Clinical Study on the Iron Absorption from Heme-Iron Polypeptide and Nonheme-Iron

  • Nam, Tae-Sik (Department of Biochemistry, Chonbuk National University) ;
  • Shim, Ji-Yeon (Department of Biochemistry, Chonbuk National University) ;
  • Kim, Byung-Ju (Department of Biochemistry, Chonbuk National University) ;
  • Rah, So-Young (Department of Biochemistry, Chonbuk National University) ;
  • Park, Kwang-Hyun (Department of Biochemistry, Chonbuk National University) ;
  • Kim, Seon-Young (Department of Biochemistry, Chonbuk National University) ;
  • Mun, Eun-Gyeng (Department of Food Science & Human Nutrition, Chonbuk National University) ;
  • Jeong, Young-Ju (Department of Obstetrics, Chonbuk National University) ;
  • Han, Myung-Kwan (Department of Microbiology, Chonbuk National University) ;
  • Cha, Youn-Soo (Department of Food Science & Human Nutrition, Chonbuk National University) ;
  • Chae, Soo-Wan (Institute of Cardiovascular Research, Chonbuk National University) ;
  • Im, Mie-Jae (Department of Biochemistry, Chonbuk National University) ;
  • Kim, Uh-Hyun (Institute of Cardiovascular Research, Chonbuk National University)
  • Published : 2006.11.30

Abstract

Iron bound to heme appears to be more bioavailable than iron salts. A clinical study was performed to investigate the absorption efficiency of heme-iron and iron-salt products available. Heme-iron and nonheme-iron supplements have become available in Korea. We performed iron absorption studies to compare the absorption of heme-iron polypeptide (HIP) products made from digested hemoglobin, produced in Korea (HIPk) and imported from Japan (HIj), with that of iron salts. In the study, 80 subjects were divided into 5 groups (n=56): placebo group; 12 mg glucose, HIPk group; 12 mg iron as HIPk, HIj group; 12 mg iron as HIj, iron-salt group 1; 12 mg of iron as ferrous aminoacetate, and iron-salt group 2; 100 mg iron as ferrous aminoacetate. Changes in serum iron levels were measured at 3 and 5 hours post ingestion. Absorption of iron in HIPk was higher compared to HIj, iron-salt or placebo. There was a significant inverse correlation between low serum iron levels $(<80{\mu}g/dl)$ and iron absorption from HIPk. These results demonstrated that HIPk was more bioavailable, even taken with a meal, and would have potential advantages over iron salt or HIj as an iron supplement. Our results indicate that heme-iron absorption is regulated by iron status through a heme receptor, whereas iron-salt absorption is unregulated.

