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Human iron metabolism

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source. Generally, the best-absorbed forms of iron come from animal products. Absorption of dietary iron in iron salt form (as in most supplements) varies somewhat according to the body's need for iron, and is usually between 10% and 20% of iron intake. Absorption of iron from animal products, and some plant products, is in the form of heme iron, and is more efficient, allowing absorption of from 15% to 35% of intake. Heme iron in animals is from blood and heme-containing proteins in meat and mitochondria, whereas in plants, heme iron is present in mitochondria in all cells that use oxygen for respiration.
691:. TFR1 has a 30-fold higher affinity for transferrin-bound iron than TFR2 and thus is the main player in this process. The higher order multifunctional glycolytic enzyme glyceraldehyde-3-phosphate dehydrogenase (GAPDH) also acts as a transferrin receptor. Transferrin-bound ferric iron is recognized by these transferrin receptors, triggering a conformational change that causes endocytosis. Iron then enters the cytoplasm from the endosome via importer DMT1 after being reduced to its ferrous state by a STEAP family reductase. 329: 970: 31: 539: 494:, which is an ill-defined deposit of protein and iron, created by macrophages where excess iron is present, either locally or systemically, e.g., among people with iron overload due to frequent blood cell destruction and the necessary transfusions their condition calls for. If systemic iron overload is corrected, over time the hemosiderin is slowly resorbed by the macrophages. 402: 1125:). The exact mechanisms of most of the various forms of adult hemochromatosis, which make up most of the genetic iron overload disorders, remain unsolved. So, while researchers have been able to identify genetic mutations causing several adult variants of hemochromatosis, they now must turn their attention to the normal function of these mutated genes. 871: 139: 628:, a 25-amino acid peptide hormone. The body regulates iron levels by regulating each of these steps. For instance, enterocytes synthesize more Dcytb, DMT1 and ferroportin in response to iron deficiency anemia. Iron absorption from diet is enhanced in the presence of vitamin C and diminished by excess calcium, zinc, or manganese. 434:. The liver stores of ferritin are the primary physiologic source of reserve iron in the body. The reserves of iron in industrialized countries tend to be lower in children and women of child-bearing age than in men and in the elderly. Women who must use their stores to compensate for iron lost through 308:
is safe. Also, there are virtually no truly free iron ions in the cell, since they readily form complexes with organic molecules. However, some of the intracellular iron is bound to low-affinity complexes, and is termed labile iron or "free" iron. Iron in such complexes can cause damage as described
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The body is able to substantially reduce the amount of iron it absorbs across the mucosa. It does not seem to be able to entirely shut down the iron transport process. Also, in situations where excess iron damages the intestinal lining itself (for instance, when children eat a large quantity of iron
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expression (leading to higher concentrations of intracellular iron) survive for a shorter period of time on average, while high ferroportin expression predicts 90% 10-year survival in breast cancer patients. Similarly, genetic variations in iron transporter genes known to increase serum iron levels
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Chronic iron toxicity is usually the result of more chronic iron overload syndromes associated with genetic diseases, repeated transfusions or other causes. In such cases the iron stores of an adult may reach 50 grams (10 times normal total body iron) or more. The most common diseases of iron
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Müller, Sebastian; Sindikubwabo, Fabien; Cañeque, Tatiana; Lafon, Anne; Versini, Antoine; Lombard, Bérangère; Loew, Damarys; Wu, Ting-Di; Ginestier, Christophe; Charafe-Jauffret, Emmanuelle; Durand, Adeline; Vallot, Céline; Baulande, Sylvain; Servant, Nicolas; Rodriguez, Raphaël (1 October 2020).
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Both ferritin and ferroportin contain an IRE in their 5' UTRs, so that under iron deficiency their translation is repressed by IRP2, preventing the unnecessary synthesis of storage protein and the detrimental export of iron. In contrast, TFR1 and some DMT1 variants contain 3' UTR IREs, which bind
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internalize the complex “Fe-transferrin-transferrin receptor 1 (TfR1)” in endosome, reduce ferric Fe ion to ferrous Fe ion by STEAP3 enzyme and then Fe ion crosses the endosomal membrane thanks to DMT1. Fe is then exported to the extracellular matrix (ECM) and interstitial fluid, via ferroportin
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causes the internalization of ferroportin, decreasing iron export. Besides, hepcidin seems to downregulate both TFR1 and DMT1 through an unknown mechanism. Another player assisting ferroportin in effecting cellular iron export is GAPDH. A specific post translationally modified isoform of GAPDH is
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a day for men, and 1.5–2 mg a day for women with regular menstrual periods. People with gastrointestinal parasitic infections, more commonly found in developing countries, often lose more. Those who cannot regulate absorption well enough get disorders of iron overload. In these diseases, the
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that can oxidize Fe to Fe and is found mainly in the small intestine, helps ferroportin transfer iron across the basolateral end of the intestine cells. Upon release into the bloodstream, Fe binds transferrin and circulates to tissues. In contrast, ferroportin is post-translationally repressed by
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Iron toxicity results when the amount of circulating iron exceeds the amount of transferrin available to bind it, but the body is able to vigorously regulate its iron uptake. Thus, iron toxicity from ingestion is usually the result of extraordinary circumstances like iron tablet over-consumption
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Alternatively, iron can enter the cell directly via plasma membrane divalent cation importers such as DMT1 and ZIP14 (Zrt-Irt-like protein 14). Again, iron enters the cytoplasm in the ferrous state after being reduced in the extracellular space by a reductase such as STEAP2, STEAP3 (in red blood
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The human body's rate of iron absorption appears to respond to a variety of interdependent factors, including total iron stores, the extent to which the bone marrow is producing new red blood cells, the concentration of hemoglobin in the blood, and the oxygen content of the blood. The body also
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The absorption of dietary iron is a variable and dynamic process. The amount of iron absorbed compared to the amount ingested is typically low, but may range from 5% to as much as 35% depending on circumstances and type of iron. The efficiency with which iron is absorbed varies depending on the
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In the cytoplasm, ferrous iron is found in a soluble, chelatable state which constitutes the labile iron pool (~0.001 mM). In this pool, iron is thought to be bound to low-mass compounds such as peptides, carboxylates and phosphates, although some might be in a free, hydrated form
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of the duodenal lining. These cells have special molecules that allow them to move iron into the body. To be absorbed, dietary iron can be absorbed as part of a protein such as heme protein or iron must be in its ferrous Fe form. A ferric reductase enzyme on the enterocytes'
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trigger the upregulation of CD44, a surface molecule capable of internalizing iron bound to the hyaluronan complex. This alternative pathway, relying on CD44-mediated endocytosis, becomes the dominant iron uptake mechanism compared to the traditional TfR1-dependent route.
316:. This binding allows cells to benefit from iron while also limiting its ability to do harm. Typical intracellular labile iron concentrations in bacteria are 10-20 micromolar, though they can be 10-fold higher in anaerobic environment, where free radicals and 358:
they must pay. That means that iron-deprived bacteria reproduce more slowly. So, control of iron levels appears to be an important defense against many bacterial infections. Certain bacteria species have developed strategies to circumvent that defense,
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is contained in the hemoglobin needed to carry oxygen through the blood (around 0.5 mg of iron per mL of blood), and most of the rest (approximately 2 grams in adult men, and somewhat less in women of childbearing age) is contained in
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tablets produced for adult consumption), even more iron can enter the bloodstream and cause a potentially deadly syndrome of iron overload. Large amounts of free iron in the circulation will cause damage to critical cells in the liver, the
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Lane, D.J.R.; Merlot, A.M.; Huang, M.L.-H.; Bae, D.-H.; Jansson, P.J.; Sahni, S.; Kalinowski, D.S.; Richardson, D.R. (May 2015). "Cellular iron uptake, trafficking and metabolism: Key molecules and mechanisms and their roles in disease".
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from tea, although in all three of these studies the effect was small and the authors of the studies cited regarding bran and tea note that the effect will probably only have a noticeable impact when most iron is obtained from vegetable
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Panel on Micronutrients; Subcommittees on Upper Reference Levels of Nutrients and of Interpretation and Uses of Dietary Reference Intakes; the Standing Committee on the Scientific Evaluation of Dietary Reference Intakes (2001).
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is the primary clinical manifestation of iron deficiency. Iron-deficient people will suffer or die from organ damage well before their cells run out of the iron needed for intracellular processes like electron transport.
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Most of the iron in the body is hoarded and recycled by the reticuloendothelial system, which breaks down aged red blood cells. In contrast to iron uptake and recycling, there is no physiologic regulatory mechanism for
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Malignant cells often exhibit a heightened demand for iron, fueling their transition towards a more invasive mesenchymal state. This iron is necessary for the expression of mesenchymal genes, like those encoding
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and the average number of years spent in good health. It has been suggested that mutations that increase iron absorption, such as the ones responsible for hemochromatosis (see below), were selected for during
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Although this mechanism is an elegant response to short-term bacterial infection, it can cause problems when it goes on so long that the body is deprived of needed iron for red cell production. Inflammatory
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at the systemic and cellular level. Iron is both necessary to the body and potentially toxic. Controlling iron levels in the body is a critically important part of many aspects of human health and disease.
