Iron metabolism of in­testinal mucosa in various blood diseases

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<p>For the investigation of iron metabolism in the intestinal mucosa in various　blood diseases, intestinal biopsy (duodenum) was performed on 10 healthy controls　and 35 cases with various blood diseases. The following are　the results　of the studies on distribution of stainable　iron, amounts of non-hemin iron in the　biopsied materials, and iron uptake of the intestinal epithelial cells.　1) An evaluation of distribution of stainable iron by Berlin　blue reaction　showed none or very mild degree, if any,　inhealthy controls, an increase in　aplastic anemia,　pernicious anemia, some of leukemias and in iron deficiency anemia following iron therapy, and a decrease in　idiopathic hypochromic anemia, anchylostomiasis anemia,　anemia with cancer, myxedema, hemolytic anemia,　and in　some of leukemias. Some of anemia with cancer, however,　showed an　increase of a certain degree. In iron absorption tests, no changes were found other than a very mild increase in aplastic anemia. 2) Non-hemin iron was 70-112γ/g in healthy controls, increased in aplastic anemia approximately to 100-200γ/g, ranging 40-130γ/g in leukemia, and decreased in idiopathic hypochromic anemia and in anemia with cancer ranging 30-60γ/g and 30-50γ/g respectively. Amounts of non-hemin iron and serum iron or sideroblasts show a fair correlation. The fractionation of nonhemin iron in aplastic anemia didn't show any difference in relationship of each fraction from healthy controls despite the increased amount in the former. 3) A radioautographic evaluation of iron uptake by intestinal epithelium was performed by our device for evaluation of intestinal absorption capacity. The iron uptake was mild in healthy controls, almost none in aplastic anemia, and marked in iron deficiency anemia where it was decreased approximately to the level of healthy controls following iron therapy. 4) The intestinal tissue iron showed a series of changes similar to those of iron present in the serum or erythroblasts, and the non-hemin iron in the intestinal mucosa is inversely correlated with iron uptake of epithelium and is considered to regulate the absorption according to its amount.</p>

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