iron absorption from git

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Made for a PBL session in 2nd Year MBBS in Rawalpindi Medical College, Pakistan in 2011.

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Page 1: Iron absorption from GIT
Page 2: Iron absorption from GIT

Iron Absorption From GIT

By: Abdullah Bin Khurram

Page 3: Iron absorption from GIT

Fe2+ Fe3+

Haeme

Food Iron

sugars citrates

Lactate

Aminoacids

Page 4: Iron absorption from GIT

Bile

Apotransferrin

Page 5: Iron absorption from GIT

Apotransferrin Fe2+Transferrin

Page 6: Iron absorption from GIT

 The receptor molecule is a transmembrane homodimer linked by disulfide bonds. An acyl group attached to the cytoplasmic tail of the molecule anchors the assembly to the plasma membrane.

Disluphide bond

Acyl group

Transferrin

Page 7: Iron absorption from GIT
Page 8: Iron absorption from GIT
Page 9: Iron absorption from GIT

Oxidation

Oxidation

Hemin enters the mucosal cells

Page 10: Iron absorption from GIT

Mucosal Cell

• Hemin is cleaved to release iron

• Haeme may be absorbed as such into the blood, where it is bound by HEMOPEXIN

Page 11: Iron absorption from GIT

• Only 5 - 10% of dietary iron is absorbed, because of the “Ferritin Barrier”

• Rate of Iron absorption:– Adult male: abt 0.5 – 1 mg per day

– Menstruating Female abt 1 – 2 mg per day

– Pregnant female abt 3 – 4 mg per day

0

1

2

3

4

Adult Male MenstruatingFemale

PregnantFemale

Min Value

Max Vale

Page 12: Iron absorption from GIT

• They vary as follows as per rate of absorption:

Page 13: Iron absorption from GIT

Factors increasing iron Uptake

• Vitamin C (aids Fe3+ → Fe2+)

• Citrate

• Alcohol

• Fructose

Page 14: Iron absorption from GIT

Inhibitors of Iron Absorption

• Plant phytates– Tightly bind to iron and prevent its absorption– Present in cereals

• Plant tanins

• Phosphates and oxalates

• Calcium

• Pancreatic juice (Ganong)