Iron and Copper Nutrition Flashcards
Two oxidative states of iron
Fe2+ = ferrous Fe3+ = ferric
Oxidative states of iron
interconversions
dietary: Fe3+
absorbed: Fe2+ (converted by brush border enzyme)
blood: Fe3+ bound to transferritin
Fe3+ transported in blood via
transferritin
Iron stored in enterocytes bound to
ferritin
Regulation of Fe absorption
HFE gene, hepcidin high iron --> activates HFE gene hepcidin produced in liver hepcidin binds ferroportin on basolateral surface of enterocytes degradation of ferroportin decreased iron uptake
Hemochromatosis etiology
HFE gene mutation
inability to produce functional hepcidin and therefore degrade ferroportin
Copper oxidative states
Cu2+ –> Cu+ via brush border enzymes
CTR1
transporter on apical surface for Cu
Menkes kinky hair syndrome
ATP7A mutation
decreased uptake of Cu
hair normal at birth -> becomes brittle and sparse w/ age
hypothermia, hypotonia, FTT, seizures
Wilson disease
ATP7B mutation
normally transports excess iron into bile for excretion
chelation Tx