Serum Hepcidin Level as a Marker of Iron Status in Children with Cystic Fibrosis

Introduction. Iron deficiency is common in patients with cystic fibrosis. Conventional iron status markers are often abnormal in patients with CF, reflecting inflammation and/or infection, rather than actual iron stores. The aim was to evaluate serum hepcidin levels against selected iron status mark...

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Main Authors: Monika Kałużna-Czyż, Urszula Grzybowska-Chlebowczyk, Halina Woś, Sabina Więcek
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2018/3040346
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author Monika Kałużna-Czyż
Urszula Grzybowska-Chlebowczyk
Halina Woś
Sabina Więcek
author_facet Monika Kałużna-Czyż
Urszula Grzybowska-Chlebowczyk
Halina Woś
Sabina Więcek
author_sort Monika Kałużna-Czyż
collection DOAJ
description Introduction. Iron deficiency is common in patients with cystic fibrosis. Conventional iron status markers are often abnormal in patients with CF, reflecting inflammation and/or infection, rather than actual iron stores. The aim was to evaluate serum hepcidin levels against selected iron status markers, assuming that hepcidin may be a more sensitive indicator of iron management in patients with active inflammation, such as those with CF. Material and Methods. 46 children with cystic fibrosis and 31 healthy controls were enrolled. Hepcidin concentration was evaluated, along with the following other blood assays: full blood count, Fe, ferritin, transferrin, TIBC, liver markers, and CRP. Results. Higher ferritin and CRP levels as well as lower TIBC levels significantly predicted hepcidin levels in the study group, control group, and the entire sample. There was no significant difference in hepcidin levels between the patients and controls. Children with exacerbations had significantly higher hepcidin levels than those with stable disease. These findings support the serum hepcidin level as useful in assessing iron status in children with cystic fibrosis. It may also be useful in early detection and monitoring of treatment of exacerbations.
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publishDate 2018-01-01
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series Mediators of Inflammation
spelling doaj-art-9a0eedc3006e40b5850f42d851d2e2502025-02-03T01:02:31ZengWileyMediators of Inflammation0962-93511466-18612018-01-01201810.1155/2018/30403463040346Serum Hepcidin Level as a Marker of Iron Status in Children with Cystic FibrosisMonika Kałużna-Czyż0Urszula Grzybowska-Chlebowczyk1Halina Woś2Sabina Więcek3Department of Paediatrics, School of Medicine in Katowice, Medical University of Silesia, Katowice, PolandDepartment of Paediatrics, School of Medicine in Katowice, Medical University of Silesia, Katowice, PolandDepartment of Nursing and Emergency Medicine, Faculty of Health Sciences, University of Bielsko-Biała, Bielsko-Biała, PolandDepartment of Paediatrics, School of Medicine in Katowice, Medical University of Silesia, Katowice, PolandIntroduction. Iron deficiency is common in patients with cystic fibrosis. Conventional iron status markers are often abnormal in patients with CF, reflecting inflammation and/or infection, rather than actual iron stores. The aim was to evaluate serum hepcidin levels against selected iron status markers, assuming that hepcidin may be a more sensitive indicator of iron management in patients with active inflammation, such as those with CF. Material and Methods. 46 children with cystic fibrosis and 31 healthy controls were enrolled. Hepcidin concentration was evaluated, along with the following other blood assays: full blood count, Fe, ferritin, transferrin, TIBC, liver markers, and CRP. Results. Higher ferritin and CRP levels as well as lower TIBC levels significantly predicted hepcidin levels in the study group, control group, and the entire sample. There was no significant difference in hepcidin levels between the patients and controls. Children with exacerbations had significantly higher hepcidin levels than those with stable disease. These findings support the serum hepcidin level as useful in assessing iron status in children with cystic fibrosis. It may also be useful in early detection and monitoring of treatment of exacerbations.http://dx.doi.org/10.1155/2018/3040346
spellingShingle Monika Kałużna-Czyż
Urszula Grzybowska-Chlebowczyk
Halina Woś
Sabina Więcek
Serum Hepcidin Level as a Marker of Iron Status in Children with Cystic Fibrosis
Mediators of Inflammation
title Serum Hepcidin Level as a Marker of Iron Status in Children with Cystic Fibrosis
title_full Serum Hepcidin Level as a Marker of Iron Status in Children with Cystic Fibrosis
title_fullStr Serum Hepcidin Level as a Marker of Iron Status in Children with Cystic Fibrosis
title_full_unstemmed Serum Hepcidin Level as a Marker of Iron Status in Children with Cystic Fibrosis
title_short Serum Hepcidin Level as a Marker of Iron Status in Children with Cystic Fibrosis
title_sort serum hepcidin level as a marker of iron status in children with cystic fibrosis
url http://dx.doi.org/10.1155/2018/3040346
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AT halinawos serumhepcidinlevelasamarkerofironstatusinchildrenwithcysticfibrosis
AT sabinawiecek serumhepcidinlevelasamarkerofironstatusinchildrenwithcysticfibrosis