Skip to main content
Log in

The immune response in iron-deficient young children: Effect of iron supplementation on cell-mediated immunity

  • Immunology/Allergology
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

The effects of iron deficiency on immunity remain controversial. This study was designed to assess the impact of iron supplementation on the immune status, in 81 children aged 6 months–3 years, at high risk for iron deficiency, using a longitudinal double blind randomised and placebo-controlled study. Lymphocytes of iron-deficient children produced less interleukin-2 in vitro. Iron supplementation for 2 months increased mean corpuscular volume, serum ferritin and serum transferrin, but had no effect on the parameters of T-cell mediated immunity. The lower interleukin-2 levels in iron-deficient suggest that cell-mediated immunity may be impaired in iron deficiency.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Abbreviations

CRP:

Creactive protein

PBMC:

peripheral blood mononuclear cells

PHA:

phytohaemagglutinin A

References

  1. Arbeter A, Echeverri L, Franco D, Munson D, Velez H, Vitale J (1971) Nutrition and infection. Fed Proc 30:1421–1428

    PubMed  Google Scholar 

  2. Barnes D, Sato G (1980) Serum free cell culture: a unifying approach. Cell 22:649–655

    PubMed  Google Scholar 

  3. Berger J, Schneider D, Dyck JL, Joseph A, Aplogan A, Galan P, Hercberg S (1990) Iron deficiency, cell-mediated immunity and infection in children aged from 6 months to 3 years in tropics. in: Hercberg S, Galan P, Dupin H (eds) Recent knowledge on iron and folate deficiencies in the world. Vol 197: INSERM (french)

  4. Brock JH, Mainou Fowler T (1986) Iron and immunity. Proc Nutr Soc 47:305–315

    Google Scholar 

  5. Bryan CF, Leech SH, Bozelka B (1986) The immunoregulatory nature of iron. Lymphocyte surface marker expression. J Leukocyte Biol 40:589–600

    PubMed  Google Scholar 

  6. Chandra RK, Dayton DH (1982) Trace element regulation of immunity and infection. Nutr Res 2:721–733

    Google Scholar 

  7. Chandra RK, Saraya AK (1975) Impaired immunocompetence associated with iron deficiency. J Pediatr 786:899–902

    Google Scholar 

  8. Dallman PR (1987) Iron deficiency and the immune response. Am J Clin Nutr 46:329–334

    PubMed  Google Scholar 

  9. Dhur A, Galan P, Hercberg S (1989) Iron status, immune capicity and resistance to infections. Comp Biochem Physiol 94A:11–19

    Google Scholar 

  10. Farthing MJG (1989) Iron and immunity. Acta Paediatr Scand [Suppl] 361:44–52

    Google Scholar 

  11. Fletcher J, Mather J, Lewis MJ, Withing G (1975) Mouth lesions in iron-deficient anemia: relationship to Candida albicans in saliva and to impairment of lymphocyte transformation. J Infect Dis 131:44–50

    PubMed  Google Scholar 

  12. Galan P, Davila M, Mekki N, Hercberg S (1988) Iron deficiency, inflammatory process and humoral immunity in children. Int J Vitam Res 58:225–230

    Google Scholar 

  13. hercberg S, Galan P, Dhur A (1991) Iron. In Fidanza F (ed) Nutritional status assessment. Chapman and Hall, London, pp 355–384

    Google Scholar 

  14. Hershko C, Peto TEA, Weatherall DJ (1988) Iron and infection. BMJ 296:660–664

    PubMed  Google Scholar 

  15. Hoffbrand AV, Ganeshaguru K, Hooton JWL, Tattersall MHN (1976) Effect of iron deficiency and desferrioxamine on DNA synthesis in human cells. Br J Haematol 33:517–526

    PubMed  Google Scholar 

  16. Joynson DHM, Walker DM, Jacobs A (1972) Defect of cell-mediated immunity in patients with iron-deficiency anaemia. Lancet II:1058–1059

    Google Scholar 

  17. Krantman HJ, Young SR, Ank BJ (1982) Immune function in pure iron deficiency. Am J Dis Child 136:840–844

    PubMed  Google Scholar 

  18. Kuvibidila S (1987) Iron deficiency, cell-mediated immunity and resistance against infections: present knowledge and controversies. Nutr Res 7:989–1003

    Google Scholar 

  19. Kuvibidila S, Dardenne M, Savino W, Lepault F (1990) Influence of iron-deficiency anemia on selected thymus functions in mice: thymulin biological activity, T-cell subsets, and thymocyte proliferation Am J Clin Nutr 51:228–232

    PubMed  Google Scholar 

  20. Le Deist F, Thoenes G, Corado J, Lisowska-Gropierre B, Fisher A (1991) Immunodeficiency with low expression of the T cell receptor/CD3 complex. Effect on T lymphocyte activation. Eur J Immunol 21:1641–1647

    PubMed  Google Scholar 

  21. MacDougall LG, Anderson R, Mac Nab GM, Katz J (1975) The immune response in iron deficient children: impaired cellular defense mechanisms with altered humoral components. J Pediatr 86:833–843

    PubMed  Google Scholar 

  22. Mainou Fowler T, Brock JH (1985) Effect of iron deficiency on the response of mouse lymphocytes to concanavalin A: the importance of the transferrin-bound iron. Immunology 54:325–332

    PubMed  Google Scholar 

  23. Neckers LM, Cossman J (1983) Transferrin receptor induction in mitogen-stimulated human T lymphocytes is required for DNA synthesis and cell division and is regulated by interleukine 2. Proc Natl Acad Sci USA 80:3494–3499

    PubMed  Google Scholar 

  24. Oppenheimer SJ (1989) Iron and infection: the clinical evidence. Acta Paediatr Scand [Suppl] 361:53–61

    Google Scholar 

  25. Oppenheimer SJ, Mac Farlane SB, Moody JB, Bunari O, Hendrickse RG (1986) Effect of iron prophylaxis on morbidity due to infectious diseases: report on clinical studies in Papua New Guinea. Trans R Soc Trop Hyg 80:596–602

    Google Scholar 

  26. Rolland-Cachera MF, Cole TJ, Sempé M, Tichet J, Rossignol C, Charraud A (1991) Body Mass index variations: centiles from birth to 87 years. Eur J Clin Nutr 45:13–21

    PubMed  Google Scholar 

  27. Srikantia SG, Bhaskaram C, Prasad SJ, Krishnamachari KAVR (1976) Anemia and immune response. Lancet II:1307–1309

    Google Scholar 

  28. Walter T, Arredondo S, Arevalo M, Stekel A (1986) Effect of iron therapy on phagocytosis and bacteridal activity in neutrophils of iron-deficient infants. Am J Clin Nutr 44:877–882

    PubMed  Google Scholar 

  29. WHO (1972) Control of nutritional anaemia with special reference to iron deficiency. Tech Rep 580: WHO Geneva

Download references

Author information

Authors and Affiliations

Authors

Additional information

This work was supported by a grant from the Ministry of Research and Technology (Aliment 2002, 90G0268), and by a grant from the Guigoz Corporation

Rights and permissions

Reprints and permissions

About this article

Cite this article

Thibault, H., Galan, P., Selz, F. et al. The immune response in iron-deficient young children: Effect of iron supplementation on cell-mediated immunity. Eur J Pediatr 152, 120–124 (1993). https://doi.org/10.1007/BF02072487

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02072487

Key words

Navigation