Kwong Wilson T, Friello Phyllis, Semba Richard D
Department of Ophthalmology, Johns Hopkins University School of Medicine, 550 North Broadway, Suite 700, Baltimore, MD 21205, USA.
Sci Total Environ. 2004 Sep 1;330(1-3):21-37. doi: 10.1016/j.scitotenv.2004.03.017.
Iron deficiency and lead poisoning are common among infants and children in many parts of the world, and often these two problems are associated. Both conditions are known to cause anemia and appear to produce a more severe form of anemia when in combination. Although the nature of their relationship is not completely elucidated, characterization of a common iron-lead transporter and epidemiological studies among children strongly suggest that iron deficiency may increase susceptibility to lead poisoning. Recent human studies suggest that high iron intake and sufficient iron stores may reduce the risk of lead poisoning. Future clinical trials are necessary to assess the effect of iron supplementation in the public health prevention of lead poisoning and the kinetics of lead in the body.
缺铁和铅中毒在世界许多地区的婴幼儿中很常见,而且这两个问题常常相关联。已知这两种情况都会导致贫血,并且当两者同时存在时,似乎会产生更严重的贫血形式。尽管它们之间关系的本质尚未完全阐明,但一种常见的铁铅转运蛋白的特性以及对儿童的流行病学研究有力地表明,缺铁可能会增加铅中毒的易感性。最近的人体研究表明,高铁摄入量和充足的铁储备可能会降低铅中毒的风险。未来有必要进行临床试验,以评估补充铁剂在公共卫生预防铅中毒方面的效果以及铅在体内的动力学。