IRON Flashcards

1
Q

States of fe

A

ferrous- 2+ acidic

ferric 3+ neutral/alkaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

some of the dangerous effects of iron

A

Can cause ROS because it reduces o2 and can also binf to various macromolecules changing the structutre so we have iron binding proteins to prevent the deleterious effects of fe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is heme

A

fe 2+ and protopoprhyrin 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

heme containing proteins

A

transfer of o2-Hb
storage of o2 -myoglobin
enzyme catalysis- No synthase, prostgalndin synthase (COX) Catalase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

non heme iron containing proteins

A

F-S proteins in the oxidative phosphorolation ETC
Iron transport protein -transferrin
Iron storage -ferratin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Heme iron pathway

A

2+
released in enteroctytes , can be stored there in in ferritin or transported into blood by IREG 1 . The fe2+ is oxidised by ceruloplasmin which is a ferroxidase enzyme mainly used for cu transport.

fe in the blood is bound to to transferrin (fe3+) and goes to liver which is the main site of storage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

free iron

A

3+ reduced to 2+ in the intestines - vitamin c helps in non heme iron absorption
then DMT 1 (which transports all ions )

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

hepcidin

A

25 aa polypeptide. REGULATION OF FE IN PLASMA MAIN FUNCTION. Made by hepatocytes, recently its synthesis was found in bacteria, activated neutrophils and macrophages. Is increased by IL - 6 pro-inflmmatory cytokine inhibits fe transport by binding to to the fe export channel ferroportin causing its internalisation and lysosomal degradation . low levels of fe= low hepcidin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the form of iron in the liver

A

bound to ferritin so 3+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ferritin

A

24 subunits of H-L chains and can store about 4,500 fe3+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

where is the majority of stored fe found

A

liver, RES, skelteal muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

transferrin

A

can bind several metals but has the highest affinity for fe3+ . ferrous does not bind. transferrin binds 2 moles of fe3-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how is excess iorn stored

A

the excess fe deposits next to the ferritin-iron complex known as hemosiderin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what happens afte fe is bound to tranferrin

A

transferrin carried fe to the cells where there is an internalisation of the iron -transferrin receptor , receptor medicated endocytosis forming a vesicle inside the cell. now you have to release the iron and this works by an acidic environment (lysosomes) iron gets released

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how do we loose iron

A

sweat, feces, sloughed of cells ,bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how do we measure iron stores

A

small amounts of ferritin enter blood and can be used to measure the adequecy of iron stores.

17
Q

Clinical aspects

A

excess fe is bad cos hemosiderin can cause cell damage

decreased fe is bad cos less o2

hemochromatosis: basically and iron overload, caused by deposition of hemosiderin in tissues. there is too much iron being absorbed so it gets stored in organs such as

liver

18
Q

Clinical aspects

A

excess fe is bad cos hemosiderin can cause cell damage

decreased fe is bad cos less o2

hemochromatosis: basically and iron overload, caused by deposition of hemosiderin in tissues. there is too much iron being absorbed so it gets stored in organs such as

liver- cirrhosis
pamcrease- diabtetes
skin and organs -bronze pigmentation

IRON definciency anemia : characterised by small (microcytic) and hypochromic (low pigment) RBC . Caused by reduced iron uptake and or excess iron excretion. most common causes of GIT bleeding or excess flow

19
Q

ferroportin

A

some cells such as the liver macrophages enetrocytes can EXPORT fe by ferroportinFerroportin is assisted by a ferroxidase
(hephaestin in enterocytes and ceruloplasmin in
macrophages) to deliver FERRIC iron to transferrin

20
Q

where is heme made

A

heme can be synthesised by almost all the tissues of body but the main one Liver and bone marrow. liver its rate of synthesis varies but bone marrow is relatively constant

21
Q

synthesis of heme

A
  1. succinyl COA + glycine= ALA
  2. 2xALA ( ALA dehydratase) - porphobilinogen
  3. 4 porphobilinogens condense to form a linear chain HMB
  4. cyclises spontaneously to form uroporphyrinogen 1 or its converted to uroporphyrinogen 3 by enzyme uroporphyrinogen 3 co synthase.
22
Q

synthesis of heme

A
  1. succinyl COA + glycine= ALA
  2. 2xALA ( ALA dehydratase) - porphobilinogen
  3. 4 porphobilinogens condense to form a linear chain HMB (HMB synthase)
  4. cyclises spontaneously to form uroporphyrinogen 1 or its converted to uroporphyrinogen 3 by enzyme uroporphyrinogen 3 co synthase.
  5. uroporhyrinogen 3/1 is decarboxylated to COPROpopryphrinogen
  6. copro enters mitochondria and gets converted to protoporphyrinogen 3 by
    coproporphyrinogen oxidase
  7. protoporphyrinogen 3 is converted to protoporpyhrin by enzyme protoporphyrinogen oxidase
  8. final step ferrochelatase (heme synthase)
23
Q

side chains of uroporphyrinogen

A

acetyl and propinoyl groups

24
Q

where does heme synthesis occur

A

like the urea cycle partly in the mitochondria then cytosol. starts of in the mitochondria. only the first step (formation of ALA) occurs in mitochondria. Then moves to cytoplasm, then . moves back to mitochondira again.

25
side chains of coproporphyrinogens
M+P
26
side chains of proptoporphyrinogen
M 2V P
27
regulation of heme synthesis
Main enzyme: ALA synthase- has 2 isoforms ALAS 1-liver - controlled by hemin a feedback inhibitor. Hemin also inhibits transport of ALA synthase from the from the cytosol into the mitochondriaALAS 1 is activated by reduced hepatic heme. but heme is an inhibitor. Also a high amount of glucose prevents ALA synthase ALAS2-ertyhroid- controlled by fe also control of HMB synthase ferrochelatase ``` :) GISH :) copper :(Pb :( Mn :( 02 ```
28
Cofactor of ALA synthase
pyridoxal phosphate
29
prophyias
gentic or acquired ( alcohol abuse, jaundice) depending on the localisation of metabolic block can be hepatic, erythropoeitc or mixed when levels of ALA increase in the blood - acute abdominal pain, constipation vomiting levels of ALA can also cause disorder of the nervous system leading to paralysis of limbs, paralysis of respiratory muscles photosensitibivity of the skin: at 400nm the porphyrins are excited and react with o2 to form ROS - damages lysosomes and cell organoids./caused by uro,copro+proto fluorsecent urine in some poprhyias- caused by uro+ copro phosphorescent teeth -in some porphyrias
30
types of porphyrias
hepatic and ertyhropoeitcis Hepatic: HMB synthase- acute intermittent porphyria (really hard to diagnose) uroporphyrinogen decarboxylase- porphyria cutanea tarda coproporphyrinogen oxidase- Hereditary coproporphyria protoporphyrinogen oxidase- Variegate porphyria erythroid porphyrias 1. Uroporphyrinogen 3 co synthase= congenital erythpoeitc porphyria 2. ferrolchelatse- protoporphyria