Subject: toxoplasmosis/iron



   Immunology 1998 Aug;94(4):488-95
   
Interferon-gamma-activated primary enterocytes inhibit Toxoplasma gondii
replication: a role for intracellular iron.

    Dimier IH, Bout DT
    
   CJF INSERM 93-09 'Immunologie des Maladies Infectieuses', Equipe
   associee INRA 'Immunologie Parasitaire', UFR des Sciences
   Pharmaceutiques, Tours, France.
   
   Toxoplasma gondii is an obligate intracellular parasite that infects a
   wide variety of nucleated cells in its numerous intermediate hosts
   including man. The oral route is the natural portal of entry of T.
   gondii. Ingested organisms are released from cysts or oocysts within
   the gastrointestinal tract and initially invade the intestinal
   epithelium. We show that T. gondii invades and proliferates in
   cultured primary rat enterocytes, obtained with an original procedure.
   Activation of the enterocytes with rat recombinant interferon-gamma
   (IFN-gamma) inhibits T. gondii replication, the inhibition being dose
   dependent. Neither nitrogen and oxygen derivatives nor tryptophan
   starvation appear to be involved in the inhibition of parasite
   replication by IFN-gamma. Experiments using Fe2+ salt, carrier and
   chelator indicate that intracellular T. gondii replication is iron
   dependent, suggesting that IFN-gamma-treated enterocytes inhibit T.
   gondii replication by limiting the availability of intracellular iron
   to the parasite. Our data show that enterocytes probably play a major
   role on mucosal surfaces as a first line of defence against this
   coccidia, and possibly other pathogens, through an immune mechanism.
   The results suggest that limiting the availability of iron could
   represent a broad antimicrobial mechanism through which the activated
   enterocytes exert control over intracellular pathogens.
   
   PMID: 9767436, UI: 98440381
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Subject: malaria/transferrin

   
   Blood 1995 Jun 1;85(11):3297-301
   
Transferrin saturation and recovery from coma in cerebral malaria.

    Gordeuk VR, Thuma PE, McLaren CE, Biemba G, Zulu S, Poltera AA, Askin JE,
    Brittenham GM
    
   Department of Medicine, George Washington University Medical Center,
   Washington, DC 20037, USA.
   
   To determine if the elevated transferrin saturations found in some
   patients with severe malaria are associated with an adverse outcome in
   cerebral malaria, we retrospectively measured baseline saturations in
   stored serum samples from 81 Zambian children with strictly defined
   cerebral malaria. The children had been treated with quinine,
   sulfadox-ine-pyrimethamine, and intravenous infusions of either
   placebo (n = 39) or the iron chelator, desferrioxamine B (n = 42), in
   a previously reported trial (Gordeuk et al, N Engl J Med 327:1473,
   1992). More than one-third of children in both the placebo- and iron
   chelator-treated groups had transferrin saturations exceeding 43%,
   which is 3 standard deviations above the expected mean for age. Among
   children receiving quinine and placebo, those with elevated
   transferrin saturations had a delayed estimated median time to recover
   full consciousness (68.2 hours) compared with those with saturations <
   or = 43% (25.4 hours; P = .006). The addition of iron chelation to
   quinine therapy in children with high saturations appeared to hasten
   recovery (P = .046). We conclude that increased transferrin
   saturations may be associated with delayed recovery from coma during
   standard therapy for cerebral malaria and that serum iron and total
   iron binding capacity should be measured in future studies.
   
   Publication Types:
     * Clinical trial
     * Randomized controlled trial
       
   PMID: 7756663, UI: 95276267
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Subject: ferritin/infection/cows

   
   J Vet Med Sci 1998 Aug;60(8):943-7
   
Changes in iron and ferritin in anemic calves infected with Theileria sergenti.

    Watanabe K, Ozawa M, Ochiai H, Kamohara H, Iijima N, Negita H, Orino K,
    Yamamoto S
    
   Laboratory of Biochemistry, School of Veterinary Medicine and Animal
   Sciences, Aomori, Japan.
   