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pathway (illustrated in the upper right segment of the image), where the complex “Fe-transferrin-transferrin receptor 1 (TfR1)” undergoes endocytosis and exocytosis from the luminal pole to the cerebral
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Acid-reducing medications: Acid-reducing medications reduce the absorption of dietary iron. These medications are commonly used for gastritis, reflux disease, and ulcers. Proton pump inhibitors (PPIs),
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Most well-nourished people in industrialized countries have 4 to 5 grams of iron in their bodies (~38 mg iron/kg body weight for women and ~50 mg iron/kg body for men). Of this, about
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Conventional iron uptake pathways, such as those using the transferrin receptor 1 (TfR1), often prove insufficient to meet these elevated iron demands in cancer cells. As a result, various
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McKie AT, Barrow D, Latunde-Dada GO, Rolfs A, Sager G, Mudaly E, Mudaly M, Richardson C, Barlow D, Bomford A, Peters TJ, Raja KB, Shirali S, Hediger MA, Farzaneh F, Simpson RJ (Mar 2001).
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Du F, Qian C, Qian ZM, Wu XM, Xie H, Yung WH, Ke Y (Jun 2011). "Hepcidin directly inhibits transferrin receptor 1 expression in astrocytes via a cyclic AMP-protein kinase A pathway".
4512: 818:(for use in catalysis). The labile iron pool is potentially toxic due to iron's ability to generate reactive oxygen species. Iron from this pool can be taken up by mitochondria via 346:". If bacteria are to survive, then they must obtain iron from their environment. Disease-causing bacteria do this in many ways, including releasing iron-binding molecules called 838:, which can be problematic in cases of iron overload. The ferritin storage iron pool is much larger than the labile iron pool, ranging in concentration from 0.7 mM to 3.6 mM. 991:
Nutritional deficiency. This can result due to a lack of dietary iron or consumption of foods that inhibit iron absorption. Absorption inhibition has been observed caused by
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Boradia, Vishant Mahendra; Raje, Manoj; Raje, Chaaya Iyengar (1 December 2014). "Protein moonlighting in iron metabolism: glyceraldehyde-3-phosphate dehydrogenase (GAPDH)".
636:, in order to deprive bacteria of iron. Recent discoveries demonstrate that hepcidin regulation of ferroportin is responsible for the syndrome of anemia of chronic disease. 850:, red blood cells, macrophages and enterocytes. The latter two are especially important since systemic iron levels depend upon them. There is only one known iron exporter, 542:
Hephaestin is an enzyme that helps release iron from enterocytes. The regulation of hephaestin expression is one of the mechanisms that control iron absorption by the body.
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Annibale, Bruno; Capurso, Gabriele; Martino, Gina; Grossi, Cristina; Delle Fave, Gianfranco (December 2000). "Iron deficiency anaemia and Helicobacter pylori infection".
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Kumar S, Sheokand N, Mhadeshwar MA, Raje CI, Raje M (Jan 2012). "Characterization of glyceraldehyde-3-phosphate dehydrogenase as a novel transferrin receptor".
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Andrews S, Norton I, Salunkhe AS, Goodluck H, Aly WS, Mourad-Agha H, Cornelis P (2013). "Chapter 7, Control of Iron Metabolism in Bacteria". In Banci L (ed.).
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Pinnix, Zandra K.; Miller, Lance D.; Wang, Wei; D'Agostino, Ralph; Kute, Tim; Willingham, Mark C.; Hatcher, Heather; Tesfay, Lia; Sui, Guangchao (2010-08-04).
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is devoted to cellular proteins that use iron for important cellular processes like storing oxygen (myoglobin) or performing energy-producing redox reactions (
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are scarcer. In mammalian cells, intracellular labile iron concentrations are typically smaller than 1 micromolar, less than 5 percent of total cellular iron.
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Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc
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recruited to the surface of iron loaded cells where it recruits apo-transferrin in close proximity to ferroportin so as to rapidly chelate the iron extruded.
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Muckenthaler MU, Galy B, Hentze MW (2008). "Systemic iron homeostasis and the iron-responsive element/iron-regulatory protein (IRE/IRP) regulatory network".
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Although some control exists at the transcriptional level, the regulation of cellular iron levels is ultimately controlled at the translational level by
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Iron Disorders Institute: A nonprofit group concerned with iron disorders; site has helpful links and information on iron-related medical disorders.
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store iron as part of the process of breaking down and processing hemoglobin from engulfed red blood cells. Iron is also stored as a pigment called
1837:"Comparison of the interactions of transferrin receptor and transferrin receptor 2 with transferrin and the hereditary hemochromatosis protein HFE" 269:) is required for the functioning and survival of nearly all cell types. Oxygen is transported from the lungs to the rest of the body bound to the 4276: 931: 393:
may result. In this case, iron withholding actually impairs health by preventing the manufacture of enough hemoglobin-containing red blood cells.
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in place of iron. People with increased amounts of iron, as, for example, in hemochromatosis, are more susceptible to some bacterial infections.
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Human iron homeostasis is regulated at two different levels. Systemic iron levels are balanced by the controlled absorption of dietary iron by
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first affects the storage of iron in the body, and depletion of these stores is thought to be relatively asymptomatic, although some vague and
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against iron-deficiency anemia. The increase in systemic iron levels becomes pathological in old age, which supports the notion that
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Finney LA, O'Halloran TV (May 2003). "Transition metal speciation in the cell: insights from the chemistry of metal ion receptors".
2214: 1454: 1070:. The type of acute toxicity from iron ingestion causes severe mucosal damage in the gastrointestinal tract, among other problems. 1019:
Damage to the intestinal lining. Examples of causes of this kind of damage include surgery involving the duodenum or diseases like
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Kakhlon O, Cabantchik ZI (2002). "The labile iron pool: characterization, measurement, and participation in cellular processes".
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Functional or actual iron deficiency can result from a variety of causes. These causes can be grouped into several categories:
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iron. People lose a small but steady amount by gastrointestinal blood loss, sweating and by shedding cells of the skin and the
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Acute blood loss or acute liver cirrhosis creates a lack of transferrin therefore causing iron to be secreted from the body.
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Iron is also potentially toxic. Its ability to donate and accept electrons means that it can catalyze the conversion of
862:(mostly in enterocytes), which oxidize iron to its ferric state so it can bind ferritin in the extracellular medium. 51: 1911:
Sheokand N, Kumar S, Malhotra H, Tillu V, Raje CI, Raje M (Jun 2013). "Secreted glyceraldehye-3-phosphate [
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Like most mineral nutrients, the majority of the iron absorbed from digested food or supplements is absorbed in the
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Diagram showing a generalized view of cellular iron homeostasis in humans. Iron import can occur via endocytosis of
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Excess iron has been linked to higher rates of disease and mortality. For example, breast cancer patients with low
487: 119: 4077: 3888: 3810: 3565: 731: 390: 209: 4497: 4467: 3908: 3629: 3570: 3476: 1271:"Intracellular free iron and its potential role in ultrahigh-pressure-induced inactivation of Escherichia coli" 1110: 953: 922:, a hormone which inhibits hepcidin and so increases the availability of iron needed for hemoglobin synthesis. 217: 875: 179: 158:. Its importance lies in its ability to mediate electron transfer. In the ferrous state (Fe), iron acts as an 3903: 465:, bound to transferrin. Because of its toxicity, free soluble iron is kept in low concentration in the body. 4472: 4002: 3751: 3746: 3732: 3707: 1092: 935: 317: 301: 175: 63: 1608:"The role of hepcidin, ferroportin, HCP1, and DMT1 protein in iron absorption in the human digestive tract" 4334: 4104: 4037: 3971: 3857: 3852: 3557: 684: 680: 654: 585: 476: 205: 127: 35: 1328:"Regulation of the intracellular free iron pool by Dpr provides oxygen tolerance to Streptococcus mutans" 413:, the bone marrow produces fewer blood cells, and as the deficiency gets worse, the cells become smaller. 297:. Free radicals can cause damage to a wide variety of cellular structures, and ultimately kill the cell. 4449: 4240: 4204: 4007: 3963: 3727: 3586: 3375: 1917:] dehydrogenase is a multifunctional autocrine transferrin receptor for cellular iron acquisition". 657:. The total amount of loss for healthy people in the developed world amounts to an estimated average of 343: 4441: 4423: 4183: 4178: 4173: 3981: 3686: 3662: 3624: 3409: 3259:
Frazer DM, Anderson GJ (Oct 2005). "Iron imports. I. Intestinal iron absorption and its regulation".
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into the cell. If the iron is bound to heme, it is instead transported across the apical membrane by
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IRP2 under iron deficiency, stabilizing the mRNA, which guarantees the synthesis of iron importers.
4502: 3926: 3545: 3469: 1088: 1029: 3226:"Understanding iron homeostasis through genetic analysis of hemochromatosis and related disorders" 1036:
Inflammation leading to hepcidin-induced restriction on iron release from enterocytes (see above).
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because women can sometimes become iron-deficient from the increased iron demands of pregnancy.
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In response to a systemic bacterial infection, the immune system initiates a process known as "
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Is also a common occurrence in pregnant women, and in growing adolescents due to poor diets.
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Disler PB, Lynch SR, Charlton RW, Torrance JD, Bothwell TH, Walker RB, et al. (1975).
