Evidence map›Paper›PMID 21099112›Full record

ArticleThe Journal of clinical investigation2010

Hepcidin as a therapeutic tool to limit iron overload and improve anemia in β-thalassemic mice.

Sara Gardenghi, Pedro Ramos, Maria Franca Marongiu, Luca Melchiori, Laura Breda, Ella Guy, Kristen Muirhead, Niva Rao, Cindy N Roy, Nancy C Andrews and 9 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 134 papers.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed
9.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 218 citations in OpenAlex.

  1. A variant erythroferrone disrupts iron homeostasis inScience translational medicine · 2019
    Trial
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Iron-Loading Anemias.Advances in experimental medicine and biology · 2025
    Review
  11. Current Landscape of Hepcidin Therapeutics.Advances in experimental medicine and biology · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Editorial: Stress erythropoiesis.Frontiers in physiology · 2023
    Article

74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 1 country.

Sara GardenghiWeill Cornell Medical College, New York, New York, USA.
Pedro Ramos
Maria Franca Marongiu
Luca Melchiori
Laura Breda
Ella Guy
Kristen Muirhead
Niva Rao
Cindy N Roy
Nancy C Andrews
Elizabeta Nemeth
Antonia Follenzi
Xiuli An
Narla Mohandas
Yelena Ginzburg
Eliezer A Rachmilewitz
Patricia J Giardina
Robert W Grady
Stefano Rivella
Cornell University · USAlbert Einstein College of Medicine · USDuke University · USJohns Hopkins University · USUniversity of California, Los Angeles · US

Funding

Hepcidin therapy for iron overload and hematologic disordersR01DK090554 · NIDDK · WEILL MEDICAL COLL OF CORNELL UNIV · PI RIVELLA, STEFANO · 2010 to 2021
$5.2M
IRON CHELATION--COMBINATION THERAPY, A BETTER APPROACHR01DK055463 · NIDDK · WEILL MEDICAL COLL OF CORNELL UNIV · PI GRADY, ROBERT W. · 1999 to 2006
$3.0M
The Hepcidin-Ferroportin Axis in Anemia of Inflammation: Mechanisms and TargetsR01DK082717 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NEMETH, ELIZABETA · 2008 to 2012
$1.6M
Investigation of hepcidin in mammalian iron homeostasisK01DK065635 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI ROY, CINDY NORENE · 2004 to 2008
$626k
NIDDK NIH HHS 1R01DK090554-01NIDDK NIH HHS 5R01DK082717NIDDK NIH HHS K01 DK065635NIDDK NIH HHS KO1DK065635NIDDK NIH HHS R01 DK055463NIDDK NIH HHS R01 DK082717NIDDK NIH HHS R01 DK090554NIDDK NIH HHS R01DK55463
6 · The paper itself

Abstract

Excessive iron absorption is one of the main features of β-thalassemia and can lead to severe morbidity and mortality. Serial analyses of β-thalassemic mice indicate that while hemoglobin levels decrease over time, the concentration of iron in the liver, spleen, and kidneys markedly increases. Iron overload is associated with low levels of hepcidin, a peptide that regulates iron metabolism by triggering degradation of ferroportin, an iron-transport protein localized on absorptive enterocytes as well as hepatocytes and macrophages. Patients with β-thalassemia also have low hepcidin levels. These observations led us to hypothesize that more iron is absorbed in β-thalassemia than is required for erythropoiesis and that increasing the concentration of hepcidin in the body of such patients might be therapeutic, limiting iron overload. Here we demonstrate that a moderate increase in expression of hepcidin in β-thalassemic mice limits iron overload, decreases formation of insoluble membrane-bound globins and reactive oxygen species, and improves anemia. Mice with increased hepcidin expression also demonstrated an increase in the lifespan of their red cells, reversal of ineffective erythropoiesis and splenomegaly, and an increase in total hemoglobin levels. These data led us to suggest that therapeutics that could increase hepcidin levels or act as hepcidin agonists might help treat the abnormal iron absorption in individuals with β-thalassemia and related disorders.

Indexed as

AnimalsAntimicrobial Cationic PeptidesBase Sequencebeta-ThalassemiaDisease Models, AnimalDNA PrimersErythropoiesisGene ExpressionHepcidinsHumansIronIron, DietaryIron OverloadMiceMice, Inbred C57BLMice, Mutant StrainsAntimicrobial Cationic PeptidesDNA PrimersHAMP protein, humanHamp protein, mouseHepcidinsIronIron, DietaryRecombinant Proteins

Identifiers

PMID21099112
PMCPMC2993583
OpenAlexW2163438420

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.