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Ferrous iron ion (Fe²⁺)

Target
Fe²⁺
Molecular classification
Other (simple ion)
01

Overview

The ferrous iron ion is the oxidation state +2 form of elemental iron (Fe²⁺), also called iron(II) or ferrous ion[6][7]. It is a pale green, water-soluble ion, playing a key role in many biological processes as a cofactor in enzymes and as the core metal in heme involved in oxygen transport[7]. In biological systems, Fe²⁺ is essential for the function of hemoglobin, myoglobin, cytochromes, and numerous metalloenzymes. Imbalance of ferrous iron causes clinical problems including anemia (deficiency) or tissue damage (overload). Drugs related to Fe²⁺ are mostly iron supplements for deficiency or chelators used to treat overload. However, Fe²⁺ is not a receptor, enzyme, or transporter, and thus is not a therapeutic target in the sense used in drug discovery[5][6][7]. Note: “Ferrous iron ion” (Fe²⁺) is an essential trace element and simple ion, rather than a classical druggable molecular target. Most drugs interact with Fe²⁺ non-selectively via supplementation or chelation rather than via targeted receptor–ligand interactions.

Other names
Iron(II) ionFe(II)Iron(II)Ferrous ionIron, ion (Fe²⁺)IRONII
02

Mechanism of action

Chelation (binding and sequestration of Fe²⁺ to reduce bioavailability) Supplementation (providing bioavailable Fe²⁺ to treat deficiency)

03

Biological functions

Oxygen transport (via heme in hemoglobin and myoglobin)Electron transfer (inferred through its role in iron–sulfur clusters and cytochromes)Cofactor for several enzymes (such as catalase, and various oxygenases)Redox reactions (serves as an electron donor/acceptor in biological systems)
04

Disease associations

Anemia (deficiency)Iron overload disorders (hemochromatosis, siderosis)Neurodegenerative disease (iron accumulation in brain)Infection (pathogens utilize Fe²⁺)Other (oxidative stress, cardiovascular disease)
05

Safety considerations

Iron toxicity/overload (organ damage, especially liver and heart)Gastrointestinal irritation (with oral supplementation)Oxidative stress due to Fe²⁺-catalyzed formation of reactive oxygen species (Fenton chemistry)
06

Interacting drugs

Iron chelators (deferoxamine, deferasirox)

1 more in the full profile.

07

Biomarkers

Serum iron (clinical)Transferrin saturationFerritinTotal iron-binding capacity (reflects Fe²⁺ status indirectly)

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