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IV.B.3 - Iron

from IV.B - Minerals

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Iron has played a critical role in the evolution of life. The ancient Greeks, believing iron to be a special gift sent to earth by one of the gods, named it sideros, or star (Liebel, Greenfield, and Pollitt 1979). As the second most common metal, iron accounts for 5 percent of the earth’s crust; it is also found in both sea- and freshwater (Bernat 1983). Scientists believe that the earth’s atmosphere was originally a reducing one with very low oxygen pressure. As a result, large amounts of reduced iron would have been available for living organisms (Bothwell et al. 1979). Iron is an essential element for all organisms, with the possible exception of some Lactobacillus (Griffiths 1987; Payne 1988). In animals, the processes of DNA replication, RNA synthesis, and oxygen and electron transport require iron. Today most iron in the environment exists in an oxidized state and is less available to organisms. However, the problems of extracting insoluble iron have been overcome during evolution. A variety of sophisticated mechanisms have evolved that are specific to different kingdoms and/or different species (e.g., mechanisms plants use to be able to live in acidic or iron-poor environments) (Bothwell et al. 1979). Such mechanisms in animals include iron complexing agents, which transport iron and deliver it to cells, and low-molecular-weight compounds, such as fructose and amino acids, that reduce iron into a soluble form (Griffiths 1987; Simmons 1989: 14).

Metabolic processes within humans involve the presence of free radicals, that is, substances that are reactive because of instability in the arrangement of electrons (Wadsworth 1991). Iron may be present as a free radical. Such instability makes iron highly likely to donate or accept electrons.As a result, iron is versatile and able to serve a number of functions within cells. These functions include acting as a catalyst in electron transport processes and serving as a transporter of oxygen. Iron is a key component of hemoglobin, the oxygen carrier found in red blood cells. It is involved in many other extracellular processes as well (Woods, DeMarco, and Friedland 1990). Iron also is required for collagen synthesis, the production of antibodies, removal of fats from the blood, conversion of carotene to vitamin A, detoxification of drugs in the liver, and the conversion of fuel nutrients to energy (Long and Shannon 1983). In addition to its importance in the maintenance of normal metabolic processes, iron involvement in pathological change and initiation of disease is a critical facet of host defense.

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Publisher: Cambridge University Press
Print publication year: 2000

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References

Arthur, C. K., and Isbister, J. P.. 1987. Iron deficiency: Misunderstood, misdiagnosed and mistreated. Drugs 33.CrossRefGoogle ScholarPubMed
Behnke, J. M. 1987. Evasion of immunity by nematode parasites causing chronic infections. Advances in Parasitology 26.CrossRefGoogle ScholarPubMed
Beissner, Robert, and Trowbridge, Arthur. 1986. Clinical assessment of anemia. Postgraduate Medicine 80.CrossRefGoogle ScholarPubMed
Bernat, Ivan. 1983. Iron metabolism. New York.CrossRefGoogle Scholar
Bezkorovainy, Anatoly. 1980. Biochemistry of nonheme iron in man. New York.Google Scholar
