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Low Serum Retinol Concentration Explain Higher Hepcidin Levels In Mexican Older Adults
Author(s) -
De la CruzGóngora Vanessa,
SalinasRodríguez Aarón,
Villalpando Salvador
Publication year - 2017
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.31.1_supplement.151.3
Subject(s) - hepcidin , medicine , endocrinology , retinol , anemia , ferritin , vitamin , soluble transferrin receptor , population , transferrin , physiology , iron deficiency , environmental health , iron status
Background Elevated hepcidin levels have been linked to anemia of inflammation (AI). Retinol deficiency has shown to modulate hepcidin expression in animals; however, no studies have explored low serum retinol (LSR) concentration in older adults (OA) and their possible association with hepcidin concentrations. Anemia affect 27% of Mexican OA and inflammation may play a role in the production of anemia in this population. Understanding the mechanisms that play a role in the control hepcidin secretion is an important goal in the prevention of AI. Aim To explore if low serum retinol is associated with higher serum hepcidin concentrations in Mexican older adults (≥60years). Methods Mexican OA were participants in a crossectional study to identify the main causes of anemia. They were recruited in August 2015. Fasting serum samples were collected in 535 OA. Serum retinol (SR) was measured by HPLC and LSR was defined if SR<20μg/dL. Hepcidin (ng/mL) was measured using a commercial ELISA kit. Due to skewed distribution of hepcidin, a quantil regression model was used to associate the LSR and hepcidin, adjusting by sex, age, BMI, ferritin, transferrin receptor, vitamin B12 status, IL‐6, C reactive protein, Alpha‐1‐acid glycoprotein, diabetes, hypertension, tertil of socioeconomic status, sarcopenia and functional disability. Results Mean age was 71.5y for male and 70.7y for female. LSR was present in 3.2% of OA. Mexican OA with low serum retinol had 12.2 ng/mL higher hepcidin levels than OA with normal serum retinol levels (p=0.03). Hepcidin adjusted median (by confounders) were (median±EE): 19.4± 1.0 ng/mL in OA with normal serum retinol and 31.9±5.7 ng/mL in OA with LSR. Sarcopenic OA had higher hepcidin levels (coef: 7.5 ng/mL, p=0.03) than OA non‐sarcopenic. Conclusions LSR levels in OA explain their higher hepcidin concentrations. Retinol concentrations affects iron homeostasis but the mechanism is unclear. This data document for the first time that in humans, low serum retinol concentration is inversely associated with hepcidin concentrations. Further longitudinal studies are needed to understand the role of serum hepcidin and Retinol in the development of AI in OA. Support or Funding Information CONACYT‐FONSEC SSA/IMSS/ISSSTE SALUD 2014‐1, S0008‐2014‐1‐234157