Hepcidin excess induces the sequestration of iron and exacerbates tumor-associated anemia

Blood. 2005 Feb 15;105(4):1797-802. doi: 10.1182/blood-2004-08-3375. Epub 2004 Oct 12.

Abstract

The iron-regulatory hormone hepcidin has been proposed as the mediator of anemia of inflammation (AI). We examined the acute and chronic effects of hepcidin in the mouse. Injections of human hepcidin (50 microg/mouse), but not of its diluent, induced hypoferremia within 4 hours. To examine the chronic effects of hepcidin, we implanted either tumor xenografts engineered to overexpress human hepcidin or control tumor xenografts into nonobese diabetic-severe combined immunodeficiency (NOD-SCID) mice. Despite abundant dietary iron, mice with hepcidin-producing tumors developed more severe anemia, lower serum iron, and increased hepatic iron compared with mice with control tumors. Hepcidin contributes to AI by shunting iron away from erythropoiesis and sequestering it in the liver, predominantly in hepatocytes.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Anemia, Iron-Deficiency / blood
  • Anemia, Iron-Deficiency / etiology*
  • Animals
  • Antimicrobial Cationic Peptides / antagonists & inhibitors
  • Antimicrobial Cationic Peptides / metabolism
  • Antimicrobial Cationic Peptides / toxicity*
  • Caco-2 Cells
  • Cell Line
  • Cell Line, Tumor
  • Drug Administration Schedule
  • Hepcidins
  • Humans
  • Iron / antagonists & inhibitors
  • Iron / blood*
  • Iron, Dietary / administration & dosage
  • Iron, Dietary / blood
  • Liver Neoplasms, Experimental / blood
  • Liver Neoplasms, Experimental / complications*
  • Liver Neoplasms, Experimental / metabolism
  • Lung Neoplasms / blood
  • Lung Neoplasms / complications*
  • Lung Neoplasms / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Mice, Inbred NOD
  • Mice, SCID
  • Neoplasm Transplantation / methods
  • Neoplasm Transplantation / pathology
  • Transplantation, Heterologous / pathology
  • Tumor Virus Infections / blood
  • Tumor Virus Infections / complications
  • Tumor Virus Infections / metabolism

Substances

  • Antimicrobial Cationic Peptides
  • HAMP protein, human
  • Hamp protein, mouse
  • Hepcidins
  • Iron, Dietary
  • Iron