancreas, other)
Chronic
Deferoxamine
Deferasirox - oral
Phlebotamy
Iron salts
- 1/4 absorbed
* cheap
Iron salts
S.E.
- Epigastric distress
* Abdominal cramps