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Impact of Hepcidin-25 Biomarker on Antioxidant Status and Trace Elements in Pediatric Iron Deficiency
Mhabad Khorsheed Saeed1, Lina Yousif Mohammed2
1Department of Chemistry, College of Science, University of Zakho, Zakho, Iraq.
Insights
Serum hepcidin-25 is significantly lower in children with early iron deficiency (EID) and iron deficiency anemia (IDA), indicating its role as a biomarker for iron deficits. This suppression affects trace elements and antioxidant activities.
Area of Science:
- Pediatric Hematology
- Nutritional Biochemistry
- Biomarker Discovery
Background:
- Iron deficiency is prevalent in children, impacting iron metabolism and overall health.
- Hepcidin-25 is a key regulator of iron homeostasis, but its role in pediatric iron deficiency states requires further elucidation.
- Antioxidant defense mechanisms and trace element status are often compromised in iron-deficient children.
Purpose of the Study:
- To investigate the regulatory role of serum hepcidin-25 in children with early iron deficiency (EID) and iron deficiency anemia (IDA).
- To evaluate the relationship between serum hepcidin-25, iron profile, trace elements (zinc, copper, magnesium), and antioxidant markers (catalase, glutathione-S-transferase, superoxide dismutase).
Main Methods:
- A cross-sectional study involving 90 children aged 2-10 years, categorized into control, EID, and IDA groups.
- Assessment of hematological parameters, iron profile, serum hepcidin-25, trace elements (Zn, Cu, Mg), and antioxidant markers (CAT, GST, SOD).
Main Results:
- Serum hepcidin-25 levels were significantly lower in both EID and IDA groups compared to controls.
- Reduced levels of zinc, catalase (CAT), and superoxide dismutase (SOD) were observed in EID and IDA groups.
- Magnesium (Mg) and glutathione-S-transferase (GST) levels were significantly decreased in the IDA group.
- Serum hepcidin-25 positively correlated with serum iron, transferrin saturation, zinc, magnesium, SOD, and CAT.
Conclusions:
- Suppressed serum hepcidin-25 serves as a reliable indicator of iron deficits in children.
- Iron deficiency, as indicated by low hepcidin-25, is associated with disturbances in trace element concentrations and antioxidant activities.
- Hepcidin-25 plays a crucial regulatory role in the systemic response to iron deficiency in pediatric populations.
Objective:
To investigate the regulatory role of serum hepcidin-25 on the iron metabolism, antioxidant defense mechanisms, and trace element concentrations in children aged 2-10 years with early iron deficiency (EID) and iron deficiency anemia (IDA), and to evaluate its interface with iron profile, trace elements such as; zinc (Zn), cupper (Cu) and magnesium (Mg) along with antioxidant markers (catalase (CAT), glutathione-S-transferase (GST) and superoxide dismutase (SOD)).
Methods:
This study involved 90 children. Based on hemoglobin levels and iron status, they were categorized into control (n = 30), EID (n = 30), and IDA (n = 30). Blood samples were obtained to assess hematological parameters, iron profile, serum hepcidin-25, trace elements, and antioxidant markers.
Results:
Serum hepcidin-25 levels were significantly lower in both IDA (3.73 [1.92-6.30] ng/mL) and EID (7.22 [4.32-9.08] ng/mL) groups compared to controls (10.62 [6.69-17.35] ng/mL) (p < 0.0001). Zn, CAT, and SOD levels were also significantly reduced in both EID (Zn: 55.86 ± 14.89 µg/dL; CAT: 10.55 ± 8.17 kU/L; SOD: 0.84[0.71-0.84] U/mL) and IDA (Zn: 55.33 ± 14.63 µg/dL; CAT: 7.68 ± 5.04 kU/L; SOD: 0.83[0.76-0.87]U/mL) groups compared to the control group (Zn: 92.46 ± 26.41 µg/dL; CAT: 15.78 ± 3.26 kU/L; SOD: 1.05[0 .83- 1.20] U/mL) (p < 0.05). Mg and GST levels were significantly decreased in the IDA group (p < 0.05). Serum hepcidin-25 showed significant positive correlations with serum iron (ρ = 0.45), transferrin saturation (ρ = 0.44), Zn (ρ = 0.32), Mg (ρ = 0.24), SOD (ρ = 0.37), and CAT (ρ = 0.28), p < 0.05.
Conclusion:
These results support hepcidin-25 biomarker suppression as an indicator for iron deficits and systemic iron deficiency disturbances that affect trace elements and antioxidant activities.
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