13A060506 フ 6ム8ヲミ04ヲミ メ フ08 6ム80304ヲミ ゙026ム806 フ03ヲ フ6セ4 6ム86 706 6ァ90709: 08 02000702030602fi0ケ0 030ク703000604026ァ80ケ0 000002 6 50803060400086ヲ0 02080ク7 0406 6ァ803080ク7 ヲフ. 09 apple 09000キ303096ァ9080ク7, 09. フ06020807fi00080ク7 ゙00 09 06 06 020306026ァ8 メ03060706026ァ8 ゙0905, 03080408020800006ァ908 ーヲミappleapple0802030702000608 ア, 05000404 0308076ァ90209 Papageorgiou V, Ikonomou M. Hepcidin: the principal regulator of iron metabolism. A Paed. Department A.U.TH., ーIppokration ア General Hospital, Thessaloniki,.Greece. Paediatr N Gr 2010, 22: 264-270. 0900036ァ903096 709. ヌ 006 706 6ァ90709 apple08020003006ァ9 020807 02000702030602fi 030ク703000604026ァ8 02090ケ0 08000806fi0402 04090ケ0 02080ク7 0406 6ァ803080ク7 02 06 00apple06apple03 閨0807 02 02 閨040006 0001 閨04080ク704 03 閨0409 04020907 apple 030809 閨070006 02090ケ0 07 06006ァ9 0ケ0 040308076ァ9 0ケ0 07fi04080ク7. 0903fi- 02000602 06 0906 0006 080300fi0709 apple080ク7 apple 0307090002 06 applefi 02 09apple 0208026ヲ00202-03 02 06 09 閨02020306046ァ8 02090ケ0 0001 03020702 06 applefi 020907 apple0804fi020902 02080ク7 020ク7-020308080803086ヲ00702 0406 6ァ803080ク7, 0209 080300090008076ァ8, 020907 0ク7apple08016ァ9 02 06 020907 00030ク7030308apple0806090206026ァ8 03 0402090306fi020902 02080ク7 080309 07060400086ヲ0. 6セ400 0008-0306 02fi 00apple6ァ9apple00 08 09 006 706 6ァ90709 03 000400006ヲ0080702 0ケ0 0209 0800030308apple0803-026ァ90709, 09 08apple086ァ9 006ァ907 06 0ク7apple006ヲ0030ク70709 0906 020907 applefi 080409 02080ク7 0406 6ァ8-03080ク7 applefi 020807 0007 08020ク7020207030608 04060308 apple03080ケ0 0209 040ク704020900 0206026ァ8 020ク7-0203080808036ァ9. フ0ク70406 0402060207, 09 006 706 6ァ90709 0000apple08 6ァ9ィB0006 020907 閨0108 08 02080ク7 0406 6ァ803080ク7 applefi 0803060400 閨07 026ヲ00202 03 fiapple0キ30ケ0 02 000702000308026ヲ00202 03, 02 09apple 0208026ヲ00202 03 02 06 02 00 020308080709. 0304080ク707 apple030802 03006ァ9 閨0キ30ケ0 046ァ8000003 0607080803000ケ0 000309 0402090306 02 閨0ケ0 00 閨0308 0806 0906 020807 apple030804-060803060400fi 020キ307 00apple06apple 陦0キ307 02090ケ0 006 706 6ァ907090ケ0, 030307 02 006ァ9 00 閨0308 080ケ0 0007 閨040006 000604 0403006ァ9 02 06 02 030600030キ303006ァ9 04020907 0203060706026ァ8 apple03070109 02fi- 00. 08apple070304080ク707, apple080303 閨0ケ0 000003030807020602 閨0ケ0 apple030808apple020602 閨0ケ0 0906 07 閨080ク70ケ0 06 09070キ304020602086ヲ00ケ0 02 06 030003 apple000ク7020602086ヲ00ケ0 040208apple086ヲ00ケ0 fi040807 08080307 0403 閨070006000ケ0 apple080ク7 040400026ァ9ィB080702 06 0000 0208 000002 6 50803060400fi 02080ク7 0406 6ァ803080ク7. 閨0100060ケ0-02030006 0607: 006 706 6ァ90709, 046ァ9 0903080ケ0, 0800030308apple0803026ァ90709, 07 06006ァ9 040308076ァ9 0ケ0 07fi04080ク7. Abstract. Hepcidin is the principal regulator of iron metabolism and simultaneously acts as the key-regulator of anemia of chronic disease. It is a hormone which is produced by the hepatocytes and its production is triggered mainly by the amount of circulating body iron, inflammation, hypoxia and the erythropoietic activity of the body. In molecular level, hepcidin acts via the binding of ferroportin which is the basic cellular exporter of iron from the intracellular space to the systemic circulation. The exact role of hepcidin is the inhibition of iron cellular efflux. Several laboratory methods for hepcidin ッs quantification have already been proposed but none has been established for clinical use so far. Hepcidin could open new horizons concerning diagnosis and therapy of diseases related