Description

Book Synopsis

Iron is indispensable for the growth, development and well-being of almost all living organisms. Biological systems from bacteria, fungi and plants to humans have evolved systems for the uptake, utilisation, storage and homeostasis of iron. Its importance for microbial growth makes its uptake systems a natural target for pathogenic microorganisms and parasites. Uniquely, humans suffer from both iron deficiency and iron overload, while the capacity of iron to generate highly reactive free radicals, causing oxidative stress, is associated with a wide range of human pathologies, including many neurodegenerative diseases. Whereas some essential metal ions like copper and zinc are closely linked with iron metabolism, toxic metals like aluminium and cadmium can interfere with iron metabolism. Finally, iron metabolism and homeostasis are key targets for the development of new drugs for human health.
The 4th edition of Iron Metabolism is written in a lively style by o

Trade Review
'This textbook is clearly a milestone which should be to hand for every researcher and scholar working on or interested in the biochemistry and clinical aspects of iron. Those needing to go further in depth on some specific aspects will find not only an excellent starting point but also their pathway through the impressive list of references at the end of each chapter.' Acta Cryst (International Union of Crystallography), November 2017

Table of Contents

Preface xii

1 Solution Chemistry of Iron 1

1.1 Iron Chemistry 1

1.2 Interactions of Iron with Dioxygen and Chemistry of Oxygen Free Radicals 2

1.3 Hydrolysis of Iron Salts 5

1.4 Formation and Characterisation of Ferrihydrite 7

1.5 Ageing of Amorphous Ferrihydrite to more Crystalline Products 10

1.6 Biomineralisation 11

1.7 Magnetite Biomineralisation by Magnetotactic Bacteria 13

1.7.1 Biogenesis of the Magnetosome Membrane 15

1.7.2 Protein Sorting 15

1.7.3 Chain Formation 16

1.7.4 Biomineralisation 16

1.7.5 A Model for Magnetosome Formation 17

References 18

2 The Essential Role of Iron in Biology 22

2.1 Introduction: Iron an Essential Element in Biology 22

2.2 Physical Techniques for the Study of Iron in Biological Systems 25

2.3 Classes of Iron Proteins 29

2.4 Haemoproteins 29

2.4.1 Oxygen Carriers 30

2.4.2 Activators of Molecular Oxygen 34

2.4.3 Electron Transport Proteins 38

2.5 Iron–Sulphur Proteins 41

2.6 Non]haem, Non]Fe–S Proteins 48

2.6.1 Mononuclear Non]haem Iron Enzymes 48

2.6.1.1 Extradiol]cleaving Catechol Dioxygenases 49

2.6.1.2 Rieske Oxygenases 49

2.6.1.3 α]Ketoglutarate]dependent Enzymes 52

2.6.1.4 Pterin]dependent Hydroxylases 54

2.6.1.5 Miscellaneous Enzymes 55

2.6.2 Dinuclear Non]haem Iron Proteins 55

2.6.3 Proteins of Iron Storage, Transport and Metabolism 61

2.7 The Dark Side of Iron: Ros , Rns and Ntbi 62

2.7.1 ROS and RNS 63

2.7.2 NTBI and LPI 64

References 64

3 Microbial Iron Uptake 71

3.1 Introduction 71

3.2 Iron Uptake from Siderophores 74

3.2.1 Siderophores 74

3.2.2 Iron Transport across the Outer Membrane in Gram]negative Bacteria 78

