iron absorption and metabolism (anaemia) Flashcards

1
Q

Iron has two ionic states:
Fe2+ → Fe???
Ferrous → Ferric
(reduced) → (oxidised)

A

Fe3+

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2
Q

For absorption, non-haem iron needs to be in the reduced
or oxidised state? (role of vit. C)

A

reduced state Fe2+

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3
Q

Once absorbed by intestinal cell, Fe2+ → Fe3+ for transport of iron in ??? where caeruloplasmin (ferroxidase) is the enzyme responsible and Cu is the coenzyme

A

transferrin

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4
Q

Haem iron includes: haemoglobin and ???

A

myoglobin

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5
Q

haemoglobin & myoglobin
Source: Meats, fish
Intake/d: 1-2mg iron (10-15%)
Absorption: approx 25%
Iron status: ???
Cooking: haem → nonhaem (as iron has left the haemoglobin molecule)

A

unaffected

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6
Q

non haem iron is called: ???

A

elemental iron

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7
Q

elemental iron
Source: cereals, vegetables
Intake/d: main form of dietary iron (85-90%)
Absorption: 10-15%
—-> depends on composition of
meal (bioavailability) (35%
growth)
Iron status: ???

A

affected

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8
Q

what is iron recycled into?

A

synthesis of haemoglobin

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9
Q

where is iron stored?

A

spleen

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10
Q

TRUE or FALSE: haeme is converted into bilirubin in the spleen, liver, bone marrow and stored in liver to be secreted with bile

A

TRUE

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11
Q

how many g of iron does the body contain?

A

5g

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12
Q

what percentage of iron is boudn to haemoglobin?

A

70%

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13
Q

Iron is stored by being bound to ??? as haemosiderin

A

ferritin

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14
Q

approx how much iron is lost per day? (due to: urine, faeces and
shed cells)

A

1mg

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15
Q

Menstrual cycle losses approx ???mg per month

A

20mg

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16
Q

Serum Transferrin –> glycoprotein that transports iron to the ??? Once delivered it combines with porphyrin

A

bone marrow

17
Q

Erythrocyte Protoporphyrin (a haem precursor) – early measure of iron deficiency by measuring issues with
???

A

haem synthesis

18
Q

Hepcidin: regulates iron ???
Hormone released by liver when iron stores in plasma become low –> stimulates release of iron from ??? into circulation

A

homeostasis.

release of iron from ferritin