Serum hepcidin is associated with retinopathy of prematurity and modulates oxidative stress and angiogenic responses in retinal microvascular endothelial cells - Report - MDSpire

Serum hepcidin is associated with retinopathy of prematurity and modulates oxidative stress and angiogenic responses in retinal microvascular endothelial cells

  • By

  • Hui Yang

  • Huiyun Chen

  • Fang Cheng

  • Jingbo Jiang

  • June 8, 2026

  • 0 min

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Hepcidin Levels Correlate with Retinopathy of Prematurity

Overview

This study investigates the relationship between hepcidin levels and retinopathy of prematurity (ROP) in preterm infants. It finds that lower hepcidin levels correlate with ROP and that hepcidin supplementation may mitigate oxidative stress and abnormal angiogenesis in retinal endothelial cells.

Background

Retinopathy of prematurity is a significant cause of blindness in preterm infants, driven by factors such as hypoxia and oxidative stress. Current treatments primarily target VEGF signaling, leaving a gap in addressing upstream oxidative injuries. Understanding the role of hepcidin in ROP could lead to novel therapeutic strategies.

Data Highlights

ParameterROP InfantsNon-ROP Controls
Gestational AgeLowerHigher
Birth WeightLowerHigher
Serum HepcidinNumerically LowerHigher

Key Findings

  • Infants with ROP had lower gestational age and birth weight compared to controls.
  • Serum hepcidin levels were numerically lower in ROP infants.
  • Hypoxia (1% O2) increased VEGFA and HIF-1α mRNA expression in hRMECs.
  • Hepcidin reduced intracellular ROS and suppressed hypoxia-induced tube formation in hRMECs.
  • Transcriptomic analysis indicated hepcidin's influence on hypoxia-responsive metabolic pathways.

Clinical Implications

The findings suggest that monitoring hepcidin levels could provide insights into ROP risk in preterm infants. Additionally, hepcidin supplementation may offer a novel therapeutic approach to mitigate oxidative stress and abnormal angiogenesis in ROP.

Conclusion

This study highlights the potential role of hepcidin in the pathogenesis of ROP and suggests avenues for further research into its therapeutic applications.

Related Resources & Content

  1. Frontiers in Pediatrics, 2026 -- The oxygen paradox in retinopathy of prematurity: could fetal hemoglobin be the key?
  2. Retinal Physician, 2025 -- Study Connects Iron Regulation and Vision Loss
  3. Ophthalmology Management, 2017 -- In pregnancy, the retina ‘works’ for two
  4. Frontiers in Endocrinology, 2026 -- Relationship between hemoglobin levels and diabetic retinopathy in Chinese type 2 diabetes mellitus populations: a cross-sectional study
  5. Retinopathy of Prematurity Guidelines, 2025 -- Guidelines Summary
  6. BMJ Open Ophthalmology, 2025 -- Different ranibizumab dosages for retinopathy of prematurity: 5-year follow-up data of the randomised, controlled CARE-ROP Study
  7. JMIR Pediatrics and Parenting, 2024 -- Red Blood Cell Transfusion for Incidence of Retinopathy of Prematurity: Prospective Multicenter Cohort Study
  8. Retinopathy of Prematurity Guidelines: Guidelines Summary
  9. Different ranibizumab dosages for retinopathy of prematurity: 5-year follow-up data of the randomised, controlled CARE-ROP Study | BMJ Open Ophthalmology
  10. JMIR Pediatrics and Parenting - Red Blood Cell Transfusion for Incidence of Retinopathy of Prematurity: Prospective Multicenter Cohort Study

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