The effect of iron status on vascular health
Leanne M Yunker1, Jillian S Parboosingh, Heather E Conradson
1Department of Medical Genetics, University of Calgary, Calgary, Alberta, Canada.
Insights
Increased iron stores, indicated by serum ferritin and hemochromatosis genotypes, do not appear to impact atherosclerosis or endothelial function in healthy individuals. This study found no link between iron levels and vascular abnormalities.
Area of Science:
- Cardiovascular Science
- Genetics
- Metabolic Health
Background:
- The link between elevated iron stores and cardiovascular disease, specifically atherosclerosis and endothelial dysfunction, is not fully understood.
- Iron overload disorders, such as hemochromatosis, may influence vascular health, but evidence in healthy populations is limited.
Purpose of the Study:
- To investigate the association between hemochromatosis genotypes, serum ferritin levels, and subclinical vascular abnormalities.
- To evaluate the impact of iron stores on carotid intima-media thickness (CIMT) and brachial flow-mediated vasodilation (FMD) in healthy men.
Main Methods:
- A cohort of 907 healthy male participants from the Firefighters and their Endothelium (FATE) study were analyzed.
- Hemochromatosis genotypes (C282Y, H63D, S65C) were determined using a single nucleotide polymorphism (SNP) primer extension method.
- Carotid intima-media thickness (CIMT) and brachial flow-mediated vasodilation (FMD) were assessed via high-resolution ultrasound.
Main Results:
- No significant relationship was observed between brachial FMD and serum ferritin levels or hemochromatosis genotype status.
- The presence of hemochromatosis-associated genotypes or C282Y heterozygosity did not correlate with increased mean CIMT.
- After adjusting for traditional risk factors, serum ferritin levels were not associated with mean CIMT.
Conclusions:
- Neither serum ferritin levels nor hemochromatosis genotypes were found to be related to brachial endothelial function or carotid atherosclerosis in this cohort.
- The study does not support the hypothesis that mild to moderately increased iron stores contribute to increased atherosclerosis risk.
Abstract:
The effect of increased iron stores on the progression of atherosclerosis and endothelial health remains inconclusive. This study was designed to evaluate the relationship between hemochromatosis genotypes, serum ferritin levels and presymptomatic vascular abnormalities in a cohort of healthy subjects. Carotid intima-media thickness (CIMT) and brachial flow-mediated vasodilation (FMD) were assessed by high-resolution ultrasound in 907 male (47 +/- 10 years) participants enrolled in the Firefighters and their Endothelium (FATE) study. Analyses of the hemochromatosis C282Y, H63D and S65C alleles were simultaneously determined by a single nucleotide polymorphism (SNP) primer extension method. It was found that brachial FMD was not related to serum ferritin or hemochromatosis genotype status. The presence of a hemochromatosis-associated genotype (n = 18) or heterozygosity for the C282Y genotype (n = 98) was not associated with an increased mean CIMT. After adjustment for conventional risk factors, serum ferritin was also not associated with mean CIMT. In conclusion, neither ferritin nor a hemochromatosis genotype was related to brachial endothelial function or carotid atherosclerosis. The present study does not support the hypothesis that mild to moderately increased iron stores are associated with enhanced atherosclerosis risk.
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