Evidence map›Paper›PMID 17344278›Full record

ArticleGut2007

Proton pump inhibitors suppress absorption of dietary non-haem iron in hereditary haemochromatosis.

Carol Hutchinson, Catherine A Geissler, Jonathan J Powell, Adrian Bomford

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Gut, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01524757 (Proton Pump Inhibitors in the Prevention of Iron Reaccumulation in Patient With Hereditary Hemochromatosis), which is not on this map. Cited by 53 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 4 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01524757 naunknown statusnot on this mapstarted 2012, after this paper: background citation

Proton Pump Inhibitors in the Prevention of Iron Reaccumulation in Patient With Hereditary Hemochromatosis

TypeinterventionalSponsorMaastricht University Medical CenterRan2012 to 2013Enrolled48ConditionsHemochromatosisArmsPantoprazole
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 205 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Article
  8. Review
  9. Bamboo Salt and Triple Therapy Synergistically InhibitInternational journal of molecular sciences · 2022
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Observational
  15. Article
  16. Impact of Acid Suppression Therapy on Iron Supplementation in the Pediatric Intensive Care Unit.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2021
    Article
  17. Article
  18. Article
  19. Article
  20. Adverse Effects of Proton Pump Inhibitors-Evidence and Plausibility.International journal of molecular sciences · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Carol HutchinsonThe Iron Metabolism Interdisciplinary Research Group, King's College London, London, UK.
Catherine A Geissler
Jonathan J Powell
Adrian Bomford
King's College London · GBMRC Human Nutrition Research · GB

Funding

Medical Research Council MC_U105960399
6 · The paper itself

Abstract

BACKGROUND AND

aimsDuring the long-term treatment of patients with hereditary haemochromatosis (HH) the authors observed that proton pump inhibitors (PPI) reduced the requirement for maintenance phlebotomy. Gastric acid plays a crucial role in non-haem iron absorption and the authors performed a case review and intervention study to investigate if PPI-induced suppression of gastric acid would reduce dietary iron absorption in C282Y homozygous patients.

methodsPhlebotomy requirements to keep serum ferritin approximately 50 microg/l before (mean 6.1 (SE 0.6) years) and during (3.8 (0.9) years) administration of a PPI were evaluated in seven patients and a post-prandial study was performed to determine whether PPIs reduce absorption of non-haem iron (14.5 mg) from a test meal in a further 14 phlebotomised patients with normal iron stores.

resultsThere was a significant reduction (p<0.001) in the volume of blood removed annually before (2.5 (0.25) l) and while taking (0.5 (0.25) l) a PPI. Administration of a PPI for 7d suppressed absorption of non-haem iron from the meal as shown by a significant reduction (all p<0.01) in: area under the serum curve (2145 (374) versus 1059 (219)), % recovery of administered iron at peak serum iron (20.5 (3.2) versus 11.0 (2.0)%) and peak serum iron (13.6 (2.4) vs 6.1 (1.2) micromol/l) (all values are before vs during PPI).

conclusionsAdministration of a PPI to patients with HH can inhibit the absorption of non-haem iron from a test meal and the habitual diet.

Indexed as

Proton Pump Inhibitors2-PyridinylmethylsulfinylbenzimidazolesEnzyme InhibitorsFerritinsGastric AcidHemochromatosisHumansIntestinal AbsorptionIron, DietaryLansoprazoleMiddle AgedOmeprazolePhlebotomyPostprandial Period2-PyridinylmethylsulfinylbenzimidazolesEnzyme InhibitorsFerritinsIron, DietaryLansoprazoleOmeprazoleProton Pump Inhibitors

Identifiers

PMID17344278
PMCPMC1954964
OpenAlexW2109672821

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.