43: 30: 4413: 4359: 4195: 3898: 3780: 2681: 1134: 1079: 964: 747: 708: 468: 410: 355: 221: 123: 111: 611:), or the cell can release it into the body via the only known iron exporter in mammals, 3072:"Molecular biology, genetics and biochemistry of the repulsive guidance molecule family" 2979: 2243: 2076: 1509: 1286: 874:
This schematic outlines iron metabolism in the brain illustrating that iron crosses the
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IRP1 and especially IRP2. When iron levels are low, these proteins are able to bind to
919: 785: 593: 515: 159: 3207: 3182: 2855: 2345: 1352: 1327: 1209: 4491: 4339: 4288: 3847: 3534: 2964:"Multivariate genomic scan implicates novel loci and haem metabolism in human ageing" 2962:
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1377:"Hepcidin, a key regulator of iron metabolism and mediator of anemia of inflammation" 1343: 1052: 1013: 974: 915: 855: 774: 581: 294: 115: 79: 3461: 2472: 2267: 2000: 1535: 312:
To prevent that kind of damage, all life forms that use iron bind the iron atoms to
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1592: 1494:"An iron-regulated ferric reductase associated with the absorption of dietary iron" 1024: 883: 819: 633: 565: 462: 435: 360: 347: 229: 225: 187: 103: 938:(IREs). IREs are stem loop structures in the untranslated regions (UTRs) of mRNA. 350:
and then reabsorbing them to recover iron, or scavenging iron from hemoglobin and
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Arosio P, Levi S (Aug 2002). "Ferritin, iron homeostasis, and oxidative damage".
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metals across the plasma membrane, then transports iron across the enterocyte's
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from a multi-step process known as cellular respiration, more specifically from
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of enzymatic reactions that involve electron transfer (reduction and oxidation,
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activity of the ferritin heavy chain. Dysfunctional ferritin may accumulate as
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have been associated with it. Since iron is primarily required for hemoglobin,
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empowering them to invade surrounding tissues and establish distant colonies (
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toxicity of iron starts overwhelming the body's ability to bind and store it.
616: 597: 560: 527: 458: 338:. Most bacteria that cause human disease require iron to live and to multiply. 274: 256: 239:, a protein found in red blood cells that serves to transport oxygen from the 236: 107: 75: 3272: 2927: 2587: 2299: 2154: 2092: 1576: 4281: 3949: 3756: 3500: 3441: 2904:"Ferroportin and Iron Regulation in Breast Cancer Progression and Prognosis" 2251: 1749: 1732: 1518: 1493: 1084: 910:
The expression of hepcidin, which only occurs in certain cell types such as
802:). Alternatively, iron ions might be bound to specialized proteins known as 781: 646: 443: 439: 382: 374: 278: 260: 244: 167: 3280: 3251: 3216: 3150: 3105: 3056: 3005: 2945: 2863: 2765: 2689: 2654: 2605: 2548: 2507: 2464: 2429: 2388: 2353: 2318: 2259: 2172: 2110: 2039: 1992: 1938: 1897: 1862: 1853: 1836: 1821: 1812: 1795: 1758: 1717: 1676: 1641: 1584: 1527: 1402: 1361: 1312: 1255: 1217: 1179: 572:), reduces ferric Fe to Fe. A protein called divalent metal transporter 1 ( 502: 2814: 2724: 1623: 146:; "Fe" is the chemical symbol of iron, "II" indicates its oxidation state. 4262: 4249: 4219: 4209: 4155: 4130: 3037: 2796: 1294: 992: 863: 743: 625: 604: 577: 556: 426:
complexes that are present in all cells, but most common in bone marrow,
423: 386: 313: 151: 83: 59: 3127:. Metal Ions in Life Sciences. Vol. 12. Springer. pp. 203–39. 2499: 1668: 4382: 4377: 4344: 4012: 3997: 3087: 2539: 2522: 2456: 2283:"Special delivery: distributing iron in the cytosol of mammalian cells" 1004: 1000: 767: 334: 213: 155: 2562:
Berthou, Christian; Iliou, Jean Paul; Barba, Denis (5 December 2021).
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appear to mediate transfer of free iron to ferritin (for storage) and
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2579: 2146: 847: 766:(TGF-β), crucial for EMT. Notably, iron’s unique ability to catalyze 751: 735: 650: 431: 385:
stimulate the liver to produce the iron metabolism regulator protein
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Kautz L, Jung G, Valore EV, Rivella S, Nemeth E, Ganz T (Jul 2014).
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Iron Deficiency and Overload From Basic Biology to Clinical Medicine
2061:"CD44 regulates epigenetic plasticity by mediating iron endocytosis" 870: 216:. Iron is present in the iron–sulfur cluster and heme groups of the 3456: 4349: 4329: 3021:"From Environment to Genome and Back: A Lesson from HFE Mutations" 1158:
Conrad ME, Umbreit JN (Apr 2000). "Disorders of iron metabolism".
1059: 968: 869: 811: 807: 688: 608: 569: 537: 501: 461:). A relatively small amount (3–4 mg) circulates through the 427: 400: 354:. The harder the bacteria have to work to get iron, the greater a 327: 171: 138: 137: 55: 29: 1326:
Yamamoto Y, Fukui K, Koujin N, Ohya H, Kimura K, Kamio Y (2004).
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which severely reduce the surface area available for absorption.
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Hallberg L (1987). "Wheat fiber, phytates and iron absorption".
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These intestinal lining cells can then either store the iron as
573: 511: 305: 270: 240: 183: 98: 39: 4073: 3465: 3446: 1774:"Iron overload syndromes other than hereditary hemochromatosis" 730:
While EMT plays a crucial role in physiological processes like
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Biochimica et Biophysica Acta (BBA) - Molecular Cell Research
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Increased demand for iron, which the diet cannot accommodate.
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Iron is an essential bioelement for most forms of life, from
1878:
The International Journal of Biochemistry & Cell Biology
446:
have lower non-hemoglobin body stores, which may consist of
3451: 277:
in red blood cells. In muscles cells, iron binds oxygen to
1269:
Yan Y, Waite-Cusic JG, Kuppusamy P, Yousef AE (Jan 2013).
3452:
An interactive medical learning portal on iron metabolism
846:
Iron export occurs in a variety of cell types, including
830:
Iron can be stored in ferritin as ferric iron due to the
265:
The human body needs iron for oxygen transport. Oxygen (O
46:, which require the activity of iron reductases such as 1967:"Two to tango: regulation of Mammalian iron metabolism" 1234:
Andrews NC (Dec 1999). "Disorders of iron metabolism".
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Increased loss of iron (usually through loss of blood).
3694:(amino acid→pyruvate, acetyl CoA, or TCA intermediate) 2281:
Philpott, Caroline C.; Ryu, Moon-Suhn (22 July 2014).
1919:
Biochimica et Biophysica Acta (BBA) - General Subjects
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Human cells require iron in order to obtain energy as
1422:(6th ed.). Belmont, CA: Wadsworth. p. 481. 518:, much of which is recycled from old red blood cells. 3323:
Lammi-Keef CJ, Couch SC, Philipson EH, eds. (2008).
3183:"Anemia of inflammation: the cytokine-hepcidin link" 1692:"Review on iron and its importance for human health" 777:
plays a vital role in this gene expression process.