3.2.3 Transport across the Periplasm and Cytoplasmic Membrane in Gram]negative Bacteria 86

3.2.4 Iron Uptake by Gram]positive Bacteria 92

3.3 Fe2+ Transport Systems 93

3.4 Iron Release from Siderophores in the Cytoplasm 97

3.5 Intracellular Iron Metabolism 98

3.6 Control of Gene Expression by Iron 101

References 108

4 Iron Acquisition by Pathogens 120

4.1 Introduction 120

4.2 Host Defence Mechanisms, Nutritional Immunity 121

4.3 Pathogenicity and PAIs 123

4.4 Pathogen]specific Iron Uptake Systems 125

4.4.1 Siderophores Associated with Virulence 125

4.4.2 Transferrin/lactoferrin Iron Uptake 126

4.4.3 Haem Iron Uptake 133

4.4.4 Ferrous Iron Uptake 138

4.4.5 Ferric Citrate Uptake by Bacillus cereus 141

4.5 Role of Fur and Fur Homologues in Virulence 141

4.6 Role of Pathogen Ecf Sigma Factors 141

4.7 Fungal Pathogens 143

References 146

5 Iron Uptake by Plants and Fungi 155

5.1 Iron Uptake by Plants 155

5.1.1 Introduction 155

5.1.2 Genome Sequencing 157

5.1.2.1 Quantitative Trait Loci 158

5.1.3 Iron Acquisition by the Roots of Plants 160

5.1.3.1 Non]graminaceous Plants 161

5.1.3.2 Graminaceous Plants 164

5.1.4 Long]distance Iron Transport 166

5.2 Iron Metabolism and Homeostasis in Plants 169

5.2.1 New Tools in Plant Research 169

5.2.2 Intracellular Iron Metabolism 170

5.2.3 Plant Iron Homeostasis 171

5.2.4 Diurnal Regulation of Iron Homeostasis 176

5.3 Iron Uptake, Metabolism and Homeostasis in Fungi 178

5.3.1 Introduction 178

5.3.2 High] and Low]affinity Iron Uptake Pathways 179

5.3.3 Siderophore]mediated Iron Uptake 184

5.3.4 Intracellular Iron Metabolism 185

5.3.5 Iron Homeostasis 186

References 190

6 Cellular Iron Uptake and Export in Mammals 205

6.1 The Transferrins 205

6.1.1 Introduction 205

6.1.2 The Transferrin Family 206

6.1.3 Structure of Transferrins 211

6.1.4 Transferrin iron Binding 215

6.1.5 Binding of other Metals by Transferrin 218

6.2 Cellular Iron Uptake 219

6.2.1 The Transferrin Receptors 219

6.2.2 The Transferrin to Cell Cycle and Iron Release 222

6.2.3 Iron Uptake from other Sources 228

6.3 Cellular Iron Export 230

References 236

7 Mammalian Iron Metabolism and Dietary Iron Absorption 247

7.1 An overview of Mammalian Iron Metabolism 247

7.1.1 Introduction 247

7.1.2 The Way Different Cells Handle Iron 249

7.2 Mammalian Iron Absorption 251

7.2.1 Introduction 251

7.2.2 The Intestinal Mucosa 252

7.2.3 Sources of Dietary Iron 253

7.2.4 Iron Loss and Effects on Uptake 255

7.3 Molecular Mechanisms of Mucosal Iron Absorption 256

7.3.1 Iron Uptake at the Apical Pole 256

7.3.2 Iron Transit through and Storage in Enterocytes 259

7.3.3 Iron Efflux across the Basolateral Membrane 259

7.3.4 Regulation of Iron Uptake by the Enterocyte 261

References 261

8 Intracellular Iron Utilisation 265

8.1 Intracellular Iron Pools 265

8.1.1 Introduction 265

8.1.2 The Cytosolic Labile Iron Pool (LIP) 266

8.1.3 Distribution of Iron in the Cytosol 268

8.1.4 Other Intracellular Iron Pools 269

8.2 Mitochondrial Iron Metabolism 271

8.2.1 Mitochondrial Iron Uptake and Storage 271

