1. Got Iron? The Silent Battle

3. What about iron? O2O2 O2O2 O2O2 O2O2

4. Too little and too much! Deficiency –cellular = cell death –systemic = anemia Excess –generation of free radicals (damage to nucleic acids, proteins, lipid membranes)

6. Hemochromatosis

7. Acute Iron Poisoning Iron overdose is one of the leading causes of fatality from toxicological agents in children less than 6 years of age. Clinical manifestations: –Local toxicity= abdominal pain, vomiting, diarrhea, GI bleeding –Systemic toxicity= injury to the cardiovascular system and liver Metabolic acidosis Looks like candy, but can be harmful Death results usually from shock or liver failure

8. Are we the only ones that need iron?

9. Why do microorganisms need iron? Cellular Respiration Electron transport –These processes result in the formation of ATP for energy

10. Friends or Foes? 99.9% of all bacteria do not cause disease Less than 1% are pathogenic and have mechanisms to overcome the host Most of these systems involve iron acquisition

11. Pathogens that readily acquire iron multiply rapidly Pathogen = a microorganism that causes disease –Bacteria –Parasite –Viruses (hijack cell machinery) Mycobacteria Salmonella Neisseria –(gonorrheoa) –(meningitidis) Staphylococcus E. coli Yersinia

12. Our innate immune system response to pathogens

13. Skin and mucosa 1 st line of defense: –Protective barrier Mucous membrane produces substances that fight microbes

14. Immune cells Eat up the invader –Macrophages –Neutrophils –Dendritic cells Produce proteins for defense

15. “The Iron Tug of War” Fe

16. Host vs. Invader (additional strategies ) YOU: made by your liver Transferrin Ferritin Lipocalin –siderocalin Bacteria and parasites Siderophores: Proteins that bind iron very tightly –Enterobactin –Salmochelin –Mycobactin –yersinabactin

18. The fight goes on! The host steals iron back from the invader Host Invader

19. Chelator Greek word = “claw” Biochemical engineers have used bacterial siderophores to help design treatments for patients with iron loading.

20. What about other metals? copper role in making neurotransmitters, elasticity of blood vessels, important role in collagen formation, healthy immune system chromium Involved in the functioning of skeletal muscle. manganese Antioxidant properties; Fertility; Formation of strong healthy bones, nerves, and muscles; zinc Needed for: Functioning of many (over 200) enzymes; Strong immune system NameFunction

21. Nutritional Recommendations Age Males (mg/day) Females (mg/day) Pregnancy (mg/day) 7 to 12 months 11 N/A 1 to 3 years 77N/A 4 to 8 years 10 N/A 9 to 13 years 88N/A 14 to 18 years 111527 19 to 50 years 81827 51+ years88N/A