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Iron metabolism in blood donors


Authors: L. Sulovská 1;  D. Holub 2;  D. Galuszková 3;  I. Sulovská 3;  M. Hajdúch 2;  M. Horváthová 4;  D. Pospíšilová 1
Authors‘ workplace: Dětská klinika, Fakultní nemocnice a Lékařské fakulty Univerzity Palackého v Olomouci 1;  Ústav molekulární a translační medicíny, Olomouc 2;  Transfuzní oddělení, Fakultní nemocnice a Lékařské fakulty Univerzity Palackého v Olomouci 3;  Ústav biologie Lékařské fakulty Univerzity Palackého v Olomouci 4
Published in: Transfuze Hematol. dnes,21, 2015, No. 4, p. 193-199.
Category: Comprehensive Reports, Original Papers, Case Reports

Overview

Introduction:
Iron metabolism is closely related to bone marrow erythropoietic activity. Blood donation alters iron homeostasis and may lead to depletion of donor iron stores. The aim of this study was to evaluate selected parameters of iron metabolism and their role in the prevention of iron deficiency in blood donors.

Material and methods:
Blood count, serum iron, ferritin and hepcidin levels were evaluated in blood donors who met the criteria for blood donation in accordance with the Recommendation of the Society for Transfusion Medicine. A group of 117 blood donors (64 men and 53 women) who were eligible to donate blood were tested. The hepcidin level was determined using proteomic analysis based on reverse liquid chromatography coupled with mass spectrometry (LC-MS).

Results:
Men had a significantly higher erythrocyte count, haemoglobin, haematocrit and ferritin than women. Ferritin level correlated positively with the level of hepcidin in both men and women. Six men (9.52%) and nine women (17.64%) had serum ferritin below 12 ng/ml. Markedly reduced levels of hepcidin (below 2.5 ng/ml) were detected in 18 men (28%) and 5 women (9.8%).

Conclusion:
Hepcidin reflects better iron required for erythropoiesis and it can be used as a marker for monitoring iron status in blood donors.

Key words:
hepcidin, iron metabolism, blood donation, iron deficiency


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