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Blood, 1 September 2005, Vol. 106, No. 5, pp. 1864-1866.
Prepublished online as a Blood First Edition Paper on May 10, 2005; DOI 10.1182/blood-2005-03-1159.
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RED CELLS Brief report
Time-course analysis of hepcidin, serum iron, and plasma cytokine levels in humans injected with LPS
Erwin Kemna,
Peter Pickkers,
Elizabeta Nemeth,
Hans van der Hoeven, and
Dorine Swinkels
From the Department of Clinical Chemistry, Radboud University Nijmegen Medical Centre, The Netherlands; Department of Intensive Care Medicine, Radboud University Nijmegen Medical Centre, The Netherlands; and Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA.
Hepatic peptide hormone hepcidin is the key regulator of iron metabolism and the mediator of anemia of inflammation. Previous studies indicated that interleukin-6 (IL-6) mediates hepcidin increase and consequent hypoferremia during inflammation. Here we used an in vivo human endotoxemia model to analyze the effects of lipopolysaccharide (LPS) as a more upstream inflammation activator. The temporal associations between plasma cytokines, hepcidin levels, and serum iron parameters were studied in 10 healthy individuals after LPS injection. IL-6 was dramatically induced within 3 hours after injection, and urinary hepcidin peaked within 6 hours, followed by a significant decrease in serum iron. Serum prohepcidin showed no significant change within a 22-hour time frame. These in vivo human results confirm the importance of the IL-6-hepcidin axis in the development of hypoferremia in inflammation and highlight the rapid responsiveness of this iron regulatory system. (Blood. 2005;106: 1864-1866)

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