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Mineral Tolerance of Domestic Animals (1980)
Board on Agriculture (BOA)

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Iron Iron (Fe) and iron salts have been used as medicinal agents for cen- turies. The ancient Greeks, Egyptians, and Hindus prescribed iron as a treatment for general weakness, diarrhea, and constipation. The role of iron in blood formation became apparent in the seventeenth century when it was shown that iron salts were of value in the treatment of chIorosis, now known as iron-deficiency anemia, in young women. Lemery and Geoffy demonstrated in 1713 the presence of iron in blood, and in 1746 Menghini reported that blood iron levels could be increased by the feeding of iron-rich foods. Various iron compounds continue to be used in the prevention and treatment of iron-deficiency anemia in man and animals. ESSENTIALITY Iron is essential to every form of life from plants to man. Hemoglobin, myogiobin, the cytochromes, and many other enzyme systems contain iron. The conjugated proteins help maintain the vital cellular activities of respiration and oxygen transport. The frequency of iron-deficiency anemia in many human populations, including those in affluent coun- tries, emphasizes the importance of dietary iron as a marginally ade- quate nutrient. Iron-deficiency anemia in young pigs has been rec- ognized for almost a century, and the nature and pathology of the anemia were described more than 50 years ago (McGowan and Crich- 242

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Iron 243 ton, 1923; Doyle et al., 19281. Other young animals that receive milk as the sole diet can suffer from iron-deficiency anemia (Blaxter e! al., 1957). METABOLISM Iron absorption takes place almost exclusively in the small intestine. Ferrous iron entering the blood plasma is quickly oxidized to the ferric state. The ferric form then immediately complexes with a specific B~-globulin (transferr~n), in which form it is transported to various parts of the body as required for use or storage. Iron is stored intracellularly in the liver, spleen,- bone marrow, and other tissues as ferritin and hemosider~n. Iron is a component of myogIobin in skeletal muscles. The body has limited capacity to excrete iron. It is excreted mainly in the bile and desquamated mucosal epithelial cells sloughed from the duodenal villi (Dubach et al., 1955; Braude et al., 1962~. Small amounts of iron are lost in urine and sweat. Various aspects of iron metabolism are covered in the articles and reviews by Moore (1961), Bothwell and Finch (1962), Christopher et al. (1974), Forth (1974), Jacobs (1976), and Underwood (19771. SOURCES Iron is more abundant in the earth's crust than are the macronutrients calcium, magnesium, potassium, phosphorus, sulfur, and nitrogen. All plant materials commonly used in the feeding of animals contain var'- able amounts of iron. The concentration of iron in plants is a reflection of the species and soil upon which the plants grow. The iron content of cultivated grasses and legumes ranges from 100 to 700 ppm, although values in excess of 1,000 ppm have been reported (Beeson, 1941~. Most cereal grains contain between 30 and 60 ppm iron (Miller, 195X). Feeds of animal origin, other than milk and milk products, are rich sources of iron. Many of the minerals used to supply the calcium and phosphorus needs of animals contain iron. Most of the iron in plant products is in the ferric form in organic combinations from which it must be released in the gastrointestinal tract to permit absorption. The bioavailability of iron in certain grasses was studied by Thompson and Raven (1959) and Raven and Thompson (19591. Inorganic iron as ferric chloride was significantly more available than iron present in either the grasses or legumes. Assuming that ferric

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244 MINERAL TOLERANCE OF DOMESTIC ANIMALS chloride resulted in an improvement in total hemoglobin equal to 100 percent, the grasses yielded improvements of 4X to 63 percent in one study and the legumes 47 to 57 percent in another study. Numerous iron compounds are used as dietary sources of iron. Some iron oxide is used in animal feeds as a coloring agent. The bioavailability of the iron in these different compounds varies greatly (Nesbit and Elmslie, 1960; Ammerman et al., 1967; Harmon et al., 1969; Fritz et al., 19701. Am- merman et al. (1974) showed the bioavailability of iron in several fer- rous carbonates was correlated with in vitro solubility. TOXICOSIS LOW LEVELS Characteristic signs of chronic iron toxicosis for most species are re- duced feed intake, growth rate, and efficiency of feed conversion. Standish and Ammerman (1971) reported that feeding 1,600 ppm iron to lambs reduced plasma copper. Iron levels in the range of 4,000 to 5,000 ppm in the diet produced signs of phosphorus deficiency in swine and poultry (Deobald and Elvehjem, 1935; O'Donovan et al., 1963; [;uru- gouri, 19721. Standish et al. (1969) added ferrous sulfate at levels to supply either 400 or 1,600 ppm added iron in the diets of steers weighing about 235 kg. The level of 1,600 ppm added iron caused significant reductions in daily gains and feed intake. Koonget al. (1970), using iron citrate as the source of added iron, conducted two experiments in which six levels (100 to 4,000 ppm) of dietary iron were fed to calves weighing about 125 kg. The animals fed 4,000 ppm performed poorly (poor gains and diarrhea) and were changed to a level of 2,000 ppm after being on test for 6 weeks. A level of 2,500 ppm iron significantly reduced feed intake and daily gains. The body weight gains and feed consumption data for calves receiving 1,000 ppm iron were not significantly different from those receiving 100 ppm, but there was a trend towards poorer perform- ance at dietary iron levels of 500 ppm or more. Lawlor e' al. (1965) obtained no effects on weight gains, hemoglobin, packed cell volume, or red blood cell values from supplementing lambs' diets with 280 ppm iron. Following the fourth week of the experiment, diarrhea occurred among the lambs receiving 210 and 280 ppm iron. Postmortem examina- tion of two lambs did not attribute death to any particular causes other than severe generalized edema. The authors point out that it is unlikely

