The effect of intravenous iron on the reticulocyte response to recombinant human erythropoietin

We studied the effect of intravenous (i.v.) adminisration of 200 mg of iron sucrose following an i.v. bolus injection of recombinant human erythropoietin (r‐HuEPO; 300 U/kg body weight) in seven subjects and compared it with seven subjects treated with r‐HuEPO alone. Reticulocytes, serum erythropoie...

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Veröffentlicht in:British journal of haematology 1997-08, Vol.98 (2), p.292-294
Hauptverfasser: Major, Attila, Mathez‐Loic, Fabien, Rohling, Roman, Gautschi, Kurt, Brugnara, Carlo
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container_end_page 294
container_issue 2
container_start_page 292
container_title British journal of haematology
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creator Major, Attila
Mathez‐Loic, Fabien
Rohling, Roman
Gautschi, Kurt
Brugnara, Carlo
description We studied the effect of intravenous (i.v.) adminisration of 200 mg of iron sucrose following an i.v. bolus injection of recombinant human erythropoietin (r‐HuEPO; 300 U/kg body weight) in seven subjects and compared it with seven subjects treated with r‐HuEPO alone. Reticulocytes, serum erythropoietin (EPO) and ferritin levels were studied at baseline and daily for the following 8 d. Use of i.v. iron abolished the marked reduction in serum ferritin observed with r‐HuEPO administration. Although the total number of reticulocytes was not affected by i.v. iron administration, the reticulocyte Hb content and retHb (a measure in g/l of the Hb contained in all reticulocytes) were increased in the i.v. iron/r‐HuEPO group compared with the group who received r‐HuEPO alone. Therefore i.v. iron significantly potentiates the haemopoietic response to r‐HuEPO in normal subjects.
doi_str_mv 10.1046/j.1365-2141.1997.2123031.x
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Reticulocytes, serum erythropoietin (EPO) and ferritin levels were studied at baseline and daily for the following 8 d. Use of i.v. iron abolished the marked reduction in serum ferritin observed with r‐HuEPO administration. Although the total number of reticulocytes was not affected by i.v. iron administration, the reticulocyte Hb content and retHb (a measure in g/l of the Hb contained in all reticulocytes) were increased in the i.v. iron/r‐HuEPO group compared with the group who received r‐HuEPO alone. 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Reticulocytes, serum erythropoietin (EPO) and ferritin levels were studied at baseline and daily for the following 8 d. Use of i.v. iron abolished the marked reduction in serum ferritin observed with r‐HuEPO administration. Although the total number of reticulocytes was not affected by i.v. iron administration, the reticulocyte Hb content and retHb (a measure in g/l of the Hb contained in all reticulocytes) were increased in the i.v. iron/r‐HuEPO group compared with the group who received r‐HuEPO alone. Therefore i.v. iron significantly potentiates the haemopoietic response to r‐HuEPO in normal subjects.</description><subject>Adult</subject><subject>anaemia</subject><subject>Anemia, Iron-Deficiency - blood</subject><subject>Anemia, Iron-Deficiency - therapy</subject><subject>Biological and medical sciences</subject><subject>Blood. Blood coagulation. Reticuloendothelial system</subject><subject>erythropoietin</subject><subject>Erythropoietin - therapeutic use</subject><subject>Female</subject><subject>Ferritins - metabolism</subject><subject>Hemoglobins - metabolism</subject><subject>Humans</subject><subject>Injections, Intravenous</subject><subject>iron</subject><subject>Iron - administration &amp; dosage</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pharmacology. 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Blood coagulation. Reticuloendothelial system</topic><topic>erythropoietin</topic><topic>Erythropoietin - therapeutic use</topic><topic>Female</topic><topic>Ferritins - metabolism</topic><topic>Hemoglobins - metabolism</topic><topic>Humans</topic><topic>Injections, Intravenous</topic><topic>iron</topic><topic>Iron - administration &amp; dosage</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pharmacology. 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subjects Adult
anaemia
Anemia, Iron-Deficiency - blood
Anemia, Iron-Deficiency - therapy
Biological and medical sciences
Blood. Blood coagulation. Reticuloendothelial system
erythropoietin
Erythropoietin - therapeutic use
Female
Ferritins - metabolism
Hemoglobins - metabolism
Humans
Injections, Intravenous
iron
Iron - administration & dosage
Male
Medical sciences
Pharmacology. Drug treatments
Recombinant Proteins - therapeutic use
Reticulocyte Count
reticulocytes
Reticulocytes - physiology
therapy
title The effect of intravenous iron on the reticulocyte response to recombinant human erythropoietin
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