The Importance Of Iron In Pathophysiologic Conditions

The Importance Of Iron In Pathophysiologic Conditions
Author: Raffaella Gozzelino
Publisher: Frontiers Media SA
Total Pages: 481
Release: 2015-06-09
Genre: Science (General)
ISBN: 2889195244

The iron element (Fe) is strictly required for the survival of most forms of life, including bacteria, plants and humans. Fine-tuned regulatory mechanisms for Fe absorption, mobilization and recycling operate to maintain Fe homeostasis, the disruption of which leads to Fe overload or Fe depletion. Whereas the deleterious effect of Fe deficiency relies on reduced oxygen transport and diminished activity of Fe-dependent enzymes, the cytotoxicity induced by Fe overload is due to the ability of this metal to act as a pro-oxidant and catalyze the formation of highly reactive hydroxyl radicals via the Fenton chemistry. This results in unfettered oxidative stress generation that, by inducing protein, lipid and DNA oxidation, leads to Fe-mediated programmed cell death and organ dysfunction. Major and systemic Fe overloads occurring in hemochromatosis and Fe-loading anemias have been extensively studied. However, localized tissue Fe overload was recently associated to a variety of pathologies, such as infection, inflammation, cancer, cardiovascular and neurodegenerative disorders. In keeping with the existence of cross-regulatory interactions between Fe homeostasis and the pathophysiology of these diseases, further investigations on the mechanisms that provide cellular and systemic adaptation to tissue Fe overload are instrumental for future therapeutic approaches. Thus, we encourage our colleagues to submit original research papers, reviews, perspectives, methods and technology reports to contribute their findings to a current state of the art on a comprehensive overview of the importance of iron metabolism in pathophysiologic conditions.

Iron Physiology and Pathophysiology in Humans

Iron Physiology and Pathophysiology in Humans
Author: Gregory J. Anderson
Publisher: Springer Science & Business Media
Total Pages: 705
Release: 2012-01-14
Genre: Medical
ISBN: 1603274855

Iron Physiology and Pathophysiology in Humans provides health professionals in many areas of research and practice with the most up-to-date and well-referenced volume on the importance of iron as a nutrient and its role in health and disease. This important new volume is the benchmark in the complex area of interrelationships between the essentiality of iron, its functions throughout the body, including its critical role in erythropoiesis, the biochemistry and clinical relevance of iron-containing enzymes and other molecules involved in iron absorption, transport and metabolism, he importance of optimal iron status on immune function, and links between iron and the liver, heart, brain and other organs. Moreover, the interactions between genetic and environmental factors and the numerous co-morbidities seen with both iron deficiency and iron overload in at risk populations are clearly delineated so that students as well as practitioners can better understand the complexities of these interactions. Key features of the volume include an in-depth index and recommendations and practice guidelines are included in relevant chapters. The volume contains more than 100 detailed tables and informative figures and up-to-date references that provide the reader with excellent sources of information about the critical role of iron nutrition, optimal iron status and the adverse clinical consequences of altered iron homeostasis. Iron Physiology and Pathophysiology in Humans is an excellent new text as well as the most authoritative resource in the field.

Iron Physiology and Pathophysiology in Humans

Iron Physiology and Pathophysiology in Humans
Author: Gregory J. Anderson
Publisher: Humana Press
Total Pages: 704
Release: 2016-08-23
Genre: Medical
ISBN: 9781493957651

Iron Physiology and Pathophysiology in Humans provides health professionals in many areas of research and practice with the most up-to-date and well-referenced volume on the importance of iron as a nutrient and its role in health and disease. This important new volume is the benchmark in the complex area of interrelationships between the essentiality of iron, its functions throughout the body, including its critical role in erythropoiesis, the biochemistry and clinical relevance of iron-containing enzymes and other molecules involved in iron absorption, transport and metabolism, he importance of optimal iron status on immune function, and links between iron and the liver, heart, brain and other organs. Moreover, the interactions between genetic and environmental factors and the numerous co-morbidities seen with both iron deficiency and iron overload in at risk populations are clearly delineated so that students as well as practitioners can better understand the complexities of these interactions. Key features of the volume include an in-depth index and recommendations and practice guidelines are included in relevant chapters. The volume contains more than 100 detailed tables and informative figures and up-to-date references that provide the reader with excellent sources of information about the critical role of iron nutrition, optimal iron status and the adverse clinical consequences of altered iron homeostasis. Iron Physiology and Pathophysiology in Humans is an excellent new text as well as the most authoritative resource in the field.

