Richter G W
Am J Pathol. 1974 Mar;74(3):481-506.
The development of siderosis of liver and spleen was investigated in rats subjected alternately to periods of starvation and periods of feeding of diets rich in iron (0.71% or 1.23% Fe) or of control diets, during periods ranging up to 245 days. With 0.71% iron in the diet, cyclic starvation-feeding markedly enhanced the accumulation of iron in rat livers by comparison to feeding ad libitum even though rats fed ad libitum ingested far greater total amounts of iron than cyclically fed rats. With 1.23% iron in the diet, the concentration of iron in livers reached more or less the same plateau in cyclically starved-fed rats and in rats fed ad libitum (betwen 4 and 5 mg Fe/g wet weight); but the mean rate of accumulation of iron in the livers of cyclically starved and fed rats was more than twice that in rats fed ad libitum, whereas mean ingestion of iron per feeding day was only 16% higher in the former group. Surgical removal of the spleen enhanced the accumulation of iron in the liver in cyclically starved-fed rats and in rats fed ad libitum. Histologically, siderosis of the liver was moderate in rats fed the diet with 0.71% iron but was severe in rats fed the diet with 1.23% iron and most severe in those without spleens. Stainable iron was deposited in hepatocytes and in Kupffer cells. None of the rats developed cirrhosis of the liver. The data suggest that in rats a barrier to the absorption of iron from the gut, or to its later utilization, is surmounted if the concentration of iron in the food exceeds a certain limit value, somewhere between 0.71 and 1.23%. With iron in the food below this value, cyclic starvation-feeding markedly potentiates accumulation of iron in the liver in the course of several months, but siderosis is moderate. With iron in the food above the limit value, cyclic starvation-feeding and feeding ad libitum can equally lead to massive siderosis of the liver.
在长达245天的时间里,对交替经历饥饿期和喂食高铁饮食(铁含量为0.71%或1.23%)或对照饮食的大鼠肝脏和脾脏铁沉积的发展情况进行了研究。饮食中铁含量为0.71%时,与随意进食相比,周期性饥饿-喂食显著增强了大鼠肝脏中铁的积累,尽管随意进食的大鼠摄入的铁总量远高于周期性喂食的大鼠。饮食中铁含量为1.23%时,周期性饥饿-喂食的大鼠和随意进食的大鼠肝脏中铁的浓度大致达到相同的稳定水平(4至5毫克铁/克湿重);但周期性饥饿-喂食的大鼠肝脏中铁的平均积累速率是随意进食大鼠的两倍多,而前一组每天每次喂食的铁平均摄入量仅高了16%。手术切除脾脏增强了周期性饥饿-喂食的大鼠和随意进食的大鼠肝脏中铁的积累。组织学上, 喂食铁含量为0.71%饮食的大鼠肝脏铁沉积为中度,而喂食铁含量为1.23%饮食的大鼠肝脏铁沉积严重,无脾脏的大鼠最为严重。可染色铁沉积在肝细胞和库普弗细胞中。所有大鼠均未发生肝硬化。数据表明,在大鼠中,如果食物中铁的浓度超过某个极限值(介于0.71%和1.23%之间),肠道对铁的吸收或其后续利用的障碍就会被克服。当食物中铁含量低于该值时,周期性饥饿-喂食在几个月内会显著增强肝脏中铁的积累,但铁沉积为中度。当食物中铁含量高于极限值时,周期性饥饿-喂食和随意进食均可导致肝脏大量铁沉积。