Department of Hematology, NHO Kyoto Medical Center, 1-1 Fukakusa Mukaihata-Cho, Fushimi-Ku, Kyoto, 612-8555, Japan.
Department of Clinical Laboratory, NHO Kyoto Medical Center, Kyoto, Japan.
Int J Hematol. 2024 Apr;119(4):392-398. doi: 10.1007/s12185-024-03720-4. Epub 2024 Feb 19.
Iron is an essential trace metal, vital for various physiologic processes, but excess levels can harm health. Maintaining iron homeostasis is critical, with hepcidin playing a key role. The isoform hepcidin-25 exerts the most significant influence on iron metabolism, making its serum levels a valuable diagnostic tool. However, mass-spectrometry and other conventional measurement methods can be difficult to perform, and some immunoassays lack reliability. In this study, we employed a recently developed latex agglutination method integrated with a readily available automated analyzer to quantify serum hepcidin-25 levels in both volunteers recruited from personnel of our hospital (n = 93) and patients with various hematological disorders (n = 112). Our findings unveiled a robust positive correlation between serum hepcidin-25 and ferritin, as well as C-reactive protein levels, in both volunteers and patients. Among the patients with hematological disorders, there was a noteworthy negative correlation between hepcidin-25 levels and hemoglobin concentrations, as well as reticulocyte counts. Interestingly, the hepcidin-25/ferritin ratio was remarkably low in patients with hemolytic anemia and myelodysplastic syndromes with ring sideroblasts. Our findings suggest that quantifying serum hepcidin-25 and the hepcidin-25/ferritin ratio using this method may be valuable for screening of hematopoietic diseases and other iron metabolism disorders.
铁是一种必需的微量元素,对各种生理过程至关重要,但过量的铁会对健康造成危害。维持铁的体内平衡至关重要,其中,hepcidin 起着关键作用。hepcidin-25 同工型对铁代谢的影响最大,因此其血清水平是一种有价值的诊断工具。然而,质谱和其他常规测量方法可能难以实施,一些免疫测定方法缺乏可靠性。在这项研究中,我们使用了一种最近开发的乳胶凝集法,结合一种现成的自动化分析仪,来定量检测来自我们医院工作人员的志愿者(n=93)和各种血液系统疾病患者(n=112)的血清 hepcidin-25 水平。我们的研究结果揭示了志愿者和患者的血清 hepcidin-25 与铁蛋白和 C 反应蛋白水平之间存在稳健的正相关。在血液系统疾病患者中,hepcidin-25 水平与血红蛋白浓度和网织红细胞计数之间存在显著的负相关。有趣的是,溶血性贫血和伴环形铁幼粒细胞的骨髓增生异常综合征患者的 hepcidin-25/铁蛋白比值显著降低。我们的研究结果表明,使用这种方法定量检测血清 hepcidin-25 和 hepcidin-25/铁蛋白比值可能对筛查造血疾病和其他铁代谢紊乱有价值。
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