Elevated Serum Ferritin Is Associated with Reduced Survival in Amyotrophic Lateral Sclerosis 英文参考文献.docVIP
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Elevated Serum Ferritin Is Associated with Reduced Survival in Amyotrophic Lateral Sclerosis 英文参考文献
ElevatedSerumFerritinIsAssociatedwithReduced
SurvivalinAmyotrophicLateralSclerosis
YannNadjar1*,PaulGordon1,PhilippeCorcia2,GilbertBensimon3,LaurencePieroni4,
VincentMeininger1,Franc?ois Salachas1
1Fe′de′ration des Maladies du Syste`me Nerveux, APHP, Centre de re′fe′rence maladies rares SLA, Ho?pital Pitie′-salpe?trie`re, Paris, France, 2Centre SLA, CHU de Tours,
Universite′ Franc?oisRabelais,Tours,France,3De′partementdePharmacologieClinique,Ho?pitalPitie′-salpe?trie`re,etUPMCPharmacologie,Paris6,UMR7211,Paris,France,
4BiochimieMe′tabolique, APHP,Ho?pitalPitie′-Salpe?trie`re, Paris,France
Abstract
Background:Amyotrophiclateralsclerosis(ALS)isaneurodegenerativedisordercausedbythelossofmotorneurons.Its
etiology remains unknown, but several hypothesis havebeen raised to explain motor neuron death, includingoxidative
stress.Dysregulationofcellularironmetabolismcanleadtoincreasedoxidativestress,andexistingdataargueforaroleof
ironmetabolisminALSpathophysiology.
Methods:Weperformedaretrospectiveanalysisofironmetabolism(IM)variables(serumlevelsofiron,transferrin,ferritin,
andTSCforTransferrinSaturationCoefficient)inacohortof694ALSpatientsand297healthycontrols.
Results: Serum ferritin levels and TSC were higher, whereas serum transferrin levels were lower in ALS patients than
controls.Inaddition,patientswithahighlevelserumferritinhadashortersurvivaltimecomparedtothosewithlowlevel
serumferritin(618daysversus921daysformensubgroup;p=.007).SiteofonsetandALS-FRSscorewerenotassociated
withIMvariables.
Conclusion:ThisstudysuggeststhatALSpatientsmayhaveincreasedironstorage,asmeasuredbyincreasedserumferritin
andTSC.ElevatedserumferritinmayalsohaveadeleteriousimpactonsurvivalinALS.
Citation:NadjarY,GordonP,CorciaP,BensimonG,PieroniL,etal.(2012)ElevatedSerumFerritinIsAssociatedwithReducedSurvivalinAmyotrophicLateral
Sclerosis.PLoSONE7(9):e45034.doi:10.1371/journal.pone.0045034
Editor:GillesJ.Guillemin,UniversityofNewSouthWales,Australia
ReceivedJune13,2012;AcceptedAugust11,2012;Pu
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