THE EFFECT OF ORAL Am INJECTABLfi {RON- ON THE HEMATOLQGECAL VALUES Am GROWTI-i WWW GF MSTEIN CALVES Thesis {or the Degree of M. S. MEXICAN STATE UNEVERSETY Samuei M. Getty 1964 THESIS LIBRARY Michigan State University ABSTRACT THE EFFECT OF ORAL AND INJECTABLE IRON ON THE HEMATOLOGICAL VALUES AND GROWTH WEIGHTS OF HOLSTEIN CALVES by Samuel M. Getty Mammals, shortly after birth, exhibit physiologically low hemoglobin values. Numerous theories have been proposed to explain this phenomenon. Because mammalian milk is be- lieved to be a perfect food by many, one exception to this belief stands out in the literature. Milk is known to be sufficiently deficient in iron to produce an iron deficiency with relative ease. Because of the vast amount of material on this subject in the literature only selected references were used in a review of the literature. Clinically, a wide range of hemoglobin values are observed from calves less than twenty weeks of age. A study was undertaken to deter- mine if any effect in body weight or hematology is notice- able when iron is Supplied to calves either orally or intra- muscularly. Forty-five holstein calves were obtained when less than 7 days of age. Initial hemoglobin values were arranged in a linear fashion and a group consisted of fifteen calves selected from every third value. One group of calves re- ceived 30 mg. of iron orally each day while another group of 15 calves received two injections of iron (1,000 mg. Samuel M. Getty total) at 7 and 21 days of age. The remaining calves served as a control group. Calves were weighed and blood samples taken weekly. Body weight gains were not significant; however, the pattern of growth varied. Weight gains were compared to hemoglobin levels. A correlation was observed between the portion of calves receiving oral iron that had a higher mean level of hemoglobin and the increased rate of daily gain. Calves which received intramuscular iron and had low hemoglobin values showed a better rate of daily gain than calves with high hemoglobin values. Hemoglobin and packed cell volume values showed a significant increase at approximately 7 and 21 days respec- tively after the calves were started on iron. A reticulo- cytic response was observed in calves treated with iron. Calves treated with oral iron showed a gradual but uniform response while calves treated with injectable iron showed a peak response for the three weeks during treatment and then returned to the normal range. Serum iron levels were determined weekly by the di- pyridal method. A significant increase (P <1.01) was ob- served in all calves receiving injectable iron. It is concluded from this study that iron either in intramuscular or oral form is beneficial in meeting the clinical requirement of the dairy calf as a supplement to whole milk. Although a great response is not seen in bovine Samuel M. Getty hemoglobin values, as compared to the response in baby pigs, it was found that the physiological anemia was prevented in calves with the use of supplemental iron. THE EFFECT OF ORAL AND INJECTABLE IRON ON THE HEMATOLOGICAL VALUES AND GROWTH WEIGHTS OF HOLSTEIN CALVES BY Samuel M..Getty A THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Department of Surgery and Medicine 1964 ACKNOWLEDGMENT VI wish to extend my appreciation and gratitude to the following peOple who contributed their time and efforts in this study. To Dr. Gabel H. Conner, Professor, Graduate Advisor, Department of Surgery and Medicine, for his cooperation and advice in this study and his patience in the writing of this thesis. To Dr. David J. Ellis, Director of Ambulatory Clin- ics, Department of Surgery and Medicine, for his cooperation and stimulation during this time. To Dr. Clifford C. Beck, Extension Veterinarian, Department of Surgery and Medicine, for his valuable sug- gestions and help in the research. To Dr. Leonard D. Brown, Associate Professor, De- partment of Dairy, who provided the initial suggestion which encouraged these studies. Also, my sincere gratefulness for the arrangements which were made prior to this study. To Mr. Dennis Armstrong, Manager, Dairy Herd Oper— ations, and the Department of Dairy for providing the hous- ing, feed, and care of these animals. To Dr. Elwyn R. Miller, Associate Professor, Depart- ment of Animal Husbandry, for his critical evaluation. To Dr. Wade Brinker, Chairman, Department of Surgery and Medicine, for his cooperation during the study. ii Dedicated to Lucy and the girls iii TABLE OF CONTENTS CHAPTER PAGE I O INTRODUC TION O O O O O O O O O O O O O O . O O O II. REVIEW OF THE LITERATURE . . o o o . . o o o 0 III. MATERIALS AND METHODS. . . . . . . . . . . . . Experimental Animals 0 o o o o o o o o o \O\O\ONl-‘ Experimental Procedures. . . . . . . . . IV. RESULTS AND DISCUSSION . . . . . . . . . . . . 