Hepcidin, Iron Regulatory Hormone: Association with Patients with Heart Failure and Anemia
Keywords:
hepcidin, heart failure, anemia, ferritin, iron, EF%,Abstract
Background: hepcidin (HCN) is a key regulatory protein of iron homeostasis. Heart failure (HF) get increased incidence, and the prevalence rate reaches about 1.5% of the US population. Chronic HF and iron deficiency are the commonest disorders universally. Current evidence has confirmed that they are related. This present study targeted to evaluate the association of HCN with heart failure patients and anemia Methodology: This study is a case-control, involving 80 patients with HF and 80 healthy subjects. All subjects underwent echocardiography (LVEF %), biochemical and hematological assays including ferritin, HCN, and iron status parameters (serum iron, TIBC, TSAT%, MCV, MCHC, HCT, and Hb). All variables were matched between the two study groups. Results: A highly significant difference was observed between the groups in the mean HCN and EF% levels (P<0.0001). A non-significant difference in HF patients between non-anemic and anemic patients regarding HCN was detected. HCN show highly significant differences among classes (P<0.001). HCN and ferritin significantly correlated with LVEF% Conclusion: the HCN levels were significantly reduced in cases with advanced HF. HCN and ferritin serum levels revealed a highly significant correlation with the levels of LVEF%.
Downloads
References
Park, C.H., et al., Hepcidin, a urinary antimicrobial peptide
synthesized in the liver. J Biol Chem, 2001. 276(11): p.
-10.
Xu, Y., et al., RelatioN/Ship between serum hepcidin levels
and cardiovascular disease in patients with maintenance
hemodialysis. Physiol Int, 2020.107(4): p. 491-500.
van Breda, G.F., et al., Cardiac Hepcidin Expression
Associates with Injury Independent of Iron. American
Journal of Nephrology, 2016. 44(5): p. 368-378.
Borku Uysal, B., et al.,The effect of anemia on serum hepcidin levels
in patients with heart failure. Journal of Cardiology and
Cardiovascular Medicine, 2019.4: p.159-163.
Di Lullo, L., et al., Left Ventricular Hypertrophy in Chronic
Kidney Disease Patients: From Pathophysiology to
Treatment. Cardiorenal Med, 2015. 5(4): p. 254-66.
Amir A., A.-H.H., Hyperuricemia has a Deleterious Role in
Patients with Acute Coronary Syndrome Presented with
Poor Oral Hygiene. International Journal of
Pharmaceutical Research, 2020. Jan-Jun(1): p. 7.
Hajir K., D.F., Al-Aaraji A., Abdul-Amir H., Mazin J.,
Biochemical causal-effect of circulatory uric acid, and
HSCRP and their diagnostic correlation in admitted
patients with ischemic heart diseases. Journal of
Cardiovascular Disease Research 2020.11(2): p. 25-31.
Hayder A., M.J., Thekra A., Ahmed S., Saja A., On Admission
Levels of High Sensitive C- Reactive Protein as A
Biomarker in Acute Myocardial Infarction: A CaseControl Study. Indian Journal of Public Health Research
& Development 2019.10(4): p. 5.
Qayssar J., R.T., Abdul-Amir H., Evaluation of Practice of
Prescribing and Monitoring Anticoagulants Among
Hospitalized Iraqi Patients. HIV Nursing, 2022. 22(1): p.
-76.
Tsao, C.W., et al., Heart Disease and Stroke Statistics—2022
Update: A Report From the American Heart Association.
145(8): p. e153-e639.
Ponikowski, P., et al., Heart failure: preventing disease and
death worldwide. 2014.1(1): p. 4-25.
Lakhal-Littleton, S., et al., 204 The cardiac
hepcidin/ferroportin axis is essential for cardiac iron
homeostasis and function. Heart, 2017. 103: p. A137.2-
A137.
The Criteria Committee of the New York Heart Association.,
Nomenclature, and Criteria for Diagnosis of Diseases of
the Heart and Great Vessels.9th ed. Boston, Mass: Little,
Brown & Co, 1994: p. 253-256.
Schwinger, R.H.G., Pathophysiology of heart failure.
Cardiovasc Diagn Ther, 2021. 11(1): p. 263-276.
OzlemYayar,B.E.,Harun Kihp,Relation betweenhighserum hepcidin-
level and subclinical atherosclerosis and cardiovascular
mortality in hemodialysis patients.AnatolJCardiol,2018.19: p.6.
Babitt, J.L. and H.Y. Lin, Molecular mechanisms of hepcidin
regulation: implicatioN/S for the anemia of CKD. Am J
Kidney Dis, 2010. 55(4): p. 726-41.
Ganz, T. and E. Nemeth, Hepcidin and iron homeostasis.
Biochim Biophys Acta, 2012.1823(9): p.1434-43.
Divakaran, V., et al., Hepcidin in anemia of chronic heart
failure. Am J Hematol, 2011. 86(1): p. 107-9.
Matsumoto, M., et al., Iron regulatory hormone hepcidin decreases
inchronic heart failure patientswithanemia.Circ J,2010.74(2):
p. 301-6.
Jankowska, E.A., et al., Iron status in patients with chronic
heart failure. Eur Heart J, 2013. 34(11): p. 827-34.
Kemna, E.H., et al., Hepcidin: from discovery to differential
diagnosis. Haematologica, 2008. 93(1): p. 90-7.
Ahmed Khalid Aldhalmi, A.J.H.A.-A., Hayder AA Makki,
Association of Tumor Necrosis Factor- and
Myeloperoxidase enzyme with Severe Asthma: A
comparative study. Reports of Biochemistry & Molecular
Biology, 2022.11(2): p. 239-46.
Hayder MA, Mazin J. Mousa Enas K. Alkhazraji, A.A.A., Mahir
Abdulkhadhum Alzughaibi, Positive correlation of
circulating tumor necrosis factor-alpha (TNF ) with
spirometric pulmonary tests in adult asthmatic patients.
Biochem. Cell. Arch., 2021. 21: p. 2605-2610.
Shaymaa Obaid Abdullah, G.M.R., Al-Hindy HA., Mazin
Jaafar Mousa, Amir Al-Mumin, Safa Jihad, Suhad
Hafidh, Yaqeen Kadhum, Serum Myeloperoxidase as A
Biomarker of Asthma Severity Among Adults: A CaseControl Study. Reports of Biochemistry & Molecular
Biology 2022.11(1): p. 182-190.
Hayder AM, Al-AthariA.,Mazin J., Hameed Safa J.,Obeed S., The
Utility of Serum IL-1 and CRP Together with Fractional
Exhaled Nitric Oxide in the Diagnosis of Asthma in Adults.
NeuroQuantology, 2021.19(8): p.119-124.
Amjed H. Abbas, M.A.R., Al-Hindy H., Mazin J. Mousa and
Hadeel Abd Ameir Al-Shalah, The Role of Serum IL-1 in
Combination with Fractional Exhaled Nitric Oxide in the
Diagnosis of Adult Bronchial Asthma. NeuroQuantology,
19(9): p.13-19.Brinza, C., et al., The Prognostic Performance of Ferritin in
Patients with Acute Myocardial Infarction: A Systematic
Review. Diagnostics (Basel), 2022.12(2).
Wongtong, N., et al. RelatioN/Ship between Serum Ferritin
Level and Left Ventricular Function in Thalassemia
Patients. 2016.
Jankowska, E.A., et al., Iron status in patients with chronic
heart failure. European Heart Journal, 2012. 34(11): p.
-834.
Downloads
Published
Issue
Section
License
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.