8.2.2 Mitochondrial Fe–S Protein Biogenesis 271

8.2.3 Maturation of Cytosolic and Nuclear Fe–S Proteins 275

8.2.4 Haem Biosynthesis 283

8.3 Haem Oxygenase 287

8.3.1 Structure and Catalytic Cycle 287

8.3.2 Activation of Haem Oxygenase 1 (HO]1) 292

References 292

9 Iron Storage Proteins 300

9.1 Introduction 300

9.2 The Ferritin Superfamily and Haemosiderins 301

9.2.1 The Ferritin Superfamily 301

9.2.2 Structure of Vertebrate and Invertebrate Ferritins 304

9.2.3 Plant and Bacterial Ferritins 308

9.2.4 Dps Proteins and Rubrerythrins 313

9.2.5 The Mineral Core 319

9.2.6 Haemosiderins 319

9.3 Iron Uptake and Release from Ferritin 320

9.3.1 Iron Uptake in Ferritins 320

9.3.1.1 Entry of Fe(II) into the Protein Shell 321

9.3.1.2 Oxidation of Fe2+ by Ferroxidase Sites 323

9.3.1.3 Mineralisation of the Iron Core 325

9.3.2 Iron Uptake in Dps Proteins 333

9.3.3 Iron Release from Ferritin 333

9.4 Biotechnological Applications of Ferritins 335

References 336

10 Cellular and Systemic Iron Homeostasis 346

10.1 Cellular Iron Homeostasis 346

10.1.1 Translational Control of Protein Synthesis 346

10.1.2 The IRE/IRP System 347

10.1.3 The IREs – distribution and Structure 348

10.1.4 Structural Features of IRP1 and 2 351

10.1.5 The IRE/IRP System Revisited – Iron Controls Iron 353

10.1.6 Metabolic Consequences of Mutations in Ires 357

10.2 Systemic Iron Homeostasis 357

10.2.1 Introduction 357

10.2.2 Hepcidin, the Key Player 358

10.2.3 Factors which Regulate Hepcidin Synthesis 360

10.2.3.1 Iron Availability 361

10.2.3.2 Inflammatory Stimuli 364

10.2.3.3 Erythropoietic Demand 364

10.2.3.4 Hypoxia 365

10.2.3.5 Endocrine Signals 366

10.3 Integration of Iron Homeostatic Systems 367

References 367

11 Iron Deficiency, Iron Overload and Therapy 376

11.1 Iron]deficiency Anaemia (Ida) 376

11.1.1 Introduction – The Size of the Problem 376

11.1.2 Causes of Ida 378

11.1.3 Clinical Stages and Diagnosis of Ida 380

11.1.4 Therapeutic Approaches 383

11.1.5 Anaemia of Chronic Disease (Acd ), Iron Refractory Ida (Irida ) and Anaemia of Chronic Kidney Disease (Ckd) 384

11.2 Hereditary Iron Overload 386

11.2.1 Introduction 386

11.2.2 Hereditary Haemochromatosis (Hh) 386

11.2.3 Causes of HH 387

11.2.4 Types of Haemochromatosis 388

11.2.4.1 Hfe]related (Type 1) Haemochromatosis 388

11.2.4.2 Juvenile (Type 2) Haemochromatosis 390

11.2.4.3 Tfr2]related (Type 3) Haemochromatosis 390

11.2.4.4 Ferroportin Disease 390

11.2.5 Therapy of Hereditary Haemochromatosis 391

11.3 Acquired Iron Overload 395

11.3.1 Introduction – Causes of Acquired Iron Overload 395

11.3.2 Mechanisms of Iron Toxicity 397

11.3.3 Evaluation of Iron Overload 398

11.3.4 Chelation Therapy for Acquired Iron Overload 400

11.3.5 Other Therapeutic Approaches 405

References 406

12 Iron and Immunity 418

12.1 Introduction 418

12.1.1 Innate Immunity 419

12.2 The Key Role of Macrophages 422

12.2.1 Overview 422

12.2.2 Macrophage Phenotypes 425

12.2.3 Microglia 426

12.3 Effect of Iron Status on Phagocytic Cell Function 429

12.3.1 Iron Deficiency 429