12 V. CONCLUSIONS. . . . . . . . . . o . . . . . o . 26 APPENDIX . . . . . . . . . . . . . . . . . . . . . . . 27 BIBLIOGRAPI'IY O O O O O O O O O O O O O O O O O O O O O s 1 iv FIGURE 1. 2. LIST OF FIGURES PAGE Steps in Heme Biosynthesis (Taken from Rimington).....o............. 6 Reticulocyte Response from Iron Treatment, for the Three Groups of Calves. . . . . . . . . . . 23 TABLE 1. 2. 3. 4. 5. 6. 7. 8. 9. TABLE 1. 2. 3. LIST OF TABLES Mean Body Weights of Calves, by Group. . . . . . Average Daily Gain (1b.) at Weekly Intervals, by Group. . . . . . . . . . . . . . . . . . . . . . Weight Gain in Comparison to Initial Hemoglobin Level. . . . . . . . . . . . . . . . . . . . . . Mean Hemoglobin Values for the Three Groups of Calves . . . . . . . . . . . . . . . . . . . . . Average Packed Cell Volume by Calf Group . . . . Mean Erythrocyte Values for Control and Iron Treated Calves . . . . . . . . . . . . . . . . . Calculated Blood Indices by Calf Group . . . . . Average Reticulocyte Values for the Three Groups of Calves. . . . . . . . . . . . . . . . . . . . Mean Serum Iron Values by Calf Group . . . . . . LIST OF TABLES FOR HEMATOLOGICAL FINDINGS AND BODY WEIGHTS AS FOUND IN THE APPENDIX Ca1fNo.l................... calfNOQZOOO0000000000000... Ca1fNo.3................... vi PAGE 13 14 15 17 19 20 21 22 24 PAGE 28 28 29 TABLE 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. NO. \0 (D \I 03 U" IF 0 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. vii PAGE 29 30 30 31 31 32 32 33 33 34 34 35 35 36 36 37 37 38 38 39 39 40 40 41 TABLE 28. 29. 3o. 31. 32. 33. 34. 35. 36. 37. 38. 39. 4o. 41. 42. 43. 44. 45. Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf Calf No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. N00 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. viii PAGE 41 42 42 43 43 44 44 45 45 46 46 47 47 48 48 49 49 50 CHAPTER I INTRODUCTION The medicinal value of iron has been realized for some time. The element was a valuable tool in treating blood disorders, battle wounds, chlorosis, and other con- ditions during the 17th century and probably before that time. More recently iron studies have been numerous in regards to absorption, excretion, metabolism, and require- ments for the various animal species. Radioactive tracer techniques have been employed with much success in studying the role of this element. A great deal of attention has been focused on the physiological low hemoglobin values of immature animals. The role of iron in relation to hemoglobin formation and body weight is unsettled at this time. Confusion is para- mount, as evidenced by the wide range of "normal" hemoglobin values published for calves. A desire to determine the ef- fect of iron administered parenterally and orally on the formation of hemoglobin and on growth of calves stimulated the following study. CHAPTER II REVIEW or THE LITERATURE The Egyptians and Greeks were probably the first to use iron for medicinal purposes although its function was not known at that time. Fowler (1936) reported that during the 17th century two English physicians, Sydenham and Willis, used the element to treat chlorosis. Later, Lemary, Geoffry and Menghinis found iron to be a necessary constituent of the blood. Vannotti and Delachaux (1949) believe iron is pres- ent in all tissues and is an essential element to the ani- mal. Tint and Reiss (1950), and Bernhart and Skeggs (1943) reported that the element is present in the hemin-chromo- proteins and, as such, Coryell and Pauling (1940) are of the opinion that it is directly responsible for oxygenation and oxidation at the cellular level. Hahn et a1. (1943) reported that siderophilin and ferritin are two non hemin— chromoproteins which contain iron. Schade and Caroline (1946) believe that siderophilin or transferrin is that protein fraction of the plasma serving as an iron carrier in the plasma iron transport system. Finch and Finch (1955) reported thatstorage iron is found intracellularly as a pro- tein complex ferritin; while Bessis and Breton-Corius (1959) have demonstrated hemosiderin to be a condensation or clustering of ferritin