Mironova OIu, Panferov AS. Anemia of chronic diseases: current state of the problem and perspectives. Terapevticheskii Arkhiv (Ter. Arkh.). 2022;94(12):1349–1354. DOI: 10.26442/00403660.2022.12.201984
Анемия хронических заболеваний: современное состояние проблемы и перспективы
Миронова О.Ю., Панферов А.С. Анемия хронических заболеваний: современное состояние проблемы и перспективы. Терапевтический архив. 2022;94(12):1349–1354.
DOI: 10.26442/00403660.2022.12.201984
Mironova OIu, Panferov AS. Anemia of chronic diseases: current state of the problem and perspectives. Terapevticheskii Arkhiv (Ter. Arkh.). 2022;94(12):1349–1354. DOI: 10.26442/00403660.2022.12.201984
Анемия хронических заболеваний – это состояние, которое сопровождает ряд заболеваний, в патогенезе которых важную роль играет системное воспаление. В статье представлены последние сведения о патогенезе, принципах диагностики и перспективах лечения этого вида анемий. Отдельно обсуждаются методы выявления дефицита железа на фоне системного воспаления.
Anemia of chronic diseases is a condition, that accompanies several chronic conditions, that have inflammation as an underlying cause. The article covers current concepts of pathogenesis, evaluation and treatment of this type of anemia. The new perspectives in the development of investigational methods and treatment are discussed. The new methods of iron deficiency assessment in patients with systemic inflammation are discussed separately.
Keywords: anemia, anemia of chronic diseases, hemoglobin, erythropoiesis, hepcidin, iron deficiency
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2. Weiss G. Pathogenesis and treatment of anaemia of chronic disease. Blood Rev. 2002;16(2):87-96. DOI:10.1054/blre.2002.0193
3. Means Jr RT. Recent developments in the anemia of chronic disease. Curr Hematol Rep. 2003;2(2):116-21.
4. World Health Organization. Noncommunicable diseases. Fact sheet. 2022. Available at: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Accessed: 02.06.2022.
5. Bernell S, Howard SW. Use your words carefully: what is a chronic disease? Front Public Heal. 2016;4:159. DOI:10.3389/fpubh.2016.00159
6. Weiss G, Goodnough LT. Anemia of chronic disease. N Engl J Med. 2005;352(10):1011-23. DOI:10.1056/NEJMra041809
7. Dulmovits BM, Tang Y, Papoin J, et al. HMGB1-Mediated Restriction of EPO Signaling Contributes to Anemia of Inflammation. Blood. 2022;139(21):3181-93. DOI:10.1182/blood.2021012048
8. Yap GS, Stevenson MM. Inhibition of in vitro erythropoiesis by soluble mediators in Plasmodium chabaudi AS malaria: lack of a major role for interleukin 1, tumor necrosis factor alpha, and gamma interferon. Infect Immun. 1994;62(2):357-62.
9. Gordeuk VR, Delanghe JR, Langlois MR, Boelaert JR. Iron status and the outcome of HIV infection: an overview. J Clin Virol. 2001;20(3):111-5. DOI:10.1016/s1386-6532(00)00134-7
10. Fernández-García V, González-Ramos S, Avendaño-Ortiz J, et al. NOD1 splenic activation confers ferroptosis protection and reduces macrophage recruitment under pro-atherogenic conditions. Biomed Pharmacother. 2022;148:112769. DOI:10.1016/j.biopha.2022.112769
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DOI:10.1091/mbc.e07-01-0060
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23. Renders L, Budde K, Rosenberger C, et al. First-in-human Phase I studies of PRS-080# 22, a hepcidin antagonist, in healthy volunteers and patients with chronic kidney disease undergoing hemodialysis. PLoS One. 2019;14(3):e0212023. DOI:10.1371/journal.pone.0212023
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________________________________________________
1. Matzner Y, Levy S, Grossowicz N, et al. Prevalence and Causes of Anemia in Elderly Hospitalized Patients. Gerontology. 1979;25(2):113-9. DOI:10.1159/000212328
2. Weiss G. Pathogenesis and treatment of anaemia of chronic disease. Blood Rev. 2002;16(2):87-96. DOI:10.1054/blre.2002.0193
3. Means Jr RT. Recent developments in the anemia of chronic disease. Curr Hematol Rep. 2003;2(2):116-21.
4. World Health Organization. Noncommunicable diseases. Fact sheet. 2022. Available at: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Accessed: 02.06.2022.