12.3.2 Iron Overload 430

12.4 Effect of Phagocytic Cell Function on Iron Metabolism 431

12.4.1 The IRE–Iron Regulatory Protein (IRP) System 431

12.5 Effector Molecules of the Innate Immune System 433

12.5.1 Toll]like Receptors 433

12.5.2 NF]κB 433

12.5.3 Hypoxia]Inducible Factor 1 (Hif 1) 434

12.5.4 Haem Oxygenase 435

12.5.5 DMT1, Nramp1 437

12.6 Adaptive Immunity 437

12.6.1 Cd8+ Lymphocytes and Cytotoxicity 438

12.6.2 CD4+ lymphocytes 438

12.7 Immune Function and other Factors 438

12.7.1 Iron Supplementation and Immune Function 438

12.7.2 Immune Function in the Elderly Population 439

12.7.3 Iron Overload and Immune Function 439

12.7.4 Thalassaemia 440

12.8 Concluding Remarks 440

References 440

13 Iron and Oxidative Stress 444

13.1 Oxidative stress 444

13.1.1 Introduction – Milestones in the History of Life 444

13.1.2 Reactive Oxygen Species (Ros ) and Reactive Nitrogen Species (Rns) 447

13.1.3 Cellular Defence Mechanisms Against Oxidative Stress 450

13.1.4 Role of ROS and RNS in Cell Signalling 460

13.1.5 ROS, RNS and Oxidative Damage 466

References 476

14 Interactions between Iron and other Metals 482

14.1 Introduction 482

14.2 Iron Interactions with Essential Metals 483

14.2.1 Copper 483

14.2.1.1 Introduction 483

14.2.1.2 Copper Acquisition and Metabolism 485

14.2.1.3 Copper Chaperones 486

14.2.1.4 Iron–copper Interactions 487

14.2.2 Zinc 494

14.2.2.1 Introduction 494

14.2.2.2 Iron–zinc Interactions 496

14.2.3 Cobalt 497

14.2.3.1 Introduction 497

14.2.3.2 Iron–cobalt Interactions 498

14.2.4 Manganese 500

14.2.4.1 Iron–manganese Interactions 500

14.2.5 Calcium 501

14.2.5.1 Iron–calcium Interactions 501

14.3 Iron Interactions with Toxic Metals 502

14.3.1 Lead 502

14.3.2 Cadmium 503

14.3.3 Aluminium 505

References 507

15 Iron Homeostasis and Neurodegeneration 516

15.1 Introduction 516

15.2 Brain iron 517

15.2.1 Brain Iron Homeostasis 517

15.2.2 Aging and Brain Iron Content 518

15.3 Iron and Neurodegeneration 522

15.3.1 Introduction 522

15.3.2 Adverse Effects of Iron in Neurodegeneration 522

15.3.2.1 Toxicity of ROS and RNS 522

15.3.2.2 Iron and Mitochondrial Function 523

15.3.2.3 Protein Aggregation 523

15.4 Neurodegeneration with Brain Iron Accumulation 524

15.4.1 Aceruloplasminaemia 524

15.4.2 Neuroferritinopathy 526

15.4.3 Other NBIAs 528

15.5 Other Monogenic Neurodegenerative Diseases 530

15.5.1 Huntington’s Disease 530

15.5.2 Friedreich’s Ataxia 532

15.6 Neurodegeneration Involving Multiple Genes 533

15.6.1 Parkinson’s Disease (PD) 533

15.6.2 Alzheimer’s Disease (AD) 535

15.6.3 Multiple Sclerosis (MS) 537

15.7 Intracerebral Haemorrhage 538

References 539

Concluding Remarks 544

Index 547

Iron Metabolism

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A Hardback by Robert Crichton

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    View other formats and editions of Iron Metabolism by Robert Crichton

    Publisher: John Wiley & Sons Inc
    Publication Date: 27/05/2016
    ISBN13: 9781118925614, 978-1118925614
    ISBN10: 1118925610

