Department of Biomedical Engineering, National Taiwan University, Taipei 10617, Taiwan.
Department of Internal Medicine (Cardiology Section), National Taiwan University Hospital, Taipei 10051, Taiwan.
Int J Mol Sci. 2019 Oct 24;20(21):5291. doi: 10.3390/ijms20215291.
Chronic renal failure involving hemodialysis results in blood loss during filtration. Iron deficiency and iron deficiency anemia can result. A compensatory increase in iron dosage has many side effects including discomfort. Elemental iron is a highly-pure iron source, which reduces the frequency of dosages; the solubility decreases with increased particle size or pore size. In this study, synthesized mesoporous iron particles (MIPs) were used to relieve iron deficiency anemia. Their bioavailability was measured in vitro by a Caco-2 cell model and in vivo in iron-deficient rats. In vitro bioavailability of MIPs was examined by measuring ferritin content in the Caco-2 cell model. Iron uptake of MIPs was significantly higher than commercial iron particles, which were less porous. In vivo bioavailability of MIPs was examined by measuring body weight gain and red blood cell-related parameters, compared with the bioavailability of standard drug ferrous sulfate in iron-deficient anemic rats. Finally, average hemoglobin content and hemoglobin regeneration efficiency were significantly higher in anemic rats supplemented with commercial iron particles, compared to anemic controls. In the 28-day oral toxicity test, MIPs were not significantly toxic to rat physiology or tissue histopathology. Thus, MIPs may allow effective recovery of hemoglobin in iron deficiency anemia.
慢性肾衰竭涉及血液透析,在过滤过程中会导致失血。可能会导致缺铁和缺铁性贫血。铁剂量的代偿性增加有许多副作用,包括不适。元素铁是一种高纯度的铁源,可降低剂量频率;随着粒径或孔径的增加,其溶解度降低。在这项研究中,合成了介孔铁颗粒(MIPs)以缓解缺铁性贫血。通过 Caco-2 细胞模型和缺铁大鼠体内实验测量其生物利用度。通过测量 Caco-2 细胞模型中的铁蛋白含量来检查 MIP 的体外生物利用度。MIP 的铁摄取量明显高于商业铁颗粒,商业铁颗粒的孔隙率较低。通过测量体重增加和与红细胞相关的参数来检查 MIP 在缺铁性贫血大鼠中的体内生物利用度,与标准药物硫酸亚铁的生物利用度进行比较。最后,补充商业铁颗粒的贫血大鼠的平均血红蛋白含量和血红蛋白再生效率明显高于贫血对照组。在 28 天的口服毒性试验中,MIP 对大鼠的生理或组织组织病理学没有明显的毒性。因此,MIP 可能允许有效地恢复缺铁性贫血中的血红蛋白。