Iron metabolism in the body - An overview

Iron is an essential mineral that is necessary for a variety of physiological processes in the body, including oxygen transport, energy production, and DNA synthesis. However, the human body cannot synthesize iron and therefore relies on dietary intake to meet its iron requirements.

Iron metabolism in the body involves several steps, including absorption, transport, storage, and utilization.

1. Absorption: Iron is primarily absorbed in the duodenum and upper jejunum of the small intestine. In the acidic environment of the stomach, iron is released from food sources and converted into its ferrous form (Fe2+). Ferrous iron is then transported into the intestinal epithelial cells via the divalent metal transporter 1 (DMT1). Once inside the cell, iron is oxidized to its ferric form (Fe3+) by hephaestin, and then exported into the circulation via the iron exporter ferroportin.

2. Transport: In the bloodstream, iron is primarily bound to transferrin, a serum protein that transports iron to various tissues and organs throughout the body. Transferrin-bound iron is taken up by cells via the transferrin receptor 1 (TfR1), which is upregulated in response to cellular iron deficiency.

3. Storage: Iron that is not immediately needed for cellular processes is stored in the body's iron stores, which are primarily found in the liver, spleen, and bone marrow. Iron storage is primarily regulated by the hormone hepcidin, which is produced by the liver in response to high levels of circulating iron. Hepcidin binds to ferroportin and triggers its internalization and degradation, thereby reducing iron export from cells.

4. Utilization: Iron is required for a variety of physiological processes, including the synthesis of hemoglobin, myoglobin, and various enzymes involved in energy production and DNA synthesis. In order to utilize iron, cells take up transferrin-bound iron via the transferrin receptor 1, and then transport it to the site of utilization.
Overall, iron metabolism in the body is tightly regulated to ensure that the body's iron requirements are met while minimizing the risk of iron toxicity. Dysregulation of iron metabolism can lead to a variety of disorders, including iron-deficiency anemia, hemochromatosis (iron overload), and anemia of chronic disease.

Labels

abdomen adrenal gland altered_sensorium Anatomy anemia Anesthesia Anesthesiology angina antiplatelets AntiSeizureDrugs Aortic regurgitation Aortic stenosis apexbeat arrhthmia arthritis ascites Ataxia atrial septal defect Audio autoimmune disease Autoimmune_Encephalitis AutoimmuneEncephalitis Biochemistry blood supply of brain blood_supply built Capsular_Warning_Syndrome cardiac auscultation cardiac tamponade Cardiology Carotid_Artery_Disease Carotid_Stenosis CerebellarAtaxia cerebellum cerebral circulation cerebro vascular accident cerebrospinal cerebrovascular accident cervical_myelopathy cervical_spine clinical sign clinical_examination ClinicalDecisionMaking ClinicalDiagnosis ClinicalMedicine ClinicalNeurology ClinicalTrials clubbing ClusterHeadache coarctation of aorta Cognitive_Decline collagen vascular disease congenital heart disease COPD coronary circulation coronaryheartdisease corpus_callosum cranial nerve CranialNerves critical care CSF CSFLeak CTMyelography cvj Cyanotic heart disease dementia Dementia_Mimics dermatology diabetes DiagnosticAlgorithm dialysis Differential_Diagnosis DifferentialDiagnosi DifferentialDiagnosis diplopia distal_spinal_muscular_atrophy drugs dural_displacement dwarfism Dyslipidemia ECG edema EEG electrolyte disturbance electrophysiology embryology EmergencyMedicine EMG emg_findings emg_ncs endocrinology epidural_venous_plexus Epilepsy EpisodicAtaxia fever flexion_mri gastroenterology general examination Genetics graves disease hair examination headache HeadacheClassification heart heart failure heart murmurs heartmurmurs heartsounds height hematology hemo hemochromatosis hemolysis hemophilia hepatic encephalopathy hepatitis_a hepatology higher mentalfunction hirayama_disease history taking hyperkalemia hypertension HypertensionManagement hyperthyroidism hypokalemia ICHD3 iih infectious disease infectious_encephalopathy infective endocarditis insulin internal capsule Internal_Capsule Internal_Medicine InternalMedicine Intracerebral Hemorrhage involuntary movement iron defiency Ischemic_Stroke jaundice JME JVP kidney labour Lacunar_Stroke Laptop Lecture Notes LGI1_Antibodies Limbic_Encephalitis Limbic_System liver function test long qt lumbar puncture LumbarPuncture marfans syndrome MBBS MCA_Stroke MedicalEducation MedicalErrors MedicalHistory MedicalResearch MedicalStudentGuide medicine MedicosNotes Memory_Impairment mers mers_syndrome Migraine MigraineCriteria MigraineMechanisms MigraineVsTTH mitral regurgitation mitral stenosis motor neuron disease motor_neuron_disease MovementDisorders mrcp MRI mri_brain muscle_wasting musculoskeletal system myocardial infarction myotonia nail NASH Nausea nephrology Neurobiology neurocutaneous markers Neurogenetics Neuroimaging Neuroimmunology Neurological_Disorders neurology neurology_case neurology_cases Neurology_Review NeurologyFlowchart NeurologyGuidelines NeurologyNotes neuroophthalmology NICE Guidelines note notes notes. nuerology nutrition Nystagmus obesity oblique_atrophy obstestrics ocularmovements oedema oncology opening snap oral cavity osce osteoarthirtis p parasternal heave parathyroid gland patent ductus arteriosus Pathophysiology PatientSafety PDA PDF PediatricNeurology percussion Pharmacology Pharmacotherapy physiology PKD ClinicalCases plague posterior circulation stroke PPT practical note practical notes practicalnotes Preventive_Cardiology primaryheadache PrimaryHeadaches protein pulmonary medicine pulmonology pulse radiofemoraldelay Radiology radiology_notes rare manifestations reflex respiratory system rheumatic fever rheumatology seizure sepsis short stature Silent_Brain_Infarction skin spinal cord splenial_lesions SpontaneousCSFLeak Squint strabismus stroke Stroke Management Stroke_Medicine Stroke_Risk Stroke_Subtyping StrokeCare symptomatology Synovial joint tallstature temperature Therapeutics thrill thrombolysis thyroid thyrotoxicosis TIA TrigeminalSystem tuberculosis.infection urinary bladder usmle Valvular heart disease Video vitals monitoring vitals monitoring. VSD