    Description

    Book Synopsis

    Iron is indispensable for the growth, development and well-being of almost all living organisms. Biological systems from bacteria, fungi and plants to humans have evolved systems for the uptake, utilisation, storage and homeostasis of iron. Its importance for microbial growth makes its uptake systems a natural target for pathogenic microorganisms and parasites. Uniquely, humans suffer from both iron deficiency and iron overload, while the capacity of iron to generate highly reactive free radicals, causing oxidative stress, is associated with a wide range of human pathologies, including many neurodegenerative diseases. Whereas some essential metal ions like copper and zinc are closely linked with iron metabolism, toxic metals like aluminium and cadmium can interfere with iron metabolism. Finally, iron metabolism and homeostasis are key targets for the development of new drugs for human health.
    The 4th edition of Iron Metabolism is written in a lively style by o

    Trade Review
    'This textbook is clearly a milestone which should be to hand for every researcher and scholar working on or interested in the biochemistry and clinical aspects of iron. Those needing to go further in depth on some specific aspects will find not only an excellent starting point but also their pathway through the impressive list of references at the end of each chapter.' Acta Cryst (International Union of Crystallography), November 2017

    Table of Contents

    Preface xii

    1 Solution Chemistry of Iron 1

    1.1 Iron Chemistry 1

    1.2 Interactions of Iron with Dioxygen and Chemistry of Oxygen Free Radicals 2

    1.3 Hydrolysis of Iron Salts 5

    1.4 Formation and Characterisation of Ferrihydrite 7

    1.5 Ageing of Amorphous Ferrihydrite to more Crystalline Products 10

    1.6 Biomineralisation 11

    1.7 Magnetite Biomineralisation by Magnetotactic Bacteria 13

    1.7.1 Biogenesis of the Magnetosome Membrane 15

    1.7.2 Protein Sorting 15

    1.7.3 Chain Formation 16

    1.7.4 Biomineralisation 16

    1.7.5 A Model for Magnetosome Formation 17

    References 18

    2 The Essential Role of Iron in Biology 22

    2.1 Introduction: Iron an Essential Element in Biology 22

    2.2 Physical Techniques for the Study of Iron in Biological Systems 25

    2.3 Classes of Iron Proteins 29

    2.4 Haemoproteins 29

    2.4.1 Oxygen Carriers 30

    2.4.2 Activators of Molecular Oxygen 34

    2.4.3 Electron Transport Proteins 38

    2.5 Iron–Sulphur Proteins 41

    2.6 Non]haem, Non]Fe–S Proteins 48

    2.6.1 Mononuclear Non]haem Iron Enzymes 48

    2.6.1.1 Extradiol]cleaving Catechol Dioxygenases 49

    2.6.1.2 Rieske Oxygenases 49

    2.6.1.3 α]Ketoglutarate]dependent Enzymes 52

    2.6.1.4 Pterin]dependent Hydroxylases 54

    2.6.1.5 Miscellaneous Enzymes 55

    2.6.2 Dinuclear Non]haem Iron Proteins 55

    2.6.3 Proteins of Iron Storage, Transport and Metabolism 61

    2.7 The Dark Side of Iron: Ros , Rns and Ntbi 62

    2.7.1 ROS and RNS 63

    2.7.2 NTBI and LPI 64

    References 64

    3 Microbial Iron Uptake 71

    3.1 Introduction 71

    3.2 Iron Uptake from Siderophores 74

    3.2.1 Siderophores 74

    3.2.2 Iron Transport across the Outer Membrane in Gram]negative Bacteria 78