   Changes in iron and ferritin in calves infected with Theileria
   sergenti were investigated to elucidate iron metabolism in animals
   with extravascular hemolytic anemia. During severe anemia, serum iron
   was remarkably elevated while the total iron-binding capacity remained
   relatively unchanged or decreased slightly in the infected calves,
   resulting in elevated transferrin saturation. The serum ferritin
   concentration gradually increased with the progress of anemia. The
   erythrocyte ferritin content drastically increased when mean
   corpuscular volume was elevated. The concentration of non-heme iron
   and ferritin in the liver, spleen, and bone marrow of the infected
   calves was markedly higher than that in the respective tissues of the
   control animals. In particular, the liver of the anemic calves was
   found to contain 23 and 35 times as much non-heme iron and ferritin,
   respectively, as that of the non-anemic healthy cattle. The liver type
   (L) to heart type (H) subunit ratio of liver ferritin was
   significantly higher in the protozoa-infected than in the non-infected
   cattle. On the other hand, the L/H ratio of marrow ferritin was
   significantly reduced by the anemia. These results indicate that the
   anemic calves infected with T. sergenti apparently present symptoms of
   iron overload.
   
   PMID: 9764408, UI: 98436899
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Subject: iron/water/cholera

   
   Indian J Med Res 2000 Apr;111:115-7
   
Effect of iron on the survival of Vibrio cholerae in water.

    Joseph S, Bhat KG
    
   Department of Microbiology, Kasturba Medical College, Mangalore.
   
   Effect of iron in the form of ferric oxide (Fe2O3) on the survival of
   V. cholerae O1 was studied. V. cholerae O1 survived for 8 days in
   plain water whereas in presence of Fe2O3 it survived up to 15 days.
   Presence of organic material in the water further promoted the
   bacterial survival by at least 4 days. There was no difference between
   the behaviour of El Tor and classical biotype. These results indicate
   that the presence of iron in water could promote the survival of V.
   cholerae O1 in water and may play a significant role in the
   epidemiology of cholera.
   
   PMID: 10935316, UI: 20391001
     _________________________________________________________________
   
     _________________________________________________________________


Subject: athletes foot/lactoferrin

   
   Mycoses 2000;43(5):197-202
   
Oral administration of bovine lactoferrin for treatment of tinea pedis. A
placebo-controlled, double-blind study.

    Yamauchi K, Hiruma M, Yamazaki N, Wakabayashi H, Kuwata H, Teraguchi S,
    Hayasawa H, Suegara N, Yamaguchi H
    
   Nutritional Science Laboratory, Morinaga Milk Industry Co., Ltd,
   Kanagawa, Japan.
   
   [Medline record in process]
   
   A clinical study was conducted to evaluate the effectiveness of
   lactoferrin, which is a protein component of cow's milk, in the
   treatment of tinea pedis. Doses of either 600 mg or 2000 mg of
   lactoferrin, or a placebo was orally administered daily for 8 weeks to
   37 adults who were judged to have mild or moderate tinea pedis.
   Dermatological improvement and antifungal efficacy were assessed. In
   the analysis of all subjects, dermatological symptoms scores i(HOME) n all
   groups decreased but the differences were not statistically
   significant comparing the three groups. However, in the analysis
   limited to subjects with moderate vesicular or interdigital tinea
   pedis, dermatological symptoms scores in the lactoferrin-treated
   groups decreased significantly in comparison with the placebo group (P
   < 0.05). The organisms isolated were Trichophyton rubrum and
   Trichophyton mentagrophytes. A mycological cure was not seen in any of
   the subjects. In the 37 subjects there were no adverse events and no
   subject withdrew from the study because of an adverse event. These
   results suggest that orally administered lactoferrin can improve the
   dermatological symptoms in some subjects. The potential usefulness of
   lactoferrin as a functional food material for treating tinea pedis was
   seen for the first time in this study.
   
