Is it possible
that too much iron in infant formula may potentially increase
risk for
neurodegenerative diseases like Parkinson's in adulthood -- and
are teeth the
window into the past that can help us tell? This and related
theories were
described in a "Perspectives" article authored by researchers
from
the Icahn School of Medicine at Mount Sinai and the University of
Technology
Sydney and Florey Institute of Neuroscience and Mental
Health in Australia, and
published online recently in Nature Reviews Neurology.
"Teeth are
of particular interest to us for the measurement of chemical
exposure in fetal
and childhood development: they provide a chronological
record of exposure from
their microchemical composition in relation to
defined growth lines, much like
the rings in a tree trunk," said Manish Arora,
BDS, MPH, PhD, Director of
Exposure Biology at the Senator Frank
Lautenberg Environmental Health Sciences
Laboratory at Mount Sinai and
Associate Professor in Preventive Medicine and
Dentistry at the Icahn
School of Medicine. "Our analysis of iron deposits
in teeth as a
method for retrospective determination of exposure is just one
application: we believe teeth have the potential to help track the
impact of
pollution on health globally."
Dr. Arora, along
with Dominic Hare, PhD, used the dental biomarker
technology to distinguish
breast-fed babies from formula fed babies.
Now this technology can be applied
to study the link between early iron
exposure and late-life brain diseases like
Parkinson's and Alzheimer's,
which are associated with the abnormal processing
of iron. While not all
formula fed babies will experience neurodegeneration in
adulthood
the combination of increased iron intake during infancy with a
predisposition to impaired metal metabolism such as the inability of brain
cells to remove excessive metals may damage those cells over time.
Dr. Hare, a
Chancellor's Research Fellow in the Elemental Bio-imaging
Facility at the
University of Technology Sydney, says "Only now do we
have the technology
available to use to look back in time at someone's diet
as a child, more than
60 years after they stopped wearing diapers.
State-of-the-art imaging
technology is a chemical time machine that can
tell us about decades-old
chemical exposures that are equivalent to a drop
of ink in a swimming
pool."
In the case of
baby formula, the need to better understand human iron
metabolism has become
more urgent with the global popularity of
formula and fortified cereals. Adding
iron to formula has been an industry
standard for decades, in part because
about two billion people worldwide -
mostly in developing nations - are thought
to have chronic anemia
and
iron deficiency. Evidence, however, that children in the United States or
Europe, for instance, get too little iron is insufficient, according to the
authors
and the reported developmental and nutritional benefits of iron are
modest. The European Society for Paediatric Gastroenterology, Hepatology,
and Nutrition
have since stated that there's no evidence that babies of
normal birthweight
need iron supplementation, yet in the U.S. it's
still commonplace. Dr. Hare
continues: "While it might seem like drawing
a long bow linking what
happens in childhood to diseases we think of as
associated with growing old,
the increasing rates of these diseases mean
we need to do everything we can to
find out what might play a role in
how the disease starts. Knowing this gives
us something to target when
designing new treatments."
Beyond the wide-reaching hypothesis that iron supplementation
may
increase risk of neurodegeneration, the authors think a priority in
pediatric research should be the rigorous determination of iron
supplementation
needs of infants according to their individual iron status.
Formula
manufacturers have a responsibility to replicate the chemical
composition of
breast milk, particularly with regard to iron content. The
current 'one size
fits all' approach to iron supplementation may be both
clinically unnecessary
and introduce an unacceptable risk later in life.
Whether this hypothesis
proves to be true or not, it calls into question
decades of treatment dogma
that deserves to be revisited with the most
cutting-edge technology available.
Adapted by MNT from original media release
http://www.medicalnewstoday.com/releases/297217.php?tw
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