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Pentosan polysulfate regulates hepcidin expression in native Mongolian horses
Suranji Wijekoon1, Mijiddorj Tsogbadrakh2, Takafumi Sunaga1
1Laboratory of Veterinary Surgery, Department of Veterinary Clinical Sciences, Faculty of Veterinary Medicine, Hokkaido, Japan.
The Journal of Veterinary Medical Science
|September 1, 2022
Summary
Pentosan polysulfate (PPS) effectively reduces hepcidin levels in horses post-exercise. This study suggests PPS as a potential therapeutic for managing hepcidin concentrations in equine health.
Area of Science:
- Equine Sports Medicine
- Veterinary Pharmacology
Background:
- Hepcidin is a key regulator of iron metabolism.
- Elevated hepcidin levels can negatively impact athletic performance in horses.
- Pentosan polysulfate (PPS) is used in equine medicine for various conditions.
Purpose of the Study:
- To investigate the anti-hepcidin effect of pentosan polysulfate (PPS) in Mongolian horses.
- To evaluate the impact of PPS on serum hepcidin and iron concentrations before and after racing.
Main Methods:
- Twenty-six healthy Mongolian horses were randomized into two groups: PPS treatment and placebo.
- PPS was administered weekly for four weeks.
- Blood samples were collected at baseline (D0), before race (BR), and after race (AR) for analysis.
Main Results:
- A significant reduction in hepcidin was observed after racing in the PPS group compared to placebo (P<0.05 and P<0.01).
- The difference in hepcidin concentration (D0-BR and BR-AR) was greater in the PPS group than in the placebo group.
- Iron concentration differences were reduced in the PPS group compared to placebo.
Conclusions:
- Pentosan polysulfate (PPS) demonstrates a novel anti-hepcidin effect in horses.
- PPS may offer a therapeutic strategy for controlling hepcidin levels in equine athletes.
- Further molecular studies are warranted to elucidate the mechanisms of PPS action.

