铁调素及维生素D水平与儿童缺铁性贫血的研究进展

Research progress on the correlation between hepcidin and vitamin D levels in children with iron deficiency anemia

  • 摘要: 缺铁性贫血(IDA)是儿童时期常见的贫血类型, 是由于各种原因引起机体铁缺乏, 导致血红蛋白合成水平下降而引起的贫血, IDA会对儿童生长发育造成不良影响。铁调素对铁代谢起负性调控作用, 近年的研究表明, 铁调素可作为IDA早期诊断及疗效评估的指标之一。维生素D对铁调素有直接或间接的抑制作用, 维生素D缺乏是儿童贫血的常见诱因之一, 且其缺乏程度与贫血严重程度呈正相关, 维生素D联合铁剂治疗对IDA有较好的防治作用。该文就目前关于铁调素及维生素D水平在儿童IDA中的相关性及两者在该病诊治中的意义进行介绍, 以期为儿童IDA的临床管理提供新的诊治思路。

     

    Abstract: Iron deficiency anemia (IDA) is a common type of anemia in childhood caused by iron deficiency due to varying causes, which can result in a decline in the synthesis of hemoglobin. IDA will adversely affect the growth and development of children. Hepcidin exerts a negative regulatory effect on iron metabolism. Recent studies have shown that hepcidin can be used as one of the biomarkers for early diagnosis of IDA and the response evaluation. Vitamin D exerts a direct or indirect inhibitory effect upon hepcidin. Lack of vitamin D is one of the common triggers for anemia in children, and the degree of vitamin D deficiency is positively correlated with the degree of anemia. Combined therapy of vitamin D and iron exerts preventive and therapeutic effect on IDA. In this article, the correlation between the hepcidin and vitamin D levels in IDA children and their significance in the diagnosis and treatment of IDA were reviewed, aiming to provide novel diagnostic and therapeutic ideas for the clinical management of pediatric IDA.

     

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