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Iron 245 that dietary levels of 210 and 280 ppm should approach toxicity levels for lambs. Standish and Ammerman (1971) found that lambs did not consume adequate feed to maintain body weight when fed rations con- taining 1,600 ppm iron, which reduced plasma copper. Furugouri (1972) reported no significant effect on body weight gains of young pigs fed either 1,102 or 3,103 ppm iron. When the dietary iron levels were increased to 5,102 and 7,102 ppm, body weight gains and feed intake were decreased. Signs of phosphorus deficiency were noted in pigs receiving either 5,102 or 7,102 ppm iron, even though the diets contained 0.92 percent phosphorus. O'Donovan et at. (1963) reported that 5,000 ppm iron caused a significant decrease in rate of gain, a slight decrease in serum inorganic phosphorus, but failed to reduce femur ash. McGhee et al. (1965) found that chicks could tolerate 1,600 ppm iron when adequate copper was included in the diet; when the diet contained only 5 ppm copper, decreased gains and increased mortality were reported with dietary iron levels of 200 ppm. Growth rate ap- peared to be depressed when diets contained 800 ppm iron and 80 ppm copper. Deobald and EIvehjem (1935) found that 4,500 ppm iron pro- duced rickets in young chicks. Woerpel and Balloun (1964) showed no consistent adverse effect on the growth rate of turkey poults from the addition of 440 ppm iron. Goldberg et al. (1957) studied the ejects of administering a dose of 1,650 mg iron per kilogram of body weight intramuscularly to rats for an extended period. The only significant findings were those charac- teristic of vitamin E deficiency. Tollerz and Lannek (1964) reported that vitamin E gave protection against iron toxicosis in mice and young pigs. HIGH LEVELS The clinical signs of acute toxicosis of iron include anorexia, oliguria, diarrhea, hypothermia, diphasic shock, metabolic acidosis, and death (Boyd and Shanas, 1963~. Vascular congestion of the gastrointestinal tract, liver, kidneys, heart, lungs, brain, spleen, adrenals, and thymus are the dominant histopathologic findings. Elevated serum iron levels are found in iron toxicosis. Cornelius and Harmon (1976) administered oral doses of 200 mg iron from either ferric ammonium citrate, ferrous sulfate, ferric oxide, or an iron dextran complex to piglets within 6 hours of birth. The ferric ammonium citrate proved highly toxic, with only 33.3 percent of the piglets surviving to 21 days. The rate of survival in piglets given the other three iron compounds ranged from 82 to 100 percent. Ferrous

