4.7 Review

Fetal Alcohol Spectrum Disorder and Iron Homeostasis

Journal

NUTRIENTS
Volume 14, Issue 20, Pages -

Publisher

MDPI
DOI: 10.3390/nu14204223

Keywords

fetal alcohol spectrum disorders; iron deficiency; iron supplementation; maternal; fetal anemia; maternal; fetal nutrition; pregnancy; prenatal alcohol exposure

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This review explores the relationship between iron deficiency and fetal alcohol spectrum disorder (FASD), and finds that iron deficiency contributes to the severity of FASD and provides a mechanistic explanation linking these two conditions.
Prenatal alcohol exposure results in a spectrum of behavioral, cognitive, and morphological abnormalities collectively referred to as fetal alcohol spectrum disorder (FASD). FASD presents with significant phenotypic variability and may be modified by gestational variables such as maternal nutritional status. Iron serves a critical function in the development of and processes within central nervous system (CNS) structures. Gestational iron deficiency alters CNS development and may contribute to neurodevelopmental impairment in FASD. This review explores the relationship between iron deficiency and fetal alcohol spectrum disorder as described in small animal and human studies. Consideration is given to the pathophysiologic mechanisms linking iron homeostasis and prenatal alcohol exposure. Existing data suggest that iron deficiency contributes to the severity of FASD and provide a mechanistic explanation linking these two conditions.

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