Bezkorovainy, Anatoly. 1989a. Biochemistry of nonheme iron in man. I. Iron proteins and cellular iron metabolism. Clinical Physiology and Biochemistry 7.Google Scholar
Bezkorovainy, Anatoly. 1989b. Biochemistry of nonheme iron in man. II. Absorption of iron. Clinical Physiology and Biochemistry 7.Google Scholar
Biemond, Peter, Swaak, Antonius, Eijk, Henk, and Koster, Johan. 1988. Superoxide dependent iron release from ferritin in inflammatory diseases. Free Radical Biology and Medicine 4.CrossRefGoogle ScholarPubMed
Boelaert, Johan, Landuty, Herman, Valcke, Yvan, et al. 1987. The role of iron overload in Yersinia enterocolitia and Yersinia pseudotuberculosis bacteremia in hemodialysis patients. Journal of Infectious Diseases 156.CrossRefGoogle Scholar
Bothwell, Thomas, Baynes, R. D., MacJarlane, B. J., MacPhail, A. P.. 1989. Nutritional iron requirements and food iron absorption. Journal of Internal Medicine 226.CrossRefGoogle ScholarPubMed
Bothwell, Thomas, and Bradlow, Basil. 1960. Siderosis in the Bantu. Archives of Pathology 70.Google ScholarPubMed
Bothwell, Thomas, Charlton, Robert, Cook, James, and Finch, Clement. 1965. Oral iron overload. South African Medical Journal 30.Google Scholar
Bothwell, Thomas, Charlton, Robert, Cook, James, and Finch, Clement. 1979. Iron metabolism in man. Oxford.Google Scholar
Bothwell, Thomas, and Isaacson, C.. 1962. Siderosis in the Bantu: A comparison of incidence in males and females. British Medical Journal 1.CrossRefGoogle ScholarPubMed
Bullen, J. J., and Griffiths, E.. 1987. Iron and infection. London.Google Scholar
Bullen, J. J., Rogers, H., and Griffiths, E.. 1974. Bacterial iron metabolism in infection and immunity. In Microbial iron metabolism: A comprehensive treatise, ed. Neiland, J. B.. New York.Google Scholar
Burns, Edward, Goldberg, Nahum, Lawrence, Christine, and Wenz, Barry. 1990. Clinical utility of serum tests for iron deficiency in hospitalized patients. American Journal of Clinical Pathology 93.CrossRefGoogle ScholarPubMed
Ceriotti, Ferruccio, and Ceriotti, Giovanni. 1980. Improved direct specific determination of serum iron and total iron-binding capacity. Clinical Chemistry 26.Google ScholarPubMed
Colditz, G. A., Willett, W. C., Stampfer, M. J., et al. 1987. Menopause and the risk of coronary heart diseases in women. New England Journal of Medicine 316.CrossRefGoogle ScholarPubMed
Cook, James, and Skikne, Barry. 1982. Serum ferritin: A possible model for the assessment of nutrient stores. American Journal of Clinical Nutrition 35.CrossRefGoogle ScholarPubMed
Cook, James, and Skikne, Barry. 1989. Iron deficiency: Definition and diagnosis. Journal of Internal Medicine 226.CrossRefGoogle ScholarPubMed
Cook, James. 1990. Adaptation in iron metabolism. American Journal of Clinical Nutrition 51.CrossRefGoogle ScholarPubMed
Crosa, J. H. 1987. Bacterial iron metabolism, plasmids and other virulence factors. In Iron and infection, ed. Bullen, J. J. and Griffiths, E.. London.Google Scholar
Dallman, P. R. 1989. Iron deficiency: Does it matter?Journal of Internal Medicine 226.CrossRefGoogle ScholarPubMed
Dunn, Frederick. 1968. Epidemiological factors: Health and disease in hunter-gatherers. In Man the hunter, ed. Lee, Richard and Vore, Irven. Chicago.Google Scholar
Eaton, S. B., Shostak, M., and Konner, M.. 1988. The paleolithic prescription. New York.Google Scholar
Edwards, Corwin, Griffen, Linda, Goldgar, David, et al. 1988. Prevalence of hemochromatosis among 11,065 presumably healthy blood donors. New England Journal of Medicine 318.CrossRefGoogle ScholarPubMed
