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Biomolecules 2018, 8(3), 43;

Prognostic Value of Iron-Homeostasis Regulating Peptide Hepcidin in Coronary Heart Disease—Evidence from the Large AtheroGene Study

Department of General and Interventional Cardiology, University Heart Center Hamburg, 20246 Hamburg, Germany
German Center for Cardiovascular Research (DZHK), Partner Site Hamburg, Lübeck, Kiel, 20246 Hamburg, Germany
German Center for Cardiovascular Research (DZHK), Partner Site Rhein-Main, 55131 Mainz, Germany
Department of Laboratory Medicine, University Medical Center, Johannes Gutenberg University Mainz, 55131 Mainz, Germany
These authors contributed equally to this work.
Author to whom correspondence should be addressed.
Received: 8 June 2018 / Revised: 25 June 2018 / Accepted: 26 June 2018 / Published: 28 June 2018
(This article belongs to the Special Issue Biomolecules for Translational Approaches in Cardiology)
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Iron is essential in terms of oxygen utilization and mitochondrial function. The liver-derived peptide hepcidin has been recognized as a key regulator of iron homeostasis. Since iron metabolism is crucially linked to cardiovascular health, and low hepcidin was proposed as potential new marker of iron metabolism, we aimed to evaluate the prognostic value of hepcidin in a large cohort of patients with coronary heart disease (CHD). Serum levels of hepcidin were determined at baseline in patients with angiographically documented CHD. The main outcome measure was non-fatal myocardial infarction (MI) or cardiovascular death. During a median follow-up of 4.1 years, 10.3% experienced an endpoint. In Cox regression analyses for hepcidin the hazard ratio for future cardiovascular death or MI was 1.03 (95% confidence interval (CI) 0.91–1.18, p = 0.63) after adjustment for sex and age. This association virtually did not change after additional adjustment for body mass index (BMI), smoking status, hypertension, diabetes, dyslipidemia, and surrogates of cardiac function (NT-proBNP), size of myocardial necrosis (troponin I), and anemia (hemoglobin). In this study, by far the largest evaluating the predictive value of hepcidin, hepcidin levels were not associated with future MI or cardiovascular death. This implicates a limited, if any, role for hepcidin in secondary cardiovascular risk prediction. View Full-Text
Keywords: hepcidin; iron; coronary heart disease; biomarker; prognosis hepcidin; iron; coronary heart disease; biomarker; prognosis

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Zeller, T.; Altay, A.; Waldeyer, C.; Appelbaum, S.; Ojeda, F.; Ruhe, J.; Schnabel, R.B.; Lackner, K.J.; Blankenberg, S.; Karakas, M. Prognostic Value of Iron-Homeostasis Regulating Peptide Hepcidin in Coronary Heart Disease—Evidence from the Large AtheroGene Study. Biomolecules 2018, 8, 43.

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