In veterinary medicine, hyperferritinemia is often observed in dogs with various diseases
(e.g., histiocytic sarcoma and immune-mediated hemolytic anemia) without evidence of iron
overload. The mechanism underlying hyperferritinemia development is not well understood.
Anemia caused by inflammation is termed as anemia of chronic disease (ACD), and
experimentally induced ACD is known to cause slight hyperferritinemia. However, almost all
these studies were based on short-term acute inflammation. Hepcidin, a protein mainly
produced by hepatocytes, is thought to be a key regulator in iron release from
reticuloendothelial cells (RECs), and its expression is related to ACD. We hypothesized
that in the case of long-term ACD, iron deposition in RECs increases through hepcidin,
causing a diachronic increase in serum ferritin levels. In the present study, we used a
canine model with repeated subcutaneous administration of turpentine oil every 3 days over
a period of 42 days (15 injections) and induced long-term inflammatory conditions;
furthermore, we evaluated the change in serum ferritin concentration. Hypoproliferative
anemia, bone marrow iron deposition and hypoferremia, which are characteristic of ACD,
were observed on administering the turpentine injections. Hepatic iron content, hepatic
hepcidin mRNA expression and serum ferritin concentration increased during the early
period after turpentine injection, but returned to normal levels later. These results show
that experimentally induced long-term ACD caused hypoproliferative anemia without
sustained increase in hepcidin expression and did not cause systemic iron overload. Thus,
chronic inflammation may not contribute greatly to increase in hyperferritinemia.