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Serum transferrin receptor: a quantitative measure of tissue iron
deficiency
BS Skikne, CH Flowers and JD Cook
Department of Medicine, University of Kansas Medical Center, Kansas City
66103.
This study was undertaken to evaluate the role of serum transferrin
receptor measurements in the assessment of iron status. Repeated
phlebotomies were performed in 14 normal volunteer subjects to obtain
varying degrees of iron deficiency. Serial measurements of serum iron,
total iron-binding capacity, mean cell volume (MCV), free erythrocyte
protoporphyrin (FEP), red cell mean index, serum ferritin, and serum
transferrin receptor were performed throughout the phlebotomy program.
There was no change in receptor levels during the phase of storage iron
depletion. When the serum ferritin level reached subnormal values there was
an increase in serum receptor levels, which continued throughout the
phlebotomy program. Functional iron deficiency was defined as a reduction
in body iron beyond the point of depleted iron stores. The serum receptor
level was a more sensitive and reliable guide to the degree of functional
iron deficiency than either the FEP or MCV. Our studies indicate that the
serum receptor measurement is of particular value in identifying mild iron
deficiency of recent onset. The iron status of a population can be fully
assessed by using serum ferritin as a measure of iron stores, serum
receptor as a measure of mild tissue iron deficiency, and hemoglobin
concentration as a measure of advanced iron deficiency.
Volume 75,
Issue 9,
pp. 1870-1876,
05/01/1990
Copyright © 1990 by The American Society of Hematology

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