5. Bernell S, Howard SW. Use your words carefully: what is a chronic disease? Front Public Heal. 2016;4:159. DOI:10.3389/fpubh.2016.00159
6. Weiss G, Goodnough LT. Anemia of chronic disease. N Engl J Med. 2005;352(10):1011-23. DOI:10.1056/NEJMra041809
7. Dulmovits BM, Tang Y, Papoin J, et al. HMGB1-Mediated Restriction of EPO Signaling Contributes to Anemia of Inflammation. Blood. 2022;139(21):3181-93. DOI:10.1182/blood.2021012048
8. Yap GS, Stevenson MM. Inhibition of in vitro erythropoiesis by soluble mediators in Plasmodium chabaudi AS malaria: lack of a major role for interleukin 1, tumor necrosis factor alpha, and gamma interferon. Infect Immun. 1994;62(2):357-62.
9. Gordeuk VR, Delanghe JR, Langlois MR, Boelaert JR. Iron status and the outcome of HIV infection: an overview. J Clin Virol. 2001;20(3):111-5. DOI:10.1016/s1386-6532(00)00134-7
10. Fernández-García V, González-Ramos S, Avendaño-Ortiz J, et al. NOD1 splenic activation confers ferroptosis protection and reduces macrophage recruitment under pro-atherogenic conditions. Biomed Pharmacother. 2022;148:112769. DOI:10.1016/j.biopha.2022.112769
11. Kautz L, Jung G, Valore EV, et al. Identification of erythroferrone as an erythroid regulator of iron metabolism. Nat Genet. 2014;46(7):678-84. DOI:10.1038/ng.2996
12. De Domenico I, Ward DM, Langelier C, et al. The molecular mechanism of hepcidin-mediated ferroportin down-regulation. Mol Biol Cell. 2007;18(7):2569-78.
DOI:10.1091/mbc.e07-01-0060
13. Jiang L, Wang J, Wang K, et al. RNF217 regulates iron homeostasis through its E3 ubiquitin ligase activity by modulating ferroportin degradation. Blood. 2021;138(8):689-705. DOI:10.1182/blood.2020008986
14. Diepeveen LE, Stegemann G, Wiegerinck ET, et al. Investigating the Molecular Mechanisms of Renal Hepcidin Induction and Protection upon Hemoglobin-Induced Acute Kidney Injury. Int J Mol Sci. 2022;23(3):1352. DOI:10.3390/ijms23031352
15. Wieczorek M, Schwarz F, Sadlon A, et al. Iron deficiency and biomarkers of inflammation: A 3-year prospective analysis of the DO-HEALTH trial. Aging Clin Exp Res. 2022;34(3):515-25. DOI:10.1007/s40520-021-01955-3
16. Yağcı S, Serin E, Acicbe Ö, et al. The relationship between serum erythropoietin, hepcidin, and haptoglobin levels with disease severity and other biochemical values in patients with COVID-19. Int J Lab Hematol. 2021;43:142-51. DOI:10.1111/ijlh.13479
17. Zhou C, Chen Y, Ji Y, et al. Increased serum levels of hepcidin and ferritin are associated with severity of COVID-19. Med Sci Monit Int Med J Exp Clin Res. 2020;26:e926178-1. DOI:10.12659/MSM.926178
18. Zuin M, Rigatelli G, Quadretti L, et al. Prognostic Role of Anemia in COVID-19 Patients: A Meta-Analysis. Infect Dis Rep. 2021;13(4):930-7. DOI:10.3390/idr13040085
19. Chen Y, Xu W, Yang H, et al. Serum Levels of Hepcidin in Rheumatoid Arthritis and Its Correlation with Disease Activity and Anemia: A Meta-analysis. Immunol Invest. 2021;50(2-3):243-58. DOI:10.1080/08820139.2020.1742731
20. Szymczak A, Zalewska M, Rymer W, Jankowska EA. Asymptomatic Human Immunodeficiency Virus-1 Infection with High CD4+ T Cell Count Does Not Alter Iron Metabolism or Hepcidin Levels: The Pilot Study. Infect Dis Ther. 2022;11(1):265-75. DOI:10.1007/s40121-021-00560-1
21. Blindar VN, Dobrovolskaya MM, Khagazheeva MN, et al. The role of interleukin-6 and hepcidin 25 in the pathogenesis of anemic syndrome associated with malignant neoplasms with breast cancer patients before neoadjuvant chemotherapy. Klin Lab Diagn. 2021;66(3):147-53. DOI:10.51620/0869-2084-2021-66-3-147-153
22. Han J, Wang K. Clinical significance of serum hepcidin in the diagnosis and treatment of patients with anemia of chronic disease: a meta-analysis. Biomarkers. 2021;26(4):296-301. DOI:10.1080/1354750X.2021.1893812
23. Renders L, Budde K, Rosenberger C, et al. First-in-human Phase I studies of PRS-080# 22, a hepcidin antagonist, in healthy volunteers and patients with chronic kidney disease undergoing hemodialysis. PLoS One. 2019;14(3):e0212023. DOI:10.1371/journal.pone.0212023
24. Boyce M, Warrington S, Cortezi B, et al. Safety, pharmacokinetics and pharmacodynamics of the anti-hepcidin Spiegelmer lexaptepid pegol in healthy subjects. Br J Pharmacol. 2016;173(10):1580-8. DOI:10.1111/bph.13433
25. van Eijk LT, John ASE, Schwoebel F, et al. Effect of the antihepcidin Spiegelmer lexaptepid on inflammation-induced decrease in serum iron in humans. Blood. 2014;124(17):2643-6. DOI:10.1182/blood-2014-03-559484
26. Macdougall IC, Rumjon A, Cinco J, et al. FP660 Pharmacokinetics and Pharmacodynamics of Lexaptepid, a Novel Anti-Hepcidin Molecule, in ESA-Resistant Haemodialysis Patients. Nephrol Dial Transplanation. 2015;30(suppl_3):iii294-5.
