Iron Flashcards

(52 cards)

1
Q

enhancers of iron absorption

A

sugars, acids, mucin, MFP factors

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2
Q

inhibitors of iron absorption

A

alkaline, polyphenols (tannins), oxalic acid (spinach), phytic acid (prefer Zn), phosvitin (egg yolk), divalent cations

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3
Q

functional iron is primarily ___ iron

A

heme (hemo/myoglobin, heme enzymes)

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4
Q

transport and storage iron is ___ iron

A

nonheme

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5
Q

transport iron is referred to as:

A

transferrin

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6
Q

storage iron is referred to as:

A

ferritin and hemosiderin

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7
Q

Heme= Fe + ?

A

porphyrin

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8
Q

heme synth made from ______ and needs ___ coenzyme

A

glycine/succinate; B6 (PLP)

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9
Q

3 stages of iron absorption

A

1) uptake at BBM 2) transport across cell 3) transport across BLM into plasma

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10
Q

2 forms of nonheme:

A

ferrous (highly reactive), ferric (unreactive)

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11
Q

hepcidin binds ___

A

ferroportin

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12
Q

____% heme absorbed, __% nonheme absorbed

A

3-8; 23

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13
Q

Fe2 is transported to BL by ligands such as ____; at BL it exits thru ____

A

mobilferrin; ferroportin

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14
Q

Fe2–>Fe3 in enterocyte by a copper containing enzyme called:

A

hephaestin

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15
Q

Fe3+ binds to ___

A

transferrin

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16
Q

hepcidin deficiency causes ____

A

hemochromatosis (too much iron in body)

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17
Q

hepcidin is ___ during infections/inflammation as host defense. Why?

A

elevated; limit available iron to invaders

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18
Q

hemosiderin is aggregated ___

A

ferritin (too much!)

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19
Q

Fe2+–>Fe3+ by ___

A

ferritin

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20
Q

plasma Fe–>____ –>RBC

A

marrow (make RBC heme)

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21
Q

uptake of iron into cells depends on ___

22
Q

why is iron needed in cell?

A

cytochrome in mitochondria

23
Q

Fe2+–>Fe3+ in all cells except enterocyte, needs this copper containing enzyme

24
Q

for every 1 mcg/L plasma ferritin, estimate there is ___mg Fe in storage

25
best test for storage of iron?
plasma ferritin levels
26
storage of Fe in ____ cells is highest
reticuloendothelial
27
heme synth requires:
glycine, succinyl coA, PLP, Zn
28
highest heme source? Lowest?
beef; fish
29
elemental iron is inert but will become ionized in ___
stomach acid
30
basal losses of iron each day about ___mg for 70kg person
1
31
DRI panel assume about ___% absorption
18 (mixed diet)
32
how to find RDA?
not SDs, find value at 97.5% percentile
33
RDA for women doesn't apply to:
post menopause, using oral contraceptives
34
vegetarians/vegans need ___x more iron than omnivores
2
35
blood donors need ____mg extra Fe/day
3.33
36
UL is set at __mg to prevent ____
45; GI distress (esp iron supplements, but apply to all sources)
37
why do long distance athletes need more Fe?
get foot strike hemolysis
38
____ppl in US have hemochromotosis
5/1000
39
hemochromotosis results because of mutation in ___ gene, causing ____ hepcidin
HFE; decreased
40
symptoms of hemochromotosis?
liver damage (cirrhosis), lose insulin secretion (pancreas damage), other tissue damage (irreversible)
41
how is hemochromotosis detected?
high plasma ferritin of over 200 ug/dL but no more hemoglobin
42
how to treat hemochromotosis?
avoid Fe, frequent phlebotomy, administer chelator to increase urine Fe losses
43
measuring static status:
stores (marrow, plasma ferritin), transport (plasma iron, transferrin)
44
measuring functional status
abnormal metabolite (Zn-protoporphyrin), function
45
early negative iron balance is characterized by:
lower iron stores
46
how many stages of iron deficiency?
3
47
stage one of iron deficiency is characterized by:
more apotransferrin and ^ transferrin receptors to try to ^ absorb efficiency
48
stage two of deficiency is called :
iron deficient erythropoiesis
49
stage two is characterized by :
Zn-protoporphyrin (instead of heme), fewer sideroblasts
50
stage three of deficiency is called:
iron deficiency anemia
51
stage tree characterized by:
microcytic hypochromic RBCs
52
nails show ____ whn iron deficient
koilonychia