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A comprehensive NIH factsheet on iron and nutrition
2129:Kalluri, Raghu; Weinberg, Robert A. (1 June 2009). 3325:"Dietary diversification and modification of iron" 243:to other tissues. Heme groups are also present in 174:). Proteins can contain iron as part of different 62:and used for protein biosynthesis, or to generate 2131:"The basics of epithelial-mesenchymal transition" 106:have been especially interested in systemic iron 3288:Insel P, Ross D, McMahon K, Bernstein M (2011). 2881:. New York: McGraw-Hill, Medical Pub. Division. 2404:"Cellular iron: ferroportin is the only way out" 1606:Przybyszewska, Justyna; Ĺ»ekanowska, Ewa (2014). 1033:infections also reduce the availability of iron. 746:attachment, its dysregulation can also fuel the 675:Most cell types take up iron primarily through 162:, while in the ferric state (Fe) it acts as an 93:is the set of chemical reactions that maintain 3374:. Washington, D.C.: Food and Nutrition Board, 3331:. Nutrition & Health. Totowa, New Jersey: 1733:"Body iron excretion by healthy men and women" 1229: 1227: 1191: 1189: 1153: 1151: 1149: 4513:Biology and pharmacology of chemical elements 4085: 3477: 2844:International Journal of Antimicrobial Agents 822:to synthesize Fe-S clusters and heme groups. 405:Illustration of blood cell production in the 367:, which present an iron rich environment and 247:to store and diffuse oxygen in muscle cells. 8: 3070:Severyn CJ, Shinde U, Rotwein P (Sep 2009). 2564:"Iron, neuro-bioavailability and depression" 3025:International Journal of Molecular Sciences 1416:Gropper, Sareen S.; Smith, Jack L. (2013). 1016:, and antacids will reduce iron metabolism. 898:The facilitated transporter pathway, where 806:. Specifically, poly-r(C)-binding proteins 4401: 4236: 4137: 4126: 4117: 4092: 4078: 4070: 3959: 3876: 3769: 3762: 3674: 3650: 3541: 3484: 3470: 3462: 2957: 2955: 2740:"The effect of calcium on iron absorption" 1737:The American Journal of Clinical Nutrition 1551:"The Intestinal Heme Transporter Revealed" 526:, the cells that line the interior of the 3241: 3206: 3095: 3046: 3036: 2995: 2935: 2804: 2755: 2644: 2595: 2538: 2419: 2308: 2298: 2186: 2184: 2182: 2162: 2100: 1982: 1852: 1811: 1748: 1707: 1631: 1566: 1517: 1392: 1351: 1302: 695:cells), Dcytb (in enterocytes) and SDR2. 3296:(4th ed.). Sudbury, Massachusetts: 1960: 1958: 1956: 1954: 1952: 1950: 1948: 1470:Camaschella C, Schrier SL (2011-11-07). 1003:from supplements or dairy products, and 932:iron-responsive element-binding proteins 453:Of the body's total iron content, about 68:iron-responsive element-binding proteins 4277:Iron-responsive element-binding protein 3457:Information about iron outside the body 2012: 2010: 1419:Advanced Nutrition and Human Metabolism 1145: 1095:or "hyperfunction" drives human aging. 1062:and other metabolically active organs. 186:groups, both of which are assembled in 166:. Thus, iron plays a vital role in the 2781:"The effect of tea on iron absorption" 2197:. Nutrition and Health. New York, NY: 2124: 2122: 2120: 1275:Applied and Environmental Microbiology 926:Translational control of cellular iron 58:. Intracellular iron can be stored in 3187:The Journal of Clinical Investigation 2682:10.1146/annurev.nutr.28.061807.155521 2191:Yehuda S, Mostofsky DI, eds. (2010). 2135:The Journal of Clinical Investigation 2053: 2051: 2049: 1449:. John Wiley & Sons. p. 52. 66:(ROS) and regulate transcription via 7: 3594:Electron acceptors other than oxygen 1113:(JH), caused by mutations in either 3329:Handbook of Nutrition and Pregnancy 2334:Free Radical Biology & Medicine 1841:The Journal of Biological Chemistry 1800:The Journal of Biological Chemistry 1772:Schrier SL, Bacon BR (2011-11-07). 1657:The New England Journal of Medicine 1443:Truswell, A. Stewart (2010-07-15). 1236:The New England Journal of Medicine 1160:The New England Journal of Medicine 514:each day for the production of new 363:causing bacteria can reside within 1109:gene, and the more severe disease 632:absorbs less iron during times of 25: 1549:Rouault, Tracey A. (2005-09-09). 1198:Free Radical Biology and Medicine 1103:(HH), caused by mutations in the 713:epithelial–mesenchymal transition 2488:Biochemical Society Transactions 1344:10.1128/jb.186.18.5997-6002.2004 699:Iron import in some cancer cells 110:, because iron is essential for 70:(IRP1/2). Export occurs through 4432:Phosphoric acids and phosphates 3615:Substrate-level phosphorylation 3408:. Oxford, UK & Ames, Iowa: 2369:Seminars in Pediatric Neurology 1690:Abbaspour, Nazanin (Feb 2014). 764:transforming growth factor beta 576:), which can transport several 281:, which regulates its release. 2908:Science Translational Medicine 973:Iron is an important topic in 703:Iron can also enter cells via 38:or via ferrous iron importers 1: 4165:Ferroportin (SLC11A3/SLC40A1) 4018:Reverse cholesterol transport 3298:Jones and Bartlett Publishers 2856:10.1016/s0924-8579(00)00288-0 2346:10.1016/s0891-5849(02)00842-0 1210:10.1016/s0891-5849(02)01006-7 677:receptor-mediated endocytosis 498:Mechanisms of iron regulation 134:Importance of iron regulation 3670:(protein→peptide→amino acid) 3406:The Nutritional Trace Metals 2920:10.1126/scitranslmed.3001127 2032:10.1016/j.bbamcr.2015.01.021 1931:10.1016/j.bbagen.2013.03.019 1890:10.1016/j.biocel.2011.10.016 1472:"Regulation of iron balance" 3133:10.1007/978-94-007-5561-1_7 2705:Scand J Gastroenterol Suppl 1731:Janet, R Hunt (June 2009). 1248:10.1056/NEJM199912233412607 1172:10.1056/NEJM200004273421716 903:coupled with ceruloplasmin. 27:Iron metabolism in the body 4529: 4055:Phospagen system (ATP-PCr) 3525:Primary nutritional groups 3243:10.1182/blood-2005-05-1857 3224:Camaschella C (Dec 2005). 2988:10.1038/s41467-020-17312-3 2757:10.1079/095442200108729043 2670:Annual Review of Nutrition 2421:10.1016/j.cmet.2005.02.005 2381:10.1016/j.spen.2006.08.002 1984:10.1016/j.cell.2010.06.028 1568:10.1016/j.cell.2005.08.027 1394:10.1182/blood-2003-03-0672 1101:hereditary hemochromatosis 1066:rather than variations in 1050: 962: 951: 488:reticuloendothelial system 300:Iron bound to proteins or 254: 197: 120:hereditary hemochromatosis 4258: 3917: 3889:Anoxygenic photosynthesis 3879: 3843: 3811:Pentose phosphate pathway 3806: 3789: 3772: 3566:Oxidative phosphorylation 3341:10.1007/978-1-59745-112-3 2717:10.3109/00365528709095855 2287:Frontiers in Pharmacology 2207:10.1007/978-1-59745-462-9 2085:10.1038/s41557-020-0513-5 1087:times as they provided a 723:with detachment from the 568:, duodenal cytochrome B ( 391:anemia of chronic disease 220:proteins that generate a 210:oxidative phosphorylation 4468:Calcium-sensing receptor 4215:Calreticulin/mobilferrin 3909:Entner-Doudoroff pathway 3571:electron transport chain 3558:Pyruvate decarboxylation 3273:10.1152/ajpgi.00220.2005 3125:Metallomics and the Cell 2300:10.3389/fphar.2014.00173 1111:juvenile hemochromatosis 954:Iron metabolism disorder 936:iron-responsive elements 715:(EMT). In this process, 666:Cellular iron regulation 534:Systemic iron regulation 235:Heme groups are part of 218:electron transport chain 4473:Calcium-binding protein 4003:Sphingolipid metabolism 3904:DeLey-Doudoroff pathway 3752:carbohydrate catabolism 3747:Carbohydrate metabolism 3733:Purine nucleotide cycle 3181:Andrews NC (May 2004). 