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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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Submitted March 22, 2005
Accepted May 2, 2005

Time-course analysis of hepcidin, serum iron, and plasma cytokine levels in humans injected with LPS

Erwin H Kemna*, Peter Pickkers, Elizabeta Nemeth, Hans van der Hoeven, and Dorine Swinkels

Department of Clinical Chemistry, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
Department of Intensive Care Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA

* Corresponding author; email: E.Kemna{at}akc.umcn.nl.

Hepatic peptide hormone hepcidin is the key regulator of iron metabolism and the mediator of anemia of inflammation. Previous studies indicated that 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 subjects after LPS injection. IL-6 was dramatically induced within 3 h after injection and urinary hepcidin peaked within 6 h, followed by a significant decrease in serum iron. Serum pro-hepcidin showed no significant change within a 22 h time frame. These in vivo human results confirm the importance of IL-6-hepcidin axis in development of hypoferremia in inflammation and highlight the rapid responsiveness of this iron regulatory system.


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