molecules. Hahn (1937) reported that blood hemoglobin constitutes the greatest quantity of iron in the body. Later Hahn (1948) reported that iron is pres- ent in the cytochrome system but this mechanism is not af- fected by an iron deficiency. Schultze (1941) reported that the cytochrome oxidase activity of bone is normal or elevated in a state of iron deficiency. Cartwright (1956), Ullrey (1958), Matrone (1954), and Smith (1944a, 1944b) have reported that a typical iron deficiency produces a hypochromic-microcytic anemia in swine, calves, rats, and rabbits. Follis (1958), Wohl and Goodhart (1960) reported that the mean corpuscular volume, mean cor- puscular hemoglobin, mean corpuscular hemoglobin concentra- tion, and the mean diameter were decreased when an iron de- ficiency existed. Numerous theories have been presented regarding the absorption of iron. Copp and Greenberg (1946), and Widdow- son and McCance (1937) have reported that most of the ab- sorbed iron is conserved by the animal and very little is excreted. Brown and Justus (1956) have shown that assimi- lation is greatest in the duodenal region and progressively less in the lower gastrointestinal tract. Moore et al. (1944) demonstrated that ferric iron must be reduced to the ferrous form before absorption can take place. Sharpe et al. (1950) have shown by experimentally increasing bulk or phytic acid content in the diet that there is a decrease in the absorption of iron. Pirzio-Biroli et al. (1958) reported that large amounts of ascorbic acid in the diet will increase absorption. Hahn (1948) believes that absorp- tion of iron is governed by the need for it. Balfour et al. (1942) proposed that the mucosal cell contained an acceptor mechanism for iron. Granick (1951) proposed that iron is absorbed by combining with a protein apoferritin in the mucosal cell to form ferritin which is absorbed through the capillaries. When the mucosal cell becomes saturated, absorption is decreased due to a "mucosal block." Brown et al. (1958) believes the "mucosal block" theory should be discarded. Hegsted et a1. (1952) reported rats gain rapidly when large amounts of iron are present in the diet. They suggested that when essentially all of the phosphate was bound by iron absorption was very rapid. Recently Moore et al. (1961) proposed ferritin to be a storage form of iron in the mucosa and absorption to be controlled by the activ- ity of the transport system which serves to pass iron across a cell membrane. Elvehjen and Sherman (1932) reported that c0pper does not affect the assimilation of iron. Heuk et a1. (1946) found that when they added copper to the diet, iron retention doubled. Copp and Greenberg (1946) reported that small amounts of iron are normally excreted. Greenberg et al. (1943) re- ported that bile was the main pathway for the excretion of iron. Known excretory routes are perspiration (Johnston et al., 1950), feces (Greenberg et al., 1943), and urine; (Heath, 1937). Copper deficiency also produces a microcytic hypo- chromic anemia (Smith et al., 1944; Foster, 1931). Cohen et a1. (1927) were the first to report an interrelationship between copper and iron in hemoglobin production. Chase et a1. (1952), using radioiron, reported that copper facil- itates iron absorption and hemoglobin synthesis in pigs. Jensen et a1. (1956) reported that metabolism of iron was not affected in copper deficient pigs but that absorption was less. Because of the great deposits of iron that occur in the livers of sheep and cattle on diets poor in copper, Marston and Lee (1948) believe that copper does not have any great influence on iron absorption in ruminants. Under- wood (1962) believes that the evidence on the role of copper in hemoglobin synthesis is very inadequate and that anemia should be explained on the basis of impaired erythrocyte maturation and a reduced survival time of the mature eryth- rocyte produced. Rimington (1959) proposed a scheme for the bio- synthesis of heme (Figure l). Iodice et a1. (1958) reported that anemia might be related to the lowering of8 -amino- levulinic acid dehydrase which contains 0.1% copper. Later Wilson et a1. (1959) reported that the removal of copper did not affect this enzyme. Drabkin (1951) reported that approximately 97-98% H ensues Aaouucdedm scum serene mqmosuchmoan use: EH mmoum «am: 0PT.. x—MAW mgajmmuommmm cawmnmuomouowm HHH cwuhnmwomouaoua llllllll HHH eemomaumwmuoaoumou HHH fiwhmmuaoub A. I llllllll HHH demoshwhnmuoaowb fill mm