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Active Tobacco Smoke Exposure in Utero and Concentrations of Hepcidin and Selected Iron Parameters in Newborns

Author

Listed:
  • Magdalena Chełchowska

    (Department of Screening and Metabolic Diagnostics, Institute of Mother and Child, Kasprzaka 17a, 01-211 Warsaw, Poland)

  • Tomasz M. Maciejewski

    (Department of Obstetrics and Gynecology, Institute of Mother and Child, Kasprzaka 17a, 01-211 Warsaw, Poland)

  • Joanna Mazur

    (Department of Child and Adolescent Health, Institute of Mother and Child, Kasprzaka 17a, 01-211 Warsaw, Poland)

  • Joanna Gajewska

    (Department of Screening and Metabolic Diagnostics, Institute of Mother and Child, Kasprzaka 17a, 01-211 Warsaw, Poland)

  • Anastasiya Zasimovich

    (Department of Obstetrics and Gynecology, Institute of Mother and Child, Kasprzaka 17a, 01-211 Warsaw, Poland)

  • Mariusz Ołtarzewski

    (Department of Screening and Metabolic Diagnostics, Institute of Mother and Child, Kasprzaka 17a, 01-211 Warsaw, Poland)

  • Jadwiga Ambroszkiewicz

    (Department of Screening and Metabolic Diagnostics, Institute of Mother and Child, Kasprzaka 17a, 01-211 Warsaw, Poland)

Abstract

The aim of this study was to assess the influence of active tobacco smoke exposure in utero on the concentration of hepcidin and selected iron markers in umbilical cord blood and to evaluate the relationships between these parameters. Newborns of smoking mothers had significantly lower concentrations of serum hepcidin ( p < 0.001), iron, and ferritin ( p = 0.043; p = 0.042, respectively), but higher levels of erythropoietin (EPO, p < 0.001) and soluble transferrin receptor (sTfR, p = 0.011) compared with newborns of non-smoking women. Negative correlations between cotinine and the number of cigarettes smoked per day with hepcidin serum level (r = −0.33, p = 0.033, r = −0.32, p = 0.041, respectively) and EPO (r = 0.47, p = 0.002; r = 0.46, p = 0.003, respectively) were found. Univariate analysis defined for the whole group of children revealed significant associations between the concentration of hepcidin and other iron status parameters. In the models estimated separately for smokers and non-smokers, we found relations between the level of hepcidin and erythropoietin (B = −0.23, p = 0.004; B = −0.46, p = 0.01, respectively). In the multivariate regression model, a negative association between hepcidin and EPO concentrations in the whole group of newborns (β = −0.53; p = 0.001) and in the group of smokers (β = −0.57; p = 0.011) was confirmed. The present study shows significant relations between smoking during pregnancy and hepcidin levels in children born at term. Decreased cord serum concentrations of hepcidin associated with high erythropoietin levels suggest induced fetal erythropoiesis, probably due to the hypoxic effects imposed by maternal smoking.

Suggested Citation

  • Magdalena Chełchowska & Tomasz M. Maciejewski & Joanna Mazur & Joanna Gajewska & Anastasiya Zasimovich & Mariusz Ołtarzewski & Jadwiga Ambroszkiewicz, 2019. "Active Tobacco Smoke Exposure in Utero and Concentrations of Hepcidin and Selected Iron Parameters in Newborns," IJERPH, MDPI, vol. 16(11), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:11:p:1996-:d:237336
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    References listed on IDEAS

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    1. Anqiang Yang & Jun Zhao & Minhua Lu & Ying Gu & Yunlong Zhu & Daozhen Chen & Jinyan Fu, 2016. "Expression of Hepcidin and Ferroportin in the Placenta, and Ferritin and Transferrin Receptor 1 Levels in Maternal and Umbilical Cord Blood in Pregnant Women with and without Gestational Diabetes," IJERPH, MDPI, vol. 13(8), pages 1-9, July.
    2. Jarvis, M.J. & Tunstall-Pedoe, H. & Feyerabend, C. & Vesey, C. & Saloojee, Y., 1987. "Comparison of tests used to distinguish smokers from nonsmokers," American Journal of Public Health, American Public Health Association, vol. 77(11), pages 1435-1438.
    3. Kinga Polanska & Anna Krol & Pawel Kaluzny & Danuta Ligocka & Karolina Mikolajewska & Seif Shaheen & Robert Walton & Wojciech Hanke, 2016. "Estimation of Saliva Cotinine Cut-Off Points for Active and Passive Smoking during Pregnancy—Polish Mother and Child Cohort (REPRO_PL)," IJERPH, MDPI, vol. 13(12), pages 1-15, December.
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