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Published on: July 19, 2018
The association between serum hepcidin-25 level and subclinical atherosclerosis in peritoneal dialysis patients
Bülent Erdoğan, Barış Eser1, Özlem Yayar
1Department of Nephrology, Hitit University, Erol Olcok Training and Research Hospital, Çorum, Turkey. beser374@gmail.com.
Insights
Serum hepcidin-25 is linked to inflammation and atherosclerosis markers in peritoneal dialysis patients. Higher hepcidin levels correlate with increased cardiovascular risk factors like C-reactive protein and age.
Area of Science:
- Nephrology
- Cardiovascular Medicine
- Biochemistry
Background:
- Hepcidin is increasingly recognized as a cardiovascular marker in chronic kidney disease (CKD).
- Understanding hepcidin's role in peritoneal dialysis (PD) patients is crucial for managing cardiovascular risk.
Purpose of the Study:
- To investigate the relationship between serum hepcidin-25, inflammation, iron parameters, and carotid intima-media thickness (CIMT) in PD patients.
- To explore hepcidin's potential as a marker for atherosclerosis in this population.
Main Methods:
- A cross-sectional study included 58 PD patients.
- Serum hepcidin-25, inflammation markers (CRP), iron parameters, and CIMT were measured.
- Correlation and regression analyses were used to assess relationships.
Main Results:
- Patients with high hepcidin levels showed significantly higher age, BMI, glucose, CRP, and CIMT.
- Hepcidin positively correlated with age, dialysis duration, glucose, ferritin, CRP, and CIMT.
- Age and CRP were independently associated with CIMT.
Conclusions:
- Hepcidin-25 is strongly associated with age and C-reactive protein in PD patients.
- These findings suggest hepcidin may play a role in the pathophysiology of atherosclerosis.
- Further prospective studies are needed to confirm hepcidin's impact on atherosclerosis in PD patients.
Objective:
Recently, the role of hepcidin as a cardiovascular marker in the chronic kidney disease (CKD) population has gained interest. The aim of this study was to investigate the relationship between serum hepcidin-25, inflammation, iron parameters, and carotid intima-media thickness (CIMT) in peritoneal dialysis (PD) patients.
Methods:
A total of 58 patients (30 male, 51.3%; mean age: 46.8±13.6 years; mean dialysis duration: 69.2±39.1 months) were included in this cross-sectional study. Clinical and routine laboratory data were recorded and the CIMT and hepcidin values were determined. The study population was divided into 2 groups according to the median hepcidin value of 60 ng/mL. Correlation analysis and logistic regression analysis were performed to determine the relationship between the hepcidin level and other parameters.
Results:
Age (p=0.003), systolic blood pressure (p=0.039), body mass index (p=0.031), glucose (p=0.028) level, C-reactive protein (CRP) level (p<0.001), and CIMT (p=0.011) were found to be statistically significantly higher in the high hepcidin group. In correlation analysis, hepcidin was positively correlated with age (p<0.001), dialysis duration (p=0.041), glucose (p=0.015), ferritin (p=0.005), CRP (p<0.001), and CIMT (p=0.035). In multivariate linear regression analysis, age (p<0.001) and CRP (p=0.005) were found to be related to CIMT.
Conclusion:
Hepcidin-25 was strongly associated with both age and CRP in patients undergoing PD treatment. The results suggest that hepcidin may be involved in the pathophysiology of atherosclerosis. Prospective studies should be carried out in this patient population to determine whether hepcidin has an effect on atherosclerosis.
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