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Published on: May 10, 2022
Hepcidin concentrations and iron homeostasis in preeclampsia
Gergely Toldi1, Balázs Stenczer, Attila Molvarec
1First Department of Pediatrics, Semmelweis University, Budapest, Hungary. toldigergely@yahoo.com
Insights
In preeclampsia (PE), iron levels rise despite elevated hepcidin, suggesting resistance to hepcidin's iron-lowering effects. This challenges typical iron regulation during inflammation.
Area of Science:
- Reproductive medicine
- Hematology
- Biochemistry
Background:
- Preeclampsia (PE) is associated with elevated plasma iron, which is unusual given the inflammatory state characteristic of PE.
- Hepcidin is a key regulator linking iron homeostasis and inflammation.
Purpose of the Study:
- To investigate hepcidin concentrations in preeclampsia (PE).
- To explore the association between hepcidin and iron homeostasis in PE.
Main Methods:
- Peripheral blood samples were collected from 30 women with PE and 37 healthy pregnant women.
- Plasma hepcidin, interleukin-6 (IL-6), and iron homeostasis parameters were measured.
- Statistical analysis was performed using the Mann-Whitney test.
Main Results:
- Plasma hepcidin, IL-6, iron, and ferritin levels were significantly higher in women with PE compared to controls.
- Plasma transferrin and total iron-binding capacity (TIBC) were lower in the PE group.
- No significant differences were observed in other investigated parameters.
Conclusions:
- Despite elevated hepcidin levels in PE, plasma iron concentrations remain high.
- This suggests a potential resistance to the iron-regulating function of hepcidin in preeclampsia.
Background:
Plasma iron is increased in preeclampsia (PE) when compared to healthy pregnant women. This is in contrast to inflammation characteristic for PE. The link between iron homeostasis and inflammation is hepcidin. Our goal was to describe hepcidin concentrations and its association with iron homeostasis in PE.
Methods:
We obtained peripheral blood samples from 30 preeclamptic [gestational age: 36.5 (24-40) weeks] and 37 healthy pregnant women [gestational age: 36 (28-39) weeks] to determine plasma hepcidin and interleukin-6 (IL-6) concentrations, complete blood cell counts and parameters of iron homeostasis [plasma iron, transferrin and ferritin levels and total iron binding capacity (TIBC)]. Hepcidin was measured using mass spectrophotometry. The Mann-Whitney test was used for statistical analysis.
Results:
Plasma hepcidin, IL-6, iron and ferritin concentrations were increased (p<0.05 for all), whereas plasma transferrin, TIBC and mean corpuscular hemoglobin concentrations were lower (p<0.05 for all) in PE compared to healthy pregnant women. No differences were seen in the other parameters investigated.
Conclusions:
Plasma iron concentrations are increased despite high hepcidin concentrations in PE. This might indicate a resistance to the iron-decreasing action of hepcidin.
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