The Role of Iron in Lung Pathophysiology

The Role of Iron in Lung Pathophysiology
Author: Vida Zhang
Publisher:
Total Pages: 114
Release: 2022
Genre:
ISBN:

Iron is an essential trace mineral for normal biological function, and systemic iron homeostasis is tightly regulated via complex systemic mechanisms and iron transporters. While there has been much focus on systemic iron regulation and homeostasis, iron regulation in the lung has not been well characterized. In addition, little is understood about the regulation of iron transporters and their role in specific cell types and under different pathophysiological conditions in the lung. Altered iron levels have also been associated with various lung pathologies, with iron overload associated with acute lung iron injury and idiopathic pulmonary fibrosis severity and iron deficiency correlating with worse pulmonary arterial hypertension (PAH). Our goals were to elucidate the effect of iron dysregulation in multiple lung pathologies and to further explore the role of iron transporters in the lung. For Chapters One and Two, we utilized hepcidin knockout mice (HKO) as a model of severe iron overload. In Chapter One, we induced acute lung injury (ALI) in HKO mice and wild-type (WT) littermates via oropharyngeal aspiration (OP) of lipopolysaccharide. While we did not observe any major differences in systemic inflammatory response or airway neutrophil infiltration, we did notice a mild and transient increase in vascular leakage and increased neutrophil activity, potentially due to increased lung tissue apoptosis. In Chapter Two, we treated HKO mice and WT littermates with bleomycin OP to induce pulmonary fibrosis and did not observe any effect of iron overload on lung collagen levels nor any differences in overall disease severity. Together, these data indicate that despite increased lung iron levels in human patients with ALI or idiopathic pulmonary fibrosis, iron overload may not play a significant role in the progression of either disease. In Chapter Three, we examined the role of ZIP8, a transmembrane divalent metal ion importer that is most highly expressed in the lung and inducible by inflammatory stimuli. We generated and characterized a novel global inducible ZIP8 knockout (KO) mouse and observed an unexpected phenotype of elevated spleen iron levels and decreased serum iron in ZIP8 KO mice. These data suggest that ZIP8 plays a role in iron recycling during homeostasis. However, we did not see any difference in response to the stress states of hemolytic anemia or iron deficiency in ZIP8 KO versus wild-type mice, suggesting that Zip8 may be redundant in this system. We also showed that ZIP8 is expressed on lung distal airspace epithelial cells and transports iron from the airway into lung tissue. ZIP8 deletion, however, had no detrimental effect on the severity of LPS-induced acute lung injury or on the outcomes of Klebsiella pneumoniae lung infection. Thus, ZIP8 plays a role in systemic iron homeostasis but does not modulate the severity of inflammatory lung injury or the host defense against a common bacterial cause of pneumonia. In Chapter Four, our goal was to establish a mouse model of iron deficiency in bone morphogenetic protein (BMP) type II receptor (Bmpr2)-associated PAH, as mutations in Bmpr2 are the most common genetic cause of PAH. We placed mice heterozygous for a Bmpr2-null allele and littermate controls on a low-iron diet to induce iron deficiency. Surprisingly, we found that iron-deficient Bmpr2 heterozygous mice may have less severe PAH than corresponding controls as evidenced by hemodynamics. We determined that while there are associations between iron deficiency and PAH potentially through Bmpr2, the Bmpr2 mutant mouse model is not the appropriate model for elucidating this relationship. Chapter Five explored the role of erythroferrone (ERFE) in a mouse model of b-thalassemia. ERFE is an erythroid hormone that increases iron availability by functioning as a BMP trap and inhibiting the master iron regulatory hormone hepcidin. Humans with b-thalassemia and other forms of ineffective erythropoiesis produce very high levels of ERFE. To define the contribution of excessive ERFE levels on the severity of b-thalassemia, we generated a "humanized" mouse model of b-thalassemia by crossing mice overexpressing ERFE with Th3/+ mice, a b-thalassemia mouse model that does not expresses high levels of ERFE. We found that elevated ERFE levels impair pup survival in a mouse model of b-thalassemia during early life and greatly increase iron loading in the context of ineffective erythropoiesis. These findings suggest that targeting ERFE in [Beta]-thalassemia should be further studied for potential therapeutic applications. In conclusion, we have examined the effect of iron overload and deficiency as well as the role of iron regulators and transporters on lung iron homeostasis and pathologies. Using various mouse models, we have characterized the effects of iron during ALI, pulmonary fibrosis and pulmonary vascular disease, the role of ZIP8 in iron pathophysiology, and the role of ERFE in [Beta]-thalassemia

