Sevuparin strongly reduces hepcidin expression in cells, mice, and healthy human volunteers

Abstract Hepcidin is an essential regulator of systemic iron availability mediating both iron uptake from the diet and its release from body stores. Abnormally high hepcidin levels resulting from inflammation in chronic diseases cause iron restriction with the onset of anemia. Restoring physiologica...

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Main Authors: Michela Asperti, Andrea Denardo, Magdalena Gryzik, Kristina E. M. Persson, Göran Westerberg, John Öhd, Maura Poli
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:HemaSphere
Online Access:https://doi.org/10.1002/hem3.70035
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author Michela Asperti
Andrea Denardo
Magdalena Gryzik
Kristina E. M. Persson
Göran Westerberg
John Öhd
Maura Poli
author_facet Michela Asperti
Andrea Denardo
Magdalena Gryzik
Kristina E. M. Persson
Göran Westerberg
John Öhd
Maura Poli
author_sort Michela Asperti
collection DOAJ
description Abstract Hepcidin is an essential regulator of systemic iron availability mediating both iron uptake from the diet and its release from body stores. Abnormally high hepcidin levels resulting from inflammation in chronic diseases cause iron restriction with the onset of anemia. Restoring physiological levels of hepcidin could contribute to ameliorating anemia in these patients. Heparin derivatives are known to suppress hepcidin expression acting on the BMP/SMAD pathway. The novel heparin derivative sevuparin, modified to markedly reduce its anticoagulant activity, is proposed as a promising hepcidin antagonizing strategy. Sevuparin was tested for its anti‐hepcidin properties in vitro in HepG2 cells, in vivo in mice, and in healthy volunteers. Sevuparin strongly suppressed basal, BMP6‐, and IL6‐dependent hepcidin expression in HepG2 cells in a dose‐ and time‐dependent manner, modulating the essential BMP6/SMAD cascade. These effects were evident in C57BL/6J mice after intravenous injection of a single dose of sevuparin (20 mg/kg) with a 70% reduction of hepcidin mRNA. Remarkably, similar effects were observed in healthy volunteers following single subcutaneous doses at 3, 6, and 9 mg/kg with 40%–50% suppression at 3 and 6 mg/kg and 72% at 9 mg/kg. Moreover, sevuparin was able to reduce hepcidin upregulation in a mouse model of acute inflammation induced by LPS, also showing an amelioration of the inflammatory markers. Combined with its excellent safety profile, these data suggest a role for sevuparin in treating high‐hepcidin disorders.
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spelling doaj-art-51cfd20123244d66b10e53aaef6023d72025-01-07T12:35:28ZengWileyHemaSphere2572-92412024-12-01812n/an/a10.1002/hem3.70035Sevuparin strongly reduces hepcidin expression in cells, mice, and healthy human volunteersMichela Asperti0Andrea Denardo1Magdalena Gryzik2Kristina E. M. Persson3Göran Westerberg4John Öhd5Maura Poli6Department of Molecular and Translational Medicine University of Brescia Brescia ItalyDepartment of Molecular and Translational Medicine University of Brescia Brescia ItalyDepartment of Molecular and Translational Medicine University of Brescia Brescia ItalyDepartment of Laboratory Medicine Lund University Lund SwedenModus Therapeutics AB Stockholm SwedenModus Therapeutics AB Stockholm SwedenDepartment of Molecular and Translational Medicine University of Brescia Brescia ItalyAbstract Hepcidin is an essential regulator of systemic iron availability mediating both iron uptake from the diet and its release from body stores. Abnormally high hepcidin levels resulting from inflammation in chronic diseases cause iron restriction with the onset of anemia. Restoring physiological levels of hepcidin could contribute to ameliorating anemia in these patients. Heparin derivatives are known to suppress hepcidin expression acting on the BMP/SMAD pathway. The novel heparin derivative sevuparin, modified to markedly reduce its anticoagulant activity, is proposed as a promising hepcidin antagonizing strategy. Sevuparin was tested for its anti‐hepcidin properties in vitro in HepG2 cells, in vivo in mice, and in healthy volunteers. Sevuparin strongly suppressed basal, BMP6‐, and IL6‐dependent hepcidin expression in HepG2 cells in a dose‐ and time‐dependent manner, modulating the essential BMP6/SMAD cascade. These effects were evident in C57BL/6J mice after intravenous injection of a single dose of sevuparin (20 mg/kg) with a 70% reduction of hepcidin mRNA. Remarkably, similar effects were observed in healthy volunteers following single subcutaneous doses at 3, 6, and 9 mg/kg with 40%–50% suppression at 3 and 6 mg/kg and 72% at 9 mg/kg. Moreover, sevuparin was able to reduce hepcidin upregulation in a mouse model of acute inflammation induced by LPS, also showing an amelioration of the inflammatory markers. Combined with its excellent safety profile, these data suggest a role for sevuparin in treating high‐hepcidin disorders.https://doi.org/10.1002/hem3.70035
spellingShingle Michela Asperti
Andrea Denardo
Magdalena Gryzik
Kristina E. M. Persson
Göran Westerberg
John Öhd
Maura Poli
Sevuparin strongly reduces hepcidin expression in cells, mice, and healthy human volunteers
HemaSphere
title Sevuparin strongly reduces hepcidin expression in cells, mice, and healthy human volunteers
title_full Sevuparin strongly reduces hepcidin expression in cells, mice, and healthy human volunteers
title_fullStr Sevuparin strongly reduces hepcidin expression in cells, mice, and healthy human volunteers
title_full_unstemmed Sevuparin strongly reduces hepcidin expression in cells, mice, and healthy human volunteers
title_short Sevuparin strongly reduces hepcidin expression in cells, mice, and healthy human volunteers
title_sort sevuparin strongly reduces hepcidin expression in cells mice and healthy human volunteers
url https://doi.org/10.1002/hem3.70035
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