Elin, Ronald, Wolff, Sheldon, and Finch, Clement. 1977. Effect of induced fever on serum iron and ferritin concentrations in man. Blood 49.Google ScholarPubMed
Esumi, Noriko, Ikushima, Satoshi, Hibi, Shigeyoshi, et al. 1988. High serum ferritin level as a marker of malignant histiocytosis and virus-associated hemophagocytic syndrome. Cancer 61.3.0.CO;2-6>CrossRefGoogle ScholarPubMed
Fairbanks, Virgil, and Beutler, Ernest. 1988. Iron. In Modern nutrition in health and disease, ed. Shils, Maurice and Young, Vernon. Philadelphia, Pa.Google Scholar
Farley, Patrick, and Foland, Jaime. 1990. Iron deficiency anemia: How to diagnose and correct. Postgraduate Medicine 87.CrossRefGoogle ScholarPubMed
Fielding, Jack. 1980. Serum iron and iron binding capacity. In Iron, ed. Cook, James. New York.Google Scholar
Finch, C. A. 1989. Introduction: Knights of the oval table. Journal of Internal Medicine 226.CrossRefGoogle ScholarPubMed
Finch, C. A., and Huebers, H.. 1982. Perspectives in iron metabolism. New England Journal of Medicine 306.CrossRefGoogle ScholarPubMed
Florentino, Rodolfo, and Guirriec, Romualda. 1984. Prevalence of nutritional anemia in infancy and childhood with emphasis on developing countries. In Iron nutrition in infancy and childhood, ed. Stekel, A.. New York.Google Scholar
Frassinelli-Gunderson, E. P., Margen, S., and Brown, J. R.. 1985. Iron stores in users of oral contraceptive agents. American Journal of Clinical Nutrition 41.CrossRefGoogle ScholarPubMed
Goodner, Kenneth. 1933. Bacteriological and serological studies in Yucatan in 1929. In The peninsula of Yucatan: Medical, biological, meteorological and sociological studies, ed. Shattuck, George. Carnegie Institution of Washington Publication No. 431.Google Scholar
Gordeuk, Victor, Boyd, R. Devee, and Brittenham, Gary. 1986. Dietary iron overload persists in rural sub-Saharan Africa. Lancet.CrossRefGoogle ScholarPubMed
Griffiths, E. 1987. Iron in biological systems. In Iron and infection, ed. Bullen, J. J. and Griffiths, E.. London.Google Scholar
Griffiths, E., and Bullen, J. J.. 1987. Iron-binding proteins and host defence. In Iron and infection, ed. Bullen, J. J. and Griffiths, E.. London.Google Scholar
Guyatt, Gordon, Patterson, Christopher, Ali, Mahomoud, et al. 1990. Diagnosis of iron-deficiency anemia in the elderly. American Journal of Medicine 88.CrossRefGoogle ScholarPubMed
Hallberg, Leif. 1980. Food iron absorption. In Iron, ed. Cook, James. New York.Google ScholarPubMed
Hann, Hie-Won, Chung, Young, Thomas, W., and Blumberg, Baruch. 1989. Increased serum ferritin in chronic liver disease: A risk factor for primary hepatocellular carcinoma. International Journal of Cancer 43.CrossRefGoogle ScholarPubMed
Herold, P. M., and Kinsella, J. E.. 1986. Fish oil consumption and decreased risk of cardiovascular disease. American Journal of Clinical Nutrition 43.CrossRefGoogle ScholarPubMed
Hoffbrand, A. V., and Lewis, S. M.. 1981. Postgraduate haematology. London.Google Scholar
Houwelingen, R. V., Nordoy, A., Beek, E., et al. 1987. Effect of a moderate fish intake on blood pressure, bleeding time, hematology, and clinical chemistry in healthy males. American Journal of Clinical Nutrition 46.Google Scholar
Hultcrantz, Rolf, Angelin, Bo, Björn-Rasmussen, Erik, et al. 1989. Eiliary excretion of iron and ferritin in idiopathic hemochromatosis. Gastroenterology 96.CrossRefGoogle Scholar
Jacobs, A., and Worwood, M.. 1982. Iron metabolism, iron deficiency and overload. In Blood and its disorders. Second edition, ed. Hardisty, R. M. and Weatherall, D. J.. Oxford.Google ScholarPubMed
