Why does total iron binding capacity increase in anaemia?

In summary: Yes, when there are more enzymes around, the total iron binding capacity will be higher than when there are fewer enzymes.
  • #1
sameeralord
662
3
Hello everyone,

In anameia related to iron, plasma tranferring increases and iron decreases. How does this increase the total iron binding capacity of the enzyme. If I draw a sample of blood, there would be some transferrin enzymes in excess lowering iron binding capacity right? Thanks :smile:
 
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  • #2
Transferrin is a protein that binds iron. The more transferrin in the blood, the more iron blood can bind. Therefore, when doctor test for total iron binding capacity, they are in effect, measuring the amount of transferrin present in the blood.
 
  • #3
Ygggdrasil said:
Transferrin is a protein that binds iron. The more transferrin in the blood, the more iron blood can bind. Therefore, when doctor test for total iron binding capacity, they are in effect, measuring the amount of transferrin present in the blood.

Thanks for the reply :smile: Now let's say there are 2 moles of Fe and lots of enzymes. Then 2 moles of iron would bind to the enzyme, and the other enzymes would be free of iron, so wouldn't that lower the iron binding capacity. I'm thinking iron binding capacity as the amount of iron bound protein/number of protein multiplied by 100. Thanks :smile:
 
  • #4
Yes, the fractional occupancy of transferrin (percent of iron binding sites occupied by iron) would be lower if you either increase the amount of transferrin or decrease the amount of iron. However, the transferrin still retains the capacity to bind additional iron.

Total iron binding capacity is defined as the amount of iron that can be bound by the transferrin in a certain volume of blood. The definition does not involve the fractional occupancy of the transferrin.
 
  • #5
Ygggdrasil said:
Yes, the fractional occupancy of transferrin (percent of iron binding sites occupied by iron) would be lower if you either increase the amount of transferrin or decrease the amount of iron. However, the transferrin still retains the capacity to bind additional iron.

Total iron binding capacity is defined as the amount of iron that can be bound by the transferrin in a certain volume of blood. The definition does not involve the fractional occupancy of the transferrin.

Right so eg if there 10 moles of Fe, and normally only 3 binded, when there are more enzymes around 7 bind so that means capacity has increased. Thanks Yggdrasil for correcting the misunderstanding :smile:
 

1. Why does total iron binding capacity (TIBC) increase in anaemia?

In anaemia, there is a decrease in the amount of available iron in the body. This leads to an increase in the production of transferrin, a protein that helps transport iron in the body. As a result, there is an increase in TIBC, which measures the amount of iron that can be bound by transferrin.

2. How does TIBC help in diagnosing anaemia?

TIBC is a useful marker in diagnosing anaemia because it reflects the body's attempt to compensate for the decrease in available iron. An increase in TIBC can indicate a deficiency in iron, which is a common cause of anaemia.

3. What are the other factors that can affect TIBC levels?

Besides iron deficiency, TIBC can also be affected by factors such as inflammation, pregnancy, and liver disease. Inflammation can increase TIBC levels due to an increase in transferrin production, while pregnancy and liver disease can decrease TIBC due to changes in iron metabolism.

4. Can TIBC levels be used to differentiate between different types of anaemia?

TIBC levels alone cannot differentiate between different types of anaemia. However, it can be used in conjunction with other blood tests to determine the cause of anaemia. For example, in iron deficiency anaemia, TIBC will be high while ferritin (a protein that stores iron) will be low.

5. How can TIBC levels be managed in anaemia?

TIBC levels can be managed by addressing the underlying cause of anaemia. For iron deficiency anaemia, iron supplementation is the main treatment. In other types of anaemia, such as those caused by chronic disease or genetic disorders, TIBC levels can be managed by treating the underlying condition or by blood transfusions.

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