to iron metabolism. Key words: hepcidin, iron, ferroportin, anemia of chronic disease. E0604 090キ3096ァ8 ヲ 020003000ク702 6ァ9 閨0209 閨040006 04090000060キ303006ァ9 000009070309 apple03fi08 080ケ0 040209 000003 閨0209 02090ケ0 08000806fi0402 04090ケ0 02080ク7 0406 6ァ803080ク7 02 06 02090ケ0 apple 030809-070006 0ケ0 02090ケ0 07 06006ァ9 0ケ0 040308076ァ9 0ケ0 07fi04080ク7. ヌ 006 706 6ァ90709 03000キ303006ァ9-02 06 046ァ8000003 08 02000702030602fi0ケ0 030ク703000604026ァ80ケ0 02080ク7 000002 6 50803060400086ヲ0 02080ク7 0406 6ァ803080ク7 02 06 6 5 040602fi0ケ0 0000040803 6 509026ァ80ケ0 02080ク7 07080408apple080609020602086ヲ0 040ク704026ァ800 02080ケ01,2. 0903fi02000602 06 0906 0006 000602036ァ8 apple030キ3-02000ケ10709 apple080ク7 apple08020003006ァ902 06 applefi 00fi03060ケ0 25 0006070801 陦 02 06 040ク7-07026ァ9030002 06 applefi 02 09apple 0208026ヲ00202 03 3. ヌ 046ヲ0070300046ァ8 02090ケ0 00apple07-090002 06 applefi 020907 0ク7apple000300apple0703020006 02080ク7 080309 07060400086ヲ0 0400 046ァ9 09-0308 02 06 applefi 0209 080300090008076ァ8, 000706 0003 020206070002 06 0400 040ク707036ァ8-02000ケ0 閨07020807090ケ0 00030ク7030308apple0806090206026ァ80ケ0 03 0402090306fi020902 0ケ0. ヌ 07-09070603060409 02090ケ0 006 706 6ァ907090ケ0 02 06 02080ク7 040900 07020602086ヲ0 02090ケ0 03fi03080ク7 040208 000002 6 50803060400fi 02080ク7 0406 6ァ803080ク7 03 00apple0803086ヲ00400 0000030308-0702060207 07 07086ァ9010006 07 閨080ク70ケ0 03fi00080ク70ケ0 040209 030003 apple006ァ9 02090ケ0 0406-090308apple000706026ァ80ケ0 07 06006ァ9 0ケ0, 02090ケ0 06000804030キ30007020キ304090ケ0 02 06 02090ケ0 07 06006ァ9 0ケ0 040308076ァ9 0ケ0 07fi04080ク74,5.
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Nemeth E, Ganz T. Regulation of iron metabolism by hepcidin. Ann Rev Nutr 2006, 26: 323-42. 2. Ganz T. Hepcidin, a key regulator of iron metabolism and mediator of anemia of inflammation. Blood 2003, 102: 783-8. 3. Bergamaschi G, Villani L. Serum hepcidin: a novel diagnostic tool in disorders of iron metabolism. Haematologica 2009, 94: 1631-3. 4. Pak M, Lopez M, Garayan V, Ganz T, Rivera S. Suppression of hepcidin during anemia requires erythropoietic activity. Blood 2006, 108: 3730-5. 5. 09070902 03090ケ0 罍゙. ゙0600 02080308096ァ9 04020907 0203060706026ァ8 apple03070109. ヲミ 02030602 閨0ケ0 0002- fi0400060ケ0 09.01. 09 0404 036ァ9 09, 2008, 223-37. 6. Park C, Valore E, Waring A, Ganz T. Hepcidin, a urinary antimicrobial peptide synhtesized in the liver. J Biol Chem 2001, 276: 7806-10. 7. Krause A, Neitz S, Magert HJ, Schultz A, Forssmann W, Schulz-Knappe P, et al. LEAP-1 a novel highly disulfidebonded human peptide, excibits antimicrobial activity. FEBS Lett 2000, 480: 147-50. 8. Kemna E, Tjalsma H, Willems H, Swinkels D. Hepcidin from discovery to differential diagnosis. Haematologica 2008, 93: 90-7. 9. Lee P, Beutler E. Regulation of hepcidin and iron-overload disease. Annu Rev Pathol 2009, 4: 489-515. 10. 6セ4 fi0909080ク7 ヲ, 縺000キ30309086ヲ00309 6ム8, メfi04040ク76 5. 6ム86 706 6ァ90709 02 06 000002 6 508-03060400fi0ケ0 02080ク7 0406 6ァ803080ク7. 09 06 06 020306026ァ8 2009, 72: 413-22. 11. Munoz M, Villar I, Garcia-Erce J. An update on iron physiology. World J Gastroenterol 2009, 15: 4617-26. 12. Donovan A, Bownlie A, Zhou Y, Shepard J, Pratt SJ, Moynihan J, et al. Positional cloning of zebrafish ferroportin1 identifies a conserved vertebrate iron exporter. Nature 2000, 403: 776-81. 13. Zhang A, Enns C. Molecular mechanisms of normal iron homeostasis. Hematology 2009, 2009: 207-14.
