Iron Load and Serum Hepcidin in Hepatitis C Virus-Related
Hepatocellular Carcinoma
Nehad M Tawfik, Mona A Hegazy, Inas A Abdel Maksoud, Aml S Nasr
Citation Information :
M Tawfik N, A Hegazy M, A Abdel Maksoud I, S Nasr A. Iron Load and Serum Hepcidin in Hepatitis C Virus-Related Hepatocellular Carcinoma. Euroasian J Hepatogastroenterol 2012; 2 (1):24-27.
Background: Hepatocellular carcinoma (HCC) is a major cause
of death worldwide, and chronic inflammatory stress caused
by hepatitis viruses plays a major role in HCC carcinogenesis.
The aim of the present study was to investigate the expression
of serum hepcidin and its correlation with iron overload in HCC.
Study design: The study was carried out on 50 hepatitis C
virus (HCV)-related HCC cirrhotic patients (Group I) and 20
age-matched non-HCC liver cirrhosis patients as control
(Group II). Serum hepcidin was measured in all samples with a
commercial immunoassay. The extent of iron deposition was
evaluated in liver histochemically.
Results: There was no relationship between the serum hepcidin
level and the histological grade of HCC (p = 0.1492), or
multiplicity of focal lesion (p = 0.0719), however, hepatic iron
deposition was significant higher in HCC than non-HCC cirrhotic
patients (p < 0.005).
Conclusion: The current study suggests a positive association
of hepatic iron score, but the role of hepcidin in this context
remains to be elucidated.
Armstrong GL, Wasley A, Simard EP, McQuillan GM, Kuhnert WL, Alter MJ. The prevalence of hepatitis C virus infection in the United States, 1999 through 2002. Ann Intern Med 2006; 144:705-14
Iron activates NF-kappaB in Kupffer cells. Am J Physiol Gastrointest Liver Physiol 2002;283:G719-26
Effect of free iron on collagen synthesis, cell proliferation and MMP-2 expression in rat hepatic stellate cells. Biochem Pharmacol 2002;64: 1139-45
Iron in nonhemochromatic liver disorders. Semin Liver Dis 2005;25:461-72
Iron chelation beyond transfusion iron overload. Am J Hematol 2007;82(12 Suppl):1142-46
Determinants of serum ALT normalization after phlebotomy in patients with chronic hepatitis C infection. J Gastroenterol 2005;40:901-06
Normalization of elevated hepatic 8-hydroxy-2'-deoxyguanosine levels in chronic hepatitis C patients by phlebotomy and low iron diet. Cancer Res 2001 61:8697-702
Iron reduction before and during interferon therapy of chronic hepatitis C: Results of a multicenter, randomized, controlled trial. Hepatology 2000; 31: 730-36
Successful interferon therapy reverses enhanced hepatic iron accumulation and lipid peroxidation in chronic hepatitis C. Am J Gastroenterol 2000;95:1041-50
Hepatic iron overload induces hepatocellular carcinoma in transgenic mice expressing the hepatitis C virus polyprotein. Gastroenterology 2006;130:2087-98
Hepcidin antimicrobial peptide transgenic mice exhibit features of the anemia of inflammation. Blood 2007;109: 4038-44
Targeted disruption of the hepcidin 1 gene results in severe hemochromatosis. Blood. 2006; 108:1402-05
Regulation of iron metabolism by hepcidin. Annu Rev Nutr 2006;26:323-42
Hepcidin expression in the liver: Relatively low level in patients with chronic hepatitis C. Mol Med 2007;13:97-104
Liver pathology in genetic hemochromatosis: A review of 135 homozygous cases and their bioclinical correlations. Gastroenterology 1992;102:2050-59
Histologic quantification of hemochromatotic and nonhemochromatotic liver siderosis. A study of 254 liver biopsies. Ann Pathol 1997;17:329-32
Liver cell dysplasia: A premalignant condition. J Clin Pathol 1973;26:217-23
Epidemiologic evidence of an association between body iron stores and risk of cancer. Int J Cancer 1988;41:677-82
Serum ferritin level predicts advanced hepatic fibrosis among US patients with phenotypic hemochromatosis. Ann Intern Med 2003;15(138):627-33
Serum hepcidin levels are related to the severity of liver histological lesions in chronic hepatitis C. J Viral Hepat 2010;17:800-06
Expression of hepcidin mRNA is uniformly suppressed in hepatocellular carcinoma, BMC Cancer 2008;9(8):167.