P1 BIOCHEM HEME SYNTHESIS Flashcards
incase of decreased iron levels Pt will develop
anemia
incase of increased iron levels Pt will develop
iron overload diseases
blood picture in iron Def. anemia
hypochromic microcytic
causes of iron def. anemia
- nutritional
- increased demand
- inflammation
- reduced absorption
normal serum ferritin range
50-200
iron overload without tissue damage
hemosiderosis
iron overload with tissue damage
Hemochromatosis
hemochromatosis is due to
Ingested iron is not eliminated
mention a condition that is associated with iron overload
Alcoholic liver disease
more soluble form of iron
Ferrous / Fever 2+
iron form less soluble at neutral / alkaline PH
ferric / Fe3+
ferric form is less soluble due to
they form large complex anions / peroxides
type of iron in meat , fish . Poultry
Heme iron
type of of iron found in meat , fish , cereals , pulses
nonheme iron
site of absorption of iron
Proximal duodenum & upper jejunum
molecule that absorbs heme iron in proximal intestines
HT/HCP1
reduction from ferric form to ferrous form is done by
Duodenal cytochrome B
transporter protein of iron through the intestinal lumen
divalent metal transporter1 / DMT1
major storage site for iron
liver
major utilization site of iron
bone marrow
MOA of hepcidin
Antagonising action of ferroportin
site of heme synthesis
Erythroid cells of bone Marrow
hepatocytes
site of synthesis of delta aminolevulinic acid
Mitochondria
enzyme responsible for rate limiting step in heme synthesis
d-Aminolevulinate Synthase