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A Review of Nutrients and Compounds, Which Promote or Inhibit Intestinal Iron Absorption: Making a Platform for Dietary Measures That Can Reduce Iron Uptake in Patients with Genetic Haemochromatosis.

作者信息

Milman Nils Thorm

机构信息

Department of Clinical Biochemistry, Næstved Hospital, University College Zealand, DK-4700 Næstved, Denmark.

出版信息

J Nutr Metab. 2020 Sep 14;2020:7373498. doi: 10.1155/2020/7373498. eCollection 2020.


DOI:10.1155/2020/7373498
PMID:33005455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7509542/
Abstract

OBJECTIVE: To provide an overview of nutrients and compounds, which influence human intestinal iron absorption, thereby making a platform for elaboration of dietary recommendations that can reduce iron uptake in patients with genetic haemochromatosis. DESIGN: Review. . A literature search in PubMed and Google Scholar of papers dealing with iron absorption. RESULTS: The most important promoters of iron absorption in foods are ascorbic acid, lactic acid (produced by fermentation), meat factors in animal meat, the presence of heme iron, and alcohol which stimulate iron uptake by inhibition of hepcidin expression. The most important inhibitors of iron uptake are phytic acid/phytates, polyphenols/tannins, proteins from soya beans, milk, eggs, and calcium. Oxalic acid/oxalate does not seem to influence iron uptake. Turmeric/curcumin may stimulate iron uptake through a decrease in hepcidin expression and inhibit uptake by complex formation with iron, but the net effect has not been clarified. CONCLUSIONS: In haemochromatosis, iron absorption is enhanced due to a decreased expression of hepcidin. Dietary modifications that lower iron intake and decrease iron bioavailability may provide additional measures to reduce iron uptake from the foods. This could stimulate the patients' active cooperation in the treatment of their disorder and reduce the number of phlebotomies.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0a1/7509542/44ac05270f18/jnme2020-7373498.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0a1/7509542/44ac05270f18/jnme2020-7373498.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0a1/7509542/44ac05270f18/jnme2020-7373498.001.jpg

相似文献

[1]
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[9]
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本文引用的文献

[1]
Dysmetabolic Hyperferritinemia and Dysmetabolic Iron Overload Syndrome (DIOS): Two Related Conditions or Different Entities?

Curr Pharm Des. 2020

[2]
Diagnosis and Treatment of Genetic -Hemochromatosis: The Danish Aspect.

Gastroenterology Res. 2019-10

[3]
Dietary Iron Intake in Women of Reproductive Age in Europe: A Review of 49 Studies from 29 Countries in the Period 1993-2015.

J Nutr Metab. 2019-6-13

[4]
Hepcidin-ferroportin axis in health and disease.

Vitam Horm. 2019

[5]
Iron Status of Vegetarian Adults: A Review of Literature.

Am J Lifestyle Med. 2016-12-16

[6]
Common conditions associated with hereditary haemochromatosis genetic variants: cohort study in UK Biobank.

BMJ. 2019-1-16

[7]
Dietary oxalate and kidney stone formation.

Am J Physiol Renal Physiol. 2018-12-19

[8]
The role of yogurt in food-based dietary guidelines.

Nutr Rev. 2018-12-1

[9]
Low hepcidin in liver fibrosis and cirrhosis; a tale of progressive disorder and a case for a new biochemical marker.

Mol Med. 2018-3-15

[10]
Therapeutic recommendations in HFE hemochromatosis for p.Cys282Tyr (C282Y/C282Y) homozygous genotype.

Hepatol Int. 2018-3-27

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