2020
DOI: 10.3390/ijms21207773
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Regulatory Connections between Iron and Glucose Metabolism

Abstract: Iron is essential for energy metabolism, and states of iron deficiency or excess are detrimental for organisms and cells. Therefore, iron and carbohydrate metabolism are tightly regulated. Serum iron and glucose levels are subjected to hormonal regulation by hepcidin and insulin, respectively. Hepcidin is a liver-derived peptide hormone that inactivates the iron exporter ferroportin in target cells, thereby limiting iron efflux to the bloodstream. Insulin is a protein hormone secreted from pancreatic β-cells t… Show more

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Cited by 33 publications
(34 citation statements)
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“…Iron homeostasis is closely related to glucose metabolism [ 24 , 25 ]. Clinical studies suggested that deregulation of iron metabolism in iron overload disorders is associated with other metabolic dysfunction [ 26 ].…”
Section: Discussionmentioning
confidence: 99%
“…Iron homeostasis is closely related to glucose metabolism [ 24 , 25 ]. Clinical studies suggested that deregulation of iron metabolism in iron overload disorders is associated with other metabolic dysfunction [ 26 ].…”
Section: Discussionmentioning
confidence: 99%
“…In line with a causative role for iron in diabetic disease, dietary iron restriction has been reported to improve beta-cell function and glucose tolerance in ob/ob mice (84,144), and phlebotomy has been shown to improve insulin sensitivity, insulin secretion and glucose regulation in type 2 diabetes mellitus (T2DM) [152,153] even if clinical data, collected so far on iron depletion strategy, still appear inconclusive [154,155].…”
Section: Iron Dyshomeostasis Is Implicated In Diabetesmentioning
confidence: 99%
“…A good example of a metabolically oriented MDS therapy is iron chelation, the primary effect of which was originally attributed to reduction in iron overload with consequent reduction in ROS and the pathological effects thereof on hematopoiesis. However, it has been shown that iron depletion exerts direct metabolic effects through improvement in insulin resistance in patients with hyperferritinemia [ 107 ]. According to retrospective analyses, iron chelation also delayed cardiac events in transfusion-dependent patients with MDS [ 108 ], whereas the randomized prospective TELESTO trial demonstrated that adverse events, including cardiac dysfunction, occurred approximately one year later in patients treated with iron chelation compared with placebo [ 91 ].…”
Section: Summary and Outlook: Clinical And Therapeutic Aspects Of Metabolic Changes In Mds Patientsmentioning
confidence: 99%