Open research questions in Iron Metabolism and Disorders
528 gap statements mined from Iron Metabolism and Disorders papers in our 7.9M-paper local library, which holds 2,368 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Harding IH, Ward PGD (2022) Brain susceptibility imaging provides valuable in vivo insights into cerebellar diseases, but biological interpretations remain elusive.
Quantitative susceptibility mapping of dentate nucleus iron in SCA6 and SCA31: comparison with pathological findings · 2026 · DOIWhether targeted preoperative intravenous iron therapy improves outcomes specifically in this high-risk phenotype—frail geriatric patients with IDA—remains unknown.
Preoperative Iron Deficiency Anemia and Frailty in Geriatric Colorectal Cancer Surgery: A Prospective Observational Study · 2026 · DOITogether, these studies indicate that the therapeutic consequences of iron deficiency vary according to the outcome examined and remain incompletely defined across the LVEF spectrum. Serum iron and ferritin alone are insufficient to establish these mechanisms.
Gender Differences in the Clinical and Metabolic Manifestations of Anemia in Chronic Heart Failure · 2026 · DOIPlasmacytoid dendritic cells (pDCs) are specialized antiviral sentinels defined by rapid type I interferon (IFN‑I) production, yet their proteomic organization and metabolic requirements remain incompletely understood.
Plasmacytoid Dendritic Cells Exhibit High Transferrin Receptor Expression Without Iron Accumulation · 2026 · DOIAnother limitation that remains unexplored in the current study is the intricate metabolic transformation of FA within the gut microbiome, where its metabolites exert diverse effects on microbial populations. Furthermore, future studies are needed to investigate the effect of FA on other cellular pathways such as activation of NF-κB and MAPK.
Diminishing Hepcidin via Reducing IL-6/STAT3 Pathway by Utilizing Ferulic Acid: An In Vitro Study · 2025 · DOIRegrettably, we have no data on SF in low-altitude Tajik populations since most Tajiks live on the high-altitude Pamirs Plateau of China, which prevented us from investigating the effects of high altitude on iron store.
Serum ferritin associated with atherogenic lipid profiles in a high-altitude living general population · 2025 · DOIStrengthening the role of health workers: Further research is needed to test the effectiveness of regular educational programs that clarify the benefits of IFA supplementation and address concerns about its effects. However, before widespread implementation, further research is necessary to evaluate the effectiveness and mechanisms of such interventions.
Perceived Barriers and Enablers for Taking Iron–Folic Acid Supplementation Regularly Among Adolescent Girls in Indonesia: A Pilot Study · 2025 · DOIEvidence suggests that iron intake below the recommended 90-day threshold during pregnancy is insufficient to mitigate these adverse outcomes.
Urban–Rural Disparities in Non-Adherence to Iron Supplementation Among Pregnant Women Aged 15 to 49 in Sub-Saharan Africa · 2025 · DOIFuture research should focus on clinical trials to validate these findings in human subjects and explore the potential of microsphere technology for other therapeutic applications. Further investigation into the long-term effects and patient-specific responses to different iron preparations is also warranted to optimize treatment strategies for iron-deficiency anemia.
The model also lacks data on public health interventions and health conditions affecting iron metabolism, such as iron supplementation programs or infections, limiting its ability to capture temporal and health-related changes. Additionally, it does not account for environmental and cultural factors, such as dietary habits and food availability, potentially reducing its accuracy in different regions.
There is a lack of understanding of iron bioavailability in edible insects and their products. The bioavailability of iron in tempeh made with Tenebrio molitor is unknown. The comparison of iron bioavailability between edible insects, beef, and plant-based meat alternatives has not been studied.
Comparison of the In Vitro Iron Bioavailability of Tempeh Made with Tenebrio molitor to Beef and Plant-Based Meat Alternatives · 2024 · DOIThe literature has focused mostly on young adults and women of reproductive age, with a gap in understanding the association between ID and psychopathology in adolescents. There is a need to examine the moderating effect of race and ethnicity on the association between ID and internalizing symptoms in adolescents.
Iron Deficiency and Internalizing Symptoms Among Adolescents in the National Health and Nutrition Examination Survey · 2024 · DOIThe need for iron supplements with high bioavailability to prevent and treat iron deficiency anemia. The lack of understanding of the impact of iron deficiency anemia on human health, particularly in vulnerable groups.
There is a lack of understanding of the factors associated with gestational anemia and non-anemic iron deficiency during pregnancy. Prior studies have not fully explored the relationship between gestational anemia and maternal characteristics, nutrient intake, and neonatal outcomes.
Factors Associated with Anemia and Iron Deficiency during Pregnancy: A Prospective Observational Study in Japan · 2024 · DOIThe prevalence of anemia remains high despite various interventions. Emerging evidence suggests that imbalances in trace metals may contribute to the increased prevalence of anemia, but the associations between trace metals and anemia risk are not well understood.
Exploring Associations and Mediating Factors between Multiple Trace Metals with Anemia in US Adults: Insight from NHANES 2017–2020 · 2024 · DOIThere was a lack of a uniform definition for metabolic hyperferritinemia until a consensus statement was published recently. Prior to this study, there was limited data on the prevalence and characteristics of metabolic hyperferritinemia in a Central-European cohort.
Prevalence and Characteristics of Metabolic Hyperferritinemia in a Population-Based Central-European Cohort · 2024 · DOIThe paper discusses the need for effective treatment of iron deficiency and iron deficiency anemia in reproductive-age women, particularly in cases where oral iron supplementation is not effective.
