Lanzkowsky P, Karayalcin G, Miller F
Pediatr Res. 1982 Apr;16(4 Pt 1):318-23. doi: 10.1203/00006450-198204000-00016.
Newborn rats born to iron deficient mothers (IDM) were found to have significantly lower hemoglobin, sucrase, lactase and maltase levels compared to control newborn rats. Rats born to IDM and nursed by IDM, when sacrificed at 21 days of age, had statistically significantly lower hemoglobin, serum iron, sucrase, lactase and maltase levels compared to control rats. Rats born to IDM, but nursed by iron sufficient mothers (ISM) and sacrificed at 21 days of age, had hemoglobin, serum iron and sucrase levels compared to control rats whereas lactase and maltase were not corrected by 21 days of nursing by ISM. Rats burn to IDM and nursed by either IDM or ISM for 21 days were given intramuscular iron dextran and placed on iron sufficient diet (ISD) for 7 days. These animals experienced correction of the hemoglobin, serum iron, sucrase and maltase levels compared to control rats, whereas intestinal lactase was not corrected by 7 days of ISD and intramuscular iron. Rats born to ISM, nursed by IDM and sacrificed on day 21 had significantly lower hemoglobin, serum iron and intestinal lactase levels compared to control rats. Rats both to ISM and nursed by IDM were given intramuscular iron dextran on day 21 and placed on an ISD from day 21-28. These animals had a return in hemoglobin, serum iron, sucrase and maltase levels comparable to control rats. Rats born to and nursed by ISM and maintained on an iron deficient diet from day 21-84 had significantly lower hemoglobin, serum iron, sucrase, lactase and maltase levels compared to control rats. Rats born to and nursed by ISM, maintained on iron deficient diet from day 21-84, and then given intramuscular iron dextran on day 84 and maintained on an ISD until day 92, experienced correction of the hemoglobin, serum iron and lactase levels compared to control rats. Intramuscular iron and 7 days of ISD did not correct the sucrase and maltase levels in these rats. Lactose tolerance tests in iron deficient rats showed flat curves compared to controls. After iron treatment, lactose tolerance curves returned to control values. Iron deficiency in rats in utero, during the nursing and postweaning period causes, in addition to anemia, a reduction in jejunal disaccharidase activity because of an alteration in the enzymes of the brush border membrane. Varying degrees of reduction and response of certain disaccharidases to iron treatment are dependent on the time of iron deprivation in relationship to the intra-uterine and postnatal development of the digestive and absorptive functions in the small intestine. Alterations in the levels of disaccharidases demonstrated in this paper represents another aspect of the spectrum of biochemical effects of iron deficiency.
与对照新生大鼠相比,缺铁母亲所生的新生大鼠血红蛋白、蔗糖酶、乳糖酶和麦芽糖酶水平显著更低。缺铁母亲所生且由缺铁母亲哺育的大鼠,在21日龄处死后,与对照大鼠相比,其血红蛋白、血清铁、蔗糖酶、乳糖酶和麦芽糖酶水平在统计学上显著更低。缺铁母亲所生但由铁充足的母亲哺育且在21日龄处死后的大鼠,与对照大鼠相比,其血红蛋白、血清铁和蔗糖酶水平有所不同,而乳糖酶和麦芽糖酶在由铁充足的母亲哺育21天后并未恢复正常。缺铁母亲所生且由缺铁或铁充足的母亲哺育21天的大鼠,接受了肌肉注射右旋糖酐铁,并在铁充足饮食(ISD)下喂养7天。与对照大鼠相比,这些动物的血红蛋白、血清铁、蔗糖酶和麦芽糖酶水平得到了纠正,而肠道乳糖酶在接受7天的ISD和肌肉注射铁后并未恢复正常。铁充足的母亲所生但由缺铁母亲哺育并在21日龄处死后的大鼠,与对照大鼠相比,其血红蛋白、血清铁和肠道乳糖酶水平显著更低。铁充足的母亲所生且由缺铁母亲哺育的大鼠在21日龄时接受了肌肉注射右旋糖酐铁,并在21 - 28天期间采用ISD喂养。这些动物的血红蛋白、血清铁、蔗糖酶和麦芽糖酶水平恢复到了与对照大鼠相当的水平。铁充足的母亲所生且由其哺育并在21 - 84天期间维持缺铁饮食的大鼠,与对照大鼠相比,其血红蛋白、血清铁、蔗糖酶、乳糖酶和麦芽糖酶水平显著更低。铁充足的母亲所生且由其哺育、在21 - 84天期间维持缺铁饮食、然后在84日龄接受肌肉注射右旋糖酐铁并在92日龄前维持ISD喂养的大鼠,与对照大鼠相比,其血红蛋白、血清铁和乳糖酶水平得到了纠正。肌肉注射铁和7天的ISD并未纠正这些大鼠的蔗糖酶和麦芽糖酶水平。缺铁大鼠的乳糖耐量试验显示与对照相比曲线平缓。铁治疗后,乳糖耐量曲线恢复到对照值。大鼠在子宫内、哺乳期和断奶后期缺铁,除了导致贫血外,还会因刷状缘膜酶的改变而导致空肠双糖酶活性降低。某些双糖酶的不同程度降低以及对铁治疗的反应取决于铁缺乏的时间与小肠消化和吸收功能的子宫内及出生后发育的关系。本文所展示的双糖酶水平变化代表了缺铁生化效应谱的另一个方面。