3076:The Biochemical Journal 2527:Journal of Cell Science 2252:10.1126/science.1085049 1750:10.3945/ajcn.2009.27439 1612:Gastroenterology Review 1519:10.1126/science.1057206 1332:Journal of Bacteriology 1093:antagonistic pleiotropy 734:, where it enables the 640:Iron recycling and loss 332:Electron micrograph of 318:reactive oxygen species 82:(Cp), and repressed by 64:reactive oxygen species 3972:Fatty acid degradation 3692:Amino acid degradation 1854:10.1074/jbc.C000664200 1813:10.1074/jbc.M908846199 978: 907: 707:in complexes bound to 685:transferrin receptor 2 681:transferrin receptor 1 655:gastrointestinal tract 586:heme carrier protein 1 543: 519: 477:iron deficiency anemia 414: 339: 147: 128:iron-deficiency anemia 87: 36:transferrin receptor 1 4450:Magnesium transporter 4241:Iron-binding proteins 4205:Duodenal cytochrome B 4008:Eicosanoid metabolism 3964:Fatty acid metabolism 3728:Pyrimidine metabolism 3587:Anaerobic respiration 3376:Institute of Medicine 3319:See esp. pp. 513-514. 2968:Nature Communications 1624:10.5114/pg.2014.45102 972: 873: 826:The storage iron pool 816:non-heme iron enzymes 588:(HCP1). Heme is then 541: 505: 473:non-specific symptoms 404: 331: 212:at the mitochondrial 141: 91:Human iron metabolism 33: 4442:Magnesium metabolism 4424:Phosphate metabolism 4174:Transferrin receptor 3982:Fatty acid synthesis 3687:Amino acid synthesis 3410:Blackwell Publishing 3378:. pp. 290–393. 3335:. pp. 350–351. 3300:. pp. 510–514. 3038:10.3390/ijms21103505 2879:Rudolph's pediatrics 2797:10.1136/gut.16.3.193 1295:10.1128/aem.02202-12 889:extracellular matrix 793:The labile iron pool 370:Borrelia burgdorferi 324:Bacterial protection 200:Cellular respiration 194:Cellular respiration 180:iron–sulfur clusters 3546:Aerobic respiration 2980:2020NatCo..11.3570T 2877:Rudolph CD (2003). 2500:10.1042/BST20140220 2402:Ganz T (Mar 2005). 2244:2003Sci...300..931F 2077:2020NatCh..12..929M 1669:10.1056/NEJMp048363 1510:2001Sci...291.1755M 1375:Ganz T (Aug 2003). 1287:2013ApEnM..79..722Y 1089:selective advantage 1030:Helicobacter pylori 876:blood–brain barrier 547:Dietary iron uptake 228:to synthesize ATP ( 4460:Calcium metabolism 4050:Ethanol metabolism 3998:Steroid metabolism 3723:Nucleotide salvage 3655:Protein metabolism 3412:. pp. 35–81. 3088:10.1042/BJ20090978 2540:10.1242/jcs.154005 2533:(Pt 19): 4279–91. 2457:10.1002/glia.21166 979: 908: 893:interstitial fluid 544: 520: 415: 340: 148: 88: 4508:Human homeostasis 4485: 4484: 4481: 4480: 4406:Sodium metabolism 4391: 4390: 4322:Copper metabolism 4316: 4315: 4312: 4311: 4228: 4227: 4067: 4066: 4063: 4062: 4026: 4025: 3939: 3938: 3935: 3934: 3922:Xylose metabolism 3868: 3867: 3741: 3740: 3718:Purine metabolism 3663:Protein synthesis 3640: 3639: 3562:Citric acid cycle 3520:Metabolic network 3515:Metabolic pathway 3419:978-1-4051-1040-2 3400:Reilly C (2004). 3385:978-0-309-07279-3 3350:978-1-59745-112-3 3307:978-0-7637-7663-3 3161:978-94-007-5561-1 3142:978-94-007-5560-4 2888:978-0-07-112457-7 2738:Lynch SR (2000). 1338:(18): 5997–6002. 1014:H2 antihistamines 900:endothelial cells 804:metallochaperones 725:basement membrane 721:mesenchymal cells 291:hydrogen peroxide 95:human homeostasis 74:, often aided by 16:(Redirected from 4520: 4402: 4237: 4138: 4127: 4118: 4113:Transition metal 4105:Metal metabolism 4094: 4087: 4080: 4071: 4038:Metal metabolism 3960: 3945:Lipid metabolism 3877: 3770: 3763: 3675: 3651: 3577: 3542: 3486: 3479: 3472: 3463: 3430: 3428: 3426: 3396: 3394: 3392: 3361: 3359: 3357: 3318: 3316: 3314: 3284: 3255: 3245: 3220: 3210: 3199:10.1172/JCI21441 3155:electronic-book 3154: 3110: 3109: 3099: 3067: 3061: 3060: 3050: 3040: 3016: 3010: 3009: 2999: 2959: 2950: 2949: 2939: 2899: 2893: 2892: 2874: 2868: 2867: 2839: 2833: 2832: 2825: 2819: 2818: 2808: 2776: 2770: 2769: 2759: 2735: 2729: 2728: 2700: 2694: 2693: 2665: 2659: 2658: 2648: 2616: 2610: 2609: 2599: 2580:10.1002/jha2.321 2559: 2553: 2552: 2542: 2518: 2512: 2511: 2494:(6): 1796–1801. 2483: 2477: 2476: 2440: 2434: 2433: 2423: 2399: 2393: 2392: 2364: 2358: 2357: 2329: 2323: 2322: 2312: 2302: 2278: 2272: 2271: 2227: 2221: 2220: 2188: 2177: 2176: 2166: 2147:10.1172/JCI39104 2141:(6): 1420–1428. 2126: 2115: 2114: 2104: 2065:Nature Chemistry 2055: 2044: 2043: 2026:(5): 1130–1144. 2014: 2005: 2004: 1986: 1962: 1943: 1942: 1908: 1902: 1901: 1873: 1867: 1866: 1856: 1832: 1826: 1825: 1815: 1806:(22): 16618–25. 1791: 1785: 1784: 1782: 1781: 1769: 1763: 1762: 1752: 1743:(6): 1792–1798. 1728: 1722: 1721: 1711: 1687: 1681: 1680: 1652: 1646: 1645: 1635: 1603: 1597: 1596: 1570: 1546: 1540: 1539: 1521: 1504:(5509): 1755–9. 1489: 1483: 1482: 1480: 1479: 1467: 1461: 1460: 1446:ABC of Nutrition 1440: 1434: 1433: 1413: 1407: 1406: 1396: 1372: 1366: 1365: 1355: 1323: 1317: 1316: 1306: 1266: 1260: 1259: 1231: 1222: 1221: 1204:(8): 1037–1046. 1193: 1184: 1183: 1155: 717:epithelial cells 660: 600:, releasing Fe. 509: 456: 450:, or even less. 449: 420: 397:Body iron stores 344:iron withholding 251:Oxygen transport 21: 18:Iron homeostasis 4528: 4527: 4523: 4522: 4521: 4519: 4518: 4517: 4498:Iron metabolism 4488: 4487: 4486: 4477: 4454: 4436: 4418: 4387: 4360:Zinc metabolism 4354: 4308: 4254: 4224: 4196:Iron(III) oxide 4190: 4132: 4122:Iron metabolism 4107: 4098: 4068: 4059: 4043:Iron metabolism 4022: 3986: 3947: 3931: 3913: 3899:Carbon fixation 3864: 3839: 3802: 3785: 3781:Gluconeogenesis 3754: 3749: 3737: 3709: 3702: 3673: 3646: 3636: 3597: 3581: 3569: 3536: 3529: 3503: 3490: 3438: 3433: 3424: 3422: 3420: 3399: 3390: 3388: 3386: 3364: 3355: 3353: 3351: 3322: 3312: 3310: 3308: 3287: 3258: 3223: 3180: 3143: 3122: 3118: 3116:Further reading 3113: 3069: 3068: 3064: 3018: 3017: 3013: 2961: 2960: 2953: 2901: 2900: 2896: 2889: 2876: 2875: 2871: 2841: 2840: 2836: 2827: 2826: 2822: 2778: 2777: 2773: 2737: 2736: 2732: 2702: 2701: 2697: 2667: 2666: 2662: 2637:10.1038/ng.2996 2625:Nature Genetics 2618: 2617: 2613: 2561: 2560: 2556: 2520: 2519: 2515: 2485: 2484: 2480: 2442: 2441: 2437: 2408:Cell Metabolism 2401: 2400: 2396: 2366: 2365: 2361: 2331: 2330: 2326: 2280: 2279: 2275: 2238:(5621): 931–6. 2229: 2228: 2224: 2217: 2201:. p. 230. 2190: 2189: 2180: 2128: 2127: 2118: 2071:(10): 929–938. 2057: 2056: 2047: 2016: 2015: 2008: 1964: 1963: 1946: 1910: 1909: 1905: 1875: 1874: 1870: 1847:(49): 38135–8. 