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Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1986 Oct;45(10):827–831. doi: 10.1136/ard.45.10.827

Ankylosing spondylitis: a chronic inflammatory disease with iron overload in granulocytes and platelets.

N Feltelius, U Lindh, P Venge, R Hällgren
PMCID: PMC1002004  PMID: 3789818

Abstract

The cellular stores of iron in granulocytes and platelets isolated from 29 patients with ankylosing spondylitis were measured by the nuclear microprobe technique. The mean iron content in polymorphonuclear cells (PMNs) was 32 (SD 3) micrograms/g dry weight and in platelets 11 (2.6) micrograms/g dry weight. Corresponding values for age and sex matched healthy controls were 5.2 (1.9) and 4.6 (0.8) micrograms/g (p less than 0.001). Significant correlations were found in the patient group between (PMN) iron and the circulating levels of transferrin, total iron, and lactoferrin (p less than 0.05). PMN iron was not related to serum ferritin. Platelet iron correlated with transferrin (p less than 0.01) but not with the other iron binding proteins. Significant relationships were also found between the PMN iron stores and the inflammatory activity defined by erythrocyte sedimentation rate (ESR) and the immunoglobulins A and G. These data further illustrate the altered iron kinetics in chronic inflammatory disease and record the fact that the redistribution of iron associated with the inflammatory process also includes granulocytes and platelets.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aisen P., Brown E. B. The iron-binding function of transferrin in iron metabolism. Semin Hematol. 1977 Jan;14(1):31–53. [PubMed] [Google Scholar]
  2. Birgegård G., Caro J. Increased ferritin synthesis and iron uptake in inflammatory mouse macrophages. Scand J Haematol. 1984 Jul;33(1):43–48. doi: 10.1111/j.1600-0609.1984.tb02208.x. [DOI] [PubMed] [Google Scholar]
  3. Birgegård G., Hällgren R., Killander A., Strömberg A., Venge P., Wide L. Serum ferritin during infection. A longitudinal study. Scand J Haematol. 1978 Oct;21(4):333–340. doi: 10.1111/j.1600-0609.1978.tb00374.x. [DOI] [PubMed] [Google Scholar]
  4. Birgens H. S. The biological significance of lactoferrin in haematology. Scand J Haematol. 1984 Sep;33(3):225–230. doi: 10.1111/j.1600-0609.1984.tb02220.x. [DOI] [PubMed] [Google Scholar]
  5. Blake D. R., Gallagher P. J., Potter A. R., Bell M. J., Bacon P. A. The effect of synovial iron on the progression of rheumatoid disease. A histologic assessment of patients with early rheumatoid synovitis. Arthritis Rheum. 1984 May;27(5):495–501. doi: 10.1002/art.1780270503. [DOI] [PubMed] [Google Scholar]
  6. Blake D. R., Hall N. D., Bacon P. A., Dieppe P. A., Halliwell B., Gutteridge J. M. The importance of iron in rheumatoid disease. Lancet. 1981 Nov 21;2(8256):1142–1144. doi: 10.1016/s0140-6736(81)90590-0. [DOI] [PubMed] [Google Scholar]
  7. Blake D. R., Lunec J., Ahern M., Ring E. F., Bradfield J., Gutteridge J. M. Effect of intravenous iron dextran on rheumatoid synovitis. Ann Rheum Dis. 1985 Mar;44(3):183–188. doi: 10.1136/ard.44.3.183. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Bullen J. J. The significance of iron in infection. Rev Infect Dis. 1981 Nov-Dec;3(6):1127–1138. doi: 10.1093/clinids/3.6.1127. [DOI] [PubMed] [Google Scholar]
