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The association between Hepcidin and arterial stiffness in a community-dwelling population
Xiaona Wang1, Li Sheng1, Ping Ye2
1Department of Geriatric Cardiology, Chinese PLA General Hospital, Fuxing Road #28, Beijing, 100853, China.
Insights
Hepcidin is linked to arterial stiffness, a measure of cardiovascular health. This study found hepcidin levels predict future arterial stiffness, potentially mediated by HDL3-C cholesterol levels.
Area of Science:
- Cardiovascular Science
- Endocrinology
- Metabolic Research
Background:
- Hepcidin's association with cardiovascular disease and atherosclerosis is known.
- The clinical link between hepcidin and arterial stiffness requires further elucidation.
Purpose of the Study:
- To investigate the association between hepcidin and arterial stiffness.
- To explore potential mechanisms linking hepcidin and arterial stiffness.
Main Methods:
- Community-based sample analyzed for plasma hepcidin and arterial stiffness (carotid-femoral pulse wave velocity [PWV]).
- Longitudinal analysis with a median follow-up of 4.8 years.
- Multivariable linear regression models used to assess associations.
Main Results:
- Hepcidin was independently associated with carotid-femoral PWV (P < 0.001).
- Baseline HDL3-C levels were negatively and independently associated with hepcidin (P = 0.024).
- HDL2-C showed no significant association with hepcidin at baseline (P = 0.133).
Conclusions:
- Baseline hepcidin levels predict arterial stiffness independently of traditional vascular risk factors.
- An association between hepcidin and HDL3-C suggests a role for cholesterol efflux in the hepcidin-arterial stiffness relationship.
Background:
An association of hepcidin with cardiovascular (CV) disease and atherosclerosis has been reported in different patient groups. However, it has not been well described clinically the association between hepcidin and arterial stiffness. In this study,We analysed the possible mechanism of Hepcidin and arterial stiffness.
Methods:
This article related measurements of plasma hepcidin and arterial stiffness (carotid-femoral pulse wave velocity [PWV]) in a community-based sample.
Results:
After a median follow-up interval of 4.8 years, multiple linear regression analysis revealed that hepcidin was independently associated with carotid-femoral PWV (β = 1.498, P < 0.001). In a multivariable linear regression analysis, HDL3-C levels were negatively and independently associated with hepcidin at baseline (β = - 0.857, P = 0.024). HDL2-C was not associated with hepcidin at baseline (β = - 1.121, P = 0.133).
Conclusions:
We found an association between baseline hepcidin and follow-up arterial stiffness that was independent of age, gender and other vascular risk factors. We also identified an association between hepcidin and HDL3-C at baseline, which indicates that the HDL3-C level may reflect the change in cholesterol efflux from peripheral arteries and partly explain the relationship between hepcidin and the change of arterial stiffness.
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