1309 06 06 020306026ァ8 B フ066ム8I フ08 6ム8 ゙04 フ6セ4, 22, 3 269 14. Pigeon C, Ilyin G, Courselaud B, et al. A new mouse liverspecific gene encoding a protein homologous to human antimicrobial peptide hepcidin, is overexpressed during iron overload. J Biol Chem 2001, 276: 7811-9. 15. Nicolas G, Bennoun M, Devaux I, et al. Lack of hepcidin gene expression and severe tissue iron overload in upstream stimulatory factor 2 (USF2) knockout mice. Proc Natl Acad Sci USA 2001, 98: 8780-5. 16. Abboud S, Haile D. A novel mammalian iron-regulated protein involved in intracellular iron metabolism. J Biol Chem 2000, 275: 19906-12. 17. De Domenico I, Nemeth E, Nelson J, Phillips J, Ajioka R, Kay M, et al. The hepcidin binding site on ferroportin is evolutionarily conserved. Cell Metab 2008, 8: 146-56. 18. Nemeth E, Tuttle M, Powelson J, Vaughn M, Donovan A, Ward D, et al. Hepcidin regulates cellular iron efflux by binding to ferroportin and inducing its internalization. Science 2004, 306: 2090-3. 19. Ramey G, Deschemin J, Durel B, Canonne-Hergaux F, Nicolas G, Vaulout S. Hepcidin targets ferroportin for degradation in hepatocytes. Haematologica 2010, 95: 501-4. 20. ニhang A, Yang F, Wang J, Tsukamoto H, Enns C. Hemojuvelin-neogemin interaction is required for bone morphogenic protein-4 induced hepcidin expression. J Biol Chem 2009, 284: 22580-9. 21. 09eynard J, Kautz L, Darnaud V, Canonne-Hergaux F, Coppin H, Roth M. Lack of the bone morphogenetic protein BMP6 induces massive iron overload. Nat Genet 2009, 41: 478-81. 22. Alexander J, Kowdley K. HFE-associated hereditary hemochromatosis. Genet Med 2009, 11: 307-13. 23. Graham R, Chua A, Herbison C, Olynyk J, Trinder D. Liver iron transport. World J Gastroenterol 2007, 13: 4725-36. 24. Fleming R. Iron sensing as a partnership: HFE and transferrin receptor 2. Cell Metab 2009, 9: 211-2. 25. Darshan D, Anderson G. Interacting signals in the control of hepcidin expression. Biometals 2009, 22: 77-87. 26. Weiss G. Genetic mechanisms and modifying factors in hereditary hemochromatosis. Nat Rev Gastroenterol Hepatol 2010, 7: 50-8. 27. Gehre S, Pietrangelo A, Kascak M, Braner A, Eisold M, Kulaksiz H, et al. HJV gene mutation in European patients with juvenile hemochromatosis. Clin Genet 2005, 67: 425-8. 28. Janssen M. Hereditary haemochromatosis. Neth J Med 2007, 65: 409-10. 29. Beutler E. Hemochromatosis: genetics and pathophysiology. Annu Rev Med 2006, 57: 331-47. 30. Le Gac G, Ferec C. The molecular genetic of haemochromatosis. Eur J Hum Genet 2005, 13: 1172-85. 31. Pietrangelo A. Hereditary hemochromatosis: pathogenesis, diagnosis, and treatment. Gastroenterology 2010, 139: 393-408. 32. Rideau A, Mangeat B, Matthes T, Trono D, Beris P. Molecular mechanism of hepcidin deficiency in a patient with juvenile hemochromatosis. Haematologica 2007, 92: 127-8. 33. Gamaschella C, Poggiali E. Rare types of genetic hemochromatosis. Acta Haematol 2009, 122: 140-5. 34. Fernandez A, Preza G, Phung Y, De Domenico I, Kaplan J, Ganz T, et al. The molecular basis of hepcidin-resistant hereditary hemochromatosis. Blood 2009, 114: 437-43. 35. Ajioka R, Phillips J, Weiss R, Dunn D, Smit M, Proll S, et al. Down regulation of hepcidin in porphyria cutanea tarda. Blood 2008, 112: 4723-8. 36. Kohgo Y, Ikuta K, Ohtake T, Torimoto Y, Kato J. Iron o- verload and cofactors with special reference to alcohol, hepatitis C virus infection and steatosis/insulin resistance. World J Gastroenterol 2007, 13: 4699-706. 