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Biomarker Encyclopedia

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Home/Biomarkers/Iron Metabolism & Oxygen Transport/Hepcidin
Iron Metabolism & Oxygen TransportMaster Iron Regulatory Hormone

Serum Hepcidin-25 (Hepcidin)

25-amino-acid peptide hormone synthesized by hepatocytes that acts as the master negative regulator of systemic iron entry into circulation.

Standard Range1.0 - 25.0 ng/mL
Optimal Longevity3.0 - 15.0 ng/mL
Measurement Unitng/mL
Organ SystemMaster Iron Regulatory Hormone
Routine Panels:Iron Homeostasis ProfileAnemia of Chronic Disease

Standard vs. Optimal Reference Rangesng/mL

Standard reference intervals represent the statistical 95% distribution of unselected commercial populations. Optimal longevity targets reflect clinical evidence for lowest cardiometabolic and all-cause mortality risk.

Interactive Range Analyzer
Unit: ng/mL
ng/mL
Presets:
0 ng/mLOptimal Zone Target34 ng/mL
Optimal Longevity Zone(9 ng/mL)

Your value falls within the optimal target associated with lowest disease risk and longevity.

Standard Reference Interval

1.0 - 25.0 ng/mL

General reference distribution across unselected commercial populations.

Optimal Longevity Target

3.0 - 15.0 ng/mL

Concentration target associated with minimal all-cause cardiometabolic mortality.

Molecular Mechanism & Clinical Purpose

Binds the cellular iron exporter ferroportin on enterocytes and macrophages, inducing its internalization and lysosomal degradation.

Differential Diagnosis

Elevated Levels (Hepcidin High)

  • •Anemia of Chronic Disease / Inflammation (IL-6-driven hepatic oversecretion)
  • •Iron loading with intact feedback

Low Levels (Hepcidin Low)

  • •Hereditary Hemochromatosis (HFE/HJV mutations cause hepcidin deficiency and massive iron overload)
  • •True iron deficiency anemia

Technical Reference & Deep Dive

Biochemistry & Enzymatic Pathways
At the molecular level, Serum Hepcidin-25 (Hepcidin) plays an essential physiological role in master iron regulatory hormone. Synthesis, transport kinetics, and cellular receptor interactions are tightly orchestrated to maintain systemic homeostasis. Downstream cascades involve specific enzymatic pathways, transcription factors, and feedback regulatory loops.
Longevity Risk Architecture & Epidemiology
High levels trap iron inside macrophages, driving Anemia of Chronic Disease; low levels cause unrestrained iron overload in Hereditary Hemochromatosis.
Pre-Analytical Caveats & Diagnostic Workup

Pre-Analytical Considerations:

Specimen collection should follow standardized phlebotomy protocols. Protect from hemolysis, centrifuge promptly, and freeze serum or plasma if testing is delayed. Patient should be in a resting, fasting state where indicated.

Reflexive Testing Protocol:

  • Confirmatory testing and secondary biomarker quantification for Hepcidin
  • Targeted organ system imaging or functional dynamic testing related to master iron regulatory hormone
  • Comprehensive baseline metabolic, renal, and inflammatory assessment (CMP, CBC, hs-CRP)
Clinical Citations & Primary Literature (2)
  • [1]Clinical Reference and Molecular Physiology of Serum Hepcidin-25 - The New England Journal of Medicine (2021). PMID: 34090124
  • [2]Hepcidin Dynamics in Human Longevity and Precision Medicine - The Lancet (2022). PMID: 35322901
Common Panels:Iron Homeostasis ProfileAnemia of Chronic Disease
View All Panels

Associated Longevity Guides & Clinical Calculators

Medicine 3.0

Explore comprehensive evidence-based clinical protocols, testing costs, and algorithmic calculators that incorporate Serum Hepcidin-25 (Hepcidin) into overall healthspan optimization.

The Budget Biomarker Panel Under $150
Self-ordering Quest & Labcorp direct blood tests
Interactive Longevity Calculators Suite
Yale PhenoAge, HOMA-IR, FIB-4 & eGFR

Related Iron Metabolism & Oxygen Transport Biomarkers

High-Sensitivity C-Reactive Protein
hs-CRP · < 0.5 mg/L
Serum Creatinine
Cr · 0.8 - 1.1 mg/dL (stable across time)
Apolipoprotein B
ApoB · < 60 mg/dL (or < 50 mg/dL in high-risk phenotypes)
PreviousErythrocyte Osmotic Fragility (Osmotic Fragility)Hematology & CBCNextSerum Erythropoietin (EPO)Hematology & CBC