Affiliation:
1. Siberian State Medical University
2. Lomonosov Moscow State University
3. Siberian State Medical University;
National Research Tomsk State University
Abstract
Aim. To assess the effect of iron-rich humic substances on hematological parameters in acute post-hemorrhagic and iron deficiency anemia.Materials and methods. Materials for the study were samples of iron-rich active pharmaceutical ingredients based on humic substances (Fe(III) hydroxide complexes with humic substances and polymaltose): HA-Fe3+, HA-PMFe3+, FA-Fe3+, and FA-PM-Fe3+. The anti-anemic activity of the substances was studied on 53 female Wistar rats of the conventional rat line in the model of acute posthemorrhagic and iron deficiency anemia. Anti-anemic activity was assessed by the hemoglobin level, erythrocyte count, hematocrit, and serum iron level.Results. The studied substances HA-Fe3+ and FA-Fe3+ are the most effective in correcting the consequences of both experimental acute posthemorrhagic anemia and iron deficiency anemia. Their effect is comparable to that of the positive control drug Ferrum Lek.Conclusion. Fe(III) hydroxide complexes stabilized by humic and fulvic acids exhibit anti-anemic activity.
Publisher
Siberian State Medical University
Reference25 articles.
1. Levina A.A., Tsibul'skaya M.M., Minina L.T., Tsvetaeva N.V. Sootnoshenie mezhdu osnovnymi mikroelementami (Fe, Cu, Zn) pri anemiyakh razlichnoi etiologii. Klinicheskaya laboratornaya diagnostika. 2013;7:45–48.
2. Powers J.M., Buchanan G.R., Adix L., Zhang S., Gao A., McCavit T.L. Effect of low-dose ferrous sulfate vs iron polysaccharide complex on hemoglobin concentration in young children with nutritional iron-deficiency anemia. JAMA. 2017;137(22):2297–2304. DOI: 10.1001/jama.2017.6846.
3. Chilova R.A., Murashko A.V., Vechorko V.I., Chushkov Yu.V., Korolev V.S. Profilaktika i lechenie zhelezodefitsitnykh sostoyanii u beremennykh i kormyashchikh zhenshchin. RMM. Mat' i ditya. 2017;15:1092–1095.
4. Atadzhanyan A.S., Zainulina M.S., Malakhovskaya E.A. Sravnitel'naya effektivnost' vnutrivennykh i tabletirovannykh preparatov zheleza u beremennykh s anemiei. Zhurnal akusherstva i zhenskikh boleznei. 2019;68(2):23–32.
5. Jose A., Mahey R., Sharma J.B., Bhatla N., Saxena R., Kalaivani M. et al. Comparison of ferric carboxymaltose and iron sucrose complex for treatment of iron deficiency anemia in pregnancyrandomised controlled trial. BMC Pregnancy Childbirth. 2019;19(1):54. DOI: 10.1186/s12884-019-2200-3.