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清迈大学医院地中海贫血患者铁调素和血清铁蛋白水平的相关性。

Correlation of hepcidin and serum ferritin levels in thalassemia patients at Chiang Mai University Hospital.

机构信息

Division of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.

Division of Hematology and Oncology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.

出版信息

Biosci Rep. 2021 Feb 26;41(2). doi: 10.1042/BSR20203352.


DOI:10.1042/BSR20203352
PMID:33565577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7886874/
Abstract

Hepcidin is a key iron-regulatory hormone, the production of which is controlled by iron stores, inflammation, hypoxia and erythropoiesis. The regulation of iron by hepcidin is of clinical importance in thalassemia patients in which anemia occurs along with iron overload. The present study aimed to evaluate the correlation between serum hepcidin and ferritin levels in thalassemia patients. This cross-sectional study investigated 64 patients with thalassemia; 16 β-thalassemia major (BTM), 31 β-thalassemia/hemoglobin (Hb) E (BE), and 17 Hb H + AE Bart's disease (Hb H + AE Bart's). The levels of serum hepcidin and ferritin, and Hb of the three groups were measured. The median values of serum ferritin and Hb were significantly different among the three groups, whereas serum hepcidin values were not observed to be significantly different. The correlation of the serum hepcidin and ferritin levels was not statistically significant in any of the three groups of thalassemia patients with BTM, BE, or Hb H + AE Bart's (r = -0.141, 0.065 and -0.016, respectively). In conclusion, no statistically significant correlations were observed between serum hepcidin with any variables including serum ferritin, Hb, age, labile plasma iron (LPI), and number of blood transfusion units among the three groups of thalassemia patients. Likely, the regulation of hepcidin in thalassemia patients is affected more by erythropoietic activity than iron storage.

摘要

亚铁调素是一种关键的铁调节激素,其产生受铁储存、炎症、缺氧和红细胞生成的控制。亚铁调素对铁的调节在伴有铁过载的地中海贫血患者中具有重要的临床意义。本研究旨在评估地中海贫血患者血清亚铁调素与铁蛋白水平之间的相关性。这项横断面研究调查了 64 名地中海贫血患者;16 名β-地中海贫血重型(BTM)、31 名β-地中海贫血/血红蛋白(Hb)E(BE)和 17 名 Hb H+AE 巴氏病(Hb H+AE Bart's)。测量了三组患者的血清亚铁调素和铁蛋白以及血红蛋白水平。三组患者的血清铁蛋白和血红蛋白中位数均有显著差异,而血清亚铁调素值无显著差异。在 BTM、BE 或 Hb H+AE Bart's 的三组地中海贫血患者中,血清亚铁调素与铁蛋白水平之间的相关性均无统计学意义(r=-0.141、0.065 和-0.016)。结论:在三组地中海贫血患者中,血清亚铁调素与任何变量(包括血清铁蛋白、血红蛋白、年龄、不稳定血浆铁(LPI)和输血单位数)之间均未观察到统计学显著相关性。亚铁调素在地中海贫血患者中的调节可能更多地受到红细胞生成活性的影响,而不是铁储存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/321d/7886874/327dfab8291e/bsr-41-bsr20203352-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/321d/7886874/327dfab8291e/bsr-41-bsr20203352-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/321d/7886874/327dfab8291e/bsr-41-bsr20203352-g1.jpg

相似文献

[1]
Correlation of hepcidin and serum ferritin levels in thalassemia patients at Chiang Mai University Hospital.

Biosci Rep. 2021-2-26

[2]
Imbalance of erythropoiesis and iron metabolism in patients with thalassemia.

Int J Med Sci. 2019-1-1

[3]
Serum Hepcidin as a Diagnostic Marker of Severe Iron Overload in Beta-thalassemia Major.

Indian J Pediatr. 2017-6-10

[4]
Iron Status in Newly Diagnosed -Thalassemia Major: High Rate of Iron Status due to Erythropoiesis Drive.

Biomed Res Int. 2021

[5]
Liver iron concentrations and urinary hepcidin in beta-thalassemia.

Haematologica. 2007-5

[6]
Iron overload across the spectrum of non-transfusion-dependent thalassaemias: role of erythropoiesis, splenectomy and transfusions.

Br J Haematol. 2017-1

[7]
Relation of Serum Ferritin Level with Serum Hepcidin and Fucose Levels in Children with β-Thalassemia Major.

Hemoglobin. 2021-1

[8]
Hepcidin levels and iron status in beta-thalassemia major patients with hepatitis C virus infection.

Egypt J Immunol. 2010

[9]
Relationship Between Serum Hepcidin and Ferritin Levels in Patients With Thalassemia Major and Intermedia in Southern Iran.

Iran Red Crescent Med J. 2015-7-1

[10]
Serum ferritin levels in thalassemias and the effect of splenectomy.

Acta Haematol. 1981

引用本文的文献

[1]
Cardiac injury caused by iron overload in thalassemia.

Front Pediatr. 2025-1-27

[2]
The effect of blood transfusion on serum hepcidin levels in chronically transfused patients of β-thalassemia major: An observational study in a tertiary care centre in Western Maharashtra.

Asian J Transfus Sci. 2024

[3]
Effects of Splenectomy on Natural Killer Cell Levels in β-Thalassemia Major Patients.

J Clin Lab Anal. 2024-5

[4]
Oral Iron Absorption of Ferric Citrate Hydrate and Hepcidin-25 in Hemodialysis Patients: A Prospective, Multicenter, Observational Riona-Oral Iron Absorption Trial.

Int J Mol Sci. 2023-9-7

[5]
The Value of SIRT1/FOXO1 Signaling Pathway in Early Detection of Cardiovascular Risk in Children with β-Thalassemia Major.

Biomedicines. 2022-10-17

[6]
Severe hyperferremia and hyperferritinemia in a dog with precursor-directed immune-mediated anemia.

Vet Clin Pathol. 2022-12

[7]
Correlation Between Serum Ferritin and Hepcidin Levels in Chronic Hepatitis C Patients.

Cureus. 2021-8-27

本文引用的文献

[1]
Serum Hepcidin Levels in Children with Beta Thalassemia Major.

Indian Pediatr. 2018-10-15

[2]
Relationship Between Serum Hepcidin and Ferritin Levels in Patients With Thalassemia Major and Intermedia in Southern Iran.

Iran Red Crescent Med J. 2015-7-1

[3]
What regulates hepcidin in poly-transfused β-Thalassemia Major: erythroid drive or store drive?

Indian J Pathol Microbiol. 2014

[4]
Serum hepcidin measured with an improved ELISA correlates with parameters of iron metabolism in patients with myelodysplastic syndrome.

Ann Hematol. 2013-7-11

[5]
Transfusion suppresses erythropoiesis and increases hepcidin in adult patients with β-thalassemia major: a longitudinal study.

Blood. 2013-5-8

[6]
Hepcidin expression in iron overload diseases is variably modulated by circulating factors.

PLoS One. 2012-5-7

[7]
Hepcidin as a therapeutic tool to limit iron overload and improve anemia in β-thalassemic mice.

J Clin Invest. 2010-11-22

[8]
Hepcidin and Hfe in iron overload in beta-thalassemia.

Ann N Y Acad Sci. 2010-8

[9]
Hepcidin in beta-thalassemia.

Ann N Y Acad Sci. 2010-8

[10]
Regulation of iron absorption in hemoglobinopathies.

Curr Mol Med. 2008-11

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