Department of Molecular and Translational Medicine, University of Brescia, Viale Europa 11, 25123 Brescia, Italy.
Pharmanutra S.p.a. 56122 Pisa, Italy.
Nutrients. 2018 Sep 21;10(10):1349. doi: 10.3390/nu10101349.
Sucrosomial Iron is a recently developed formulation to treat iron deficiency based on ferric pyrophosphate covered by a matrix of phospholipids plus sucrose esters of fatty acids. Previous data indicated that Sucrosomial Iron is efficiently absorbed by iron-deficient subjects, even at low dosage, and without side effects. Its structural properties may suggest that it is absorbed by an intestinal pathway which is different to the one used by ionic iron. Although, studies showed that Sucrosomial Iron is readily absorbed, no animal models have been established to study this important aspect. To this aim, we induced iron deficient anemia in mice by feeding them with a low-iron diet, and then we treated them with either Sucrosomial Iron or sulfate iron by gavage for up to two weeks. Both iron formulations corrected anemia and restored iron stores in a two-week period, but with different kinetics. Ferrous Sulfate was more efficient during the first week and Sucrosomial Iron in the second week. Of note, when given at the same concentrations, Ferrous Sulfate induced the expression of hepcidin and four different inflammatory markers (Socs3, Saa1, IL6 and CRP), while Sucrosomial Iron did not. We conclude that anemic mice are interesting models to study the absorption of oral iron, and that Sucrosomial Iron is to be preferred over Ferrous Sulfate because of similar absorption but without inducing an inflammatory response.
蔗糖铁是一种最近开发的基于焦磷酸铁的铁缺乏症治疗药物,其被磷脂和脂肪酸蔗糖酯的基质所覆盖。先前的数据表明,蔗糖铁即使在低剂量下,也能被缺铁的受试者有效地吸收,而且没有副作用。其结构特性表明,它通过一种不同于离子铁的肠道途径被吸收。尽管研究表明蔗糖铁很容易被吸收,但尚未建立动物模型来研究这一重要方面。为此,我们通过给小鼠喂食低铁饮食来诱导缺铁性贫血,然后通过灌胃用蔗糖铁或硫酸铁治疗它们长达两周。两种铁制剂都能在两周内纠正贫血并恢复铁储存,但动力学不同。硫酸亚铁在第一周更有效,而蔗糖铁在第二周更有效。值得注意的是,当以相同浓度给予时,硫酸亚铁诱导了铁调素和四种不同的炎症标志物(Socs3、Saa1、IL6 和 CRP)的表达,而蔗糖铁则没有。我们得出结论,贫血小鼠是研究口服铁吸收的有趣模型,并且由于类似的吸收而没有诱导炎症反应,蔗糖铁优于硫酸亚铁。