27. Vadhan-Raj S, Abonour R, Goldman JW, et al. A first-in-human phase 1 study of a hepcidin monoclonal antibody, LY2787106, in cancer-associated anemia. J Hematol Oncol. 2017;10(1):1-12. DOI:10.1186/s13045-017-0427-x
28. Sakamoto S, Kirinashizawa M, Mohara Y, Watanabe Y. Generation and characterization of monoclonal antibodies against mature hepcidin and its application to neutralization and quantitative alteration assay. Biosci Biotechnol Biochem. 2021;85(2):340-50. DOI:10.1093/bbb/zbaa013
29. Than MM, Koonyosying P, Ruangsuriya J, et al. Effect of Recombinant Human Erythroferrone Protein on Hepcidin Gene (Hamp1) Expression in HepG2 and HuH7 Cells. Materials (Basel). 2021;14(21):6480. DOI:10.3390/ma14216480
30. Lugus JJ, Park C, Ma YD, Choi K. Both primitive and definitive blood cells are derived from Flk-1+ mesoderm. Blood. 2009;113(3):563-6. DOI:10.1182/blood-2008-06-162750
31. Sidiartha IGL, Bakta IM, Wiryana IM, et al. Eicosapentaenoic acid and docosahexaenoic acid in fish oil capsule supplementation in obese children decreases serum interleukin-6 and hepcidin and improves iron status. Bali Med J. 2017;6(1):97-101.
32. Lainé F, Laviolle B, Bardou-Jacquet E, et al. Curcuma decreases serum hepcidin levels in healthy volunteers: a placebo-controlled, randomized, double-blind, cross-over study. Fundam Clin Pharmacol. 2017;31(5):567-73. DOI:10.1111/fcp.12288
33. Barrington P, Sheetz MJ, Callies S, et al. Safety, tolerability, pharmacokinetics and pharmacodynamics of an anti-ferroportin antibody in patients with anemia due to chronic renal failure. Blood. 2016;128(22):1280.
34. Isaacs JD, Harari O, Kobold U, et al. Effect of tocilizumab on haematological markers implicates interleukin-6 signalling in the anaemia of rheumatoid arthritis. Arthritis Res Ther. 2013;15(6):1-6. DOI:10.1186/ar4397
35. Song SNJ, Iwahashi M, Tomosugi N, et al. Comparative evaluation of the effects of treatment with tocilizumab and TNF-α inhibitors on serum hepcidin, anemia response and disease activity in rheumatoid arthritis patients. Arthritis Res Ther. 2013;15(5):1-10. DOI:10.1186/ar4323
36. Loza M, Campbell K, Sweet K, et al. FRI0243 Sirukumab treatment reduces levels of iron-regulatory proteins and ameliorates inflammation-associated anemia in rheumatoid arthritis patients. BMJ Publishing Group Ltd, 2017.
37. Vallurupalli M, MacFadyen JG, Glynn RJ, et al. Effects of interleukin-1β inhibition on incident anemia: exploratory analyses from a randomized trial. Ann Intern Med. 2020;172(8):523-32. DOI:10.7326/M19-2945
38. Scarozza P, De Cristofaro E, Scucchi L, et al. Effect of Vedolizumab on Anemia of Chronic Disease in Patients with Inflammatory Bowel Diseases. J Clin Med. 2020;9(7):2126. DOI:10.3390/jcm9072126
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Авторы
О.Ю. Миронова*, А.С. Панферов
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*mironova_o_yu@staff.sechenov.ru