Table 1.
Comments | Reference | |
---|---|---|
Checklist before ordering the assay | ||
1. Ensure local availability of a validated assay | See text and supplemental Table 1 | 19 |
2. Ensure control of preanalytical conditions (including diurnal rhythm) | See text | 8, 25, 26 |
3. Refer to age- and sex-specific ranges | Significant differences between males and females, particularly during fertile period | 22, 23 |
4. Interpret hepcidin value into a minimum laboratory context (CBC, ferritin, transferrin saturation, CRP, serum creatinine, and liver function tests) | See Figure 1 | — |
5. Be aware of any potential confounders/comorbidities in the individual patient | See Figure 1 | — |
Most promising applications | ||
6. Evaluation of suspected IRIDA | Virtually diagnostic in an appropriate clinical context | 54, 55 |
7. Evaluation of IO disorders | For example, ferroportin disease due to hepcidin resistant mutations (see text) | 41, 42, 49, 51, 56, 57 |
8. Diagnosis of concomitant ID in patients with ACD | Promising reports in rheumatoid arthritis and inflammatory bowel disease patients, and in African children | 32, 58-60 |
9. Guide for iron therapy | For example, selection of patients for direct IV supplementation; oral administration in children from developing countries with high prevalence of infectious diseases (see text) | 6, 32, 58, 61-63 |
10. Monitoring of treatments targeting the hepcidin/ferroportin axis | To be confirmed by further studies | 64 |
ACD, anemia of chronic disease; CBC, complete blood count; CRP, C-reactive protein; ID, iron deficiency; IO, iron overload; IRIDA, iron-refractory iron deficiency anemia.