Bhargava M, Gabbe E E
J Nutr. 1984 Jun;114(6):1060-9. doi: 10.1093/jn/114.6.1060.
Intestinal iron absorption studies, which include investigation of iron deficiency, increased erythropoiesis, low iron diet and acute bleeding, have been done, but none have reported the regulation of the balance of an iron-replete individual. We bled rats at regular time intervals, such that the experimentally induced iron losses were compensated by iron from storage and nutritional procurement without the onset of anemia. During these experimental periods the hemoglobin and plasma iron concentrations were determined along with repeated histochemical gradings of the bone marrow iron. We determined the intestinal iron absorption at regular intervals after having established its relation to the intragastric ferrous iron dose. The results obtained show that regular bleedings of 15-20% of the total blood volume every 10 days or twice a week, respectively, are compensated completely by storage and nutritional iron procurement without the onset of anemia. The intestinal iron absorption is increased 4 hours after an acute bleeding and was found high during the period that the animals were bled every 10 days. Significant changes of the plasma iron concentration, mostly within the "normal range" are invariably associated with experimental changes in bleeding regimes. The observed increases of the intestinal absorption of a ferrous iron test dose and decreases of the plasma iron concentrations that precede the depletion of the histochemically graded bone marrow iron are interpreted by a modification of a reported model, in which the process of iron release into the plasma from the reticuloendothelial system and the gut mucosa is linked closely to the actual plasma iron concentration.
已经开展了肠道铁吸收研究,其中包括对缺铁、红细胞生成增加、低铁饮食和急性出血的调查,但尚无研究报道铁储备充足个体的铁平衡调节情况。我们定期给大鼠放血,使实验性诱导的铁流失通过储存铁和营养摄入的铁得到补偿,且不发生贫血。在这些实验期间,测定血红蛋白和血浆铁浓度,并对骨髓铁进行反复的组织化学分级。在确定肠道铁吸收与胃内亚铁剂量的关系后,我们定期测定肠道铁吸收。所得结果表明,每10天或每周两次分别定期放血占总血容量的15 - 20%,可完全由储存铁和营养性铁摄入得到补偿,且不发生贫血。急性出血后4小时肠道铁吸收增加,并且发现在每10天给动物放血期间肠道铁吸收较高。血浆铁浓度的显著变化(大多在“正常范围”内)总是与放血方案的实验性变化相关。在组织化学分级的骨髓铁耗尽之前观察到的亚铁试验剂量肠道吸收增加和血浆铁浓度降低,通过对一个已报道模型的修正来解释,在该模型中,铁从网状内皮系统和肠黏膜释放到血浆中的过程与实际血浆铁浓度密切相关。