Affiliation:
1. School of Medicine, University of Auckland, Auckland 1142, New Zealand
Abstract
(1) Background: There is a paucity of markers of iron metabolism in health and disease. The aim was to investigate the associations of iron metabolism with pancreas transverse water proton relaxation rate (R2water) in healthy individuals and people after an attack of pancreatitis. (2) Methods: All participants underwent a 3.0 T magnetic resonance imaging of the abdomen on the same scanner. High-speed T2-corrected multi-echo (HISTO) acquisition at single-voxel magnetic resonance spectroscopy and inline processing were used to quantify pancreas R2water. Habitual dietary intake of iron was determined using the EPIC-Norfolk food frequency questionnaire. Circulating levels of ferritin and hepcidin were measured. Generalised additive models were used, adjusting for age, sex, body mass index, and haemoglobin A1c. (3) Results: A total of 139 individuals (47 healthy individuals, 54 individuals after acute pancreatitis, and 38 individuals after chronic pancreatitis) were included. Total dietary intake of iron was significantly associated with pancreas R2water, consistently in healthy individuals (p < 0.001), individuals after acute pancreatitis (p < 0.001), and individuals after chronic pancreatitis (p < 0.001) across all the statistical models. Ferritin was significantly associated with pancreas R2water, consistently in healthy individuals (p < 0.001), individuals after acute pancreatitis (p < 0.001), and individuals after chronic pancreatitis (p = 0.01) across all adjusted models. Hepcidin was significantly associated with pancreas R2water in individuals after acute pancreatitis (p < 0.001) and individuals after chronic pancreatitis (p = 0.04) in the most adjusted model. (4) Conclusions: Pancreas R2water, corrected for T2, is related to iron metabolism in both health and pancreatitis. This non-invasive marker could be used for automated in vivo identification of intra-pancreatic iron deposition.
Funder
Royal Society of New Zealand
Subject
Food Science,Nutrition and Dietetics
Reference53 articles.
1. Pancreatitis, pancreatic cancer, and their metabolic sequelae: Projected burden to 2050;Cho;Clin. Transl. Gastroenterol.,2020
2. Global epidemiology and holistic prevention of pancreatitis;Petrov;Nat. Rev. Gastroenterol. Hepatol.,2019
3. Petrov, M.S., and Olesen, S.S. (Gastroenterology, 2023). Metabolic sequelae—The pancreatitis zeitgeist of the 21st century, Gastroenterology, in press.
4. Lin, S.Y., Hsu, W.H., Lin, C.C., Lin, C.L., Tsai, C.H., and Kao, C.H. (2017). Effect of acute pancreatitis on the risk of developing osteoporosis: A nationwide cohort study. PLoS ONE, 12.
5. High prevalence of osteoporosis in patients with chronic pancreatitis: A systematic review and meta-analysis;Duggan;Clin. Gastroenterol. Hepatol.,2014
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献