Kent, Susan, and Weinberg, Eugene. 1989. Hypoferremia: Adaption to disease? [letter]New England Journal of Medicine.Google Scholar
Kent, Susan, Weinberg, Eugene, and Stuart-Macadam, Patricia. 1990. Dietary and prophylactic iron supplements: Helpful or harmful?Human Nature 1.CrossRefGoogle ScholarPubMed
Kent, Susan, Weinberg, Eugene, and Stuart-Macadam, Patricia. 1994. The etiology of the anemia of chronic disease. Journal of Clinical Epidemiology 47.CrossRefGoogle ScholarPubMed
Kent, Susan. 1986. The influence of sedentism and aggregation on porotic hyperostosis and anaemia: A case study. Man 21.CrossRefGoogle Scholar
Kent, Susan. 1992. Anemia through the ages. In Diet, demography and disease: Changing perspectives of anemia, ed. Stuart-Macadam, Patricia and Kent, Susan. New York.Google Scholar
Keusch, G., and Farthing, M.. 1986. Nutrition and infection. Annual Review of Nutrition 6.CrossRefGoogle ScholarPubMed
Kluger, M. J., and Bullen, J. J.. 1987. Clinical and physiological aspects. In Iron and infection, ed. Bullen, J. J. and Griffiths, E.. London.Google Scholar
Kochan, I. 1973. The role of iron in bacterial infections, with special consideration of host-tubercle bacillus interaction. Current Topics in Microbiology and Immunology 60.CrossRefGoogle ScholarPubMed
Kromhout, D., Bosschieter, E. B., and Coulander, C. Lezenne. 1985. The inverse relation between fish consumption and 20-year mortality from coronary heart disease. New England Journal of Medicine 312.CrossRefGoogle ScholarPubMed
Labbe, Robert, and Finch, Clement. 1980. Erythrocyte protoporphyrin: Application of the diagnosis of iron deficiency. In Iron, ed. Cook, James. New York.Google Scholar
Lee, G. R. 1983. The anemia of chronic disease. Seminar in Hematology 20.Google ScholarPubMed
Leon, M. B., Borer, J. S., Bacharach, S. L., et al. 1979. Detection of early cardiac dysfunction in patients with severe beta-thalassemia and chronic iron overload. New England Journal of Medicine 301.CrossRefGoogle ScholarPubMed
Liebel, R. L., Greenfield, A. B., and Pollitt, E.. 1979. Iron deficiency: Behavior and brain chemistry. In Nutrition: Pre- and postnatal development, ed. Winick, Myron. New York.Google Scholar
Long, P. J., and Shannon, B.. 1983. Focus on nutrition. Englewood Cliffs, N. J.Google Scholar
MacPhail, A. P., Simon, M. O., Torrance, J. D., et al. 1979. Changing patterns of dietary iron overload in Black South Africans. American Journal of Clinical Nutrition 32.CrossRefGoogle ScholarPubMed
Martinez, J. L., Delgado-Irabarren, A., and Baquero, F.. 1990. Mechanisms of iron acquisition and bacterial virulence. FEMS: Microbiology Reviews 75.CrossRefGoogle Scholar
Masawe, A. E., Muindi, J. M., and Swai, G. B.. 1974. Infections in iron deficiency and other types of anaemia in the tropics. Lancet 2.Google ScholarPubMed
Mazzanti, R., Srai, K. S., Debnam, E. S., et al. 1987. The effect of chronic ethanol consumption on iron absorption in rats. Alcohol and Alcoholism 22.Google ScholarPubMed
McCarthy, James, Johnson, William, Nixon, David, et al. 1989. Transfusional iron overload in patients undergoing dialysis. Journal of Laboratory and Clinical Medicine 114.Google ScholarPubMed
McLaren, Gordon, Muir, W. Angus, and Kellermeyer, Robert. 1983. Iron overload disorders: Natural history, pathogenesis, diagnosis, and therapy. Critical Reviews in Clinical Laboratory Sciences 19.Google Scholar
Miller, Carole, Jones, Richard, Plantadosi, Steven, et al. 1990. Decreased erythropoietin response in patients with the anemia of cancer. New England Journal of Medicine 322.CrossRefGoogle Scholar
