[1]李霞 雷涛.铁过载与代谢性疾病的关系[J].国际内分泌代谢杂志,2018,38(01):29-32.[doi:10.3760/cma.j.issn.1673-4157.2018.01.008]
 Li Xia*,Lei Tao..Relationship between iron overload and metabolic diseases[J].International Journal of Endocrinology and Metabolism,2018,38(01):29-32.[doi:10.3760/cma.j.issn.1673-4157.2018.01.008]
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铁过载与代谢性疾病的关系()
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《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
38
期数:
2018年01期
页码:
29-32
栏目:
综述
出版日期:
2018-01-20

文章信息/Info

Title:
Relationship between iron overload and metabolic diseases
作者:
李霞 雷涛
510655 广州,中山大学附属第六医院内分泌科(李霞); 200062 上海市普陀区中心医院内分泌科(雷涛)
Author(s):
Li Xia* Lei Tao.
*Department of Endocrinology, The Six Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655,China
关键词:
铁过载 2型糖尿病 非酒精性脂肪性肝病 骨质疏松 氧化应激
Keywords:
Iron overload Type 2 diabetes mellitus Nonalcoholic fatty liver Osteoporosis Oxidative stress
DOI:
10.3760/cma.j.issn.1673-4157.2018.01.008
摘要:
研究发现,铁过载与2型糖尿病、非酒精性脂肪性肝病和骨质疏松关系密切,其可能通过氧化应激途径导致机体活性氧簇与抗氧化系统失衡。同时,铁过载还能促进炎性因子如白细胞介素-6和肿瘤坏死因子-α的表达,引起组织细胞损伤,导致代谢性疾病发病风险增加。临床上早期发现及纠正铁过载可能有益于防治代谢性疾病的发生、发展。
Abstract:
Researches have indicated that iron overload is closely related to type 2 diabetes mellitus, nonalcoholic fatty liver and osteoporosis. Iron overload may induce oxidative stress which leads to imbalance between reactive oxygen species and antioxidant system and promote the genesis of inflammatory cytokines such as interleukin-6,tumor necrosis factor-α, which would eventually lead to tissue damage and contribute to the development of a variety of metabolic diseases. Early detection and intervention in iron overload may prevent the occurrence and development of metabolic diseases.

参考文献/References:


[1] Bao W,Rong Y,Rong S,et al.Dietary iron intake, body iron stores, and the risk of type 2 diabetes: a systematic review and meta-analysis[J].BMC Med,2012,10:119.DOI:10.1186/1741-7015-10-119.
[2] Pechlaner R,Weiss G,Bansal S,et al.Inadequate hepcidin serum concentrations predict incident type 2 diabetes mellitus[J].Diabetes Metab Res Rev,2016,32(2):187-192.DOI:10.1002/dmrr.2711.
[3] Batchuluun B,Matsumata T,Batchuluun B,et al.Serum ferritin level is higher in poorly controlled patients with type 2 diabetes and people without diabetes, aged over 55 years[J].Diabet Med,2014,31(4):419-424.DOI:10.1111/dme.12343.
[4] Lee HJ,Choi JS,Lee HJ,et al.Effect of excess iron on oxidative stress and gluconeogenesis through hepcidin during mitochondrial dysfunction[J].J Nutr Biochem,2015,26(12):1414-1423.DOI:10.1016/j.jnutbio.2015.07.008.
[5] Cooksey RC,Jones D,Gabrielsen S,et al.Dietary iron restriction or iron chelation protects from diabetes and loss of beta-cell function in the obese(ob/ob lep-/-)mouse[J].Am J Physiol Endocrinol Metab,2010,298(6):E1236-E1243.DOI:10.1152/ajpendo.00022.2010.
[6] Mehdad A,Campos NA,Arruda SF,et al.Iron deprivation may enhance insulin receptor and Glut4 transcription in skeletal muscle of adult rats[J].J Nutr Health Aging,2015,19(8):846-854.DOI:10.1007/s12603-015-0541-9.
[7] Andrews Guzmán M,Arredondo Olguín M.Association between ferritin, high sensitivity C-reactive protein(hsCRP)and relative abundance of Hepcidin mRNA with the risk of type 2 diabetes in obese subjects[J].Nutr Hosp,2014,30(3):577-584.DOI:10.3305/nh.2014.30.3.7647.
[8] Gabrielsen JS,Gao Y,Simcox JA,et al. Adipocyte iron regulates adiponectin and insulin sensitivity[J].J Clin Invest,2012,122(10):3529-3540.DOI:10.1172/JCI44421.
[9] Kim CW,Chang Y,Sung E,et al.Serum ferritin levels predict incident non-alcoholic fatty liver disease in healthy Korean men[J].Metabolism,2012,61(8):1182-1188.DOI:10.1016/j.metabol.2012.01.007.
[10] Kowdley KV,Belt P,Wilson LA,et al.Serum ferritin is an independent predictor of histologic severity and advanced fibrosis in patients with nonalcoholic fatty liver disease[J].Hepatology,2012,55(1):77-85.DOI:10.1002/hep.24706.
[11] Nelson JE,Wilson L,Brunt EM,et al.Relationship between the pattern of hepatic iron deposition and histological severity in nonalcoholic fatty liver disease[J].Hepatology,2011,53(2):448-457.DOI:10.1002/hep.24038.
[12] Maliken BD,Nelson JE,Klintworth HM,et al.Hepatic reticuloendothelial system cell iron deposition is associated with increased apoptosis in nonalcoholic fatty liver disease[J].Hepatology,2013,57(5):1806-1813.DOI:10.1002/hep.26238.
[13] 武玉平, 叶琪, 郑全森, 等. 游离脂肪酸和铁诱导非酒精性脂肪肝病的协同作用机制研究[J]. 中华预防医学杂志, 2014,48(10):904-908.DOI:10.3760/cma.j.issm.0253-9624.2014.10.012.
[14] Graham RM,Chua AC,Carter KW,et al. Hepatic iron loading in mice increases cholesterol biosynthesis[J].Hepatology,2010,52(2):462-471.DOI:10.1002/hep.23712.
[15] Ruddell RG,Hoang-Le D,Barwood JM,et al.Ferritin functions as a proinflammatory cytokine via iron-independent protein kinase C zeta/nuclear factor kappaB-regulated signaling in rat hepatic stellate cells[J].Hepatology,2009,49(3):887-900.DOI:10.1002/hep.22716.
[16] Otogawa K,Kinoshita K,Fujii H,et al. Erythrophagocytosis by liver macrophages(Kupffer cells)promotes oxidative stress, inflammation, and fibrosis in a rabbit model of steatohepatitis: implications for the pathogenesis of human nonalcoholic steatohepatitis[J].Am J Pathol,2007,170(3):967-980.DOI:10.2353/ajpath.2007.060441.
[17] Valenti L,Varenna M,Fracanzani AL,et al.Association between iron overload and osteoporosis in patients with hereditary hemochromatosis[J].Osteoporos Int,2009,20(4):549-555.DOI:10.1007/s00198-008-0701-4.
[18] Kim BJ,Ahn SH,Bae SJ,et al.Iron overload accelerates bone loss in healthy postmenopausal women and middle-aged men: a 3-year retrospective longitudinal study[J].J Bone Miner Res,2012,27(11):2279-2290.DOI:10.1002/jbmr.1692.
[19] Kim BJ,Lee SH,Koh JM,et al.The association between higher serum ferritin level and lower bone mineral density is prominent in women ≥45 years of age(KNHANES 2008-2010)[J].Osteoporos Int,2013,24(10):2627-2637.DOI:10.1007/s00198-013-2363-0.
[20] 王兵, 赵环, 姜习凤, 等. 绝经后女性股骨头铁含量与骨密度的相关性[J]. 中华骨质疏松和骨矿盐疾病杂志, 2013,6(1):9-14.DOI:10.3969/j.jssn.1674-2591.2013.01.003.
[21] Tsay J,Yang Z,Ross FP,et al.Bone loss caused by iron overload in a murine model: importance of oxidative stress[J].Blood,2010,116(14):2582-2589.DOI:10.1182/blood-2009-12-260083.
[22] Guggenbuhl P,Fergelot P,Doyard M,et al.Bone status in a mouse model of genetic hemochromatosis[J].Osteoporos Int,2011,22(8):2313-2319.DOI:10.1007/s00198-010-1456-2.
[23] Liu G,Men P,Kenner GH,et al.Age-associated iron accumulation in bone: implications for postmenopausal osteoporosis and a new target for prevention and treatment by chelation[J].Biometals,2006,19(3):245-251.DOI:10.1007/s10534-005-6666-2.
[24] Xiao W,Beibei F,Guangsi S,et al.Iron overload increases osteoclastogenesis and aggravates the effects of ovariectomy on bone mass[J].J Endocrinol,2015,226(3):121-134.DOI:10.1530/JOE-14-0657.
[25] Shen GS,Yang Q,Jian JL,et al.Hepcidin1 knockout mice display defects in bone microarchitecture and changes of bone formation markers[J].Calcif Tissue Int,2014,94(6):632-639.DOI:10.1007/s00223-014-9845-8.
[26] Zarjou A,Jeney V,Arosio P,et al.Ferritin ferroxidase activity: a potent inhibitor of osteogenesis[J].J Bone Miner Res,2010,25(1):164-172.DOI:10.1359/jbmr.091002.
[27] 赵理平,徐又佳,林华,等. 高铁环境对成骨细胞生物活性的影响[J]. 中华骨质疏松和骨矿盐疾病杂志, 2010,3(4):256-262.DOI:10.3969.j.issn.1674-2591.2010.04.006.
[28] Balogh E,Tolnai E,Nagy B Jr,et al.Iron overload inhibits osteogenic commitment and differentiation of mesenchymal stem cells via the induction of ferritin[J].Biochim Biophys Acta,2016,1862(9):1640-1649.DOI:10.1016/j.bbadis.2016.06.003.
[29] Xie W,Lorenz S,Dolder S,et al.Extracellular iron is a modulator of the differentiation of osteoclast lineage cells[J].Calcif Tissue Int,2016,98(3):275-283.DOI:10.1007/s00223-015-0087-1.

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备注/Memo

备注/Memo:
基金项目: 863课题科研专项基金(2014AA022301)
通信作者:雷涛,Email:13611756518@126.com
更新日期/Last Update: 2018-01-30