37. Wessling-Resnick M. Iron homeostasis and the inflammatory response. Annu Rev Nutr 2010, 30: 105-22. 38. Deicher R, Horl W. New insights into the regulation of iron homeostasis. Eur J Clin Invest 2006, 36: 301-9. 39. Nicolas G, Chauvet C, Viatte L, Danan J, Bigard X, Devaux I, et al. The gene encoding the iron regulatory peptide hepcidin is regulated by anemia, hypoxia and inflammation. J Clin I west 2002, 110: 1037-44. 40. Ganz T. Iron in innate immunity: starve the invaders. Curr Opin Immunol 2009, 21: 63-7. 41. Rivera S, Nemeth E, Gabayan V, Lopez M, Farshidi D, Ganz T. Synthetic hepcidin causes rapid dose-dependent hypoferremia and is concentrated in ferroportin-containing organs. Blood 2005, 106: 2196-9. 42. Weiss G. Iron metabolism in the anemia of chronic disease. Biochim Biophys Acta 2009, 1790: 682-93. 43. Chen J, Chloupkova M. Abnormal iron uptake and liver cancer. Cancer Biol Ther 2009, 8: 1699-708. 44. Grotto H. Anaemia of cancer: an overview of mechanisms involved in its pathogenesis. Med Oncol 2008, 25: 12-21. 45. Balla J, Jeney V, Varga Z, Komodi E, Nagy E, Balla G. Iron homeostasis in chronic inflammation. Acta Physiol Hung 2007, 94: 95-106. 46. Smith T, Robbins P, Ratcliffe P. The human side of hypoxiainducible factor. Br J Haematol 2008, 141: 325-34. 47. Pinto J, Ribeiro S, Pontes H, Thowfeequ S, Tosh D, Carvalho F, Porto G. Erythropoietin mediates hepcidin expression in hepatocytes through EPOR signaling and regulation of C/EBPa. Blood 2008, 111: 5727-33. 48. Tanno T, Bhanu N, Oneal P, Goh S, Staker P, Lee Y, et al. High levels of GDF15 in thalassemia suppress expression of the iron regulatory protein hepcidin. Nat Med 2007,13: 1096-101. 49. Kulaksiz H, Gehrke S, Janetzko A, Rost D, Bruckner T, Kallinowski B,et al. Pro-hepcidin: expression and cell-specific localisation in the liver and its regulation in hereditary haemochromatosis, chronic renal insufficiency and renal anaemia. Gut 2004, 53: 735-43. 50. Swinkels D, Girelli D, Laarakkers C, Kroot J, Campostrini N, Kemna E, et al. Advances in quantitative hepcidin measurments by time-of-flight mass spectrometry. PloS ONE 2008, 3: e2706. 51. Bansal S, Halket J, Bomford A, Simpson R, Vasavda N, Thein S, et al. Quantitation of hepcidin in human urine by liquid
13270 09 06 06 020306026ァ8 B フ066ム8I フ08 6ム8 ゙04 フ6セ4, 22, 3 chromatography-mass spectrometry. Anal Biochem 2009, 384: 245-53. 52. Ganz T, Olbina G, Girelli D, Nemeth E, Westerman M. Immunoassay for human serum hepcidin. Blood 2008, 112: 4292-7. 53. Kemna E, Tjalsma H, Podust V, Swinkels D. Mass spectometry-based hepcidin measurments in serum and urine: analytical aspects and clinical implications. Clin Chem 2007, 53: 620-8. 54. Piperno A, Mariani R, Trombini P, Girelli D. Hepcidin modulation in human diseases: from research to clinic. World J Gastroenterol 2009, 15: 538-51. 55. Ganz T. Hepcidin and its role in regulating systemic iron metabolism. Hematology Am Soc Educ Program 2006, 29-35: 507. ゙03030903080903 086ァ9 : ヲフ. 09 apple 09000キ303096ァ9080ク7 0909020308applefi03000キ30ケ0 109 546 22 05000404 0308076ァ90209 ヲ 0903: 2310 263351 E-mail: valiapap@yahoo.com Correspondence auth08r: V. Papageorgiou Mitropoleos 109 546 22 Thessaloniki, Greece Tel: 2310 263351 E-mail: valiapap@yahoo.com