Iron Regulatory Hormone Hepcidin Decreases in Chronic Heart Failure Patients With Anemia
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概要
- 論文の詳細を見る
Background: The etiology of anemia is still unclear in patients with chronic heart failure (CHF). Hepcidin is an iron regulatory peptide that is synthesized in the liver to suppress iron absorption and utilization. Hepcidin synthesis is suppressed by anemia, hypoxia and erythropoiesis, and induced by inflammation. Inflammatory cytokines, such as interleukin-6 (IL-6), increase the synthesis of hepcidin, resulting in anemia of inflammation (AI). The serum hepcidin concentration in CHF patients with anemia was measured in order to better understand anemia in CHF. Methods and Results: Serum hepcidin-25, erythropoietin (EPO), ferritin and IL-6 concentrations were measured in 61 CHF patients. Among these patients, 36 patients had anemia. A group of 16 patients without cardiac disease or anemia were recruited as controls. Serum IL-6 and EPO were higher and hepcidin-25 was lower in CHF patients with anemia than in controls. Hepcidin-25 correlated with EPO and ferritin but not with IL-6. Results of multivariable regression analysis showed that independent predictors of serum hepcidin-25 included EPO and ferritin but not IL-6. Conclusions: Serum hepcidin-25 concentrations were regulated by iron storage and erythropoiesis but not by IL-6 in CHF patients with anemia. These findings might indicate that AI is a minor cause of anemia in CHF. (Circ J 2010; 74: 301-306)
- 2010-01-25
著者
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MATSUMOTO Mika
Cardiovascular Division, Department of Internal Medicine Hyogo College of Medicine
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TSUJINO Takeshi
Cardiovascular Division, Department of Internal Medicine Hyogo College of Medicine
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LEE-KAWABATA Masaaki
Cardiovascular Division, Department of Internal Medicine Hyogo College of Medicine
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NAITO Yoshiro
Cardiovascular Division, Department of Internal Medicine Hyogo College of Medicine
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AKAHORI Hirokuni
Cardiovascular Division, Department of Internal Medicine Hyogo College of Medicine
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SAKODA Tsuyoshi
Division of Coronary Heart Disease, Department of Internal Medicine Hyogo College of Medicine
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OHYANAGI Mitsumasa
Division of Coronary Heart Disease, Department of Internal Medicine Hyogo College of Medicine
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TOMOSUGI Naohisa
Division of Advanced Medicine, Medical Research Institute, Kanazawa Medical University
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MASUYAMA Tohru
Cardiovascular Division, Department of Internal Medicine Hyogo College of Medicine
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Akahori Hirokuni
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Masuyama Tohru
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Tsujino Takeshi
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Sakaki Takatoshi
Division Of Coronary Heart Disease Department Of Internal Medicine Hyogo College Of Medicine
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Sakoda Tsuyoshi
Department Of Internal Medicine Cardiovascular Division Hyogo College Of Medicine
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Morita Masato
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Matsumoto Mika
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Masuyama Toru
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Ohyanagi M
Division Of Coronary Heart Disease Department Of Internal Medicine Hyogo College Of Medicine
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Ohyanagi Mitsumasa
The First Department Of Internal Medicine Hyogo College Of Medicine
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Ohyanagi Mitsumasa
Department Of Internal Medicine Division Of Coronary Heart Disease Hyogo College Of Medicine
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Masuyama Tohru
兵庫医科大学 循環器内科
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Naito Yoshiro
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Masuyama Tohru
Department Of Internal Medicine Cardiovascular Division Hyogo College Of Medicine
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Lee Masaaki
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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MORITA MASATO
The First department Department of Medicine
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Masutani Mitsuo
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Ohyanagi Mitsumasa
Division Of Coronary Heart Disease Hyogo College Of Medicine
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Ohyanagi Mitsumasa
Department Of Internal Medicine Cardiovascular Division Hyogo College Of Medicine
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Ohyanagi Mitsumasa
兵庫医科大学第一内科
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Ohnishi Makoto
Department Of Cardiology Takarazuka Municipal Hospital
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Masutani Motomaru
First Department Of Internal Medicine Hyogo College Of Medicine
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Naitoh Yoshiro
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Naito Yoshiro
Department Of Internal Medicine Cardiovascular Division Hyogo College Of Medicine
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Tomosugi Naohisa
Division Of Advanced Medicine Medical Research Institute Kanazawa Medical University
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Ohyanagi Mitsumasa
Division Of Coronary Heart Disease Department Of Internal Medicine Hyogo College Of Medicine
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Masuyama Toru
大阪大学 循環器内科学
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Masutani Motomaru
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Masai Miho
Division Of Coronary Heart Disease Department Of Internal Medicine Hyogo College Of Medicine
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Masuyama Tohru
Cardiovascular Division Hyogo College Of Medicine
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Sakoda Tsuyoshi
Department Of Internal Medicine Division Of Coronary Heart Disease Hyogo College Of Medicine
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Sakoda Tsuyoshi
Division Of Coronary Heart Disease Department Of Internal Medicine Hyogo College Of Medicine
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Ohtsuka Misato
Division Of Coronary Heart Disease Department Of Internal Medicine Hyogo College Of Medicine
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Ohyanagi Mitsumasa
The 1st Department Of Internal Medicine Hyogo College Of Medicine
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Oyanagi Mitumasa
Dept. Of 1st Internal Medicine Hyogo College Of Medicine.
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Tsujino Takeshi
Department Of Internal Medicine Cardiovascular Division Hyogo College Of Medicine
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Ohyanagi Mitsumasa
Department Of Cardiology Takarazuka Municipal Hospital
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