Unknown

Dataset Information

0

Abnormal whole-body energy metabolism in iron-deficient humans despite preserved skeletal muscle oxidative phosphorylation.


ABSTRACT: Iron deficiency impairs skeletal muscle metabolism. The underlying mechanisms are incompletely characterised, but animal and human experiments suggest the involvement of signalling pathways co-dependent upon oxygen and iron availability, including the pathway associated with hypoxia-inducible factor (HIF). We performed a prospective, case-control, clinical physiology study to explore the effects of iron deficiency on human metabolism, using exercise as a stressor. Thirteen iron-deficient (ID) individuals and thirteen iron-replete (IR) control participants each underwent 31P-magnetic resonance spectroscopy of exercising calf muscle to investigate differences in oxidative phosphorylation, followed by whole-body cardiopulmonary exercise testing. Thereafter, individuals were given an intravenous (IV) infusion, randomised to either iron or saline, and the assessments repeated ~ 1 week later. Neither baseline iron status nor IV iron significantly influenced high-energy phosphate metabolism. During submaximal cardiopulmonary exercise, the rate of decline in blood lactate concentration was diminished in the ID group (P = 0.005). Intravenous iron corrected this abnormality. Furthermore, IV iron increased lactate threshold during maximal cardiopulmonary exercise by ~ 10%, regardless of baseline iron status. These findings demonstrate abnormal whole-body energy metabolism in iron-deficient but otherwise healthy humans. Iron deficiency promotes a more glycolytic phenotype without having a detectable effect on mitochondrial bioenergetics.

SUBMITTER: Frise MC 

PROVIDER: S-EPMC8770476 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature

altmetric image

Publications

Abnormal whole-body energy metabolism in iron-deficient humans despite preserved skeletal muscle oxidative phosphorylation.

Frise Matthew C MC   Holdsworth David A DA   Johnson Andrew W AW   Chung Yu Jin YJ   Curtis M Kate MK   Cox Pete J PJ   Clarke Kieran K   Tyler Damian J DJ   Roberts David J DJ   Ratcliffe Peter J PJ   Dorrington Keith L KL   Robbins Peter A PA  

Scientific reports 20220119 1


Iron deficiency impairs skeletal muscle metabolism. The underlying mechanisms are incompletely characterised, but animal and human experiments suggest the involvement of signalling pathways co-dependent upon oxygen and iron availability, including the pathway associated with hypoxia-inducible factor (HIF). We performed a prospective, case-control, clinical physiology study to explore the effects of iron deficiency on human metabolism, using exercise as a stressor. Thirteen iron-deficient (ID) in  ...[more]

Similar Datasets

| S-EPMC8284426 | biostudies-literature
| S-EPMC5905626 | biostudies-literature
| S-EPMC6753154 | biostudies-literature
| S-EPMC17325 | biostudies-literature
| S-EPMC3911294 | biostudies-literature
| S-EPMC8906553 | biostudies-literature
| S-EPMC4157357 | biostudies-literature
| S-EPMC6233982 | biostudies-literature
| S-EPMC4045679 | biostudies-literature
| S-EPMC1223571 | biostudies-other