   PMID: 10948819, UI: 20404620
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Subject: iron/bacteria/copper/ferment
   
Bacterial Reduction of Copper-Contaminated Ferric Oxide: Copper Toxicity and
the Interaction Between Fermentative and Iron-Reducing Bacteria

   J. T. Markwiese, P. J. S. Colberg
     _________________________________________________________________
   
Abstract

   Fe(III) oxide is an important heavy-metal sink, and bacteria are
   responsible for much of the Fe(III) reduced in nonsulfidogenic aquatic
   environments, yet factors governing the bacterial reduction of heavy
   metal-contaminated iron oxide are largely unknown. In this study with
   a stabilized bacterial consortium enriched from metal-contaminated
   sediments, we demonstrate that Cu toxicity impedes anaerobic carbon
   oxidation and bacterial reduction of hydrous ferric oxide (HFO). In
   the enrichment culture, a Clostridium sp. fermented lactate to
   propionate and acetate and Fe(III) reducers coupled acetate oxidation
   to HFO reduction. Increasing the amount of Cu in the culture medium
   significantly extended the time before Fe(III) reduction occurred and
   decreased the reduction rate, but did not affect the extent of HFO
   reduction. The Clostridium had a higher Cu-complexation capacity than
   the Fe(III) reducer Shewanella alga. Iron reduction was inhibited
   until almost all of the dissolved Cu was removed from solution and
   occurred two to seven times faster if the sediment enrichment culture
   was fed lactate instead of acetate. Our findings suggest that
   fermentative bacteria play a role in ameliorating heavy metal toxicity
   to iron-reducing bacteria. Fermenters may therefore enhance metal
   release in sediments by facilitating the bacterial reductive
   dissolution of heavy metal-contaminated HFO.
     _________________________________________________________________
   


Subject: iron/bacteria

   
   Microbios 1996;87(351):77-87
   
Role of iron in the pathogenesis of Mycobacterium avium infection in mice.

    Dhople AM, Ibanez MA, Poirier TC
    
   Department of Biological Sciences, Florida Institute of Technology,
   Melbourne 32901, USA.
   
   Mycobacterial infections are of serious concern to HIV-infected
   patients, and take a heavy toll of such patients. Mycobacterium avium
   is the most common opportunistic bacterial infection in patients with
   AIDS. The overload of iron in serum has been implicated in the
   pathogenicity of a number of bacterial infections. Since iron storage
   in cells such as macrophages is increased in AIDS, the role of iron as
   a possible factor in the pathogenesis of M. avium infection was
   examined. Supplementing iron to normal laboratory chow resulted in
   accelerated M. avium infection in mice inoculated earlier with the
   same organism. The bacterial loads in liver, spleen and lungs were
   approximately 12-fold higher in mice receiving iron supplementation
   compared with control groups. This is attributed to an increased
   percentage saturation of iron in the sera of the mice, thus making
   more iron available for the replication of bacteria. The addition of
   beef fat to the diet, together with high iron supplementation, further
   enhanced the infection. Using smaller inocula, mice receiving chow
   supplemented with high iron and fat developed disseminated M. avium
   infection faster than control mice. The results provide strong
   evidence that iron may play a major role in the pathogenesis of M.
   avium infection.
   
   PMID: 9032957, UI: 97185223
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Subject: meningitis/iron

   
   J Child Neurol 1995 Mar;10(2):93-99
   
A persistent biochemical marker for partially treated meningitis/ventriculitis.

    Katnik R
    
   Michigan State University, Department of Pediatrics/Human Development,
   Kalamazoo 49008, USA.
   
   Regulation of circulating iron is important in bacterial, yeast, and
   fungal infections. In the present study, cerebrospinal fluid levels of
   ferritin, an iron-binding protein, were determined in controls and in
   patients with central nervous system pyogenic and viral infections.
   Among 441 controls, cerebrospinal fluid ferritin level was higher than
   18 ng/mL in two relapsed patients with central nervous system
   leukemia, 12 with bacteremia or pneumonia, and one with hemorrhagic
   herpes simplex encephalitis. Cerebrospinal fluid ferritin levels were
   more than 18 ng/mL in 13 of 63 patients diagnosed with nonhemorrhagic
   aseptic meningitis/ventriculitis, when defined solely by negative
   cerebrospinal fluid culture. Conversely, cerebrospinal fluid ferritin
   exceeded 18 ng/mL in culture-proven meningitis (46 of 47 cases) and
   ventriculitis (five of five cases). Cases of indolent cryptococcus and
   tuberculous meningitis showed modest increases despite traditional
   cerebrospinal fluid markers, at times, being normal. Cerebrospinal
   fluid ferritin levels did not correlate with cerebrospinal fluid
   neutrophil count, cerebrospinal fluid protein concentration, serum
   ferritin level, or patient age. In 16 of 19 cases monitored
   sequentially during ongoing antibiotic treatment, levels remained over
   18 ng/mL (average, 15.0 days; range, 1 to 54 days). This observation
   suggests that obtaining cerebrospinal fluid ferritin levels is helpful
   whenever traditional laboratory benchmarks normalize, as during acute
   or chronic antibiotic therapy, or create confusion with positive
   cultures stemming from sample contamination.
   