Monsen, Elaine. 1988. Iron nutrition and absorption: Dietary factors which impact iron bioavailability. Journal of the American Dietetic Association 88.Google ScholarPubMed
Moore, Carl. 1973. Iron. In Modern nutrition in health and disease. Fifth edition, ed. Goodhart, R. S. and Shils, M. E.. Philadelphia, Pa.Google Scholar
Murray, M. J., and Murray, A.. 1977. Starvation suppression and refeeding activation of infection: An ecological necessity?Lancet 1.Google Scholar
Murray, M. J., Murray, A., and Murray, C. J.. 1980. An ecological interdependence of diet and disease?American Journal of Clinical Nutrition 33.CrossRefGoogle ScholarPubMed
Murray, M. J., Murray, A., Murray, N., and Murray, M.. 1976. Somali food shelters in the Ogaden famine and their impact on health. Lancet 1.Google ScholarPubMed
Noyes, Ward. 1985. Anemia as a result of the insufficiency in the production of red cells. In Hematology and oncology, ed. Litchtman, Marshall. New York.Google Scholar
Oppenheimer, S. J., Gibson, F. D., MacFarlane, S. B., et al. 1986. Iron supplementation increases prevalence and effects of malaria: Report on clinical studies in Papua New Guinea. Transactions of the Royal Society of Tropical Medicine and Hygiene 80.Google ScholarPubMed
Osborne, Pamela, Burkett, Luther, Ryan, George, and Lane, Marlene. 1989. An evaluation of red blood cell heterogeneity (increased red blood cell distribution width) in iron deficiency of pregnancy. American Journal of Obstetrics and Gynecology 160.CrossRefGoogle ScholarPubMed
Payne, S. 1988. Iron and virulence in the family Enterobacteriaceae. CRC Critical Reviews in Microbiology 16(2).CrossRefGoogle ScholarPubMed
Pearson, H., and Robinson, J.. 1976. The role of iron in host resistance. Advanced Pediatrics 23.Google ScholarPubMed
Picciano, M. F., and Guthrie, H. A.. 1976. Copper, iron and zinc contents of mature human milk. American Journal of Clinical Nutrition 29.CrossRefGoogle ScholarPubMed
Pochedly, C., and May, S. L.. 1987. Iron deficiency anemia in children. American Family Physician 35.Google ScholarPubMed
Reizenstein, Peter. 1983. Hematological stress syndrome: The biological response to disease. New York.Google Scholar
Rodriguez, M. C., Henriquez, M. S., Turon, A. F., et al. 1986. Trace elements in chronic alcoholism. Trace Elements in Medicine 3.Google Scholar
Salonen, J. T., Nyyssönen, K., Korpela, H., et al. 1992. High stored iron levels are associated with excess risk of myocardial infarction in Finnish men. Circulation 86.CrossRefGoogle ScholarPubMed
Schade, A. L., and Caroline, L.. 1944. Raw hen egg white and the role of iron in growth inhibition of Shigella dysenteriae, Staphylococcus aureus, Escherichia coli, and Saccharomyces cerevisiae. Science 100.CrossRefGoogle ScholarPubMed
Selby, Joseph, and Friedman, Gary. 1988. Epidemiologic evidence of an association between body iron stores and risk of cancer. International Journal of Cancer 41.CrossRefGoogle ScholarPubMed
Simmons, Arthur. 1989. Hematology: A combined theoretical and technical approach. Philadelphia, Pa.Google Scholar
Stevens, R. G., Jones, D. Y., Micozzi, M. S., and Taylor, P. R.. 1988. Body iron stores and the risk of cancer. New England Journal of Medicine 319.CrossRefGoogle ScholarPubMed
Strauss, R. 1978. Iron deficiency, infections, and immune function: A reassessment. American Journal of Clinical Nutrition 31.CrossRefGoogle ScholarPubMed
Stuart-Macadam, Patricia. 1988. Nutrition and anemia in past human populations. In Diet and subsistence: Current archaeological perspectives, ed. Kennedy, B. and LeMoine, G.. Calgary.Google Scholar
