The Dark Side of Iron: The Relationship between Iron, Inflammation and Gut Microbiota in Selected Diseases Associated with Iron Deficiency Anaemia—A Narrative Review

Iron is an indispensable nutrient for life. A lack of it leads to iron deficiency anaemia (IDA), which currently affects about 1.2 billion people worldwide. The primary means of IDA treatment is oral or parenteral iron supplementation. This can be burdened with numerous side effects such as oxidativ...

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Main Authors: Ida J. Malesza, Joanna Bartkowiak-Wieczorek, Jakub Winkler-Galicki, Aleksandra Nowicka, Dominika Dzięciołowska, Marta Błaszczyk, Paulina Gajniak, Karolina Słowińska, Leszek Niepolski, Jarosław Walkowiak, Edyta Mądry
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/17/3478
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author Ida J. Malesza
Joanna Bartkowiak-Wieczorek
Jakub Winkler-Galicki
Aleksandra Nowicka
Dominika Dzięciołowska
Marta Błaszczyk
Paulina Gajniak
Karolina Słowińska
Leszek Niepolski
Jarosław Walkowiak
Edyta Mądry
author_facet Ida J. Malesza
Joanna Bartkowiak-Wieczorek
Jakub Winkler-Galicki
Aleksandra Nowicka
Dominika Dzięciołowska
Marta Błaszczyk
Paulina Gajniak
Karolina Słowińska
Leszek Niepolski
Jarosław Walkowiak
Edyta Mądry
author_sort Ida J. Malesza
collection DOAJ
description Iron is an indispensable nutrient for life. A lack of it leads to iron deficiency anaemia (IDA), which currently affects about 1.2 billion people worldwide. The primary means of IDA treatment is oral or parenteral iron supplementation. This can be burdened with numerous side effects such as oxidative stress, systemic and local-intestinal inflammation, dysbiosis, carcinogenic processes and gastrointestinal adverse events. Therefore, this review aimed to provide insight into the physiological mechanisms of iron management and investigate the state of knowledge of the relationship between iron supplementation, inflammatory status and changes in gut microbiota milieu in diseases typically complicated with IDA and considered as having an inflammatory background such as in inflammatory bowel disease, colorectal cancer or obesity. Understanding the precise mechanisms critical to iron metabolism and the awareness of serious adverse effects associated with iron supplementation may lead to the provision of better IDA treatment. Well-planned research, specific to each patient category and disease, is needed to find measures and methods to optimise iron treatment and reduce adverse effects.
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spelling doaj.art-e8a7ad13e84646a8a14ea3c9f34289cf2023-11-23T13:51:05ZengMDPI AGNutrients2072-66432022-08-011417347810.3390/nu14173478The Dark Side of Iron: The Relationship between Iron, Inflammation and Gut Microbiota in Selected Diseases Associated with Iron Deficiency Anaemia—A Narrative ReviewIda J. Malesza0Joanna Bartkowiak-Wieczorek1Jakub Winkler-Galicki2Aleksandra Nowicka3Dominika Dzięciołowska4Marta Błaszczyk5Paulina Gajniak6Karolina Słowińska7Leszek Niepolski8Jarosław Walkowiak9Edyta Mądry10Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Physiology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Physiology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Physiology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Physiology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Physiology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Physiology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Physiology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Physiology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Physiology, Poznan University of Medical Sciences, 61-701 Poznan, PolandIron is an indispensable nutrient for life. A lack of it leads to iron deficiency anaemia (IDA), which currently affects about 1.2 billion people worldwide. The primary means of IDA treatment is oral or parenteral iron supplementation. This can be burdened with numerous side effects such as oxidative stress, systemic and local-intestinal inflammation, dysbiosis, carcinogenic processes and gastrointestinal adverse events. Therefore, this review aimed to provide insight into the physiological mechanisms of iron management and investigate the state of knowledge of the relationship between iron supplementation, inflammatory status and changes in gut microbiota milieu in diseases typically complicated with IDA and considered as having an inflammatory background such as in inflammatory bowel disease, colorectal cancer or obesity. Understanding the precise mechanisms critical to iron metabolism and the awareness of serious adverse effects associated with iron supplementation may lead to the provision of better IDA treatment. Well-planned research, specific to each patient category and disease, is needed to find measures and methods to optimise iron treatment and reduce adverse effects.https://www.mdpi.com/2072-6643/14/17/3478inflammatory bowel diseasecolorectal cancerobesityoxidative stressdysbiosisanaemia
spellingShingle Ida J. Malesza
Joanna Bartkowiak-Wieczorek
Jakub Winkler-Galicki
Aleksandra Nowicka
Dominika Dzięciołowska
Marta Błaszczyk
Paulina Gajniak
Karolina Słowińska
Leszek Niepolski
Jarosław Walkowiak
Edyta Mądry
The Dark Side of Iron: The Relationship between Iron, Inflammation and Gut Microbiota in Selected Diseases Associated with Iron Deficiency Anaemia—A Narrative Review
Nutrients
inflammatory bowel disease
colorectal cancer
obesity
oxidative stress
dysbiosis
anaemia
title The Dark Side of Iron: The Relationship between Iron, Inflammation and Gut Microbiota in Selected Diseases Associated with Iron Deficiency Anaemia—A Narrative Review
title_full The Dark Side of Iron: The Relationship between Iron, Inflammation and Gut Microbiota in Selected Diseases Associated with Iron Deficiency Anaemia—A Narrative Review
title_fullStr The Dark Side of Iron: The Relationship between Iron, Inflammation and Gut Microbiota in Selected Diseases Associated with Iron Deficiency Anaemia—A Narrative Review
title_full_unstemmed The Dark Side of Iron: The Relationship between Iron, Inflammation and Gut Microbiota in Selected Diseases Associated with Iron Deficiency Anaemia—A Narrative Review
title_short The Dark Side of Iron: The Relationship between Iron, Inflammation and Gut Microbiota in Selected Diseases Associated with Iron Deficiency Anaemia—A Narrative Review
title_sort dark side of iron the relationship between iron inflammation and gut microbiota in selected diseases associated with iron deficiency anaemia a narrative review
topic inflammatory bowel disease
colorectal cancer
obesity
oxidative stress
dysbiosis
anaemia
url https://www.mdpi.com/2072-6643/14/17/3478
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