[Iron stores in regular blood donors]. 2003

Małgorzata Szymczyk-Nuzka, and Dariusz Wołowiec
Regionalne Centrum Krwiodawstwa i Krwiolecznictwa we Wrocławiu.

The aim of this study was to assess the iron balance status in the group of 151 male regular blood donors with normal hemoglobin (Hb) and hematocrit (Ht) level who had given over 10 donations of the whole blood with the frequency of 4-6 units per year. We though to determine the prevalence of iron deficiency in this group of donors and its relationship with the cumulative number of previously given blood, as well as to compare the sensitivity of serum ferritin (FRT) with serum soluble transferrin receptor (sTfR) level in detecting tissular iron stores depletion in donors with normal blood count. The control group comprised 50 age-matched first-time donors. For each donor we determined the blood count, serum iron level, total iron binding capacity (TIBC), transferrin saturation, serum transferrin (TRF), FRT and sTfR level. We determined also serum erythropoietin (EPO) level. In all first-time donors iron metabolism parameters and EPO level were normal. In regular donors following abnormalities were noted: FRT level was below 20 micrograms/l in 75 (49.7%), sTfR was increased in 28 (18.5%) of donors. In the majority of donors with an increase of sTfR level FRT level was decreased (22 out of 28, 78.6%), but sTfR concentration was elevated only in a small proportion of donors with a decrease of FRT level (22 out of 75, 29.3%). When compared mean values between two groups of donors, following differences were found: TIBC, TRF, sTfR and EPO were significantly higher, and MCV, FRT and TS were significantly lower in regular donors than in control ones. We did not found a relationship between the cumulative number of previous donations and the degree of iron depletion; a positive correlation of this number with FRT level is to be explained by a relationship between FRT level and the donors' age. In conclusion we found a high incidence of iron depletion in regular whole blood donors with normal blood count. It is then advisable to regularly check the iron metabolism status in those donors in order to prevent them from keeping on giving blood until the restoration of iron balance.

UI MeSH Term Description Entries
D007501 Iron A metallic element with atomic symbol Fe, atomic number 26, and atomic weight 55.85. It is an essential constituent of HEMOGLOBINS; CYTOCHROMES; and IRON-BINDING PROTEINS. It plays a role in cellular redox reactions and in the transport of OXYGEN. Iron-56,Iron 56
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011990 Receptors, Transferrin Membrane glycoproteins found in high concentrations on iron-utilizing cells. They specifically bind iron-bearing transferrin, are endocytosed with its ligand and then returned to the cell surface where transferrin without its iron is released. Transferrin Receptors,Transferrin Receptor,Receptor, Transferrin
D001782 Blood Donors Individuals supplying blood or blood components for transfer to histocompatible recipients. Blood Donor,Donor, Blood,Donors, Blood
D005293 Ferritins Iron-containing proteins that are widely distributed in animals, plants, and microorganisms. Their major function is to store IRON in a nontoxic bioavailable form. Each ferritin molecule consists of ferric iron in a hollow protein shell (APOFERRITINS) made of 24 subunits of various sequences depending on the species and tissue types. Basic Isoferritin,Ferritin,Isoferritin,Isoferritin, Basic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000090463 Iron Deficiencies Deficient amounts of iron in the body as a result of blood loss, diets deficient in iron, or an iron uptake or storage disorder. Hypoferritinemia,Iron Deficiency,Latent Iron Deficiency,Sideropenia,Deficiencies, Iron,Deficiencies, Latent Iron,Deficiency, Iron,Deficiency, Latent Iron,Hypoferritinemias,Iron Deficiencies, Latent,Iron Deficiency, Latent,Latent Iron Deficiencies,Sideropenias
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D014168 Transferrin An iron-binding beta1-globulin that is synthesized in the LIVER and secreted into the blood. It plays a central role in the transport of IRON throughout the circulation. A variety of transferrin isoforms exist in humans, including some that are considered markers for specific disease states. Siderophilin,Isotransferrin,Monoferric Transferrins,Serotransferrin,Transferrin B,Transferrin C,beta 2-Transferrin,beta-1 Metal-Binding Globulin,tau-Transferrin,Globulin, beta-1 Metal-Binding,Metal-Binding Globulin, beta-1,Transferrins, Monoferric,beta 1 Metal Binding Globulin,beta 2 Transferrin,tau Transferrin

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