Hepcidin is a useful biomarker to evaluate hyperferritinemia associated with metabolic syndrome

Abstract: Investigation of hyperferritinemia in metabolic syndrome patients represents a diagnostic challenge, but it is essential for the identification of individuals with iron overload. Hepcidin negatively regulates iron absorption and release. An increase in hepcidin occurs when iron levels are...

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Main Authors: MARIANA R. RAUBER, DIOGO A. PILGER, DAIANE K. CECCONELLO, FREDERICO S. FALCETTA, NATÁLIA A. MARCONDES, GUSTAVO A.M. FAULHABER
Format: Article
Language:English
Published: Academia Brasileira de Ciências 2019-05-01
Series:Anais da Academia Brasileira de Ciências
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0001-37652019000300803&lng=en&tlng=en
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author MARIANA R. RAUBER
DIOGO A. PILGER
DAIANE K. CECCONELLO
FREDERICO S. FALCETTA
NATÁLIA A. MARCONDES
GUSTAVO A.M. FAULHABER
author_facet MARIANA R. RAUBER
DIOGO A. PILGER
DAIANE K. CECCONELLO
FREDERICO S. FALCETTA
NATÁLIA A. MARCONDES
GUSTAVO A.M. FAULHABER
author_sort MARIANA R. RAUBER
collection DOAJ
description Abstract: Investigation of hyperferritinemia in metabolic syndrome patients represents a diagnostic challenge, but it is essential for the identification of individuals with iron overload. Hepcidin negatively regulates iron absorption and release. An increase in hepcidin occurs when iron levels are sufficient or in inflammatory states, conditions often associated with hyperferritinemia. Hemochromatosis causes hyperferritinemia due to iron overload, but frequently has low hepcidin levels. Our aim was to evaluate biochemical and molecular parameters related to iron metabolism in patients with metabolic syndrome. We evaluated 94 patients with metabolic syndrome according to the International Diabetes Federation criteria in a cross-sectional study. Anthropometric data and diagnostic criteria for metabolic syndrome, iron dosage, ferritin, transferrin saturation, hepcidin, and the C282Y and H63D mutations in the HFE hemochromatosis gene were evaluated. Prevalence of hyperferritinemia in the study population was 27.7% and was higher in males (46.2%) than in females (14.5%). Increase in transferrin saturation correlated with mutations in the hemochromatosis gene. Hyperferritinemia was associated to transferrin saturation and hepcidin after logistic regression analysis. In conclusion, hyperferritinemia is a frequent finding in metabolic syndrome patients, most frequently in men; and hepcidin assessment can be useful for the investigation of ferritin increase in those subjects.
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spelling doaj.art-61e6f6fef6634afaba11fe7bfcb444b02022-12-21T19:10:19ZengAcademia Brasileira de CiênciasAnais da Academia Brasileira de Ciências1678-26902019-05-0191210.1590/0001-3765201920180286S0001-37652019000300803Hepcidin is a useful biomarker to evaluate hyperferritinemia associated with metabolic syndromeMARIANA R. RAUBERDIOGO A. PILGERDAIANE K. CECCONELLOFREDERICO S. FALCETTANATÁLIA A. MARCONDESGUSTAVO A.M. FAULHABERAbstract: Investigation of hyperferritinemia in metabolic syndrome patients represents a diagnostic challenge, but it is essential for the identification of individuals with iron overload. Hepcidin negatively regulates iron absorption and release. An increase in hepcidin occurs when iron levels are sufficient or in inflammatory states, conditions often associated with hyperferritinemia. Hemochromatosis causes hyperferritinemia due to iron overload, but frequently has low hepcidin levels. Our aim was to evaluate biochemical and molecular parameters related to iron metabolism in patients with metabolic syndrome. We evaluated 94 patients with metabolic syndrome according to the International Diabetes Federation criteria in a cross-sectional study. Anthropometric data and diagnostic criteria for metabolic syndrome, iron dosage, ferritin, transferrin saturation, hepcidin, and the C282Y and H63D mutations in the HFE hemochromatosis gene were evaluated. Prevalence of hyperferritinemia in the study population was 27.7% and was higher in males (46.2%) than in females (14.5%). Increase in transferrin saturation correlated with mutations in the hemochromatosis gene. Hyperferritinemia was associated to transferrin saturation and hepcidin after logistic regression analysis. In conclusion, hyperferritinemia is a frequent finding in metabolic syndrome patients, most frequently in men; and hepcidin assessment can be useful for the investigation of ferritin increase in those subjects.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0001-37652019000300803&lng=en&tlng=endiagnostic screeningferritinhepcidinironmetabolic syndrome
spellingShingle MARIANA R. RAUBER
DIOGO A. PILGER
DAIANE K. CECCONELLO
FREDERICO S. FALCETTA
NATÁLIA A. MARCONDES
GUSTAVO A.M. FAULHABER
Hepcidin is a useful biomarker to evaluate hyperferritinemia associated with metabolic syndrome
Anais da Academia Brasileira de Ciências
diagnostic screening
ferritin
hepcidin
iron
metabolic syndrome
title Hepcidin is a useful biomarker to evaluate hyperferritinemia associated with metabolic syndrome
title_full Hepcidin is a useful biomarker to evaluate hyperferritinemia associated with metabolic syndrome
title_fullStr Hepcidin is a useful biomarker to evaluate hyperferritinemia associated with metabolic syndrome
title_full_unstemmed Hepcidin is a useful biomarker to evaluate hyperferritinemia associated with metabolic syndrome
title_short Hepcidin is a useful biomarker to evaluate hyperferritinemia associated with metabolic syndrome
title_sort hepcidin is a useful biomarker to evaluate hyperferritinemia associated with metabolic syndrome
topic diagnostic screening
ferritin
hepcidin
iron
metabolic syndrome
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0001-37652019000300803&lng=en&tlng=en
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