Suppr超能文献

铁调素-铁转运蛋白轴在慢性炎症性贫血的病理生理学、诊断及治疗中的作用

Role of hepcidin-ferroportin axis in the pathophysiology, diagnosis, and treatment of anemia of chronic inflammation.

作者信息

Langer Arielle L, Ginzburg Yelena Z

机构信息

Division of Hematology and Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

出版信息

Hemodial Int. 2017 Jun;21 Suppl 1(Suppl 1):S37-S46. doi: 10.1111/hdi.12543. Epub 2017 Mar 22.

Abstract

Anemia of chronic inflammation (ACI) is a frequently diagnosed anemia and portends an independently increased morbidity and poor outcome associated with multiple underlying diseases. The pathophysiology of ACI is multifactorial, resulting from the effects of inflammatory cytokines which both directly and indirectly suppress erythropoiesis. Recent advances in molecular understanding of iron metabolism provide strong evidence that immune mediators, such as IL-6, lead to hepcidin-induced hypoferremia, iron sequestration, and decreased iron availability for erythropoiesis. The role of hepcidin-ferroportin axis in the pathophysiology of ACI is stimulating the development of new diagnostics and targeted therapies. In this review, we present an overview of and rationale for inflammation-, iron-, and erythropoiesis-related strategies currently in development.

摘要

慢性炎症性贫血(ACI)是一种常见的诊断出的贫血症,预示着与多种潜在疾病相关的独立发病率增加和不良预后。ACI的病理生理学是多因素的,由炎症细胞因子的作用导致,这些细胞因子直接或间接抑制红细胞生成。铁代谢分子理解方面的最新进展提供了有力证据,表明免疫介质如白细胞介素-6会导致铁调素诱导的低铁血症、铁螯合以及红细胞生成可用铁减少。铁调素-铁转运蛋白轴在ACI病理生理学中的作用正在推动新诊断方法和靶向治疗的发展。在本综述中,我们概述了目前正在开发的与炎症、铁和红细胞生成相关策略及其原理。

相似文献

1
Role of hepcidin-ferroportin axis in the pathophysiology, diagnosis, and treatment of anemia of chronic inflammation.
Hemodial Int. 2017 Jun;21 Suppl 1(Suppl 1):S37-S46. doi: 10.1111/hdi.12543. Epub 2017 Mar 22.
2
Iron sequestration and anemia of inflammation.
Semin Hematol. 2009 Oct;46(4):387-93. doi: 10.1053/j.seminhematol.2009.06.001.
4
Anemia of chronic disease: a unique defect of iron recycling for many different chronic diseases.
Eur J Intern Med. 2014 Jan;25(1):12-7. doi: 10.1016/j.ejim.2013.07.011. Epub 2013 Aug 26.
5
Hepcidin-ferroportin axis in health and disease.
Vitam Horm. 2019;110:17-45. doi: 10.1016/bs.vh.2019.01.002. Epub 2019 Feb 8.
6
Anemia of Inflammation: A Review.
Med Clin North Am. 2017 Mar;101(2):285-296. doi: 10.1016/j.mcna.2016.09.005. Epub 2016 Dec 24.
7
Importance of Hepcidin in the Etiopathogenesis of Anemia in Inflammatory Bowel Disease.
Dig Dis Sci. 2021 Oct;66(10):3263-3269. doi: 10.1007/s10620-020-06652-1. Epub 2020 Oct 16.
8
Understanding anemia of chronic disease.
Hematology Am Soc Hematol Educ Program. 2015;2015:14-8. doi: 10.1182/asheducation-2015.1.14.
9
Anemia of inflammation.
Hematol Oncol Clin North Am. 2014 Aug;28(4):671-81, vi. doi: 10.1016/j.hoc.2014.04.005. Epub 2014 May 28.
10
Roles of the hepcidin-ferroportin axis and iron in cancer.
Eur J Cancer Prev. 2014 Mar;23(2):122-33. doi: 10.1097/CEJ.0b013e3283627f14.