Keywords

References

  1. Crichton RR. Inorganic biochemistry of iron metabolism, pp.29-58, Ellis Horwood Ltd, West Sussex, 1991
  2. Carpenter CE, Mahoney AW. Contributions of heme and non-heme iron to human nutrition. Crit Rev Food Sci Nutr 31:333-367, 1992 https://doi.org/10.1080/10408399209527576
  3. Conrad ME, Umbreit JN, Moore GE. Regulation of iron absorption: proteins involved in duodenal mucosal uptake and transport. J Am Call Nutr 12:720-728, 1993 https://doi.org/10.1080/07315724.1993.10718365
  4. Bjorn-Rasmussen E, Hallberg L, Isaksson B, Arvidsson B. Food iron absorption in man. Applications of the two-pool extrinsic tag method to measure heme and nonheme iron absorption from the whole diet. J Clin Invest 53:247-255, 1974 https://doi.org/10.1172/JCI107545
  5. McKie AT, Barrow D, Latunde-Dada GO, Rolfs A, Sager G, Mudaly E, Mudaly M, Richardson C, Barlow D, Bomford A. An iron-regulated ferrous reductase associated with the absorption of dietary iron: a novel duodenal iron-regulated transporter. Science 291:1755-1759, 2001 https://doi.org/10.1126/science.1057206
  6. Conrad ME, Umbreit JN, Moore EG. Iron absorption and transport. Am J Med Sci 318:213-229, 1999 https://doi.org/10.1097/00000441-199910000-00002
  7. Finch CA, Ragan HA, Dyer IA, Cook JD. Body iron loss in animals. Proc Soc Exp Biol Med 159:335-338, 1978
  8. Hurrell RF. Prevention of iron deficiency through food fortification. Nutr Rev 55:210-222, 1997
  9. Balla G, Vercellotti GM, Eaton JW, Jacob HS. Iron loading of endothelial cells augment oxidant damage. J Lab Clin Med 116:546-554, 1990
  10. Zacharskia LR, Glenn S, Gerhard GS. Atherosclerosis: a manifestation of chronic iron toxicity? Vasc Med 8:153-155, 2003 https://doi.org/10.1191/1358863x03vm492ed
  11. Kim SY, Shin YM, Im MJ, Kim UH. Physicochemical properties of heme iron products in the Korean market. J Med Food 9:231-236, 2006 https://doi.org/10.1089/jmf.2006.9.231
  12. Seligman PA, Caskey JR, Frazier JL, Zucker RM, Podell ER, Allen RH. Measurements of iron absorption from prenatal multivitamin-mineral supplements. Obstet Gynecol 61:356362, 1983
  13. Jensen NM, Brandsborg M, Boesen AM, Yde H, Dahlerup JF. Low-dose oral iron absorption test: establishment of a reference interval. Stand J Clin Lab Invest 58:511-519, 1998 https://doi.org/10.1080/00365519850186328
  14. Ekenved G, Norrby A, Solvell L. Serum iron increase as a measure of iron absorption-studies on the correlation with total absorption. Stand J Haematol Suppl 28:31-49, 1976
  15. Ekenved G. Absorption from different types of iron tablets-correlation between serum iron increase in total absorption of iron. Stand J Haematol Suppl 28:51-63, 1976
  16. Shayeghi M, Gladys O, Latunde-Dada, Oakhill JS, Laftah AH, Takeuchi K, Halliday N, Khan Y, Warley A, McCann FE, Hider RC, Frazer DM, Anderson GJ, Vulpe CD, Simpson RJ, Mckie AT. Identification of an intestinal heme transproter. Cell 122:789-801, 2005 https://doi.org/10.1016/j.cell.2005.06.025
  17. Kazuhiro S, Takashi K, Hatsuko A, Iwao D, Kaori I, Takashi I. A study of the preventative effects of highly-absorbable iron on anemia. The Society of Physical Fitness, Nutrition and Immunolog 6:47-56, 1996
  18. Suzuki S, Ito H, Kiyokawa H. The effect of BioIron-150 on pregnant women' and women with females associated bleeding disorders. The World of Obstetrics and Gynecology 42:33-42, 1990
  19. Ito H, Yamamoto E, Tamura T, Furuya H. The effect of 'BigIron-150' on female students. The Japanese Journal of Clinical Nutrition 78:841-846, 1991
  20. Conrad ME, Benjamin BI, Williams HL, Foy AL. Human absorption of hemoglobin-iron. Gastroenterology 53:5-10, 1967
  21. Afanas'ev IB. Superoxide and nitric oxide in pathological conditions associated with iron overload: the effects of antioxi-dants and chelators. Curr Med Chern 12:2731-2739, 2005 https://doi.org/10.2174/092986705774462941
  22. Lippi G, Schena F, Franchini M, Salvagno GL, Guidi GC Serum ferritin as a marker of potential biochemical iron overload in athletes. Clin J Sport Med 15:356-358, 2005 https://doi.org/10.1097/01.jsm.0000179135.92468.f2
  23. Hallberg L, Ryttinger L, Solvell L. Side-effects of oral iron therapy. A double-blind study of different iron compounds in tablet form. Acta Med Stand Suppl 459:3-10, 1966
  24. Whiting SJ. The inhibitory effect of dietary calcium on iron bioavailability: a cause for concern? Nutr Rev 53:77-80, 1995
  25. Lynch SR, Dassenko SA, Merck TA, Beard JL, Cook JD. Soy protein products and heme iron absorption in humans. Am J Clin Nutr 41:13-20, 1985 https://doi.org/10.1093/ajcn/41.1.13
  26. Reddy MB, Hurrell RF, Juillerat MA, Cook JD. The influence of different protein sources on phytate inhibition of nonheme-iron absorption in humans. Am J Clin Nutr 63:203-207, 1996 https://doi.org/10.1093/ajcn/63.2.203
  27. Hurrell RF, Juillerat MA, Reddy MB, Lynch SR, Dassenko SA, Cook JD. Soy protein, phytate, and iron absorption in humans. Am J Clin Nutr 56:573-578, 1992 https://doi.org/10.1093/ajcn/56.3.573
  28. Garcia MN, Martinez-Torres C, Layrisse M. Heat treatment on heme iron and iron-containing proteins in meat: iron absorption in humans from diets containing cooked meat factors. J Nutr Biochem 7:49-54, 1996 https://doi.org/10.1016/0955-2863(95)00166-2
  29. Tenhunen R, Tokola O, Linden IB. Heme arginate: a new stable heme compound. J Pharm Phamacol 39:780-786, 1987 https://doi.org/10.1111/j.2042-7158.1987.tb05119.x
  30. Ekenved G, Arvidsson B, Solvell L. Influence of food on the absorption from different types of iron tablets. Stand J Haematol Suppl 28:79-88, 1976
  31. Frykman E, Bystron M, Hensen T. Side effects of iron supplementation in blood donors: superior tolerance of heme iron. J Lab Clin Med 123:561-564, 1994