【Objective】 To explore the correlation of neutrophil gelatinase-associated lipocalin (NGAL) and iron metabolic index,including hemoglobin (HB),serum ferritin (SF),serum transferrin receptor (sTfR),transferritin receptor-ferritin index (TFR-F) and body iron content (BIC). 【Methods】 About 473 preschool children with 2~7 years old were randomly selected from eight kindergartens,including 223 boys and 250 girls with (47.8±14.5) months.HB was measured by HiCN method,NGAL,SF and sTfR by ELISA.TFR-F index and BIC were calculated according to the relevant index formula. 【Result】 There were significant correlation between NGAL and sTfR,TFR-F and BIC (the partial correlation coefficients were 0.23,0.24 and -0.15,P<0.01 or <0.05),respectively.The value of serum NGAL in anemic children was markedly higher than that of non-anemic children [(152.8±33.4) vs (220.7±25.4)pg/mL](P<0.05).Children with low sTfR level (cut by sTfR media value) had lower serum NGAL level than those with high sTfR level[(181.05±41.1) vs (257.6±47.8)pg/mL](P<0.05);however,children with low BIC level (cut by BIC media value) had higher serum NGAL level than those with high BIC level [(269.1±49.4) vs (181.3±30.8)pg/mL](P<0.05).The values of sTfR and TFR-F in children with low NGAL level (cut by NGAL media level) were significantly lower than those of children with high NGAL level (P<0.05),but not for HB,SF and BIC (P>0.05). 【Conclusion】 The impact of NGAL on iron metabolism may be mainly through the inhibition on erythroid proliferation,but no relationship with iron reserves process.
Key words
neutrophil gelatinase-associated lipocalin /
iron metabolism /
preschool children /
anemia
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Bolignano D,Coppolino G,Donato V,et al.Neutrophil gelatinase-associated lipocalin (NGAL): a new piece of the anemia puzzle?[J].Medical Science Monitor:International Medical Journal of Experimental and Clinical Research,2010,16(6):131-33.
[2] Mishra J,Dent C,Tarabishi R,et al.Neutrophil gelatinase-associated lipocalin (NGAL) as a biomarker for acute renal injury after cardiac surgery[J].The Lancet,2005,365(9466):1231-1238.
[3] Bolignano D,Coppolino G,Romeo A,et al.Neutrophil gelatinase-associated lipocalin (NGAL) reflects iron status in haemodialysis patients[J].Nephrology Dialysis Transplantation,2009,24(11):3398-3401.
[4] Goetz DH,Willie ST,Armen RS,et al.Ligand preference inferred from the structure of neutrophil gelatinase associated lipocalin[J].Biochemistry,2000,39(8):1935-1941.
[5] Devireddy LR,Gazin C,Zhu X,et al.A cell-surface receptor for lipocalin 24p3 selectively mediates apoptosis and iron uptake[J].Cell,2005,123(7):1293-1305.
[6] Richardson DR.24p3 and its receptor:dawn of a new iron age?[J].Cell,2005,123(7):1175-1177.
[7] Miharada K,Hiroyama T,Sudo K,et al.Lipocalin 2 functions as a negative regulator of red blood cell production in an autocrine fashion[J].The FASEB Journal,2005,38(1):5-7.
[8] Chen YC,Hung SC,Tarng DC.Association between transferrin receptor-ferritin index and conventional measures of iron responsiveness in hemodialysis patients[J].American Journal of Kidney Diseases,2006,47(6):1036-1044.
[9] Genc S,Erten N,Karan MA,et al.Soluble transferrin receptor and soluble transferrin receptor-ferritin index for evaluation of the iron status in elderly patients[J].The Tohoku Journal of Experimental Medicine,2004,202(2):135-142.