Subar, Amy, and Bowering, Jean. 1988. The contribution of enrichment and fortification to nutrient intake of women. Journal of the American Dietetic Association 88.Google Scholar
Sullivan, J. L. 1983. The sex difference in ischemic heart disease. Perspectives in Biology and Medicine 26.CrossRefGoogle ScholarPubMed
Sullivan, J. L. 1989. The iron paradigm of ischemic heart disease. American Heart Journal 117.CrossRefGoogle ScholarPubMed
Thompson, Warren, Meola, Thomas, Lipkin, Mack, and Freedman, Michael. 1988. Red cell distribution width, mean corpuscular volume, and transferrin saturation in the diagnosis of iron deficiency. Archives of Internal Medicine 148.CrossRefGoogle Scholar
Thompson, Warren. 1988. Comparison of tests for diagnosis of iron depletion in pregnancy. American Journal of Obstetrics and Gynecology 159.CrossRefGoogle ScholarPubMed
Wadsworth, George. 1975. Nutritional factors in anemia. World Review of Nutrition and Diet 21.CrossRefGoogle Scholar
Wadsworth, George. 1991. Iron and anemia. Paper presented at the American Association of Physical Anthropology Conference, Milwaukee, Wis.Google Scholar
Weinberg, Eugene. 1966. Roles of metallic ions in host-parasite interactions. Microbiological Reviews 30.Google ScholarPubMed
Weinberg, Eugene. 1974. Iron and susceptibility to infectious disease. Science 184.CrossRefGoogle ScholarPubMed
Weinberg, Eugene. 1977. Infection and iron metabolism. American Journal of Clinical Nutrition 30.CrossRefGoogle ScholarPubMed
Weinberg, Eugene. 1978. Iron and infection. Microbiological Review 42.Google ScholarPubMed
Weinberg, Eugene. 1981. Iron and neoplasia. Biology and Trace Element Research 3.CrossRefGoogle ScholarPubMed
Weinberg, Eugene. 1983. Iron in neoplastic disease. Nutrition and Cancer 4.Google ScholarPubMed
Weinberg, Eugene. 1984. Iron withholding: A defense against infection and neoplasia. Physiological Reviews 64.CrossRefGoogle ScholarPubMed
Weinberg, Eugene. 1989. Cellular regulation of iron assimilation. Quarterly Review of Biology 64.CrossRefGoogle ScholarPubMed
Weinberg, Eugene. 1990. Cellular iron metabolism in health and disease. Drug and Metabolism Reviews 22.CrossRefGoogle ScholarPubMed
Weinberg, Eugene. 1992. Iron withholding: A defense against disease. In Diet, demography, and disease: Changing perspectives of anemia, ed. Stuart-Macadam, Patricia and Kent, Susan. New York.Google Scholar
Woods, S., DeMarco, T., and Friedland, M.. 1990. Iron metabolism. American Journal of Gastroenterology 85.Google ScholarPubMed
Worwood, M. 1980. Serum ferritin. In Iron in biochemistry and medicine, II, ed. Jacobs, A. and Worwood, M.. London.Google Scholar
Worwood, M. 1989. An overview of iron metabolism at a molecular level. Journal of Internal Medicine 226.CrossRefGoogle Scholar
Ya-You, Ji, Yan-Fang, Liu, Bo-Yun, Wang, and De-Yun, Yang. 1989. An immunocytochemical study on the distribution of ferritin and other markers in 36 cases of malignant histiocytosis. Cancer 64.3.0.CO;2-7>CrossRefGoogle Scholar
Yinnon, Amos, Konijn, Abraham, Link, Gabriela, et al. 1988. Diagnostic value of ferritin in malignant pleural and peritoneal effusions. Cancer 62.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
Zanella, Alberto, Gridelli, Linda, Berzuini, Alessandra, et al. 1989. Sensitivity and predictive value of serum ferritin and free erythrocyte protoporphyrin for iron deficiency. Journal of Laboratory and Clinical Medicine 113.Google ScholarPubMed

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