Is It Time to Alter the Standard of Care for Iron Deficiency/Iron Deficiency Anemia in Reproductive-Age Women? · 2024 · DOIThis work addresses an important gap in understanding how injectable iron can be used to improve sow iron status before farrowing and whether these improvements translate into reproductive benefits under commercial conditions.
Effects of early gestational parenteral iron administration on maternal iron biomarkers and reproductive performance in sows under commercial conditions · 2026 · DOIIts clinical significance therefore remains uncertain and should not be interpreted as evidence of superior inflammatory control with intravenous iron.
Effects of Intravenous Versus Oral Iron Replacement on Inflammatory Markers and Serum Uric Acid in Premenopausal Women with Iron Deficiency: A Prospective Study · 2026 · DOIAnemia in India is shaped by intersecting socio-economic inequalities; however, its relationship with multidimensional deprivation remains insufficiently understood.
From Deprivation to Deficiency: Examining the Nexus Between Multidimensional Poverty and Anemia in India · 2026 · DOIBeyond ALD, altered erythrocyte turnover may represent a common and previously underrecognized pathogenic mechanism across diverse liver diseases, including NAFLD/MASLD and Wilson disease, and become an increasingly self-amplifying driver as liver disease advances.
Investigate the effects of different cooking methods on iron bioavailability. Examine the iron bioavailability of other insect-based foods. Study the effects of iron inhibitors and enhancers on iron bioavailability in different food matrices.
Comparison of the In Vitro Iron Bioavailability of Tempeh Made with Tenebrio molitor to Beef and Plant-Based Meat Alternatives · 2024 · DOIWhile we used a time-varying analysis, we did not account for disease duration as knowing the start of anemia is inherently challenging in real-world data.
Increased fracture risk associated with iron-deficiency anemia: a population-based propensity score matched cohort study · 2026 · DOIThe complex relationships between trace metals and anemia risk - The potential mediating roles of iron status and inflammation in these associations - The need to identify novel risk factors for developing more effective anemia prevention…
Exploring Associations and Mediating Factors between Multiple Trace Metals with Anemia in US Adults: Insight from NHANES 2017–2020 · 2024 · DOIThe RAPIDIRON trial is designed to assess the hematologic and clinical differences between pregnant women who are infused with one of two different single-dose IV iron formulations, - An economic analysis is being conducted to determine the differential costs based on the mode of delivery, - Future studies should investigate the long-term effects of ID and IDA on maternal and fetal health, - Future studies should…
Is It Time to Alter the Standard of Care for Iron Deficiency/Iron Deficiency Anemia in Reproductive-Age Women? · 2024 · DOI
Most-cited papers in Iron Metabolism and Disorders
- Ferric Carboxymaltose in Patients with Heart Failure and Iron Deficiency · New England Journal of Medicine · 2009 · 1,786 citations
- Disorders of Iron Metabolism · New England Journal of Medicine · 1999 · 1,581 citations
- Prevalence of Iron Deficiency in the United States · JAMA · 1997 · 1,287 citations
- Iron deficiency anaemia · The Lancet · 2015 · 1,204 citations
- Nutritional iron deficiency · The Lancet · 2007 · 1,075 citations
- Anaemia in low-income and middle-income countries · The Lancet · 2011 · 939 citations
- Anemia epidemiology, pathophysiology, and etiology in low‐ and middle‐income countries · Annals of the New York Academy of Sciences · 2019 · 863 citations
- Diagnosis and Prevention of Iron Deficiency and Iron-Deficiency Anemia in Infants and Young Children (0–3 Years of Age) · PEDIATRICS · 2010 · 845 citations
- Ferric carboxymaltose for iron deficiency at discharge after acute heart failure: a multicentre, double-blind, randomised, controlled trial · The Lancet · 2020 · 735 citations
- Poorer Behavioral and Developmental Outcome More Than 10 Years After Treatment for Iron Deficiency in Infancy · PEDIATRICS · 2000 · 628 citations
Most recent work
- Association between iron deficiency anemia and the risk of new-onset tuberculosis infection: a matched cohort analysis · Frontiers in Nutrition · 2026
- Intravenous iron for non-anaemic iron deficiency in pregnancy: a multicentre, two-arm, randomised controlled trial · The Lancet Haematology · 2026
- Ferric carboxymaltose increases fracture risk in patients and reduces bone formation in mice with iron deficiency anemia · Blood · 2026
- Pregnancy Outcomes Associated With Anemia in the First Trimester and Anemia Resolution by Late Pregnancy · Obstetrics and Gynecology · 2026
- Efficacy of Single‐Dose Intravenous Ferric Derisomaltose for Iron Deficiency Anemia in Pregnancy · American Journal of Hematology · 2026
- Iron Dysregulation and Vascular Diseases: A Contemporary Review · Journal of the American Heart Association · 2026
- L-Se-methylselenocysteine alleviates iron deposit-induced anxiety- and depression-like behaviors in chronic renal failure rats receiving iron therapy via Nrf2/GPX4 activation · Free Radical Biology and Medicine · 2026
- Oral iron supplements for children in malaria-endemic areas · Cochrane Database of Systematic Reviews · 2026
- National Bleeding Disorder Foundation Clinical Practice Recommendations for Laboratory Screening of Iron Deficiency With and Without Anemia in the Inherited Bleeding Disorders Population · Haemophilia · 2026
- A retrospective, real-world study of IV iron use to treat iron deficiency anemia during acute infection · Blood · 2026
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