Iron Copper- Skildog Flashcards

1
Q

What enzyme is needed in the apical membrane BEFORE Fe or Cu can be transported into an intestinal epithelial cell?

A

A brush border reductase

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2
Q

What transporter does Fe use to enter the enterocyte? How is it exported out the basolateral side?

A

Enters through DMT1 (divatlent metal transporter)

Leaves through Ferroportin channel

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3
Q

Why does iron inhibit zinc absorption?

A

They compete for the DMT1 transporter (on luminal side)

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4
Q

In what state is Fe transported in the blood?

A

Needs to be Fe3+

Binds to transferrin

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5
Q

What enzyme is responsible for oxidizing Iron so it can be transported in the blood? What other mineral is required?

A

Hephaestin (aka ceruloplasmin)

requires cooper

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6
Q

What protein regulates ferroportin on the basolateral side? (thus regulate blood Fe)

A

Hepsidin!

  • High iron in liver
  • transcription/translation of hepsidin
  • Hepcidin binds ferroportin and causes its degredation
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7
Q

Where is iron stored?

A

Liver

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8
Q

What happens during iron toxicity?

A

Accumulates in tissue and acts as a free radical and causes oxidative damage.

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9
Q

What is chronic hemochromotosis?

A
  • Inherited mutation in hepcidin

- Causes IRON OVERLOAD

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10
Q

What transporter does cooper use on the apical membrane? How does it get exported out of the basolateral side?

A

CTR1

ATP7A channel

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11
Q

Menke’s kinky hair syndrome is a mutation in what?

A

Mutation in ATP7A

Copper transporter on basolateral side

Causes Copper deficiency

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12
Q
Hypothermia
Hypotonia
Poor Feeding
Failure to thrive
Seizures
FINE BRITTLE HAIR
A

Menke’s Kinky hair syndrome - mutation in ATP7A

Copper deficiency

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13
Q

Wilson Disease is a mutation in what?

A

ATP7B = copper transporter found on the liver

Is responsible for transporting excess cooper to the bile for excretion.

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14
Q

What are Kayser-Fleisher rings? What are they associated with?

A

Copper colored rings in around the eye

Associated with Wilson Disease

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15
Q

What is Gitelman Syndrome?

A

Mutation of SLC12A3

Na/Cl transporter in the DCT

Causes hypomagnesemia, hypokalemia, and hpocalciuria

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16
Q

What is Dent’s Disease?

A

X-linked

mutation in renal chloride channel