    3.2.3 Transport across the Periplasm and Cytoplasmic Membrane in Gram]negative Bacteria 86

    3.2.4 Iron Uptake by Gram]positive Bacteria 92

    3.3 Fe2+ Transport Systems 93

    3.4 Iron Release from Siderophores in the Cytoplasm 97

    3.5 Intracellular Iron Metabolism 98

    3.6 Control of Gene Expression by Iron 101

    References 108

    4 Iron Acquisition by Pathogens 120

    4.1 Introduction 120

    4.2 Host Defence Mechanisms, Nutritional Immunity 121

    4.3 Pathogenicity and PAIs 123

    4.4 Pathogen]specific Iron Uptake Systems 125

    4.4.1 Siderophores Associated with Virulence 125

    4.4.2 Transferrin/lactoferrin Iron Uptake 126

    4.4.3 Haem Iron Uptake 133

    4.4.4 Ferrous Iron Uptake 138

    4.4.5 Ferric Citrate Uptake by Bacillus cereus 141

    4.5 Role of Fur and Fur Homologues in Virulence 141

    4.6 Role of Pathogen Ecf Sigma Factors 141

    4.7 Fungal Pathogens 143

    References 146

    5 Iron Uptake by Plants and Fungi 155

    5.1 Iron Uptake by Plants 155

    5.1.1 Introduction 155

    5.1.2 Genome Sequencing 157

    5.1.2.1 Quantitative Trait Loci 158

    5.1.3 Iron Acquisition by the Roots of Plants 160

    5.1.3.1 Non]graminaceous Plants 161

    5.1.3.2 Graminaceous Plants 164

    5.1.4 Long]distance Iron Transport 166

    5.2 Iron Metabolism and Homeostasis in Plants 169

    5.2.1 New Tools in Plant Research 169

    5.2.2 Intracellular Iron Metabolism 170

    5.2.3 Plant Iron Homeostasis 171

    5.2.4 Diurnal Regulation of Iron Homeostasis 176

    5.3 Iron Uptake, Metabolism and Homeostasis in Fungi 178

    5.3.1 Introduction 178

    5.3.2 High] and Low]affinity Iron Uptake Pathways 179

    5.3.3 Siderophore]mediated Iron Uptake 184

    5.3.4 Intracellular Iron Metabolism 185

    5.3.5 Iron Homeostasis 186

    References 190

    6 Cellular Iron Uptake and Export in Mammals 205

    6.1 The Transferrins 205

    6.1.1 Introduction 205

    6.1.2 The Transferrin Family 206

    6.1.3 Structure of Transferrins 211

    6.1.4 Transferrin iron Binding 215

    6.1.5 Binding of other Metals by Transferrin 218

    6.2 Cellular Iron Uptake 219

    6.2.1 The Transferrin Receptors 219

    6.2.2 The Transferrin to Cell Cycle and Iron Release 222

    6.2.3 Iron Uptake from other Sources 228

    6.3 Cellular Iron Export 230

    References 236

    7 Mammalian Iron Metabolism and Dietary Iron Absorption 247

    7.1 An overview of Mammalian Iron Metabolism 247

    7.1.1 Introduction 247

    7.1.2 The Way Different Cells Handle Iron 249

    7.2 Mammalian Iron Absorption 251

    7.2.1 Introduction 251

    7.2.2 The Intestinal Mucosa 252

    7.2.3 Sources of Dietary Iron 253

    7.2.4 Iron Loss and Effects on Uptake 255

    7.3 Molecular Mechanisms of Mucosal Iron Absorption 256

    7.3.1 Iron Uptake at the Apical Pole 256

    7.3.2 Iron Transit through and Storage in Enterocytes 259

    7.3.3 Iron Efflux across the Basolateral Membrane 259

    7.3.4 Regulation of Iron Uptake by the Enterocyte 261

    References 261

    8 Intracellular Iron Utilisation 265

    8.1 Intracellular Iron Pools 265

    8.1.1 Introduction 265

    8.1.2 The Cytosolic Labile Iron Pool (LIP) 266

    8.1.3 Distribution of Iron in the Cytosol 268

