铁超载,其原因和并发症

R. Mehboob
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引用次数: 0

摘要

铁超载是指由于某种原因或因素,铁在机体细胞内的生物蓄积。潜在的机制和原因可能各不相同,生理和病理也不同。铁超载最突出的原因是遗传性血色素沉着病(HHC)和输血引起的铁超载[1]。这两种铁超载的原因可由反复输血引起。大多数人可以通过调节铁的吸收来防止铁超载。体内铁含量过高的人会患上铁超载的疾病,而体内铁超载是许多癌症的危险因素。铁超载发生在铁吸收调节机制受损的人身上。输血引起的铁超载会导致肝脏、心脏和内分泌器官的功能失调。问题可能在红细胞达到30个单位甚至更早的时候开始[2]。人体有调节机制来减少细胞通过消化食物吸收铁的量。然而,它并不能完全停止或阻断铁的运输途径,即使在额外的铁使肠道内壁恶化的情况下,例如,如果儿童食用了大量为成人生产的铁片,即使这更多的铁量也可能通过血液引起铁过载的致命综合征。血液中游离铁的增加会损害肝脏、心脏和其他参与代谢途径的细胞。铁超载也会导致肝细胞癌[3]。一般来说,铁超载是癌症的一个危险因素,这一假设得到了许多实验、研究和人体数据的支持和接受。活性氧和自由基的过量产生可以解释其致癌作用。在许多致癌因素(病毒性肝炎、酒精、烟草等)中,铁超载可能是一个重要因素,因此应及早诊断和治疗,特别是在早期治疗[4]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Iron overload, its causes and complications
Iron overload shows bioaccumulation of iron in the cells of body due to any reason or factor in the field of biology and medicine. The underlying mechanisms and causes may vary and also the physiology and pathology. The most prominent causes of iron overload are hereditary haemochromatosis (HHC) and iron overload due to blood transfusions [1]. These two causes of iron overload can result from repeated blood transfusions. Iron overload can be prevented by regulating iron absorption in most humans. People with elevated levels of iron in the body get disorders of iron overload and iron overload in the body is the risk factor for many cancers. Iron overload happens in those persons with impaired iron absorption regulation mechanisms. Iron overload caused by transfusions causes malfunctions of the liver, heart and endocrine organs. Problems may begin after 30 units of red blood cells or even earlier [2]. Human body has the regulatory mechanism to lessen the amount of iron that is absorbed by the cells through digested food. However, it doesnot completely ceases or blocks the iron transportation pathway, even in the circumstances, where the extra iron deteriorates the linings of intestine e.g. if children consume heavy dosage of iron tablets produced for adults, even this more quantity of iron may cause fatal syndrome of iron overload via bloodstream. Increased amounts of free iron in blood stream will damage the hepatic, cardiac and other cells which are involved in metabolic pathways. Iron overload also causes hepatocellular carcinoma [3]. Generally iron overload is a risk factor for cancer and this hypothesis is supported and accepted by many experiments, studies and human data. An overproduction of reactive oxygen species and free radicals could explain its oncogenic effect. Among the many factors (viral hepatitis, alcohol, tobacco etc.) which play a role in carcinogenesis, iron overload is probably an important one and therefore should be diagnosed and treated well especially at their early stages treated [4].
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