Abstract
Anemia of inflammation (AI) is clinically prevalent and greatly threatens public health. Traditional remedies have raised controversy during clinical practice, calling for alternative therapies. We have recently found that hydrogen sulfide (H2S) inhibits inflammatory hepcidin, the critical mediator of AI. However, due to the chemical property of H2S, there remains an urgent need for a stable H2S donor in AI treatment. Here we reported that S-propargyl-cysteine (SPRC), a novel water-soluble H2S donor, suppressed hepatic hepcidin and corrected hypoferremia induced by lipopolysaccharide. The effects of SPRC were reversed by inhibition of cystathionine γ-lyase, one of the major endogenous H2S synthases. Moreover, SPRC reduced serum hepcidin, improved transferrin saturation, and maintained erythrocyte membrane integrity in a chronic mouse AI model. Consistently, splenomegaly was ameliorated and splenic iron accumulation relieved. Mechanism study indicated that serum IL-6 content and hepatic Il-6 mRNA were decreased by SPRC, in parallel with reduced hepatic JAK2/STAT3 activation. On the whole, our data reveal the inhibition of inflammatory hepcidin by SPRC, and suggest SPRC as a potential remedy against AI.
Highlights
Anemia of inflammation (AI) is the second most prevalent anemia after anemia of iron deficiency [1]
We reported for the first time that sodium hydrosulfide (NaHS), an exogenous H2S donor, inhibited inflammatory hepcidin and relieved hypoferremia induced by acute inflammation [14]
Considering the dominant role IL-6/STAT3 plays in inflammatory hepcidin induction, we assessed whether SPRC modulated IL-6 production and JAK2/STAT3 pathway
Summary
Anemia of inflammation (AI) is the second most prevalent anemia after anemia of iron deficiency [1]. Since AI is often accompanied by chronic diseases, such as cancer, chronic infections, and auto-immune syndrome, it is named as anemia of chronic diseases. Despite the fact that AI is relatively mild (hemoglobin levels between 90–120 g/L), mounting evidences have revealed its relation to poor prognosis and increased mortality [2, 3]. SPRC Inhibits Hepcidin and Relieves Anemia of Inflammation PLOS ONE | DOI:10.1371/journal.pone.0163289 September 20, 2016
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