1834: 1833: 1829: 1793: 1792: 1788: 1779: 1777: 1771: 1770: 1766: 1730: 1729: 1725: 1689: 1688: 1684: 1654: 1653: 1649: 1605: 1604: 1600: 1548: 1547: 1543: 1491: 1490: 1486: 1477: 1475: 1469: 1468: 1464: 1457: 1442: 1441: 1437: 1430: 1415: 1414: 1410: 1374: 1373: 1369: 1325: 1324: 1320: 1268: 1267: 1263: 1242:(26): 1986–95. 1233: 1232: 1225: 1195: 1194: 1187: 1157: 1156: 1147: 1143: 1135:Iron in biology 1131: 1121:) or hepcidin ( 1055: 1049: 967: 965:Iron deficiency 961: 959:Iron deficiency 956: 950: 928: 906: 844: 828: 795: 719:transform into 709:hyaluronic acid 701: 673: 668: 658: 642: 549: 536: 516:red blood cells 507: 500: 469:Iron deficiency 454: 447: 418: 411:iron deficiency 399: 356:metabolic price 326: 287: 268: 263: 253: 222:proton gradient 202: 196: 136: 124:iron deficiency 112:red blood cells 28: 23: 22: 15: 12: 11: 5: 4526: 4524: 4516: 4515: 4510: 4505: 4500: 4490: 4489: 4483: 4482: 4479: 4478: 4476: 4475: 4470: 4464: 4462: 4456: 4455: 4453: 4452: 4446: 4444: 4438: 4437: 4435: 4434: 4428: 4426: 4420: 4419: 4417: 4416: 4410: 4408: 4399: 4393: 4392: 4389: 4388: 4386: 4385: 4380: 4375: 4370: 4364: 4362: 4356: 4355: 4353: 4352: 4347: 4342: 4337: 4332: 4326: 4324: 4318: 4317: 4314: 4313: 4310: 4309: 4307: 4306: 4301: 4296: 4291: 4286: 4285: 4284: 4274: 4269: 4259: 4256: 4255: 4253: 4252: 4246: 4244: 4234: 4230: 4229: 4226: 4225: 4223: 4222: 4217: 4212: 4207: 4201: 4199: 4192: 4191: 4189: 4188: 4187: 4186: 4181: 4167: 4158: 4153: 4151:DMT1 (SLC11A2) 4147: 4145: 4142:Iron(II) oxide 4135: 4124: 4115: 4109: 4108: 4099: 4097: 4096: 4089: 4082: 4074: 4065: 4064: 4061: 4060: 4058: 4057: 4052: 4047: 4046: 4045: 4034: 4032: 4028: 4027: 4024: 4023: 4021: 4020: 4015: 4010: 4005: 4000: 3994: 3992: 3988: 3987: 3985: 3984: 3979: 3976:Beta oxidation 3968: 3966: 3957: 3941: 3940: 3937: 3936: 3933: 3932: 3930: 3929: 3924: 3918: 3915: 3914: 3912: 3911: 3906: 3901: 3896: 3894:Chemosynthesis 3891: 3886: 3884:Photosynthesis 3880: 3874: 3870: 3869: 3866: 3865: 3863: 3862: 3861: 3860: 3855: 3844: 3841: 3840: 3838: 3837: 3836: 3835: 3833:Leloir pathway 3825: 3824: 3823: 3821:Polyol pathway 3813: 3807: 3804: 3803: 3801: 3800: 3794:Glycogenolysis 3790: 3787: 3786: 3784: 3783: 3773: 3767: 3760: 3743: 3742: 3739: 3738: 3736: 3735: 3730: 3725: 3720: 3714: 3712: 3704: 3703: 3701: 3700: 3695: 3689: 3683: 3681: 3672: 3671: 3665: 3659: 3657: 3648: 3642: 3641: 3638: 3637: 3635: 3634: 3633: 3632: 3627: 3622: 3607: 3605: 3599: 3598: 3596: 3595: 3591: 3589: 3583: 3582: 3580: 3579: 3550: 3548: 3539: 3531: 3530: 3528: 3527: 3522: 3517: 3511: 3509: 3505: 3504: 3491: 3489: 3488: 3481: 3474: 3466: 3460: 3459: 3454: 3449: 3444: 3437: 3436:External links 3434: 3432: 3431: 3418: 3397: 3384: 3362: 3349: 3320: 3306: 3285: 3256: 3236:(12): 3710–7. 3221: 3178: 3141: 3119: 3117: 3114: 3112: 3111: 3082:(3): 393–403. 3062: 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283: 266: 252: 249: 198:Main article: 195: 192: 160:electron donor 135: 132: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4525: 4514: 4511: 4509: 4506: 4504: 4501: 4499: 4496: 4495: 4493: 4474: 4471: 4469: 4466: 4465: 4463: 4461: 4457: 4451: 4448: 4447: 4445: 4443: 4439: 4433: 4430: 4429: 4427: 4425: 4421: 4415: 4412: 4411: 4409: 4407: 4403: 4400: 4398: 4394: 4384: 4381: 4379: 4376: 4374: 4371: 4369: 4366: 4365: 4363: 4361: 4357: 4351: 4348: 4346: 4343: 4341: 4340:Ceruloplasmin 4338: 4336: 4333: 4331: 4328: 4327: 4325: 4323: 4319: 4305: 4302: 4300: 4297: 4295: 4292: 4290: 4289:Ceruloplasmin 4287: 4283: 4280: 4279: 4278: 4275: 4273: 4270: 4268: 4264: 4261: 4260: 4257: 4251: 4248: 4247: 4245: 4242: 4238: 4235: 4231: 4221: 4218: 4216: 4213: 4211: 4208: 4206: 4203: 4202: 4200: 4197: 4193: 4185: 4182: 4180: 4177: 4176: 4175: 4171: 4168: 4166: 4162: 4159: 4157: 4154: 4152: 4149: 4148: 4146: 4143: 4139: 4136: 4134: 4131:Absorption in 4128: 4125: 4123: 4119: 4116: 4114: 4110: 4106: 4102: 4095: 4090: 4088: 4083: 4081: 4076: 4075: 4072: 4056: 4053: 4051: 4048: 4044: 4041: 4040: 4039: 4036: 4035: 4033: 4029: 4019: 4016: 4014: 4011: 4009: 4006: 4004: 4001: 3999: 3996: 3995: 3993: 3989: 3983: 3980: 3977: 3973: 3970: 3969: 3967: 3965: 3961: 3958: 3955: 3951: 3946: 3942: 3928: 3927:Radiotrophism 3925: 3923: 3920: 3919: 3916: 3910: 3907: 3905: 3902: 3900: 3897: 3895: 3892: 3890: 3887: 3885: 3882: 3881: 3878: 3875: 3871: 3859: 3856: 3854: 3851: 3850: 3849: 3848:Glycosylation 3846: 3845: 3842: 3834: 3831: 3830: 3829: 3826: 3822: 3819: 3818: 3817: 3814: 3812: 3809: 3808: 3805: 3799: 3795: 3792: 3791: 3788: 3782: 3778: 3775: 3774: 3771: 3768: 3764: 3761: 3758: 3753: 3748: 3744: 3734: 3731: 3729: 3726: 3724: 3721: 3719: 3716: 3715: 3713: 3711: 3705: 3699: 3696: 3693: 3690: 3688: 3685: 3684: 3682: 3680: 3676: 3669: 3666: 3664: 3661: 3660: 3658: 3656: 3652: 3649: 3643: 3631: 3628: 3626: 3623: 3621: 3618: 3617: 3616: 3612: 3609: 3608: 3606: 3604: 3600: 3593: 3592: 3590: 3588: 3584: 3576: 3572: 3567: 3563: 3559: 3555: 3552: 3551: 3549: 3547: 3543: 3540: 3538: 3532: 3526: 3523: 3521: 3518: 3516: 3513: 3512: 3510: 3506: 3502: 3498: 3494: 3487: 3482: 3480: 3475: 3473: 3468: 3467: 3464: 3458: 3455: 3453: 3450: 3448: 3445: 3443: 3440: 3439: 3435: 3421: 3415: 3411: 3407: 3403: 3398: 3387: 3381: 3377: 3373: 3369: 3363: 3352: 3346: 3342: 3338: 3334: 3330: 3326: 3321: 3309: 3303: 3299: 3295: 3291: 3286: 3282: 3278: 3274: 3270: 3267:(4): G631–5. 3266: 3262: 3257: 3253: 3249: 3244: 3239: 3235: 3231: 3227: 3222: 3218: 3214: 3209: 3204: 3200: 3196: 3193:(9): 1251–3. 3192: 3188: 3184: 3179: 3177: 3173: 3169: 3165: 3162: 3158: 3152: 3148: 3144: 3138: 3134: 3130: 3126: 3121: 3120: 3115: 3107: 3103: 3098: 3093: 3089: 3085: 3081: 3077: 3073: 3066: 3063: 3058: 3054: 3049: 3044: 3039: 3034: 3030: 3026: 3022: 3015: 3012: 3007: 3003: 2998: 2993: 2989: 2985: 2981: 2977: 2973: 2969: 2965: 2958: 2956: 2952: 2947: 2943: 2938: 2933: 2929: 2925: 2921: 2917: 2913: 2909: 2905: 2898: 2895: 2890: 2884: 2880: 2873: 2870: 2865: 2861: 2857: 2853: 2849: 2845: 2838: 2835: 2830: 2824: 2821: 2816: 2812: 2807: 2802: 2798: 2794: 2790: 2786: 2782: 2775: 2772: 2767: 2763: 2758: 2753: 2750:(2): 141–58. 2749: 2745: 2741: 2734: 2731: 2726: 2722: 2718: 2714: 2710: 2706: 2699: 2696: 2691: 2687: 2683: 2679: 2675: 2671: 2664: 2661: 2656: 2652: 2647: 2642: 2638: 2634: 2631:(7): 678–84. 2630: 2626: 2622: 2615: 2612: 2607: 2603: 2598: 2593: 2589: 2585: 2581: 2577: 2573: 2569: 2565: 2558: 2555: 2550: 2546: 2541: 2536: 2532: 2528: 2524: 2517: 2514: 2509: 2505: 2501: 2497: 2493: 2489: 2482: 2479: 2474: 2470: 2466: 2462: 2458: 2454: 2451:(6): 936–45. 2450: 2446: 2439: 2436: 2431: 2427: 2422: 2417: 2413: 2409: 2405: 2398: 2395: 2390: 2386: 2382: 2378: 2374: 2370: 2363: 2360: 2355: 2351: 2347: 2343: 2340:(4): 457–63. 