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Haptoglobin functions to bind the free plasma hemoglobin, which allows degradative enzymes to gain access to the hemoglobin while at the same time preventing loss of iron through the kidneys and protecting the kidneys from damage by hemoglobin. [11] The cellular receptor target of Hp is the monocyte/macrophage scavenger receptor, CD163. [7]
Iron can be stored in ferritin as ferric iron due to the ferroxidase activity of the ferritin heavy chain. [43] Dysfunctional ferritin may accumulate as hemosiderin, which can be problematic in cases of iron overload. [44] The ferritin storage iron pool is much larger than the labile iron pool, ranging in concentration from 0.7 mM to 3.6 mM. [40]
However, a varied size distribution of red blood cells is a hallmark of iron deficiency anemia, and as such shows an increased RDW in virtually all cases. In the case of both iron and B 12 deficiencies, there will normally be a mix of both large cells and small cells, causing the RDW to be elevated.
Iron overload (also known as haemochromatosis or hemochromatosis) is the abnormal and increased accumulation of total iron in the body, leading to organ damage. [1] The primary mechanism of organ damage is oxidative stress, as elevated intracellular iron levels increase free radical formation via the Fenton reaction.
Roughly 5 grams of iron are present in the human body and is the most abundant trace metal. [1] It is absorbed in the intestine as heme or non-heme iron depending on the food source. Heme iron is derived from the digestion of hemoproteins in meat. [4] Non-heme iron is mainly derived from plants and exist as iron(II) or iron(III) ions. [4]
"The world health organization international classification of functioning, disability, and health: a model to guide clinical thinking, practice and research in the field of cerebral palsy" (PDF). Seminars in Pediatric Neurology .
The amino acids which bind the iron ion to the transferrin are identical for both lobes; two tyrosines, one histidine, and one aspartic acid. For the iron ion to bind, an anion is required, preferably carbonate (CO 2− 3). [18] [13] Transferrin also has a transferrin iron-bound receptor; it is a disulfide-linked homodimer. [16]
Low-pressure phase diagram of pure iron. BCC is body centered cubic and FCC is face-centered cubic. Iron-carbon eutectic phase diagram, showing various forms of Fe x C y substances. Iron allotropes, showing the differences in structure. The alpha iron (α-Fe) is a body-centered cubic (BCC) and the gamma iron (γ-Fe) is a face-centered cubic (FCC).