Hepcidin expression and iron parameters change in Type 2 diabetic patients

Hepcidin expression and iron parameters change in Type 2 diabetic patients
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2型糖尿病患者Hepcidin表达及铁参数变化

DOI:
10.1016/j.diabres.2011.03.028
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发表时间:
2011-07-01
影响因子:
5.1
通讯作者:
Jiao, Xiao-Yang
Jiao, Xiao-Yang
中科院分区:
医学3区
文献类型:
--
作者:
Jiang, Fang;Sun, Zhen-Zhen;Jiao, Xiao-Yang

文献摘要

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目的:铁可能参与2型糖尿病(DM)的发病。本研究的目的是确定铁调节剂hepcidin和铁代谢参数在2型DM患者,它们之间的关系进行了评估,在这个特定的subgroups.Materials和方法:本研究包括64人:34例糖尿病患者和30名年龄匹配的对照。结果:糖尿病患者血清铁蛋白、铁调素水平均显著高于对照组(P < 0.001),血清白细胞介素6(IL-6)、超敏C反应蛋白(hsCRP)、铁蛋白(ferritin)、可溶性转铁蛋白受体(sTfR)、促红细胞生成素(EPO)水平均显著高于对照组(P < 0.001)。糖尿病组和正常对照组铁调素与铁蛋白、铁蛋白与IL-6水平呈正相关(p < 0.001)。所有这些数据表明,糖尿病患者中较高的铁调素水平可能是由于那些较高的铁蛋白和IL-6水平,hepcidin升高可能通过下调铁吸收而具有适应性价值,在2型糖尿病的发病中起重要作用。(C)2011爱思唯尔爱尔兰有限公司保留所有权利。
Aim: Iron may contribute to the pathogenesis of Type 2 diabetes mellitus (DM). The aim of this study was to determine iron regulator hepcidin and iron metabolic parameters in Type 2 DM patients, the relationships among them were evaluated in this specific sub-groups.Materials and methods: The study included sixty-four people: 34 cases of diabetes and 30 age-matched controls. Serum hepcidin, IL-6, hsCRP, ferritin, sTfR, EPO as well as other clinical parameters were detected, and the associations between hepcidin levels and iron/inflammatory parameters were analyzed in diabetes and the controls.Results: Serum ferritin and hepcidin levels in diabetic patients were significant higher than the controls (p < 0.001 respectively). A positive correlation between hepcidin and ferritin, as well as between ferritin and IL-6 levels was existed in diabetes and the control groups (p < 0.001 respectively).Conclusion: All of these data demonstrated that the higher hepcidin levels in diabetic patients may be due to those higher ferritin and IL-6 levels, the elevated hepcidin might have adaptive value through down-regulated iron absorb and play an important role in pathogenesis of Type 2 DM. (C) 2011 Elsevier Ireland Ltd. All rights reserved.