iron Flashcards

1
Q

where is most iron used in the body

A

in haemoglobin

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2
Q

where is iron absorbed

A

duodenum

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3
Q

what reduces ferric (Fe3+) to ferrous (Fe2+)

A

cytochrome B

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4
Q

what transporters are involved in iron absorption

A

DMT - 1

ferroportin

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5
Q

where is hepcidin produced

A

liver

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6
Q

explain how anaemia of chronic disease occurs

A

hepcidin produced in inflammation and stop absorption of iron
increasd transcription of ferritin mRNA stimed by inflam cytokines so increased ferritin

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7
Q

how does hepcidin work

A

causes ferroportin degradation

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8
Q

what trasnports iron in the blood

A

transferrin

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9
Q

what is iron stored as

A

ferritin

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10
Q

how many mg of iron normally found in the body

A

4mg

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11
Q

how many binding sites does transferrin have for iron

A

2

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12
Q

what is normal transferrin saturations

A

<50%

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13
Q

what is holotransferrin and apotransferrin - which is bound

A

holotransferrin - bound

apotransferrin - unbound

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14
Q

breakdown of what casues bilirubin

A

porphyrin

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15
Q

what are primary and secondary causes of iron overload

A

primary - haemachromotosis

secondary - trasnfusions , iron loading anaemias

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16
Q

mutations in what gene cause haemochromatosis

A

HFE

17
Q

what happens in haemachromtosis to cause iron overload

A

decreased hepcidin production

increased iron absorption

18
Q

presentation of haemochromatosis

A

weakness, fatigue, joint pain, cirrhosis, arthritis, diabetes

19
Q

treatment of haemachromotosis

A

weekly vesection

screening of family members

20
Q

what serum ferritin is seen in haemochromatosis

A

> 300

21
Q

what is taken in transfusion to stop iron overload

A

iron chelating drugs eg desferrioxamine