   PMID: 7782615, UI: 95301873
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Subject: bacteria/iron

   
   J Infect Dis 1994 Nov;170(5):1248-1255
   
Hypertriglyceridemic serum, very low density lipoprotein, and iron enhance
Mycobacterium avium replication in human macrophages.

    Douvas GS, May MH, Pearson JR, Lam E, Miller L, Tsuchida N
    
   Department of Basic Sciences and Oral Research, School of Dentistry,
   University of Colorado Health, Sciences Center, Denver 80262.
   
   The growth of Mycobacterium avium 7497, serovar 4, in cultured human
   macrophages is enhanced by Fe3+ and serum lipids over 7 days. Iron
   (1-80 micrograms/mL) added to macrophages cultured in normal serum
   resulted in 10-fold increases in growth. If iron-supplemented
   macrophages were cultured in serum from hypertriglyceridemic donors
   after infection, M. avium growth increased 10(3)- to 10(4)-fold.
   Without macrophages, differences in bacterial growth between sera were
   not seen. Removal of very low density lipoprotein (VLDL) eliminated
   the differences between sera. Isolated VLDL from hyperlipidemic serum
   resulted in 10(5)-fold increases in growth over that seen with VLDL
   from normal sera. Accelerated M. avium growth in macrophages cultured
   with hyperlipidemic serum was partly inhibited by the addition of
   superoxide dismutase (1000 IU/mL). Results suggest that iron
   stimulates O2-induced oxidation of VLDL and its subsequent
   accumulation in macrophages. The resultant iron- and lipid-laden cells
   become excellent hosts for mycobacterial growth.
   
   PMID: 7963720, UI: 95052845
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Subject: iron/supplementation/bacteria

   
   Haematologia (Budap) 1993;25(2):69-84
   
Adequate iron stores and the 'Nil nocere' principle.

    Hollan S, Johansen KS
    
   National Institute of Haematology, Blood Transfusion and Immunology,
   Budapest.
   
   There is a need to change the policy of unselective iron
   supplementation during periods of life with physiologically increased
   cell proliferation. Levels of iron stores to be regarded as adequate
   during infancy and pregnancy are still not well established. Recent
   data support the view that it is not justified to interfere with
   physiological adaptations developed through millions of years by
   sophisticated and precisely coordinated regulation of iron absorption,
   utilization and storage. Recent data suggest that the chelatable
   intracellular iron pool regulates the expression of proteins with
   central importance in cellular iron metabolism (TfR, ferritin, and
   erythroid 5-aminolevulinic synthetase) in a coordinately controlled
   way through an iron dependent cytosolic mRNA binding protein, the iron
   regulating factor (IRF). This factor is simultaneously a sensor and a
   regulator of iron levels. The reduction of ferritin levels during
   highly increased cell proliferation is a mirror of the increased
   density of TfRs. An abundance of data support the vigorous competition
   for growth-essential iron between microbial pathogens and their
   vertebrate hosts. The highly coordinated regulation of iron metabolism
   is probably crucial in achieving a balance between the blockade of
   readily accessible iron to invading organisms and yet providing
   sufficient iron for the immune system of the host. The most evident
   adverse clinical effects of excess iron have been observed in
   immunodeficient patients in tropical countries and in AIDS patients.
   Excess iron also increases the risk of initiation and promotion of
   malignant processes by iron binding to DNA and by the iron-catalysed
   release of free radicals. Oxygen radicals were shown to damage
   critical biomolecules leading, apart from cancer, to a variety of
   human disease states, including inflammation and atherosclerosis. They
   are also involved in processes of aging and thrombosis. Recent
   clinical trials have suggested that the use of iron-chelators, natural
   and synthetic antioxidants, and anti-TfR monoclonal antibodies can
   contribute in retarding malignant cell proliferation. Hypoferraemia
   during pregnancy is--like haemodilution--an adaptation to the risks
   involved in the natural hypercoagulable state of pregnancy. It may
   also serve to prevent the risk of infections and mutagenicity in the
   highly proliferating tissues of the foetus. Blunted erythropoiesis has
   been revealed during the first 30 weeks of pregnancy by the use of the
   newly developed method of determining the soluble serum transferrin
   receptor. The lack of increase in erythropoietin levels proves that
   there is no hypoxia. Decreases in Hb and iron levels are parts of a
   physiological adaptation. As a consequence they should neither be
   treated nor prevented. It is stressed that whenever a widespread and
   ingrained routine medical intervention has to be changed it is
   essential to first monitor the potential health effects of the
   recommended change in a national policy.
   