Hemochromatosis

Hemochromatosis
Author: James C. Barton
Publisher: Cambridge University Press
Total Pages: 622
Release: 2000-01-13
Genre: Medical
ISBN: 9780521593809

Once considered a rare condition, hemochromatosis is now acknowledged as one of the commonest inherited disorders, affecting one in two hundred people of Western Caucasian descent and in the U.S. alone, over one million people. This is the most comprehensive clinical reference yet on hemochromatosis. The international team of 94 authors from twelve countries includes specialists in internal medicine, hematology, hepatology, genetics, biochemistry, and molecular biology. In 57 in-depth chapters they cover all aspects of pathophysiology, epidemiology, diagnosis and treatment. The text thoroughly explains the latest developments in the genetics of the disorder, including sections on screening, diagnostic techniques, and clinical complications. In addition, chapters consider social and ethical issues. With over 200 illustrations--including 40 color plates--this is today's definitive resource for all clinicians involved in the management of hemochromatosis, and for scientists interested in iron metabolism and iron overload.

The Role of Iron in Bacterial Pathogenesis

The Role of Iron in Bacterial Pathogenesis
Author: Susu M Zughaier
Publisher: Frontiers Media SA
Total Pages: 156
Release: 2018-12-27
Genre:
ISBN: 2889456625

The collection of articles published in this eBook represent different facets of the interactions between pathogens and their host concerning the battle for iron. Pathogens have developed different strategies to acquire iron from their host. These include the production of siderophores, heme acquisition and ferrous iron uptake.

Iron Metabolism

Iron Metabolism
Author: Franz Gross
Publisher: Springer Science & Business Media
Total Pages: 645
Release: 2012-12-06
Genre: Medical
ISBN: 3642871526

International Symposia sponsored by ClBA Basle have been held once a year since 1959 in various European countries. In con trast to the many scientific meetings organised by the ClBA FOUN DATION either at its headquarters in London or occasionally abroad, the subjects dealt with at these International Symposia have con cerned problems more directly related to ClBA'S own research work in the pharmaceutical field. The various topics covered up to the present reflect the far-reaching interests and the wide spread activities that a pharmaceutical enterprise develops in quite diverse fields of chemical, biological, and medical research, and to which the ba.sic approach is an increasingly important prerequisite for the development of a new and useful therapeutic agent. Iron metabolism came into the sphere of interest in connection with CIBA'S research on antibiotics and related natural products containing iron, substances which act in their metal-free form as strong and specific chelating agents. Of course, these observations, interesting though they are, would not in themselves have justi fied a symposium. It seemed, however, useful to examine the new results from a wider perspective and to attempt to relate them to present-day knowledge of iron metabolism in general its physiology, its pathology, and therapeutic aspects. The success of a scientific symposium depends on the concep tion of the programme and the selection of the participants.

Disorders of Hemoglobin

Disorders of Hemoglobin
Author: Martin H. Steinberg
Publisher: Cambridge University Press
Total Pages: 883
Release: 2009-08-17
Genre: Medical
ISBN: 0521875196

Completely revised new edition of the definitive reference on disorders of hemoglobin.

The Perioperative Neurocognitive Disorders

The Perioperative Neurocognitive Disorders
Author: Roderic G. Eckenhoff
Publisher: Cambridge University Press
Total Pages: 219
Release: 2019-03-28
Genre: Medical
ISBN: 1107559200

A practical guide to perioperative cognitive disorders, the most common complications of anesthesia and surgery in older people.

Essentials of Blood Product Management in Anesthesia Practice

Essentials of Blood Product Management in Anesthesia Practice
Author: Corey S. Scher
Publisher: Springer Nature
Total Pages: 469
Release: 2021-03-12
Genre: Medical
ISBN: 3030592952

This comprehensive book is written to inform and improve outcomes of patients in need of blood management during surgical procedures. Information is presented in an accessible format, allowing for immediate use in clinical practice. Beginning with an overview of the history of blood transfusions, early chapters present the foundational information needed to comprehend information in later chapters. Nuanced procedures, drugs, and techniques are covered, including new biologicals to assist clotting and blood substitutes. Further discussions focus on potential complications seen in blood transfusions, such as diseases of the coagulation system, pathogen transmissions, and acute lung injuries. Chapters also examine the complexities of treating specific demographics, of which include the geriatric patient and patients suffering from substance abuse. Essentials of Blood Product Management in Anesthesia Practice is an invaluable guide for anesthesiologists, surgeons, trauma physicians, and solid organ transplant providers.