Hepcidin and Ferritin: Important Mediators in Inflammation Associated Anemia in Systemic Lupus Erythematosus Patients

AbstractSystemic Lupus Erythematosus is an autoimmune disease with female preponderance. Anemia is found in 50% of Systemic Lupus Erythematosus patients. This is a cross sectional case control study with 30 female Systemic Lupus Erythematosus patients having inflammation associated anemia (Hemoglobin  <  10.0 gm/dl) and 30 age matched controls with the aim to measure serum hepcidin and ferritin levels, correlate and study their role as homeostatic regulators of iron metabolism and utility as markers. Serum transferrin, ferritin, iron, total iron binding capacity, hsCRP, liver enzymes and renal pa rameters were analyzed by using automated analyser. Hepcidin levels were estimated by Sandwich-ELISA method. There was significant decrease in Iron (p <  0.0001), Iron Binding capacity (p <  0.0001), Transferrin (p <  0.0001) in patients, and a significant increase in inflammatory markers: hs-CRP (p <  0.0001), ESR (p <  0.0001) compared to controls. Significant increase in both Hepcidin (p <  0.0001) and Ferritin (p <  0.0001) was observed in patients with significant positive correlation (r = 0.711) with each other. Additionally, ferritin and hepcidin significantly positively correlated with hs-CRP and ESR (r = 0.526, 0.735); (r = 0.427, 0.742) respectively. Negative correlation with hemoglobin, iron, tot al iron binding capacity and transferrin with hepcidin (r = − 0.80, − 0.307, − 0.553, − 0.584) and ferritin (r = −...
Source: Indian Journal of Clinical Biochemistry - Category: Biochemistry Source Type: research