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246 MINERAL TOLERANCE OF DOMESTIC ANIMALS sulfate given in a large oral dose to dogs caused vomiting, and the median emetic dose was between 19 and 29 me iron per kilogram of body weight (weaver et al., 1961~. Gastric intolerance, as indicated by emesis, was much less for an iron polysaccharide complex than for several other salts. When ferrous sulfate was given to dogs at levels to supply 150 to 600 mg iron per kilogram of body weight, various dis- orders ranging from diarrhea and vomiting to irritation of the gastro- intestina] tract occurred (Reissman and Coleman, 1955; D'Arcy and Howard, 19621. In rabbits, 750 mg ferrous sulfate per kilogram of body weight caused hepatic congestion within 24 to 48 hours (L`uongo and Bjornson, 1954~. These workers reported a dose of 2,000 mg ferrous sulfate per kilogram of body weight caused death in all rabbits within a few hours of administration. FACTORS INFLUENCING TOXICITY Iron that is added to the plasma in excess of the physiological iron- binding capacity is bound more loosely than the B~-gIobulin iron. The loosely bound iron is rapidly removed from the plasma, and it is this fraction that causes toxic reactions in the organism. Because of the limited capacity of the body to excrete iron, the toxicity of iron is governed largely by its absorption. Although iron is absorbed by the cells of the intestinal mucosa in the ferrous state, substances in the gastric and intestinal secretions can reduce the ferric ions to the ferrous state. The solubility of the iron appears to be as important as the valence, because some insoluble ferrous compounds are less available than the more soluble ferric compounds (Fritz et al., 1970~. In review- ing the toxicity of iron compounds, Herbert (1965) concluded that all iron compounds are probably equally toxic per unit of soluble iron. Among the dietary factors that have been shown to influence iron toxicity are levels of copper (McGhee et al., 1965), phosphorus (O' Donovan et al., 1963), and vitamin E (Tollerz and Lannek, 1964~. Enhanced iron absorption has been seen with certain amino acids, e.g., valine and histidine (E! Hawary et al., 1975~. Ascorbic acid alone or in combination with vitamin E increased iron absorption (Greenberg et al., 1957; Monsen and Page, 1978~. A number of organic acids, includ- ing succinic, lactic, pyruvic, and citric are effective in increasing iron absorption (Van Campen, 1974~. Some simple sugars such as fructose and sorbitol increase iron absorption, whereas the effects of more come plex carbohydrates are somewhat variable (Herndon et al., 1958; Jacobs and Miles, 1969~. It has been postulated that some of the com- pounds mentioned above form complexes with iron that keep the iron .

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Iron 247 in solution during transit through the upper part of the small intestine, where absorption most rapidly occurs. Treatment for iron poisoning aims at precipitating the iron as insolu- ble hydroxide. Preparations such as milk of magnesia and milk of lime are recommended (Garner, 19611. Szabuniewicz e! al. (1971) suggested desferrioxamine (deferoxamine) as a treatment for iron toxicosis. TISSUE LEVELS Standish et al. (1969) reported that livers and spleens of steers fed 400 ppm iron contained significantly more iron than those from steers fed no additional iron. The change in the level of iron in liver, spleen, and heart in response to dietary iron was almost linear for steers fed 0, 400, and 1,600 ppm. On a dry matter basis, the liver, spleen, kidney, heart, and muscle from steers fed no supplemental iron contained 185, 1,219, 315, 291, and 91 ppm iron, respectively; the same organs and tissue from steers receiving 1,600 ppm iron contained 605, 8,941, 410, 329, and 98 ppm, respectively. The iron content of the muscle was not increased by feeding 1,600 ppm. Thoren-Tolling (1975) showed that the liver is the main storage site in young pigs receiving oral iron. The iron deposits in the liver were almost depleted 19 days after the oral iron treatment was given. Estimates of the distribution of iron in various species are given by Moore and Dubach (1962~. MAXIMUM TOLERABLE LEVELS Pigs are more tolerant of excess iron than cattle, sheep, or poultry. Based on available information, the maximum tolerable levels of dietary iron are 3,000 ppm for swine and 1,000 ppm for cattle and poultry. The more limited data available for sheep suggest a maximum tolerable level of 500 ppm dietary iron. The values listed above assume that the biological availability of the dietary iron is high. All species can probably tolerate much higher levels when the iron is supplied from sources with low bioavailability. SUMMARY Iron is essential to every form of life from plants to animals. It is concerned with the vital cellular activities of respiration and oxygen

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248 MINERAL TOLERANCE OF DOMESTIC ANIMALS transport. The frequency of iron-deficiency anemia in many human populations, and in some young animals that rely on milk as the sole diet, emphasizes the importance of dietary iron as a marginally ade- quate nutrient. Although a wide variation in the susceptibility of various species of livestock to iron toxicosis exists, most species have a high tolerance.

