Unsaturated dietary fat and lipoperoxides as etiological factors in vitamin E deficiency in mink. The prophylactic effect of vitamin E and iron compounds.
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A child allergic to cow's milk developed a mild systemic allergic reaction after the first dose of Ferplex 40 (iron proteinsuccinylate). Skin tests and in vitro studies were performed in the child, in three cow's milk-allergic controls and in a non-allergic control. Milk, casein and iron proteinsuccinylate (Ferplex 40) were used for skin tests, specific immunoglobulin E (IgE) determination, sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), immunoblotting and enzyme allergo sorbent test (EAST) inhibition. A review of the drug information sheet and contact with the manufacturer were also performed. Although proteinsuccinylate is indeed a succinylated casein (each dose containing about 575 mg of casein) there was no indication of the milk protein content in the prescribing information provided by the manufacturer. Skin tests and specific IgE were positive in the case and in all allergic controls, except for EAST to iron proteinsuccinylate in one control. In EAST, iron proteinsuccinylate in solid phase was 100% inhibited by casein and casein in solid phase was inhibited 74% by iron proteinsuccinylate. SDS-PAGE of iron proteinsuccinylate showed a broad 46 kDa band and a blur of aggregated material. On immunoblot, the patient's IgE reacted to this heavily aggregated material and in the native casein extract recognized a 35-kDa band. The allergenicity of succinylated casein (proteinsuccinylate) among milk-allergic children is demonstrated. The protein source used in drug-protein conjugates should always be indicated by the manufacturer (as it should be in foods) to avoid potential risks to allergic patients.
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The oxidation of formate to CO2 has been used to quantify . OH yields produced in oxygenated solutions by chelated iron salts reacting either directly with H2O2 in the Fenton reaction, or as catalysts in the Haber-Weiss reaction between H2O2 and radiolytically generated superoxide. This system involves a chain sequence since . OH regenerates O2- when producing CO2. Kinetic studies have been employed to show that catalysis by Fe-EDTA occurs by reduction of Fe3+-EDTA by O2- followed by its reoxidation by H2O2, and to show how O2- is ultimately consumed. At pH 7.3 more than 50 . OH radicals can be produced per molecule of Fe-EDTA and CO2 yields can exceed five per molecule of radiolytically generated O2-. Iron chelated with pyrophosphate, DTPA, citrate, ATP or ADP in phosphate or Tris buffer at pH 7.3 has less than 7% of the catalytic ability of Fe-EDTA (considerably less in most cases) even though all these ferrous chelates give appreciable yields of . OH in the Fenton reaction. Unchelated iron has no catalytic ability. Catalysis of the Haber-Weiss reaction in homogenous solution by iron salts, either free or chelated with nucleotides or citrate, is evidently a very inefficient process, and its possible role in superoxide toxicity must be viewed with these reservations.
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The effects of topically applied hemoglobin, methemoglobin, hemin, ferrous chloride (FeCl2) and ferric chloride (FeCl3) were investigated by observation through the operating microscope to determine their effect on the normal and spastic canine basilar artery. Following transclival exposure, the artery was made spastic by puncture or topical barium chloride. No consistent changes in arterial diameter were seen with topical hemoglobin, methemoglobin, or hemin. The buffered ferrous ion (Fe++) caused marked vasodilation at concentrations of 10 microgram/ml. The buffered ferric ion (Fe++) caused mild vasoconstriction at similar concentrations. The possible role of iron (a component of hemoglobin) in vasospasm following subarachnoid hemorrhage and subsequent hemoglobin degradation is discussed.
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