Team:Evry/Modeltr1

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Iron coli project

Disease model

Introduction

In the very beginning of the project, we focused on the duodenum and the iron absorbed by it. In order to determine if a flush treatment strategy was viable, we first had to model the behaviour of the duodenum regarding iron absorption.

Observations

60% of iron absorption takes place in the duodenum, the last 40% in the jejunum. The duodenum is located at the upper intestines, right after the stomach, and is usually 300mm long.

Absorption
Figure 1 : Overview of the iron regulation system in human body.

A healthy person absorbs about 10% (2mg a day) of the daily iron uptake, while a hemochromatosis person's absorption varies between 50% and 100% of the daily iron uptake[1].

Goals

Our goal in this part of the model is to create a generic duodenal iron absorption model so that:

Assumptions

  • Our bacteria don't settle in the duodenum
  • No regulation in the patient's iron absorption
  • Constant iron flow
  • Homogeneous fluid
  • The bacterial quantity is constant
  • The bacterial natural absorption is insignificant compared to the chelation
  • The patient ingests 20mg of iron per day (Guideline Daily Amounts)

Materials and methods

The duodenum is considered as a cylinder in which a homogeneous fluid flows. So, this model is divided into three steps: the filling of duodenum, the steady state flowing step and the emptying.
This model has two variables : the iron disolved in the middle (S) and the absorbed iron (A).
We considered the chyme arrives in the duodenum at a constant rate. S has a linear component Sp which represents the pulses. The also are an emptying component and an absorption component.
We assumed a linear absorption and a negative feedback regulation for A.
Finally:

Name Unit Description Reference
α s-1 Duodenum absorption rate
v m/s Chyme's flow average speed [2]
L m Duodenum length [3]
Sp mol/s Iron pulse [1][2]
Parameters fixing :
We have

Results

Absorption
Figure 2 : Iron in the middle and absorbed in the duodenum of a Healthy person.

Absorption
Figure 3 : Iron in the middle and absorbed in the duodenum of a sick person.

Conclusion

Models and scripts

References:

  1. Physiol Rev 93: 1721–1741, 2013 doi:10.1152/physrev.00008.2013 - Tomas Ganz "SYSTEMIC IRON HOMEOSTASIS"
  2. Calculated from : Computational Modeling and Simulation of the Human Duodenum - B. Hari, S. Bakalis, P. Fryer - 2012
  3. Wikipedia