Erythroferrone and iron status parameters levels in pediatric patients with iron deficiency anemia

Eur J Haematol. 2018 Apr;100(4):356-360. doi: 10.1111/ejh.13021. Epub 2018 Feb 7.

Abstract

Objectives: To investigate the link between serum erythroferrone (ERFE) levels and iron status parameters in pediatric patients with iron deficiency anemia.

Methods: The study consisted of 66 children (36 with iron deficiency anemia and 30 healthy age- and gender-matched controls) who were investigated for serum levels of iron, total iron-binding capacity (TIBC) using automated chemistry analyzer, serum ferritin using electrochemiluminescence immunoassay and ERFE by specific enzyme-linked immunosorbent assay (ELISA) kit.

Results: Serum erythroferrone levels in iron deficiency anemia patients (191.55 ± 83.74 pg/mL) were significantly higher than those in control group (42.22 ± 16.55 pg/mL) (P < .001). In iron deficiency anemia patients, serum erythroferrone concentrations correlated negatively with hemoglobin concentration (r = -.39; P = .01), serum iron (r = -.63; P < .001), transferrin saturation (r = -.66; P < .001), and serum ferritin (r = -.46; P = .004) while positive correlation was observed between serum erythroferrone concentrations and TIBC (r = .62; P < .001) CONCLUSION: The newly identified erythroferrone hormone may act as physiological hepcidin suppressor in cases with iron deficiency anemia, and so it may serve as a specific promising target of therapy in such cases.

Keywords: erythroblasts; erythroferrone; ferritin; hepcidin; iron deficiency anemia.

MeSH terms

  • Adolescent
  • Anemia, Iron-Deficiency / blood*
  • Anemia, Iron-Deficiency / diagnosis*
  • Anemia, Iron-Deficiency / metabolism
  • Biomarkers*
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Iron / blood*
  • Iron / metabolism
  • Male
  • Peptide Hormones / blood*
  • Transferrin

Substances

  • Biomarkers
  • Erfe protein, human
  • Peptide Hormones
  • Transferrin
  • Iron