Showing posts with label ferritin. Show all posts
Showing posts with label ferritin. Show all posts

Monday, February 23, 2009

Urinary tract infections full of iron thieves

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Research in the differences between E. Coli in the gut and in these UTIs help target treatment options.


Bacteria need iron, and as soon as they invade the human body, they are on the hunt for it. There is a limited supply of iron inside the human body where it is stored by the proteins tranferrin and ferritin.

Disease-causing bacteria have evolved by producing siderophores which are iron-chelating molecules. These molecules can bind to iron stored in ferritin and transferrin and "steal" it for the bacteria.

In this new study, the authors compared Escherichia coli taken from it's natural habitat in the gut and compared it to E. coli found in the urinary tracts of subjects suffering from urinary tract infections (UTIs). They found "epigenetic optimization" of the E. coli from the urinary tract:



Urinary tract infections (UTIs) are among the most common bacterial infections treated by physicians worldwide. Although symptoms of acute infection are often resolved with a course of antibiotics, the same bacterial strain often causes subsequent bouts of symptomatic infection. Escherichia coli are the most common bacteria causing UTI and the infecting strains are widely believed to originate from the gastrointestinal tract where multiple E. coli strains reside. Here, we use a novel mass spectrometric technique in a population of patients with recurrent UTI to identify how strains that cause UTI differ from other strains that were present in the gastrointestinal tract at the same time. We found that urinary E. coli strains preferentially expressed two small molecules called yersiniabactin and salmochelin. These molecules are called siderophores, meaning they are able to scavenge iron to support bacterial survival and growth. Synthesis and transport of these small molecules requires a coordinated network of proteins encoded by a collection of different genes. These findings suggest that new antibiotics directed against yersiniabactin or salmochelin-producing E. coli strains may be an improved, and more targeted, strategy to prevent recurrent UTIs.

Since some iron-transport systems also naturally transport antibiotics into the cell it is important to understand the molecular mechanism of iron transport here. Understanding these pathogenic bacteria may lead to new ways of either delivering or designing drugs which exploit this difference.

Many of us with Cushing's Syndrome/Disease (even if in remission) suffer from low ferritin. When we have an infection, due to our compromised immune system, we often have a difficult time recovering. When accounting for the iron-depleting nature of our infections, we are doubly plagued.

To read more:


Jeffrey P. Henderson, Jan R. Crowley, Jerome S. Pinkner, Jennifer N. Walker, Pablo Tsukayama, Walter E. Stamm, Thomas M. Hooton, Scott J. Hultgren (2009). Quantitative Metabolomics Reveals an Epigenetic Blueprint for Iron Acquisition in Uropathogenic Escherichia coli PLoS Pathogens, 5 (2) DOI: 10.1371/journal.ppat.1000305

Thursday, September 4, 2008

Immunoassay for human serum hepcidin may help those who suffer with low ferritin....

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Patients with Cushing's and/or hypothyroidism have a tendency to have low ferritin, and it seems to be almost impossible to raise the levels of it. They often do not realize there is a problem until it becomes very depleted. Ferritin is an iron-storage protein measured via a blood test which basically measures the iron stored for future use. One can have a “normal” iron serum level with a low ferritin level.

UCLA researchers and a San Diego-based bio-tech company, Intrinsic LifeSciences, have developed a test for the hormone hepcidin which is responsible for regulating the absorption and distribution of dietary iron in the body. This is important in developing treatments for many chronic conditions, including those of us who suffer with low ferritin and the problems associated with it.
Healthy volunteers showed a diurnal increase of serum hepcidin at noon and 8pm compared to 8am, and a transient rise of serum hepcidin in response to iron ingestion. Expected alterations in hepcidin levels were observed in a variety of clinical conditions associated with iron disturbances. Serum hepcidin concentrations were undetectable or low in patients with iron deficiency anemia (ferritin<10> HFE hemochromatosis, and juvenile hemochromatosis. Serum hepcidin concentrations were high in patients with inflammation (CRP>10 mg/dl), multiple myeloma, or chronic kidney disease
To read more:
Immunoassay for human serum hepcidin. [Blood. 2008] - PubMed Result

Immunoassay for human serum hepcidin. [Blood, 2008] - Blood abstract

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Some signs and symptoms of low ferritin are listed below. Often they are not present if anemia is mild.

Symptoms:
• General lethargy
• Unusual fatigue after exercise
• Pica (compulsive eating of non-food items)
• Pagophagia (compulsive eating of ice, ice crunching)
• Depression
• General weakness
• Fast heartbeat
• Palpitations
• Loss of libido
• Brain fog
• Hair loss
• Faintness and breathlessness
• Dizziness
• Long or unusually heavy menstrual periods

Signs:
• Paleness of the skin or eyes
• Intestinal problems
• Cognitive problems such as impaired learning ability
• Spoon nails (thin and concave fingernails)
• Bruising that occurs without reason

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T. Ganz, G. Olbina, D. Girelli, E. Nemeth, M. Westerman (2008). Immunoassay for human serum hepcidin Blood DOI: 10.1182/blood-2008-02-139915

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