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Mind map

Iron Metabolism

hardinbc Biochemistry English

Mind map on iron metabolism: reactions, distribution, transport and storage, nutrition and disease

Mind map: iron metabolism

Map content

Iron Metabolism

  1. Reactions

    • redox
      • accept e-
        • ferrous (Fe2+)
      • donate e-
        • ferric (Fe3+)
      • physiology
        • electron transport
          • Fe-S clusters, cytochromes
            • respiratory chain
      • pathophys
        • free Fe
          • lipid peroxidation
            • PUFAs
            • atherogenesis
    • Fenton
      • free radical formation
        • ROS
          • H2O2
      • free iron
        • injured tissue
        • breakdown of heme
  2. Distribution

    • major
      • hemoglobin
        • RBC
          • 1800 mg
    • minor
      • muscle fibers
        • 300 mg
      • liver
        • 1000 mg
      • macrophages
        • 600 mg
  3. Transport/Storage

    • plasma
      • transferrin
        • 30% saturated
    • cell storage
      • ferritin
        • interact w/ ceruloplasmin or hephaestin
          • binds transferrin
            • transported
    • other binders
      • neutrophils
        • lactoferrrin
      • tissue injury
        • hemosiderin
      • mitochondrial storage protein
        • frataxin
  4. Steps of Metabolism

    • 1) intestinal absorption of ferrous
      • stomach
        • low pH
          • reduce iron (III) --> (II)
      • intestines
        • alkaline environment
          • heme
            • direct absorption
              • mucosal cells
                • iron dissociates
              • free iron
                • oxidized
                  • (II)-->(III)
                    • reduced again
                      • taken up by mucosal
      • transport across epithelium
        • apical
          • DMT1
        • basolateral
          • ferroportin
            • requires hepaestin
      • regulation
        • dietary regulator
          • short term
          • decrease DMT1
        • stores regulator
          • hepcidin
            • responds to total body iron
            • 25 aa peptide
            • regulate export
              • intestinal cells
              • macrphages
              • hepatocytes
            • inactivates ferroportin
              • induces internalization
                • lysosomal degradation
            • synthesis regulation
              • activates
                • inflammation
              • inhibits
                • iron deficiency
                • increased erythropoiesis
                • hypoxia
        • erythropoietic regulator
          • modulate reabsorption based on erythropoiesis requirements
            • no reponse to iron
    • 3) cellular uptake and storage in ferritin and frataxin
      • transferrin receptor
        • uptake at PM
          • di-ferric transferrin internalized
            • endocytosis
      • regulation
        • IRP-1
          • cytosolic aconitase
            • RNA binding protein
              • cells iron depleted
            • cell ironreplet
          • senses iron depletion/oxidative stress
          • activation
            • binds 2 mRNAs
              • ferritin IRE
                • 5' untranslatable regioon
                  • inhibits translation
              • transferrin receptor
                • 3' untranslatable region
                  • increases translation
            • overall effect
              • decrease ferritin synthesis
              • increase transferrin receptor synthesis
                • increase cellular uptake
    • 2) plasma transport by transferrin
      • Fe (III) delivered to apo-transferrin
        • transport to diff tissues
          • binds 2 Fe (III) atoms
        • from bone marrow
  5. Nutrition

    • dietary sources
      • liver, red meat, eggs, whole grain, dried fruit, beans, drinking water, iron cooking pots
        • SPINACH
    • absorption
      • enhanced
        • ascorbic acid, dietary protein, erythropoiesis, hypoxia, low stores
      • inhibited
        • oxalic acid, coffee, tea, bran, egg yolk, soybean products, calcium, polyphenols, excess metals, inflammation, achlorydria
    • excretion
      • limited capacity
        • transferrin bound
          • not excreted in kidney
        • chelators
          • excretable
      • hemorrhage
  6. Disease

    • deficiency
      • anemia
      • impaired immune resonse
      • initial
        • no symptoms
      • diagnosis
        • < 20% transferrin sat
      • treatment
        • ferrous sulfate
        • packed RBCs
    • iron overload
      • acute iron poisoning
        • hypotension
        • metablolic acidosis
        • coma
      • chronic iron overload
        • patients who receive transfusions
          • congenital anemias
      • ineffective erythropoiesis
        • increased iron absorption
          • certain anemias
            • destroy erythrocytes in bone marrow
              • signal erythroid regulator
                • increased iron absorption
        • conditions
          • thalassemias
          • sideroblastic anemias
    • Hereditary Hemochromatosis HH)
      • iron overload
      • mutation
        • HFE gene
          • caucasian
            • carrier = 1/10
        • TFR2
        • HJV
      • absorb/store too efficiently
      • symptoms
        • iron accumulation
          • oxidative damage in these tissues
            • liver
              • cirrhosis
            • heart
              • cardiomyopathy
            • pancreas
              • DM
            • skin
              • pigmentation
            • joints
              • polyarthropathy
            • gonads
              • hypogonadotrophic hypogonadism
      • treatment
        • phlebotomy
          • chelators
        • before organ damage
    • Anemia of chronic disease (ACD)
      • impaired utilization of iron
        • no deficiency/excess
      • defect
        • blockage
          • stores --> erythroid precursors
      • treatment
        • underlying cause
      • disease leads to ACD
        • chronic infections
        • inflammatory bowel disease
        • neoplasia
        • autoimmune disease
        • mechanism
          • inflammatory cytokines
            • IL6
            • Hepcidin upregulated

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Description
Biochemistry Mind Map on Iron Metabolism, created by hardinbc on 02/05/2013.
Created by
hardinbc
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