引用本文的文献

1
Moderating Role of Anemia on the Association between Blood Urea Nitrogen and Atherosclerotic Cardiovascular Disease in Hypertension.
Rev Cardiovasc Med. 2025 Mar 13;26(3):26245. doi: 10.31083/RCM26245. eCollection 2025 Mar.
2
The Importance of Hypoxia-Related to Hemoglobin Concentration in Breast Cancer.
Cell Biochem Biophys. 2024 Sep;82(3):1893-1906. doi: 10.1007/s12013-024-01386-7. Epub 2024 Jul 3.
4
Rosmarinic Acid Liposomes Downregulate Hepcidin Expression via BMP6-SMAD1/5/8 Pathway in Mice with Iron Overload.
Appl Biochem Biotechnol. 2024 Sep;196(9):6028-6044. doi: 10.1007/s12010-023-04828-9. Epub 2024 Jan 4.
5
The Link between Iron Turnover and Pharmacotherapy in Transplant Patients.
Nutrients. 2023 Mar 17;15(6):1453. doi: 10.3390/nu15061453.
6
Oral Ferrous Sulphate Improves Functional Capacity on Heart Failure Patients with Iron Deficiency Anemia.
Glob Heart. 2022 Nov 22;17(1):81. doi: 10.5334/gh.1151. eCollection 2022.
7
Lactoferrin for iron-deficiency anemia in children with inflammatory bowel disease: a clinical trial.
Pediatr Res. 2022 Sep;92(3):762-766. doi: 10.1038/s41390-022-02136-2. Epub 2022 Jun 9.
9
Zinc protoporphyrin levels in COVID-19 are indicative of iron deficiency and potential predictor of disease severity.
PLoS One. 2022 Feb 3;17(2):e0262487. doi: 10.1371/journal.pone.0262487. eCollection 2022.
10
Effects of PM and its constituents on hemoglobin during the third trimester in pregnant women.
Environ Sci Pollut Res Int. 2022 May;29(23):35193-35203. doi: 10.1007/s11356-022-18693-2. Epub 2022 Jan 20.

本文引用的文献

1
High Sulfation and a High Molecular Weight Are Important for Anti-hepcidin Activity of Heparin.
Front Pharmacol. 2016 Jan 11;6:316. doi: 10.3389/fphar.2015.00316. eCollection 2015.
2
Anti-hemojuvelin antibody corrects anemia caused by inappropriately high hepcidin levels.
Haematologica. 2016 May;101(5):e173-6. doi: 10.3324/haematol.2015.140772. Epub 2016 Mar 4.
3
Erythroferrone contributes to hepcidin suppression and iron overload in a mouse model of β-thalassemia.
Blood. 2015 Oct 22;126(17):2031-7. doi: 10.1182/blood-2015-07-658419. Epub 2015 Aug 14.
6
Oral administration of a bone morphogenetic protein type I receptor inhibitor prevents the development of anemia of inflammation.
Haematologica. 2015 Feb;100(2):e68-71. doi: 10.3324/haematol.2014.111484. Epub 2014 Oct 17.
7
Oversulfated heparins with low anticoagulant activity are strong and fast inhibitors of hepcidin expression in vitro and in vivo.
Biochem Pharmacol. 2014 Dec 1;92(3):467-75. doi: 10.1016/j.bcp.2014.09.007. Epub 2014 Sep 21.
8
Erythroferrone contributes to recovery from anemia of inflammation.
Blood. 2014 Oct 16;124(16):2569-74. doi: 10.1182/blood-2014-06-584607. Epub 2014 Sep 5.
9
Effect of the antihepcidin Spiegelmer lexaptepid on inflammation-induced decrease in serum iron in humans.
Blood. 2014 Oct 23;124(17):2643-6. doi: 10.1182/blood-2014-03-559484. Epub 2014 Aug 27.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验