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Iron REFERENCES 253 Ammerman, C. B., J. M. Wing, B. G. Dunavant, W. K. Robertson, J. P. Feaster, and L. R. Arrington. 1967. Utilization of inorganic iron by ruminants as influenced by form of iron and iron status of the animal. J. Anim. Sci. 26:404. Ammerman, C. B., J. F. Standish, C. E. Holt, R. H. Houser, S. M. Miller, and G. E. Combs. 1974. Ferrous carbonates as sources of iron for weanling pigs and rats. J. Anim. Sci. 38:52. Beeson, K. C. 1941. The Mineral Composition of Crops with Particular Reference to the Soils in Which They Were Grown. U5DA Misc. Publ. No. 369. Blaxter, K. L., G. A. M. Sharman, and A. M. MacDonald. 1957. Iron~eficiency anemia in calves. Br. J. Nutr. 11:234. Bothwell, T. H., and C. A. Finch. 1962. Iron Metabolism. Little, Brown and Co., Boston. Boyd, E. M., and S. N. Shanas. 1963. The acute oral toxicity of reduced iron. Can. Med. Assoc.J.89:171. Braude, R., A. G. Chamberlein, M. Kotarbinska, and K. G. Mitchell. 1962. The metab- olism of iron on piglets given labelled iron either orally or by injection. Br. J. Nutr. 16:427. Christopher, J. P., J. C. Hegenauer, and P. D. Saltman. 1974. Iron metabolism as a function of chelation. In W. G. Hoekstra, J. W. Suttie, H. E. Ganther, and W. Mertz (eds.). Trace Element Metabolism in Animals 2. University Park Press, Baltimore, Md. Cornelius, S. G., and B. G. Harmon. 1976. Sources of oral iron for neonatal piglets. J. Anim. Sci. 42:13SO. (Abstr.) D'Arcy, P. F., and E. M. Howard. 1962. The acute toxicity of ferrous salts administered to dogs by mouth. J. Pathol. Bacteriol. 83:65. Deobald, H. J., and C. A. Elvehjem. 1935. The effect of feeding high amounts of soluble iron and aluminum salts. Am. J. Physiol. 111:118. Doyle, L. P., F. P. Mathews, and R. A. Whiting. 1928. Anemia in young pigs. J. Am. Vet. Med. Assoc. 72:491. Dubach, R., C. V. Moore, and S. Callender. 1955. Studies in iron transportation and metabolism. IX. The excretion of iron as measured by the isotope technique. J. Lab. Clin. Med. 45:599. El-Hawary, M. F. S., F. A. El-Shobaki, T. Kholeif, R. Sakr, and M. El-Bassoussy. 1975. The absorption of iron, with or without supplements of single amino acids and of ascorbic acid in healthy and Fe-deficient children. Br. J. Nutr. 33:351. Forth, W. 1974. Iron absorption, a medicated transport across the mucosal epithelium. Ir: W. G. Hoekstra, J. W. Suttie, H. E. Ganther, and W. Mertz (eds.). Trace Element Metabolism in Animals 2. University Park Press, Baltimore, Md. Franklin, M., W. G. Rohse, J. de la Huerga, and C. R. Kemp. 1958. Chelate iron therapy. J. Am. Med. Assoc. 166:1685. Fritz, J. C., G. W. Pla, T. Roberts, J. W. Boehne, and E. L. Hove. 1970. Biological availability in animals of iron from common dietary sources. J. Agric. Food Chem. 18:647. Furugouri, K. 1972. Lffect of elevated dietary levels of iron on iron store in liver, some blood constituents and phosphorus deficiency in young swine. J. Anim. Sci. 34:S73. Garner, R. J. 1961. Veterinary Toxicology, 2d. ed. The Williams & Wilkins Co., Balti- more, Md. Goldberg, L., J. P. Smith, and L. E. Martin. 1957. Effects of massive iron overload in the rat. Nature 179:734.

