What is Iron, Serum?
Serum iron measures transferrin-bound iron in the circulation — representing only a small fraction of total body iron (approximately 0.1% of the total 3,000–5,000 mg body iron pool in adults). Iron is absorbed in the duodenum and proximal jejunum by enterocytes via DMT1 and transported across the basolateral membrane by ferroportin, regulated by hepcidin — the master iron regulatory hormone produced by the liver. Circulating iron is bound almost exclusively to transferrin (a 79 kDa glycoprotein), each molecule carrying up to two iron atoms. Serum iron is subject to pronounced diurnal variation, acute phase response suppression, and recent dietary iron intake effects — making it the least reliable individual iron marker and most useful in the context of transferrin saturation calculation.