2339: 2335: 2328: 2325: 2320: 2316: 2311: 2306: 2301: 2296: 2292: 2288: 2284: 2277: 2274: 2269: 2265: 2261: 2257: 2253: 2249: 2245: 2241: 2237: 2233: 2226: 2223: 2218: 2216:9781934115220 2212: 2208: 2204: 2200: 2196: 2195: 2187: 2185: 2183: 2179: 2174: 2170: 2165: 2160: 2156: 2152: 2148: 2144: 2140: 2136: 2132: 2125: 2123: 2121: 2117: 2112: 2108: 2103: 2098: 2094: 2090: 2086: 2082: 2078: 2074: 2070: 2066: 2062: 2054: 2052: 2050: 2046: 2041: 2037: 2033: 2029: 2025: 2021: 2013: 2011: 2007: 2002: 1998: 1994: 1990: 1985: 1980: 1976: 1972: 1968: 1961: 1959: 1957: 1955: 1953: 1951: 1949: 1945: 1940: 1936: 1932: 1928: 1924: 1920: 1916: 1915: 1907: 1904: 1899: 1895: 1891: 1887: 1884:(1): 189–99. 1883: 1879: 1872: 1869: 1864: 1860: 1855: 1850: 1846: 1842: 1838: 1831: 1828: 1823: 1819: 1814: 1809: 1805: 1801: 1797: 1790: 1787: 1775: 1768: 1765: 1760: 1756: 1751: 1746: 1742: 1738: 1734: 1727: 1724: 1719: 1715: 1710: 1705: 1701: 1697: 1696:J Res Med Sci 1693: 1686: 1683: 1678: 1674: 1670: 1666: 1662: 1658: 1651: 1648: 1643: 1639: 1634: 1629: 1625: 1621: 1617: 1613: 1609: 1602: 1599: 1594: 1590: 1586: 1582: 1578: 1574: 1569: 1564: 1560: 1556: 1552: 1545: 1542: 1537: 1533: 1529: 1525: 1520: 1515: 1511: 1507: 1503: 1499: 1495: 1488: 1485: 1473: 1466: 1463: 1458: 1456:9781444314229 1452: 1448: 1447: 1439: 1436: 1431: 1425: 1421: 1420: 1412: 1409: 1404: 1400: 1395: 1390: 1386: 1382: 1378: 1371: 1368: 1363: 1359: 1354: 1349: 1345: 1341: 1337: 1333: 1329: 1322: 1319: 1314: 1310: 1305: 1300: 1296: 1292: 1288: 1284: 1280: 1276: 1272: 1265: 1262: 1257: 1253: 1249: 1245: 1241: 1237: 1230: 1228: 1224: 1219: 1215: 1211: 1207: 1203: 1199: 1192: 1190: 1186: 1181: 1177: 1173: 1169: 1165: 1161: 1154: 1152: 1150: 1146: 1140: 1136: 1133: 1132: 1128: 1126: 1124: 1120: 1116: 1112: 1108: 1107: 1102: 1099:overload are 1096: 1094: 1090: 1086: 1081: 1076: 1071: 1069: 1063: 1061: 1054: 1053:Iron overload 1047:Iron overload 1046: 1041: 1038: 1035: 1032: 1031: 1026: 1022: 1018: 1015: 1010: 1006: 1002: 998: 994: 990: 987: 984: 983: 982: 976: 975:prenatal care 971: 966: 958: 955: 947: 945: 943: 939: 937: 933: 925: 923: 921: 917: 916:Erythroblasts 913: 901: 897: 894: 890: 885: 881: 880: 877: 872: 868: 865: 861: 857: 856:ceruloplasmin 853: 849: 841: 839: 837: 833: 825: 823: 821: 817: 813: 809: 805: 801: 792: 790: 787: 783: 778: 776: 775:demethylation 773: 769: 765: 759: 757: 753: 749: 745: 741: 737: 733: 728: 726: 722: 718: 714: 710: 706: 698: 696: 692: 690: 686: 682: 678: 670: 665: 663: 656: 652: 648: 639: 637: 635: 629: 627: 622: 618: 614: 610: 606: 601: 599: 595: 591: 587: 583: 582:cell membrane 579: 575: 571: 567: 562: 558: 553: 546: 540: 533: 531: 529: 525: 517: 513: 504: 497: 495: 493: 489: 485: 481: 478: 474: 470: 466: 464: 460: 451: 445: 441: 437: 433: 429: 425: 412: 408: 403: 396: 394: 392: 388: 384: 378: 376: 372: 371: 366: 362: 357: 353: 349: 345: 337: 336: 330: 323: 321: 319: 315: 310: 307: 303: 298: 296: 295:free radicals 292: 284: 282: 280: 276: 272: 262: 258: 250: 248: 246: 242: 238: 233: 231: 227: 223: 219: 215: 211: 207: 201: 193: 191: 189: 185: 181: 177: 173: 169: 165: 161: 157: 153: 145: 142:Structure of 140: 133: 131: 129: 125: 121: 117: 116:iron overload 113: 109: 105: 104:Hematologists 100: 96: 92: 85: 81: 80:ceruloplasmin 77: 73: 69: 65: 61: 57: 53: 49: 45: 41: 37: 32: 19: 4121: 4042: 3828:Galactolysis 3798:Glycogenesis 3603:Fermentation 3575:ATP synthase 3423:. Retrieved 3405: 3389:. Retrieved 3371: 3354:. Retrieved 3333:Humana Press 3328: 3311:. Retrieved 3293: 3264: 3260: 3233: 3229: 3190: 3186: 3124: 3079: 3075: 3065: 3031:(10): 3505. 3028: 3024: 3014: 2971: 2967: 2911: 2907: 2897: 2878: 2872: 2847: 2843: 2837: 2823: 2788: 2784: 2774: 2747: 2744:Nutr Res Rev 2743: 2733: 2708: 2704: 2698: 2673: 2669: 2663: 2628: 2624: 2614: 2571: 2567: 2557: 2530: 2526: 2516: 2491: 2487: 2481: 2448: 2444: 2438: 2414:(3): 155–7. 2411: 2407: 2397: 2375:(3): 142–8. 2372: 2368: 2362: 2337: 2333: 2327: 2290: 2286: 2276: 2235: 2231: 2225: 2199:Humana Press 2193: 2138: 2134: 2068: 2064: 2023: 2019: 1977:(1): 24–38. 1974: 1970: 1922: 1918: 1912: 1906: 1881: 1877: 1871: 1844: 1840: 1830: 1803: 1799: 1789: 1778:. Retrieved 1767: 1740: 1736: 1726: 1699: 1695: 1685: 1660: 1656: 1650: 1615: 1611: 1601: 1558: 1554: 1544: 1501: 1497: 1487: 1476:. Retrieved 1465: 1445: 1438: 1418: 1411: 1387:(3): 783–8. 1384: 1380: 1370: 1335: 1331: 1321: 1278: 1274: 1264: 1239: 1235: 1201: 1197: 1163: 1159: 1122: 1118: 1104: 1097: 1078:also reduce 1072: 1064: 1056: 1028: 1025:celiac sprue 980: 944: 940: 929: 909: 884:transcytosis 845: 829: 796: 779: 760: 732:implantation 729: 702: 693: 674: 643: 634:inflammation 630: 602: 566:brush border 554: 550: 521: 482: 467: 452: 436:menstruation 416: 379: 368: 348:siderophores 341: 333: 311: 299: 288: 264: 234: 230:chemiosmosis 226:ATP synthase 224:that allows 203: 188:mitochondria 149: 90: 89: 78:(Hp) and/or 4414:Na/K-ATPase 4397:Electrolyte 4304:Lactoferrin 4299:Hemosiderin 4272:Hemojuvelin 4170:Transferrin 3954:lipogenesis 3816:Fructolysis 3630:Lactic acid 3170:electronic- 2676:: 197–213. 1115:hemojuvelin 1075:ferroportin 912:hepatocytes 852:ferroportin 842:Iron export 836:hemosiderin 832:ferroxidase 740:endometrium 687:(TFR2) and 671:Iron import 621:ferroxidase 613:ferroportin 590:catabolized 561:enterocytes 524:enterocytes 506:Humans use 492:hemosiderin 484:Macrophages 459:cytochromes 455:400 mg 448:500 mg 407:bone marrow 365:macrophages 352:transferrin 182:(Fe-S) and 72:ferroportin 4503:Hematology 4492:Categories 4161:Hephaestin 4101:Metabolism 3777:Glycolysis 3710:metabolism 3708:Nucleotide 3698:Urea cycle 3679:Amino acid 3668:Catabolism 3611:Glycolysis 3554:Glycolysis 3537:metabolism 3497:catabolism 3493:Metabolism 2829:"UpToDate" 1780:2012-03-11 1776:. UpToDate 1478:2012-03-11 1474:. UpToDate 1141:References 891:(ECM) and 878:either by: 860:hephaestin 820:mitoferrin 756:metastasis 750:spread of 617:Hephaestin 598:biliverdin 528:intestines 508:20 mg 419:2.5 g 275:hemoglobin 257:Hemoglobin 255:See also: 237:hemoglobin 178:, such as 126:, such as 118:, such as 108:metabolism 76:hephaestin 4282:Aconitase 3950:lipolysis 3757:anabolism 3501:anabolism 3294:Nutrition 3176:1868-0402 3168:1559-0836 2928:1946-6234 2588:2688-6146 2155:0021-9738 2093:1755-4330 1577:0092-8674 1085:Neolithic 948:Pathology 800:aqua ions 782:cytokines 748:malignant 744:placental 659:1 mg 647:excreting 444:lactation 440:pregnancy 383:cytokines 375:manganese 302:cofactors 279:myoglobin 273:group of 261:myoglobin 245:myoglobin 176:cofactors 168:catalysis 4263:Hepcidin 4250:Ferritin 4220:Ferritin 4210:Integrin 4156:Ferritin 4133:duodenum 3873:Nonhuman 3858:O-linked 3853:N-linked 3645:Specific 3425:June 25, 3391:June 25, 3356:June 25, 3313:June 25, 3281:16160078 3252:16030190 3217:15124013 3151:23595674 3106:19698085 3057:32429125 3006:32678081 2946:20686179 2864:11118871 2766:19087437 2711:: 73–9. 