Ems Thomas, St Lucia Kayla, Huecker Martin R.
University of Louisville
Lake Erie College of Osteopathic Medicine
Iron is an essential element of various metabolic processes in humans, including DNA synthesis, electron transport, and oxygen transport. Unlike other minerals, iron levels in the human body are controlled only by absorption. The mechanism of iron excretion is an unregulated process arrived at through loss in sweat, menstruation, shedding of hair and skin cells, and rapid turnover and excretion of enterocytes. In the human body, iron exists mainly in erythrocytes as the heme compound hemoglobin (approximately 2 g of iron in men and 1.5 g in women), to a lesser extent in storage compounds (ferritin and hemosiderin) and in muscle cells as myoglobin. Iron is also found bound to proteins (hemoprotein) and non-heme enzymes involved in oxidation-reduction reactions and the transfer of electrons (cytochromes and catalase). Additionally, approximately 2.2% of total body iron is found in the so-called labile pool, a poorly defined and reactive pool of iron that forms reactive oxygen species via the Fenton Reaction, which forms complexes with a drug class known as chelators. Iron chelators treat iron overload, a condition often caused by transfusion therapies used to treat thalassemias and other anemias.
铁是人体各种代谢过程中的必需元素,包括DNA合成、电子传递和氧运输。与其他矿物质不同,人体中的铁水平仅通过吸收来控制。铁的排泄机制是一个不受调节的过程,通过汗液流失、月经、毛发和皮肤细胞脱落以及肠上皮细胞的快速更新和排泄来实现。在人体中,铁主要以血红素化合物血红蛋白的形式存在于红细胞中(男性约含2克铁,女性约含1.5克铁),在储存化合物(铁蛋白和含铁血黄素)以及肌肉细胞中的肌红蛋白中含量较少。铁还与参与氧化还原反应和电子转移的蛋白质(血红蛋白)和非血红素酶(细胞色素和过氧化氢酶)结合。此外,约2.2%的全身铁存在于所谓的不稳定池,这是一个定义不清且具有反应性的铁池,通过芬顿反应形成活性氧,该反应与一类称为螯合剂的药物形成复合物。铁螯合剂用于治疗铁过载,这种情况通常由用于治疗地中海贫血和其他贫血的输血疗法引起。