Evidence map›Paper›PMID 21730356›Full record

ArticleBlood2011

Pharmacologic inhibition of hepcidin expression reverses anemia of chronic inflammation in rats.

Igor Theurl, Andrea Schroll, Thomas Sonnweber, Manfred Nairz, Milan Theurl, Wolfgang Willenbacher, Kathrin Eller, Dominik Wolf, Markus Seifert, Chia Chi Sun and 6 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02228655 (An Exploratory, Uncontrolled, Open-labeled Trial to Evaluate the Effect of FMX-8 Treatment for Anemia in Patients With Chronic Kidney Disease), which is not on this map. Cited by 103 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 1 pooled it
9.5field-weighted citation impact, top 2% 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.

NCT02228655 early_phase1terminatednot on this mapstarted 2014, after this paper: background citation

An Exploratory, Uncontrolled, Open-labeled Trial to Evaluate the Effect of FMX-8 Treatment for Anemia in Patients With Chronic Kidney Disease (CKD), Stage 4 or 5

TypeinterventionalSponsorFerruMax Pharmaceuticals, Inc.Ran2014 to 2015Enrolled2ConditionsAnemia in Chronic Kidney DiseaseArmsFMX-8
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 1 synthesis or guideline pooled it, 187 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Anemia of Inflammation.Advances in experimental medicine and biology · 2025
    Review
  10. Current Landscape of Hepcidin Therapeutics.Advances in experimental medicine and biology · 2025
    Review
  11. Article
  12. Article
  13. Hepcidin and Iron in Health and Disease.Annual review of medicine · 2023
    Review
  14. Classical Signaling and Trans-Signaling Pathways Stimulated byInternational journal of molecular sciences · 2022
    Article
  15. Coordination of iron homeostasis by bone morphogenetic proteins: Current understanding and unanswered questions.Developmental dynamics : an official publication of the American Association of Anatomists · 2022
    Article
  16. Review
  17. The Role of Iron in Benign and Malignant Hematopoiesis.Antioxidants & redox signaling · 2021
    Review
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 2 countries.

Igor TheurlDepartment of Internal Medicine I, Clinical Immunology and Infectious Diseases, Medical University, Innsbruck, Austria.
Andrea Schroll
Thomas Sonnweber
Manfred Nairz
Milan Theurl
Wolfgang Willenbacher
Kathrin Eller
Dominik Wolf
Markus Seifert
Chia Chi Sun
Jodie L Babitt
Charles C Hong
Tracey Menhall
Patrick Gearing
Herbert Y Lin
Guenter Weiss
Center for Systems Biology · USHarvard University · USInnsbruck Medical University · AT

Funding

Regulation of Iron Homeostasis by BMP SignalingR01DK087727 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI BABITT, JODIE L · 2010 to 2024
$6.0M
Regulation of BMP Signaling in the KidneyR01DK069533 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI LIN, HERBERT Y · 2005 to 2014
$3.3M
Mechanisms of Action of HemojuvelinR01DK071837 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI LIN, HERBERT Y · 2005 to 2014
$3.3M
Cardiac Induction by Small Molecule BMP InhibitorsR01HL104040 · NHLBI · VANDERBILT UNIVERSITY · PI HONG, CHARLES C · 2010 to 2014
$2.0M
BMP Signaling and Iron MetabolismK08DK075846 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI BABITT, JODIE L · 2006 to 2010
$736k
NHLBI NIH HHS R01 HL104040NIDDK NIH HHS K08 DK075846NIDDK NIH HHS R01 DK069533NIDDK NIH HHS R01 DK071837NIDDK NIH HHS R01 DK087727
6 · The paper itself

Abstract

Anemia of chronic inflammation (ACI) is the most frequent anemia in hospitalized patients and is associated with significant morbidity. A major underlying mechanism of ACI is the retention of iron within cells of the reticuloendothelial system (RES), thus making the metal unavailable for efficient erythropoiesis. This reticuloendothelial iron sequestration is primarily mediated by excess levels of the iron regulatory peptide hepcidin down-regulating the functional expression of the only known cellular iron export protein ferroportin resulting in blockade of iron egress from these cells. Using a well-established rat model of ACI, we herein provide novel evidence for effective treatment of ACI by blocking endogenous hepcidin production using the small molecule dorsomorphin derivative LDN-193189 or the protein soluble hemojuvelin-Fc (HJV.Fc) to inhibit bone morphogenetic protein-Smad mediated signaling required for effective hepcidin transcription. Pharmacologic inhibition of hepcidin expression results in mobilization of iron from the RES, stimulation of erythropoiesis and correction of anemia. Thus, hepcidin lowering agents are a promising new class of pharmacologic drugs to effectively combat ACI.

Indexed as

AnemiaAnimalsAntimicrobial Cationic PeptidesCells, CulturedChronic DiseaseDisease Models, AnimalDrug Evaluation, PreclinicalFemaleGene ExpressionGPI-Linked ProteinsHemochromatosis ProteinHepcidinsImmunoglobulin Fc FragmentsInflammationMembrane ProteinsPyrazolesAntimicrobial Cationic PeptidesGPI-Linked ProteinsHamp protein, ratHemochromatosis ProteinHepcidinsHjv protein, ratImmunoglobulin Fc FragmentsLDN 193189Membrane ProteinsPyrazolesPyrimidines

Identifiers

PMID21730356
PMCPMC3208302
OpenAlexW1993107727

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.