In copper deficiency, why does iron transport for heme synthesis fall?
AIron is not oxidized to its transportable form
BIron cannot be stored as ferritin in the liver
CIron is not released from dying erythrocytes
DIron cannot be bound to albumin in the plasma
Answer & Solution
Correct answer: A. Iron is not oxidized to its transportable form
1. Copper is a component of two plasma proteins, hephaestin and ceruloplasmin.
2. Both enable the oxidation of iron from its ferrous to its ferric form.
3. Only the oxidised form can bind to transferrin, the transport protein that carries iron to body cells.
4. Without copper that oxidation step fails, so transport of iron for heme synthesis decreases.
5. The iron does not disappear; it accumulates in tissues, where it can eventually cause organ damage.
6. Albumin is not the iron carrier, transferrin is, so that option names the wrong protein.
7. Storage as ferritin and recycling from dying erythrocytes both continue, so the block is specifically at the transport step.
_Source: OpenStax Anatomy and Physiology (CC BY 4.0), Ch 18 "The Cardiovascular System: Blood", section 18.3 Erythrocytes_
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