2690:18489257 2655:24880340 2606:35846210 2549:25074810 2508:25399609 2473:25678955 2465:21438013 2430:16054057 2389:17101452 2354:12160928 2319:25101000 2268:14863354 2260:12738850 2173:19487818 2111:32747755 2040:25661197 2001:23971474 1993:20603012 1939:23541988 1898:22062951 1863:11027676 1822:10748106 1759:19386738 1718:24778671 1677:15858181 1642:25276251 1585:16143096 1536:44351106 1528:11230685 1403:12663437 1362:15342568 1313:23124235 1256:10607817 1218:12374615 1180:10787338 1129:See also 1080:lifespan 1008:sources. 993:phytates 918:produce 864:Hepcidin 683:(TFR1), 626:hepcidin 605:ferritin 578:divalent 557:duodenum 424:ferritin 387:hepcidin 314:proteins 304:such as 285:Toxicity 164:acceptor 152:bacteria 84:hepcidin 60:ferritin 4383:SLC39A4 4378:SLC30A1 4345:SLC31A1 4013:Ketosis 3625:Ethanol 3508:General 3097:4242795 3048:7279025 2997:7366647 2976:Bibcode 2937:3734848 2815:1168162 2806:1410962 2725:2820048 2646:4104984 2597:9175715 2310:4106451 2293:: 173. 2240:Bibcode 2232:Science 2164:2689101 2102:7612580 2073:Bibcode 1709:3999603 1633:4178046 1593:9180328 1506:Bibcode 1498:Science 1304:3553779 1283:Bibcode 1021:Crohn's 1005:tannins 1001:calcium 858:and/or 848:neurons 768:protein 711:during 651:mucosal 486:of the 335:E. coli 309:above. 214:cristae 156:mammals 3535:Energy 3416:  3402:"Iron" 3382:  3368:"Iron" 3347:  3304:  3290:"Iron" 3279:  3250:  3215:  3208:398435 3205:  3174:  3166:  3159:  3149:  3139:  3104:  3094:  3055:  3045:  3004:  2994:  2944:  2934:  2926:  2885:  2862:  2813:  2803:  2764:  2723:  2688:  2653:  2643:  2604:  2594:  2586:  2568:EJHaem 2547:  2506:  2471:  2463:  2428:  2387:  2352:  2317:  2307:  2266:  2258:  2213:  2171:  2161:  2153:  2109:  2099:  2091:  2038:  1999:  1991:  1937:  1896:  1861:  1820:  1757:  1716:  1706:  1675:  1640:  1630:  1591:  1583:  1575:  1534:  1526:  1453:  1426:  1401:  1360:  1353:515136 1350:  1311:  1301:  1254:  1216:  1178:  752:tumors 736:embryo 463:plasma 432:spleen 430:, and 144:Heme b 122:, and 48:STEAP2 4350:ATOX1 4335:ATP7B 4330:ATP7A 4233:Other 4031:Other 3991:Other 3766:Human 3647:paths 3230:Blood 2469:S2CID 2264:S2CID 1997:S2CID 1589:S2CID 1532:S2CID 1381:Blood 1060:heart 812:PCBP2 808:PCBP1 689:GAPDH 609:feces 596:into 570:Dcytb 428:liver 409:. In 373:uses 293:into 241:lungs 172:redox 56:Dcytb 52:SDR-2 44:ZIP14 4373:TMC8 4368:TMC6 4267:HAMP 4184:TFR2 4179:TFR1 3755:and 3427:2012 3414:ISBN 3393:2012 3380:ISBN 3358:2012 3345:ISBN 3315:2012 3302:ISBN 3277:PMID 3248:PMID 3213:PMID 3172:ISSN 3164:ISSN 3157:ISBN 3147:PMID 3137:ISBN 3102:PMID 3053:PMID 3002:PMID 2942:PMID 2924:ISSN 2883:ISBN 2860:PMID 2811:PMID 2762:PMID 2721:PMID 2686:PMID 2651:PMID 2602:PMID 2584:ISSN 2545:PMID 2504:PMID 2461:PMID 2445:Glia 2426:PMID 2385:PMID 2350:PMID 2315:PMID 2256:PMID 2211:ISBN 2169:PMID 2151:ISSN 2107:PMID 2089:ISSN 2036:PMID 2024:1853 1989:PMID 1971:Cell 1935:PMID 1923:1830 1894:PMID 1859:PMID 1818:PMID 1755:PMID 1714:PMID 1673:PMID 1638:PMID 1581:PMID 1573:ISSN 1555:Cell 1524:PMID 1451:ISBN 1424:ISBN 1399:PMID 1358:PMID 1309:PMID 1252:PMID 1214:PMID 1176:PMID 1123:HAMP 1068:diet 997:bran 882:The 810:and 784:and 770:and 705:CD44 679:via 619:, a 574:DMT1 512:iron 306:heme 271:heme 259:and 184:heme 99:iron 54:and 42:and 40:DMT1 4294:HFE 4172:to 3779:⇄ 3620:ABE 3337:doi 3269:doi 3265:289 3238:doi 3234:106 3203:PMC 3195:doi 3191:113 3129:doi 3092:PMC 3084:doi 3080:422 3043:PMC 3033:doi 2992:PMC 2984:doi 2932:PMC 2916:doi 2852:doi 2801:PMC 2793:doi 2785:Gut 2752:doi 2713:doi 2709:129 2678:doi 2641:PMC 2633:doi 2592:PMC 2576:doi 2535:doi 2531:127 2496:doi 2453:doi 2416:doi 2377:doi 2342:doi 2305:PMC 2295:doi 2248:doi 2236:300 2203:doi 2159:PMC 2143:doi 2139:119 2097:PMC 2081:doi 2028:doi 1979:doi 1975:142 1927:doi 1914:sic 1886:doi 1849:doi 1845:275 1808:doi 1804:275 1745:doi 1704:PMC 1665:doi 1661:352 1628:PMC 1620:doi 1563:doi 1559:122 1514:doi 1502:291 1389:doi 1385:102 1348:PMC 1340:doi 1336:186 1299:PMC 1291:doi 1244:doi 1240:341 1206:doi 1168:doi 1164:342 1119:HJV 1106:HFE 1023:or 995:in 772:DNA 758:). 559:by 510:of 442:or 232:). 206:ATP 154:to 97:of 4494:: 4103:: 3952:, 3796:⇄ 3613:→ 3573:+ 3564:→ 3560:→ 3556:→ 3499:, 3495:, 3404:. 3370:. 3343:. 3327:. 3292:. 3275:. 3263:. 3246:. 3232:. 3228:. 3211:. 3201:. 3189:. 3185:. 3145:. 3135:. 3100:. 3090:. 3078:. 3074:. 3051:. 3041:. 3029:21 3027:. 3023:. 3000:. 2990:. 2982:. 2972:11 2970:. 2966:. 2954:^ 2940:. 2930:. 2922:. 2910:. 2906:. 2858:. 2848:16 2846:. 2809:. 2799:. 2789:16 2787:. 2783:. 2760:. 2748:13 2746:. 2742:. 2719:. 2707:. 2684:. 2674:28 2672:. 2649:. 2639:. 2629:46 2627:. 2623:. 2600:. 2590:. 2582:. 2570:. 2566:. 2543:. 2529:. 2525:. 2502:. 2492:42 2490:. 2467:. 2459:. 2449:59 2447:. 2424:. 2410:. 2406:. 2383:. 2373:13 2371:. 2348:. 2338:33 2336:. 2313:. 2303:. 2289:. 2285:. 2262:. 2254:. 2246:. 2234:. 2209:. 2181:^ 2167:. 2157:. 2149:. 2137:. 2133:. 2119:^ 2105:. 2095:. 2087:. 2079:. 2069:12 2067:. 2063:. 2048:^ 2034:. 2022:. 2009:^ 1995:. 1987:. 1973:. 1969:. 1947:^ 1933:. 1921:. 1892:. 1882:44 1880:. 1857:. 1843:. 1839:. 1816:. 1802:. 1798:. 1753:. 1741:89 1739:. 1735:. 1712:. 1700:19 1698:. 1694:. 1671:. 1659:. 1636:. 1626:. 1614:. 1610:. 1587:. 1579:. 1571:. 1557:. 1553:. 1530:. 1522:. 1512:. 1500:. 1496:. 1397:. 1383:. 1379:. 1356:. 1346:. 1334:. 1330:. 1307:. 1297:. 1289:. 1279:79 1277:. 1273:. 1250:. 1238:. 1226:^ 1212:. 1202:33 1200:. 1188:^ 1174:. 1162:. 1148:^ 999:, 615:. 438:, 361:TB 190:. 130:. 50:, 4265:/ 4243:: 4198:: 4163:/ 4144:: 4093:e 4086:t 4079:v 3978:) 3974:( 3956:) 3948:( 3759:) 3750:( 3578:) 3568:( 3485:e 3478:t 3471:v 3429:. 3395:. 3360:. 3339:: 3317:. 3283:. 3271:: 3254:. 3240:: 3219:. 3197:: 3153:. 3131:: 3108:. 3086:: 3059:. 3035:: 3008:. 2986:: 2978:: 2948:. 2918:: 2912:2 2891:. 2866:. 2854:: 2831:. 2817:. 2795:: 2768:. 2754:: 2727:. 2715:: 2692:. 2680:: 2657:. 2635:: 2608:. 2578:: 2572:3 2551:. 2537:: 2510:. 2498:: 2475:. 2455:: 2432:. 2418:: 2412:1 2391:. 2379:: 2356:. 2344:: 2321:. 2297:: 2291:5 2270:. 2250:: 2242:: 2219:. 2205:: 2175:. 2145:: 2113:. 2083:: 2075:: 2042:. 2030:: 2003:. 1981:: 1941:. 1929:: 1900:. 1888:: 1865:. 1851:: 1824:. 1810:: 1783:. 1761:. 1747:: 1720:. 1679:. 1667:: 1644:. 1622:: 1616:4 1595:. 1565:: 1538:. 1516:: 1508:: 1481:. 1459:. 1432:. 1405:. 1391:: 1364:. 1342:: 1315:. 1293:: 1285:: 1258:. 1246:: 1220:. 1208:: 1182:. 1170:: 1117:( 895:. 798:( 267:2 86:. 20:)

Index

Iron homeostasis

transferrin receptor 1
DMT1
ZIP14
STEAP2
SDR-2
Dcytb
ferritin
reactive oxygen species
iron-responsive element-binding proteins
ferroportin
hephaestin
ceruloplasmin
hepcidin
human homeostasis
iron
Hematologists
metabolism
red blood cells
iron overload
hereditary hemochromatosis
iron deficiency
iron-deficiency anemia

Heme b
bacteria
mammals
electron donor
acceptor

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