RG Pharmaceutical-RENEGY is a solution for parenteral
(intravenous) formed by a highly stable complex ferric iron (Fe3 +) covered by
a structure formed by a high molecular weight carbohydrate (carboxymaltose). Due
to the high stability of the complex, the carboxymaltose RENEGY does
not release ionic iron directly into the bloodstream, preventing it from
causing cell damage due to oxidative stress in
the body.
After intravenous administration of RENEGY, and
incorporation into the plasma, this progressively penetrates in the
reticuloendothelial system (RES) from the intravascular compartment, to the
resident macrophages of the liver, spleen and bone marrow being phagocytized
and deposited in intracellular lysosomes where ferric iron (Fe 3+) is
reduced to its ferrous form (Fe 2+) according to the body's
requirements.
Once the ferric iron (Fe 3+) is reduced to ferrous
form (Fe 2+) inside the lysosome, it is captured by the divalent
metal transporter (by its acronym T1DM), which are in the lysosome membrane and
release the iron in the macrophage cytoplasm labile form. And in the
macrophage cytoplasm, iron can be grasped by ferroportin for transportation
outside the macrophage or ferritin for storage. This process is regulated
largely by hepcidin, which allow, in case of decrease in plasma iron
concentration, binding of the ferrous iron to ferroportin to be transported
through the macrophage membrane and released to the outside.
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