Homozygosity for transferrin receptor-2 Y250X mutation induces early iron overload
HAEMATOLOGICA
Authors: Piperno, A; Roetto, A; Mariani, R; Pelucchi, S; Corengia, C; Daraio, F; Piga, A; Garozzo, G; Camaschella, C
Abstract
Two Italian subjects, aged three and sixteen years, presented with early iron overload as shown by increased serum iron indices and hepatic iron concentration. They both carried the Y25OX mutation of the TFR2 gene in the homozygous state. We suggest that transferrin receptor-2 is important in maintaining iron balance in the first decades of life.
Regulation of Hepcidin and Iron-Overload Disease
ANNUAL REVIEW OF PATHOLOGY-MECHANISMS OF DISEASE
Authors: Lee, Pauline L.; Beutler, Ernest
Abstract
Hepcidin, a 25-amino-acid antimicrobial peptide, is the central regulator of iron homeostasis. Hepcidin transcription is upregulated by inflammatory cytokines, iron, and bone morphogenetic proteins and is downregulated by iron deficiency, ineffective erythropoiesis, and hypoxia. The iron transporter ferroportin is the cognate receptor of hepcidin and is destroyed as a result of interaction with the peptide. Except for inherited defects of ferroportin and hepcidin itself, all forms of iron-storage disease appear to arise from hepcidin dysregulation. Studies using multiple approaches have begun to delineate the molecular mechanisms that regulate hepcidin expression, particularly at the transcriptional level. Knowledge of the regulation of hepcidin by inflammation, iron, erythropoiesis, and hypoxia will lead to an understanding of the pathogenesis of primary hemochromatosis, secondary iron overload, and anemia of inflammatory disease.