  9. Fillet G., Cook J. D., Finch C. A. Storage iron kinetics. VII. A biologic model for reticuloendothelial iron transport. J Clin Invest. 1974 Jun;53(6):1527–1533. doi: 10.1172/JCI107703. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Gutteridge J. M., Rowley D. A., Halliwell B. Superoxide-dependent formation of hydroxyl radicals in the presence of iron salts. Detection of 'free' iron in biological systems by using bleomycin-dependent degradation of DNA. Biochem J. 1981 Oct 1;199(1):263–265. doi: 10.1042/bj1990263. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Hershko C., Cook J. D., Finch C. A. Storage iron kinetics. VI. The effect of inflammation on iron exchange in the rat. Br J Haematol. 1974 Sep;28(1):67–75. doi: 10.1111/j.1365-2141.1974.tb06640.x. [DOI] [PubMed] [Google Scholar]
  12. Muirden K. D. Ferritin in synovial cells in patients with rheumatoid arthritis. Ann Rheum Dis. 1966 Sep;25(5):387–401. doi: 10.1136/ard.25.5.387. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Muirden K. D. Lymph node iron in rheumatoid arthritis. Histology, ultrastructure, and chemical concentration. Ann Rheum Dis. 1970 Jan;29(1):81–88. doi: 10.1136/ard.29.1.81. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Muirden K. D. The anaemia of rheumatoid arthritis: the significance of iron deposits in the synovial membrane. Australas Ann Med. 1970 May;19(2):97–104. doi: 10.1111/imj.1970.19.2.97. [DOI] [PubMed] [Google Scholar]
  15. NOYES W. D., BOTHWELL T. H., FINCH C. A. The role of the reticulo-endothelial cell in iron metabolism. Br J Haematol. 1960 Jan;6:43–55. doi: 10.1111/j.1365-2141.1960.tb06216.x. [DOI] [PubMed] [Google Scholar]
  16. Parmley R. T., Takagi M., Barton J. C., Boxer L. A., Austin R. L. Ultrastructural localization of lactoferrin and iron-binding protein in human neutrophils and rabbit heterophils. Am J Pathol. 1982 Dec;109(3):343–358. [PMC free article] [PubMed] [Google Scholar]
  17. Pekarek R. S., Wannemacher R. W., Jr, Beisel W. R. The effect of leukocytic endogenous mediator (LEM) on the tissue distribution of zinc and iron. Proc Soc Exp Biol Med. 1972 Jun;140(2):685–688. doi: 10.3181/00379727-140-36531. [DOI] [PubMed] [Google Scholar]
  18. RAYMOND F. D., BOWIE M. A., DUGAN A. IRON METABOLISM IN RHEUMATOID ARTHRITIS. Arthritis Rheum. 1965 Apr;8:233–243. doi: 10.1002/art.1780080207. [DOI] [PubMed] [Google Scholar]
  19. Svenson K. L., Hällgren R., Johansson E., Lindh U. Reduced zinc in peripheral blood cells from patients with inflammatory connective tissue diseases. Inflammation. 1985 Jun;9(2):189–199. doi: 10.1007/BF00917591. [DOI] [PubMed] [Google Scholar]
  20. Van Snick J. L., Masson P. L., Heremans J. F. The involvement of lactoferrin in the hyposideremia of acute inflammation. J Exp Med. 1974 Oct 1;140(4):1068–1084. doi: 10.1084/jem.140.4.1068. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Venge P., Hällgren R., Stålenheim G., Olsson I. Effects of serum and cations on the selective release of granular proteins from human netrophils during phagocytosis. Scand J Haematol. 1979 Apr 4;22(4):317–326. doi: 10.1111/j.1600-0609.1979.tb00426.x. [DOI] [PubMed] [Google Scholar]
  22. de Martino M., Rossi M. E., Resti M., Vullo C., Vierucci A. Changes in superoxide anion production in neutrophils from multitransfused beta-thalassemia patients: correlation with ferritin levels and liver damage. Acta Haematol. 1984;71(5):289–298. doi: 10.1159/000206604. [DOI] [PubMed] [Google Scholar]

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