    8.1.4 Other Intracellular Iron Pools 269

    8.2 Mitochondrial Iron Metabolism 271

    8.2.1 Mitochondrial Iron Uptake and Storage 271

    8.2.2 Mitochondrial Fe–S Protein Biogenesis 271

    8.2.3 Maturation of Cytosolic and Nuclear Fe–S Proteins 275

    8.2.4 Haem Biosynthesis 283

    8.3 Haem Oxygenase 287

    8.3.1 Structure and Catalytic Cycle 287

    8.3.2 Activation of Haem Oxygenase 1 (HO]1) 292

    References 292

    9 Iron Storage Proteins 300

    9.1 Introduction 300

    9.2 The Ferritin Superfamily and Haemosiderins 301

    9.2.1 The Ferritin Superfamily 301

    9.2.2 Structure of Vertebrate and Invertebrate Ferritins 304

    9.2.3 Plant and Bacterial Ferritins 308

    9.2.4 Dps Proteins and Rubrerythrins 313

    9.2.5 The Mineral Core 319

    9.2.6 Haemosiderins 319

    9.3 Iron Uptake and Release from Ferritin 320

    9.3.1 Iron Uptake in Ferritins 320

    9.3.1.1 Entry of Fe(II) into the Protein Shell 321

    9.3.1.2 Oxidation of Fe2+ by Ferroxidase Sites 323

    9.3.1.3 Mineralisation of the Iron Core 325

    9.3.2 Iron Uptake in Dps Proteins 333

    9.3.3 Iron Release from Ferritin 333

    9.4 Biotechnological Applications of Ferritins 335

    References 336

    10 Cellular and Systemic Iron Homeostasis 346

    10.1 Cellular Iron Homeostasis 346

    10.1.1 Translational Control of Protein Synthesis 346

    10.1.2 The IRE/IRP System 347

    10.1.3 The IREs – distribution and Structure 348

    10.1.4 Structural Features of IRP1 and 2 351

    10.1.5 The IRE/IRP System Revisited – Iron Controls Iron 353

    10.1.6 Metabolic Consequences of Mutations in Ires 357

    10.2 Systemic Iron Homeostasis 357

    10.2.1 Introduction 357

    10.2.2 Hepcidin, the Key Player 358

    10.2.3 Factors which Regulate Hepcidin Synthesis 360

    10.2.3.1 Iron Availability 361

    10.2.3.2 Inflammatory Stimuli 364

    10.2.3.3 Erythropoietic Demand 364

    10.2.3.4 Hypoxia 365

    10.2.3.5 Endocrine Signals 366

    10.3 Integration of Iron Homeostatic Systems 367

    References 367

    11 Iron Deficiency, Iron Overload and Therapy 376

    11.1 Iron]deficiency Anaemia (Ida) 376

    11.1.1 Introduction – The Size of the Problem 376

    11.1.2 Causes of Ida 378

    11.1.3 Clinical Stages and Diagnosis of Ida 380

    11.1.4 Therapeutic Approaches 383

    11.1.5 Anaemia of Chronic Disease (Acd ), Iron Refractory Ida (Irida ) and Anaemia of Chronic Kidney Disease (Ckd) 384

    11.2 Hereditary Iron Overload 386

    11.2.1 Introduction 386

    11.2.2 Hereditary Haemochromatosis (Hh) 386

    11.2.3 Causes of HH 387

    11.2.4 Types of Haemochromatosis 388

    11.2.4.1 Hfe]related (Type 1) Haemochromatosis 388

    11.2.4.2 Juvenile (Type 2) Haemochromatosis 390

    11.2.4.3 Tfr2]related (Type 3) Haemochromatosis 390

    11.2.4.4 Ferroportin Disease 390

    11.2.5 Therapy of Hereditary Haemochromatosis 391

    11.3 Acquired Iron Overload 395

    11.3.1 Introduction – Causes of Acquired Iron Overload 395

    11.3.2 Mechanisms of Iron Toxicity 397

    11.3.3 Evaluation of Iron Overload 398

    11.3.4 Chelation Therapy for Acquired Iron Overload 400

    11.3.5 Other Therapeutic Approaches 405

    References 406

    12 Iron and Immunity 418

    12.1 Introduction 418

    12.1.1 Innate Immunity 419

