scholarly journals Nontransferrin-bound iron in plasma from hemochromatosis patients: effect of phlebotomy therapy

Blood ◽  
1988 ◽  
Vol 72 (4) ◽  
pp. 1416-1419 ◽  
Author(s):  
OI Aruoma ◽  
A Bomford ◽  
RJ Polson ◽  
B Halliwell

Abstract Plasma from patients with iron overload resulting from idiopathic hemochromatosis contains nontransferrin-bound iron, measurable by the bleomycin, assay. During venesection therapy, the concentration of bleomycin iron declines in a way highly correlated with plasma ferritin concentrations. Even when patients had been venesected to give very low total plasma iron concentrations and high transferrin iron-binding capacity, bleomycin-detectable iron was still present at low concentrations. Bleomycin-detectable iron can stimulate damaging free radical reactions, and its persistence in plasma even after prolonged venesection might contribute to the tissue damage that results from iron overload.

Blood ◽  
1988 ◽  
Vol 72 (4) ◽  
pp. 1416-1419 ◽  
Author(s):  
OI Aruoma ◽  
A Bomford ◽  
RJ Polson ◽  
B Halliwell

Plasma from patients with iron overload resulting from idiopathic hemochromatosis contains nontransferrin-bound iron, measurable by the bleomycin, assay. During venesection therapy, the concentration of bleomycin iron declines in a way highly correlated with plasma ferritin concentrations. Even when patients had been venesected to give very low total plasma iron concentrations and high transferrin iron-binding capacity, bleomycin-detectable iron was still present at low concentrations. Bleomycin-detectable iron can stimulate damaging free radical reactions, and its persistence in plasma even after prolonged venesection might contribute to the tissue damage that results from iron overload.


2014 ◽  
Vol 100 (3) ◽  
pp. 254-259 ◽  
Author(s):  
Junichi Watanabe ◽  
Ken Sato ◽  
Toshikatsu Horiuchi ◽  
Shoichiro Kato ◽  
Reina Hikota ◽  
...  

The Lancet ◽  
1975 ◽  
Vol 305 (7919) ◽  
pp. 1293
Author(s):  
Terry Hamblin

1966 ◽  
Vol 4 (3) ◽  
pp. 9-11

We have discussed iron preparations for adults in earlier articles;1 much of the information applies equally to children. Iron is not a ‘tonic’ and should be given only to prevent or correct iron deficiency. Estimation of the haemoglobin and inspection of a blood smear are the minimum investigations necessary before iron is prescribed in therapy. When deficiency is suspected in the absence of hypochromic anaemia, plasma iron and iron-binding capacity should be estimated and/or the bone marrow examined for haemosiderin crystals which disappear when iron stores are depleted.


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