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Blood, 15 November 2008, Vol. 112, No. 10, pp. 4292-4297.
Prepublished online as a Blood First Edition Paper on August 8, 2008; DOI 10.1182/blood-2008-02-139915.
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Submitted February 20, 2008
Accepted July 31, 2008
Immunoassay for human serum hepcidin
Tomas Ganz*, Gordana Olbina, Domenico Girelli, Elizabeta Nemeth, and Mark Westerman
Intrinsic LifeSciences, LLC, La Jolla, CA, United States
Department of Clinical and Experimental Medicine, University of Verona, Verona, Italy
Medicine and Pathology, David Geffen School of Medicine, University of California, Los Angeles, CA, United States
* Corresponding author; email: tganz{at}mednet.ucla.edu.
We developed and validated the first serum ELISA for hepcidin, the principal iron-regulatory hormone that has been very difficult to measure. In healthy volunteers, the 5-95% range of hepcidin concentrations was 29-254 ng/ml in men (n=65) and 17-286 ng/ml in women (n=49), with median concentrations 112 vs. 65, p<0.001. The lower limit of detection was 5 ng/ml. Serum hepcidin concentrations in 24 healthy subjects correlated well with their urinary hepcidin (r=0.82). Serum hepcidin appropriately correlated with serum ferritin (r=0.63) reflecting the regulation of both proteins by iron stores. Healthy volunteers showed a diurnal increase of serum hepcidin at noon and 8pm compared to 8am, and a transient rise of serum hepcidin in response to iron ingestion. Expected alterations in hepcidin levels were observed in a variety of clinical conditions associated with iron disturbances. Serum hepcidin concentrations were undetectable or low in patients with iron deficiency anemia (ferritin<10 ng/ml), iron-depleted HFE hemochromatosis, and juvenile hemochromatosis. Serum hepcidin concentrations were high in patients with inflammation (CRP>10 mg/dl), multiple myeloma, or chronic kidney disease. The new serum hepcidin ELISA yields accurate and reproducible measurements that appropriately reflect physiologic, pathologic and genetic influences, and is informative about the etiology of iron disorders.

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