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[杂合子β地中海贫血患者血清及尿铁的研究结果]

[Findings in relation to serum and urinary iron in heterozygotic beta-thalassemia].

作者信息

Lodi G, Squarzoni G, Bariani M C, Fogli B, Masotti M, Musiari A, Bariani L

出版信息

G Clin Med. 1989 Apr;70(4):263-6.

PMID:2767366
Abstract

Iron status (expressed as serum ferritin and iron levels) has been compared in normal and in heterozygous beta-thalassemic subjects. A higher serum ferritin concentration has been found in beta-thalassemic males, showing, therefore, a shift towards super-normal values of the balance between tissue iron and serum ferritin levels. In beta-thalassemic subjects the serum ferritin levels have been found in the normal range and this seems to be correlated with an adequate and ready iron supply by protein transferrin to hyperplastic bone marrow. The higher urinary iron values in normal male subjects can be explained in this way: a large iron supply from the transferrin to the thalassemic erythroid cells limits the contribution from this protein to the urinary iron.

摘要

已对正常受试者和杂合子β地中海贫血受试者的铁状态(以血清铁蛋白和铁水平表示)进行了比较。在β地中海贫血男性中发现血清铁蛋白浓度较高,因此表明组织铁与血清铁蛋白水平之间的平衡向超正常水平转变。在β地中海贫血受试者中,血清铁蛋白水平处于正常范围,这似乎与转铁蛋白向增生性骨髓充分且随时可用的铁供应相关。正常男性受试者较高的尿铁值可这样解释:从转铁蛋白到地中海贫血红细胞的大量铁供应限制了该蛋白对尿铁的贡献。

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