    12.2 The Key Role of Macrophages 422

    12.2.1 Overview 422

    12.2.2 Macrophage Phenotypes 425

    12.2.3 Microglia 426

    12.3 Effect of Iron Status on Phagocytic Cell Function 429

    12.3.1 Iron Deficiency 429

    12.3.2 Iron Overload 430

    12.4 Effect of Phagocytic Cell Function on Iron Metabolism 431

    12.4.1 The IRE–Iron Regulatory Protein (IRP) System 431

    12.5 Effector Molecules of the Innate Immune System 433

    12.5.1 Toll]like Receptors 433

    12.5.2 NF]κB 433

    12.5.3 Hypoxia]Inducible Factor 1 (Hif 1) 434

    12.5.4 Haem Oxygenase 435

    12.5.5 DMT1, Nramp1 437

    12.6 Adaptive Immunity 437

    12.6.1 Cd8+ Lymphocytes and Cytotoxicity 438

    12.6.2 CD4+ lymphocytes 438

    12.7 Immune Function and other Factors 438

    12.7.1 Iron Supplementation and Immune Function 438

    12.7.2 Immune Function in the Elderly Population 439

    12.7.3 Iron Overload and Immune Function 439

    12.7.4 Thalassaemia 440

    12.8 Concluding Remarks 440

    References 440

    13 Iron and Oxidative Stress 444

    13.1 Oxidative stress 444

    13.1.1 Introduction – Milestones in the History of Life 444

    13.1.2 Reactive Oxygen Species (Ros ) and Reactive Nitrogen Species (Rns) 447

    13.1.3 Cellular Defence Mechanisms Against Oxidative Stress 450

    13.1.4 Role of ROS and RNS in Cell Signalling 460

    13.1.5 ROS, RNS and Oxidative Damage 466

    References 476

    14 Interactions between Iron and other Metals 482

    14.1 Introduction 482

    14.2 Iron Interactions with Essential Metals 483

    14.2.1 Copper 483

    14.2.1.1 Introduction 483

    14.2.1.2 Copper Acquisition and Metabolism 485

    14.2.1.3 Copper Chaperones 486

    14.2.1.4 Iron–copper Interactions 487

    14.2.2 Zinc 494

    14.2.2.1 Introduction 494

    14.2.2.2 Iron–zinc Interactions 496

    14.2.3 Cobalt 497

    14.2.3.1 Introduction 497

    14.2.3.2 Iron–cobalt Interactions 498

    14.2.4 Manganese 500

    14.2.4.1 Iron–manganese Interactions 500

    14.2.5 Calcium 501

    14.2.5.1 Iron–calcium Interactions 501

    14.3 Iron Interactions with Toxic Metals 502

    14.3.1 Lead 502

    14.3.2 Cadmium 503

    14.3.3 Aluminium 505

    References 507

    15 Iron Homeostasis and Neurodegeneration 516

    15.1 Introduction 516

    15.2 Brain iron 517

    15.2.1 Brain Iron Homeostasis 517

    15.2.2 Aging and Brain Iron Content 518

    15.3 Iron and Neurodegeneration 522

    15.3.1 Introduction 522

    15.3.2 Adverse Effects of Iron in Neurodegeneration 522

    15.3.2.1 Toxicity of ROS and RNS 522

    15.3.2.2 Iron and Mitochondrial Function 523

    15.3.2.3 Protein Aggregation 523

    15.4 Neurodegeneration with Brain Iron Accumulation 524

    15.4.1 Aceruloplasminaemia 524

    15.4.2 Neuroferritinopathy 526

    15.4.3 Other NBIAs 528

    15.5 Other Monogenic Neurodegenerative Diseases 530

    15.5.1 Huntington’s Disease 530

    15.5.2 Friedreich’s Ataxia 532

    15.6 Neurodegeneration Involving Multiple Genes 533

    15.6.1 Parkinson’s Disease (PD) 533

    15.6.2 Alzheimer’s Disease (AD) 535

    15.6.3 Multiple Sclerosis (MS) 537

    15.7 Intracerebral Haemorrhage 538

    References 539

    Concluding Remarks 544

    Index 547

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