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Iron Metabolism
October 17 Lecture
26
Immunology
Graduate
10/19/2011

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Term
Iron in an essential element that when bound in tissues is bound or incorporated into various heme proteins such as:
Definition
1) hemoglobin
2) myoglobin
3) cytochromes
4) peroxidases
5) catalases
6) flavoproteins in NADH dehydrogenase
Term
Both iron _______ and iron ______ cause significant disease
Definition
deficiency

excess
Term
Proximal intestinal mucosal cell
Definition
This is where iron is absorbed
Term
Iron is transported across the cell and it
Definition
enters the plasma and is delivered to the tissues
Term
oxidized iron
Definition
ferric iron (Fe3+)

toxic to cells and also precipitates in the alkaline media of the duodenum and jejunum where iron is best absorbed
Term
Regarding iron regulation, 6 complex systems have been developed
Definition
1) chelate ferric iron in the intestine preventing precipitation
2) store iron in a non-toxic form intracellularly
3) transport iron across cell membranes
4) transport iron in the blood in a safe manner
5) reduce iron intracellularly so it can be used for heme synthesis
6) regulate absorption
Term
3 major determinants of iron absorption are
Definition
1) total body iron stores
2) hypoxia
3) level of erythropoiesis
Term
systemic inflammation
Definition
this can also have a profound effect on iron absorption and metabolism and is significant clinical issue for many individuals
Term
regulation of absorption, uptake, and macrophage release of iron is regulated by 2 things:
Definition
1) primarily by hepcidin protein which is made in the liver
2) by messenger RNA modification of key proteins by the IRE/IRP network
Term
Megakaryocyte
Definition
very large cell that undergoes endomitosis (nuclear division without cytoplasmic division) and produces platelets (cytoplasm breaks into many fragments)

one of these can make up to 20,000 platelet fragments
Term
Thrombopoetin
Definition
this helps generate platelets from megakaryocytes
Term
canniliculus system
Definition
deep invaginations of surface membrane, to prevent bleeding, surface membrane evagniates and will expand, and cellular contents will leave cell by fusing with other components of membrane and the diffuses out of cell
Term
PLT's have 3 types of granules
Definition
1) lysosomal
2) Alpha (have hundreds of kinds of proteins in them that assist in blood coagulation)
3) Dense (look dense under electron micrograph bc they have calcium, ADP and ATP)
Term
Important Proteins in Iron Metabolism
Definition
1) Transport/Absorption
-Transferrin
-Transferrin receptors (TFR1, TFR2),
-DMT1, Dcytb (ferri-reductase), ferroportin, hephaestin, cerluoplasmin
-HFE
HCPI-heme carrier protein I
2) Storage
-Ferritin
-Hemosiderin
3) Regulation
-Hepcidin, IRP, IRE, hemojuvelin, TFR2, TFR1, HFE, SMAD, BMP
4) Metabolism
-Heme oxidase
Term
different general ways to regulate iron absorption
Definition
-crypt regulation
-hepcidin
-hypoxia/anemia
-erythropoiesis
-inflammation
-body iron stores
Term
Heme synthesis requires how many enzymes?
Definition
8

4 in cytoplasm
4 in mitochondria
Term
ALA synthase (ALA-Aminolevulinic acid synthase)
Definition
an enzyme necessary in heme synthesis
Term
Canniliculus system:
Definition
deep invaginations of surface membrane. to prevent blooding, surface membrane evaginates and will expand, and cellular contents will leave cell by fusing with other components of membrane and then diffuses out of cell
Term
The process of cellular Iron uptake (RBC precursors)
Definition
Iron in extracelluar space binds to Apo-Tf, and then both together bind to TfR on the cell membrane. This big complex gets wrapped up into a clathrin-coated vesicle that becomes the endosome that travels into the cytoplasm. The iron lets go of the complex while still in the endosome as the proton pump in the endosome pumps hydrogens inside (makes pH 5.5). The acidified endosome has a DMT1 (divalent metal transporter 1) through its membrane which then allows the iron to get released out of the endosome into the cytoplasm stored as ferritin then to hemosiderin
Term
iron transport out of the macrophage and hepatocyte is by two molecules
Definition
ferroportin and hephaestin
Term
Regulation of iron absorption
Definition
-crypt regulation
-hepcidin
-hypoxia/anemia
-erythropoiesis
-inflammation
-body iron stores
Term
crypt theory-
Definition
cells at the absortive surface have a phenotype that is driven by level of iron exposure when the cell was in the crypt, mucosal cells in duodenal crypts are exposed to iron in blood, level of absorptive proteins (DMT1) are regulated....

ex.high blood iron results in low levels of DMT1 expression
Term
high blood iron results in ______ levels of DMT1 expression
Definition
low
Term
If you have a lot of iron going to the liver will hepcidin be made or inhibited?
Definition
made
Term
if you are deficient in iron, have hypoxia, HIF, will hepcidin be made/inhibited?
Definition
inhibited
Term
Process of heme degradation
Definition
Heme --> Biliverdin (goes to bilirubin) + Fe (gets stored or recycled) + CO (released to blood and exhaled)
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