DETERMINATION OF HEPCIDIN CONCINTRATION AND MANY HEMATOLOGICAL AND BIOCHEMICAL VARIATIONS IN PATIENTS WITH DIABETESTYPE 2 IN BALAD CITY
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Abstract
Introduction: Diabetes is a group of metabolic diseases characterized by excessive blood sugar caused by a defect in insulin secretion or function, there are two main types of diabetes: namely, insulin-dependent diabetes mellitus (Type I) known as childhood diabetes, The second type is non-insulin-dependent diabetes mellitus, and usually affects adults after the age of forty. Hepcidin is the main organizer of the iron metabolism inHuman and in the rest of mammals.
The aim of the study:
- Examine the relationship between the concentrations of each of the hepcidin, glycated hemoglobin HBA1C and ferritin and iron in patients with type II diabetes as well as healthy control.
- Examine the relationship between these virables with each other and with other virables.
Materials and Methods: The concentration of hepcidin hormone and other biochemical variables was examined in (80) patients with diabetes type II, divided into two groups (39) males and (41) females. Age ranged between (34-75) years. Samples have been collected from patients who visited Balad General hospital laboratory and Dijla Private Laboratory in Balad District. At the same time , blood of (25) healthy volunteers was collected. Sample was divided into 2.5 ml in EDTA tube for hematological tests like complete blood count and HbA1C and 2.5 ml in heparin anticoagulated tube for chemical tests like blood sugar, Iron, Total iron binding capacity and Hepcidin.
Results and Discussion: The results study showed a significant relationship (P<0.05) between the concentration of Hepcidinin patients with type 2 diabetes and healthy persons for both sexes . Also hepcidin concentration tend to increase in female patients as compared with male patients.
It was also noted that there was a statistically significant relationship between hepcidin and ferritin concentration (p<0.05), as well as between iron and Hepcidin concentration (p < 0.05), with no statistical relationship between iron binding capacity (TIBC) and the concentration of hepcidin.
The study showed a Positive correlation between the concentration of Hepcidinand count of red blood cells in people with type 2 diabetes when compared with healthy people.
Conclusion: The average concentration of hepcidin was found to be higher among females than that among males. Also, there was an increase in the concentration of Hepcidin compared with healthy people.
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References
1-Ch auhan, N.S and Dixit, V.K. (2007) Anti hyperglycemic activity of the ethanolic extract 0f curculigo Gnerth. Phatmacognosy Magazine; 3:237-240.
2-ALsalmani, M.H (2007) Study of metabolic effect of some drugs and medicinal Plant of patients with diabetes mellitus. M. Sc thesis, collage of medicine, AL-Naharin Uinversity.
3- Ganze, T, 2003. Hepcidin akay regulator of iron metabolism and mediator of anemia of inflammation blood . 102:783-8
4- Pietranggelo, A, Engl, NJ, (2004), Heretediatery homochromatosis - new look at and old disease . New England jornal of medicine . 350:2383-2397.
5- Roetto, A, Papanikolaou, G, Politou ,M,(2003). Mutant antimicrobial peptide Hepcidin associated with sever juvenile hemochromatosis. Nat Gene 33: 21-22.
6-Fleming, R.E, Advance in under tanding the molecular basis for the regulation of dietary iron absorption. (2005). CurrOpin Gastro enterol 21: 201-206.
7- Singer, D.E, Coley, C.M, Samet, J.H, Nathan, D.M.(1989),Tests of glycemia in diabetes meiietus their use in establishing adiagnosis and in treatment . Ann Intern Med . 110 :125 ed
8-Nathan, D.M, Singer, D.E, Hurxthal, K, Goodson, J.D .(1984), The clinical information value of the glycosylated hemoglobin assay. New Engl J Med. 310:341-346
9-Bunn, H.F .(1981), Nonenzymatic glycosylation of protein : relevanceto diabetes . In AmJed.70-325.
10- Goodall, I. (2005)–Hba1c standardization Destiuation– Global IFCC standardization how , why, where and when . ClinBiochem Rev, V. 26 (1) 5- 19p.
11-Davidsons, (2005).principles and practice of medicine (Arabic edition)
12- Theil, E.C (1987) Ferritin: structure; gene regulation and cellular function in animal ; plant and microorgansmis.
13- Tessel E. Galesloot,1 Sita H. Vermeulen,1,2 Anneke J. Geurts - Moespot, Siem M.(2011) Serum hepcidin: reference ranges biochemical correlatesin the genera lpopulation. BLOOD.
14- Mogensen EF; Larsen L; N. Engl. J. Med (1990). Effect of long-term monitoring of glycosylated hemoglobin levels in insulin –dependent diabetes mellitus . 323:5-1021.
15- Fang, Jiang, Zhen - Zhen, Sun, Yue - Ting , Tang, Chuanqing, Xu and Xiao -Yang, Jiao. (2011). Hepcidin expression and iron parameters. 93, Issue1, Pages 43–48. 16-Biljana Ilkovska, Bisera Kotevska, Djoko Trifunov, Marina Trajkovska (2014). Correlation between serum levels of hepcidin and ferritin in
patients with metabolic syndrome in R. Macedonia. Vol 3, No11.
17- Xin, Guo, Daizhan, Zhou, Peng, An, Qian, Wu. (2013). Associations between serum hepcidin, ferritin and Hb concentrations and type 2 diabetes risks in a Han Chinese population, British Journal of Nutrition. Volume 110, Issue 12. pp 2180-2185.
18- Ayad Anwar AL-Adhami,2013, Evalution of hepcidin , Ferritin, and iron in type 2 diabetes , Pg 1-11.
19-Paricha, S.R., Sarah, H, Atkinson, Andrew, E. Armitage, Shivani, Khandwala, Jacobien, Veenemans. (2014). Expresion of the iron hormone Hepcidin distinguishes different types of anemia in African children. Science Translational Medicine 07, Vol. 6, Issue 235, pp. 235re3 20-Verena, M, Wagner , Esther Müller Godeffroy, Simone-von , Sengbusch Stefan , Häger, Affiliated,ith Klinikfür, Kinder.(2005). Age metabolic control and type of insulin regime influences health-related quality of life in children and adolescents with type1diabetes.
21- Machiko, Inoue, Kazuo, Inoue, Kimihiko, Akimoto. (2012). insulin sensitivity . change in Type 2 diabetic patients. Effect of Age and Sex in the diagnosis of Type 2 Diabetes using Glycated Haemoglobin in Japan. Doi: 10.1371 .
22- A.P. Yates and I. Laing. (2002). Age-related increase in haemoglobin A1C and fasting plasma glucose is accompaind by decrease in b-cell function without change in insulin sensitivity. Volum 19, P254 -258.