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254 MINERAL TOLERANCE OF DOMESTIC ANIMALS Greenberg, S. M., R. G. Tucker, A. E. Heming, and J. K. Mathues. 1957. Iron absorption and metabolism. J. Nutr. 63:19. Harmon, B. G., D. E. Hoge, A. H. Jensen, and D. H. Baker. 1969. Efficacy of ferrous carbonate as a hematinic for swine. J. Anim. Sci. 29:706. Herbert, V. 1965. Drugs effective in iron-deficiency and other hypochromic anemias. In L. S. Ghan and R. GiEnan (eds.3. Pharmacological Basis for Therapeutics. Macmillan Company, New York. Herndonj J. G., T. G. Rice, R. G. Tucker, E. J. Van Loon, and S. M. Greenberg. 1958. Iron absorption and metabolism. III. The enhancement of iron absorption in rats by msorbitol. J. Nutr. 64:615. Hoppe, J. O., G. M. A. Marcelli, and M. L. Tainter. 1955a. An experimental study of the toxicity of ferrous gluconate. Am. J. Med. Sci. 230:491. Hoppie, J. O., G. M. A. Marcelli, and M. L. Tainter. 1955b. A review of the toxicity of iron compounds. Am. J. Med. Sci. 230:558. Jacobs, A. 1976. Sex differences in iron absorption. Proc. Nutr. Soc. 35:159. Jacobs, A., and P. M. Miles. 1969. Intraluminal transport of iron from stomach to small intestinal mucosa. Br. Med. J. 4:778. Koong, L-J., M. B. Wise, and E. R. Barrick. 1970. Effect of elevated dietary levels of iron on the performance and blood constituents of calves. J. Anim. Sci. 31:422. Lawlor, J. J., W. H. Smith, and W. M. Beeson. 1965. Iron requirement of the growing lamb. J. Anim. Sci. 24:742. Luongo, M. A., and S. S. Bjornson. 1954. The liver in ferrous sulfate poisoning. A report of three fatal cases in children and an experimental study. N. Engl. J. Med. 251:995. McGhee, F., C. R. Greger, and J. R. Couch. 1965. Copper and iron toxicity. Poult. Sci. 44:3 10. McGowan, J. P., and J. Crichton. 1923. On the effect of deficiency of iron in the diets of pigs. Biochem. J. 17:240. Miller, D. F. 1958. Composition of Cereal Grains and Forages. Natl. Acad. Sci.-Natl. Res. Counc. Publ. 585. National Academy of Sciences, Washington, D.C. Monsen, E. R., and J. F. Page. 1978. Effects of EDTA and ascorbic acid on the absorption of iron from an isolated rat intestinal loop. J. Agric. Food Chem. 26:223. Moore, C. V. 1961. Iron metabolism and nutrition. Harvey Lectures (19S~1960) S5:67. Moore, C. V., and R. Dubach. 1962. Mineral Metabolism, vol. 2, part B. Academic Press, New York. Nesbit, A. H., and W. P. Elmslie. 1960. Biological availability to the rat cf iron and copper from various compounds. Trans. III. State Acad. Sci. 53:101. O'Donovan, P. B., R. A. Pickett, M. P. Plumlee, and W. M. Beeson. 1963. Iron toxicity in the young pig. J. Anim. Sci. 22:1075. Raven, A. M., and A. Thompson. 1959. The availability of iron in certain grasses, clover and herb species. I. Perennial ryegrass, cocksfoot and timothy. J. Agric. Sci. 52:177. Reissman, K. R., and T. S. Coleman. 1955. Acute intestinal iror~ intoxication. II. Meta- bolic, respiratory and circulatory effects of absorbed iron salts. Blood 10:46. Shanas, M. N., and E. M. Boyd. 1969. Powdered iron from 1681 to 1968. Clin. Toxicol. 2:37. Standish, J. F., and C. B. Ammerman. 1971. Effect of excess dietary iron as ferrous sulfate and ferric citrate on tissue mineral composition of sheep. J. Anim. Sci. 33:481. Standish, J. F., C. B. Ammerman, C. F. Simpson, F. C. Neal, and A. Z. Palmer. 1969. Influence of graded levels of dietary iron, as ferrous sulfate. on performance and tissue mineral composition of steers. J. Anim. Sci. 29:496. Standish, J. F., C. B. Ammerman, A. Z. Palmer, and C. F. Simpson. 1971. Influence of

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Iron 255 dietary iron and phosphorus on the performance, tissue mineral composition and mineral absorption in steers. J. Anim. Sci. 33:171. Szabuniewicz, M., E. M. Bailey, and D. O. Wiersig. 1971. Treatment of some common poisonings in animals. VM/SAC 66:1 197. Thompson, A., and A. M. Raven. 1959. The availability of iron in certain grass, clover and herb species. II. Alsike, broad red clover, Kent wild white clover, trefoil and lucerne. J. Agric. Sci. 53:224. Thoren-Tolling, K. 1975. Studies on the absorption of iron after oral administration in piglets. Acta Vet. Scand. Suppl. 54. Tollerz, G., and N. Lannek. 1964. Protection against iron toxicity in vitamin E-deficient piglets and mice by vitamin E and synthetic antioxidants. Nature 201:~. Underwood, E. J. 1977. Trace Elements in Human and Animal Nutrition, 4th ed. Aca- demic Press, New York. Van Campen, D. 1974. Regulation of iron absorption. Fed. Proc. 33:100. Weaver, L. C., R. W. Gardier, V. B. Robinson, and C. A. Bunde. 1961. Comparative toxicology of iron compounds. Am. J. Med. Sci. 241:296. Woerpel, H. R., and S. L. Balloun. 1964. Effects of iron and magnesium on manganese metabolism. Poult. Sci. 43:1 135.

Representative terms from entire chapter:

dietary iron