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Obesity during pregnancy and fetal iron status: is Hepcidin the link?

Abstract

Objective:

To ascertain the effect of obesity-related inflammation on maternal and fetal iron status. We hypothesized that obese (Ob) pregnant women would have increased inflammation, hepcidin levels, and that their infants would have impaired iron status compared with lean (Lc) controls.

Study Design:

Fifteen Ob and fifteen Lc women were recruited in their second trimester of pregnancy. Markers of iron status, inflammation and hepcidin were measured in maternal and cord blood. Student's t-test was used to compare Ob and Lc groups, and Pearson's correlation coefficients were determined between maternal and cord blood values.

Result:

Maternal C-reactive protein (P<0.01) and hepcidin (P<0.01) were higher, and cord blood iron (P<0.01) was lower in the Ob group. Maternal body mass index (P<0.01) and hepcidin (P<0.05) were negatively correlated with cord blood iron status.

Conclusion:

Maternal obesity is associated with impaired maternal-fetal iron transfer, potentially through hepcidin upregulation.

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References

  1. Catalano PM, Ehrenberg HM . The short- and long-term implications of maternal obesity on the mother and her offspring. BJOG 2006; 113 (10): 1126–1133.

    Article  CAS  Google Scholar 

  2. Reichman NE, Nepomnyaschy L . Maternal pre-pregnancy obesity and diagnosis of asthma in offspring at age 3 years. Matern Child Health J 2008; 12 (6): 725–733.

    Article  Google Scholar 

  3. Scholtens S, Wijga AH, Brunekreef B, Kerkhof M, Postma DS, Oldenwening M et al. Maternal overweight before pregnancy and asthma in offspring followed for 8 years. Int J Obes (Lond) 2010; 34 (4): 606–613.

    Article  CAS  Google Scholar 

  4. Bekri S, Gual P, Anty R, Luciani N, Dahman M, Ramesh B et al. Increased adipose tissue expression of hepcidin in severe obesity is independent from diabetes and NASH. Gastroenterology 2006; 131 (3): 788–796.

    Article  CAS  Google Scholar 

  5. Cepeda-Lopez AC, Osendarp SJ, Melse-Boonstra A, Aeberli I, Gonzalez-Salazar F, Feskens E et al. Sharply higher rates of iron deficiency in obese Mexican women and children are predicted by obesity-related inflammation rather than by differences in dietary iron intake. Am J Clin Nutr 2011; 93 (5): 975–983.

    Article  CAS  Google Scholar 

  6. Menzie CM, Yanoff LB, Denkinger BI, McHugh T, Sebring NG, Calis KA et al. Obesity-related hypoferremia is not explained by differences in reported intake of heme and nonheme iron or intake of dietary factors that can affect iron absorption. J Am Diet Assoc 2008; 108 (1): 145–148.

    Article  CAS  Google Scholar 

  7. Tussing-Humphreys LM, Nemeth E, Fantuzzi G, Freels S, Guzman G, Holterman AX et al. Elevated systemic hepcidin and iron depletion in obese premenopausal females. Obesity (Silver Spring) 2010; 18 (7): 1449–1456.

    Article  CAS  Google Scholar 

  8. Yanoff LB, Menzie CM, Denkinger B, Sebring NG, McHugh T, Remaley AT et al. Inflammation and iron deficiency in the hypoferremia of obesity. Int J Obes (Lond) 2007; 31 (9): 1412–1419.

    Article  CAS  Google Scholar 

  9. Evans P, Cindrova-Davies T, Muttukrishna S, Burton GJ, Porter J, Jauniaux E . Hepcidin and iron species distribution inside the first-trimester human gestational sac. Mol Hum Reprod 2011; 17 (4): 227–232.

    Article  CAS  Google Scholar 

  10. Nemeth E, Rivera S, Gabayan V, Keller C, Taudorf S, Pedersen BK et al. IL-6 mediates hypoferremia of inflammation by inducing the synthesis of the iron regulatory hormone hepcidin. J Clin Invest 2004; 113 (9): 1271–1276.

    Article  CAS  Google Scholar 

  11. Lee P, Peng H, Gelbart T, Beutler E . The IL-6- and lipopolysaccharide-induced transcription of hepcidin in HFE-, transferrin receptor 2-, and beta 2-microglobulin-deficient hepatocytes. Proc Natl Acad Sci USA 2004; 101 (25): 9263–9265.

    Article  CAS  Google Scholar 

  12. Lee P, Peng H, Gelbart T, Wang L, Beutler E . Regulation of hepcidin transcription by interleukin-1 and interleukin-6. Proc Natl Acad Sci USA 2005; 102 (6): 1906–1910.

    Article  CAS  Google Scholar 

  13. Luciani N, Brasse-Lagnel C, Poli M, Anty R, Lesueur C, Cormont M et al. Hemojuvelin: A new link between obesity and iron Homeostasis. Obesity (Silver Spring) 2011; 19 (8): 1545–1551.

    Article  CAS  Google Scholar 

  14. Rehu M, Punnonen K, Ostland V, Heinonen S, Westerman M, Pulkki K et al. Maternal serum hepcidin is low at term and independent of cord blood iron status. Eur J Haematol 2010; 85 (4): 345–352.

    Article  CAS  Google Scholar 

  15. Lozoff B, Beard J, Connor J, Barbara F, Georgieff M, Schallert T . Long-lasting neural and behavioral effects of iron deficiency in infancy. Nutr Rev 2006; 64 (5 Pt 2): S34–S43, discussion S72-91.

    Article  Google Scholar 

  16. Pinero DJ, Li NQ, Connor JR, Beard JL . Variations in dietary iron alter brain iron metabolism in developing rats. J Nutr 2000; 130 (2): 254–263.

    Article  CAS  Google Scholar 

  17. Shafir T, Angulo-Barroso R, Jing Y, Angelilli ML, Jacobson SW, Lozoff B . Iron deficiency and infant motor development. Early Hum Dev 2008; 84 (7): 479–485.

    Article  CAS  Google Scholar 

  18. Ali El-Farrash R, Rahman Ismail EA, Shafik Nada A . Cord blood iron profile and breast milk micronutrients in maternal iron deficiency anemia. Pediatr Blood Cancer 2011; 58 (2): 233–238.

    Article  Google Scholar 

  19. Challier JC, Basu S, Bintein T, Minium J, Hotmire K, Catalano PM et al. Obesity in pregnancy stimulates macrophage accumulation and inflammation in the placenta. Placenta 2008; 29 (3): 274–281.

    Article  CAS  Google Scholar 

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Acknowledgements

This research has been supported by: USDA contract # 58-1950-7-707, Tufts Medical Center Research Grant and The Natalie V. Zucker Foundation for Women Scholars, Stanley N. Gershoff scholarship, NHLBI T32 Nutrition and Cardiovascular Disease Training Program.

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Correspondence to S N Meydani.

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Dao, M., Sen, S., Iyer, C. et al. Obesity during pregnancy and fetal iron status: is Hepcidin the link?. J Perinatol 33, 177–181 (2013). https://doi.org/10.1038/jp.2012.81

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