Document Detail


Hepcidin is produced by lymphoplasmacytic cells and is associated with anemia in Waldenström's macroglobulinemia.
MedLine Citation:
PMID:  21454222     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Waldenström's macroglobulinemia (WM) patients often present with anemia as their primary disease manifestation that may be related to hepcidin, an important regulator of iron homeostasis. We therefore determined hepcidin levels in 53 WM patients, and 20 age-matched healthy patient donors by hepcidin-25 ELISA. Serum hepcidin levels were elevated in WM patients versus healthy patients (P=.04), and correlated with BM disease involvement (P=.004), beta-2-microglobulin levels (P=.029), and inversely with hemoglobin (P=.05). No correlation with serum iron indices was observed, though in patients with high hepcidin levels, increased iron deposition in bone marrow macrophages was observed. Importantly, hepcidin transcripts and protein were produced by primary WM cells. Hepcidin levels correlated with serum IL-6 (P<.001) and C-Reactive Protein (P=.033) levels. The results of this study implicate hepcidin as a contributor to anemia in WM, and suggest that an iron re-utilization defect accompanies hepcidin overproduction leading to its sequestration in WM patients.
Authors:
Bryan T Ciccarelli; Christopher J Patterson; Zachary R Hunter; Christina Hanzis; Leukothea Ioakimidis; Robert Manning; Guang Yang; Lian Xu; Yangsheng Zhou; Jenny Sun; Xia Liu; Hsiuyi Tseng; Yang Cao; Patricia Sheehy; Scott J Rodig; Steven P Treon
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical lymphoma, myeloma & leukemia     Volume:  11     ISSN:  2152-2669     ISO Abbreviation:  Clin Lymphoma Myeloma Leuk     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-04-01     Completed Date:  2011-08-30     Revised Date:  2011-10-03    
Medline Journal Info:
Nlm Unique ID:  101525386     Medline TA:  Clin Lymphoma Myeloma Leuk     Country:  United States    
Other Details:
Languages:  eng     Pagination:  160-3     Citation Subset:  IM    
Affiliation:
Bing Center for Waldenstrom's Macroglobulinemia, Dana Farber Cancer Institute, Harvard Medical School, Department of Pathology, Brigham and Women's Hospital, Boston, MA 02115, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anemia / blood*
Antimicrobial Cationic Peptides / blood*
Female
Humans
Lymphocytes / metabolism
Male
Middle Aged
Plasma Cells / metabolism
Waldenstrom Macroglobulinemia / blood*
Chemical
Reg. No./Substance:
0/Antimicrobial Cationic Peptides; 0/hepcidin

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