   Publication Types:
     * Review
     * Review, tutorial
       
   PMID: 8244202, UI: 94063698
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Subject: antioxidants/infection

   
   J Nutr Sci Vitaminol (Tokyo) 1993;39 Suppl:S23-S33
   
Antioxidants in infection.

    Keusch GT
    
   Department of Medicine, New England Medical Center, Boston, MA.
   
   Endogenous oxidation reactions are essential for the normal
   biochemistry of life and are especially critical for leukocyte
   microbial killing mechanisms in host defense to infectious diseases.
   However, reactive oxidative intermediates can damage normal tissues
   unless kept under antioxidant control. Three selected examples of
   oxidant-antioxidant systems involved in infectious diseases are
   discussed, regulation of molecular iron catalyzed oxidations,
   superoxide scavengers and inhibitors of nitric oxide synthase in
   septic shock, and the use of glutathione replacement therapy in HIV
   infection and AIDS. The data suggest that antioxidants, and therapy
   based on increasing antioxidant potential, have a major impact on
   clinical infectious diseases.
   
   Publication Types:
     * Review
     * Review, tutorial
       
   PMID: 8164064, UI: 94216964
     _________________________________________________________________


   
   Infect Immun 2000 Oct;68(10):5785-93
   
Pathogenesis of infection by clinical and environmental strains of vibrio
vulnificus in iron-dextran-treated mice.

    Starks AM, Schoeb TR, Tamplin ML, Parveen S, Doyle TJ, Bomeisl PE, Escudero
    GM, Gulig PA
    
   Department of Molecular Genetics and Microbiology, College of
   Medicine, University of Florida, Gainesville, Florida.
   
   [Medline record in process]
   
   Vibrio vulnificus is an opportunistic pathogen that contaminates
   oysters harvested from the Gulf of Mexico. In humans with compromising
   conditions, especially excess levels of iron in plasma and tissues,
   consumption of contaminated seafood or exposure of wounds to
   contaminated water can lead to systemic infection and disfiguring skin
   infection with extremely high mortality. V. vulnificus-associated
   diseases are noted for the rapid replication of the bacteria in host
   tissues, with extensive tissue damage. In this study we examined the
   virulence attributes of three virulent clinical strains and three
   attenuated oyster or seawater isolates in mouse models of systemic
   disease. All six V. vulnificus strains caused identical skin lesions
   in subcutaneously (s.c.) inoculated iron dextran-treated mice in terms
   of numbers of recovered CFU and histopathology; however, the inocula
   required for identical frequency and magnitude of infection were at
   least 350-fold higher for the environmental strains. At lethal doses,
   all strains caused s. c. skin lesions with extensive edema, necrosis
   of proximate host cells, vasodilation, and as many as 10(8) CFU/g,
   especially in perivascular regions. These data suggest that the
   differences between these clinical and environmental strains may be
   related to growth in the host or susceptibility to host defenses. In
   non-iron dextran-treated mice, strains required 10(5)-fold-higher
   inocula to cause an identical disease process as with iron dextran
   treatment. These results demonstrate that s.c. inoculation of iron
   dextran-treated mice is a useful model for studying systemic disease
   caused by V. vulnificus.
   
   PMID: 10992486, UI: 20448940
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