Abstract

Chronic renal failure involving hemodialysis results in blood loss during filtration. Iron deficiency and iron deficiency anemia can result. A compensatory increase in iron dosage has many side effects including discomfort. Elemental iron is a highly-pure iron source, which reduces the frequency of dosages; the solubility decreases with increased particle size or pore size. In this study, synthesized mesoporous iron particles (MIPs) were used to relieve iron deficiency anemia. Their bioavailability was measured in vitro by a Caco-2 cell model and in vivo in iron-deficient rats. In vitro bioavailability of MIPs was examined by measuring ferritin content in the Caco-2 cell model. Iron uptake of MIPs was significantly higher than commercial iron particles, which were less porous. In vivo bioavailability of MIPs was examined by measuring body weight gain and red blood cell-related parameters, compared with the bioavailability of standard drug ferrous sulfate in iron-deficient anemic rats. Finally, average hemoglobin content and hemoglobin regeneration efficiency were significantly higher in anemic rats supplemented with commercial iron particles, compared to anemic controls. In the 28-day oral toxicity test, MIPs were not significantly toxic to rat physiology or tissue histopathology. Thus, MIPs may allow effective recovery of hemoglobin in iron deficiency anemia.

Highlights

  • Iron is an abundant element and a biologically essential component of human cells

  • The oral delivery of iron salts to treat iron deficiency anemia has several shortcomings, which include inconvenience caused by increasing the dose and the number of doses of the iron salt, and the need for iron binder after consuming the iron salt

  • Using an ELISA reader, the absorbance values of each well were measured at the wavelength of 450 nm

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Summary

Introduction

Iron is an abundant element and a biologically essential component of human cells. Humans require iron for the synthesis of oxygen transport proteins, both hemoglobin and myoglobin, and for the formation of heme enzymes and other iron-containing enzymes involved in electron transfer and oxidation-reduction [1]. Hemodialysis (HD) patients experience the sustained loss of iron due to poor food intake, renal dialysis during hemorrhage and hemolysis, bleeding in the gastrointestinal tract, and blood loss during testing. The estimated annual blood loss for HD patients is approximately 3 g [2]. Blood loss is the main cause of iron deficiency anemia (IDA). IDA can present with symptoms that include skin paleness, fatigue, dyspnea, and headaches [3]. Iron supplementation plays an important role in reducing renal failure

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