1] INSERM U773, Centre de Recherche Biomédicale Bichat-Beaujon, Université Paris Diderot, Site Bichat, Paris, France [2] Université Paris Diderot, Site Bichat, Paris, France.
Kidney Int. 2013 Oct;84(4):756-66. doi: 10.1038/ki.2013.142. Epub 2013 Apr 24.
Hepcidin, the key regulatory hormone of iron homeostasis, and iron carriers such as transferrin receptor1 (TFR1), divalent metal transporter1 (DMT1), and ferroportin (FPN) are expressed in kidney. Whether hepcidin plays an intrinsic role in the regulation of renal iron transport is unknown. Here, we analyzed the renal handling of iron in hemochromatosis Hepc(-/-) and Hjv(-/-) mouse models, as well as in phenylhydrazine (PHZ)-treated mice. We found a marked medullary iron deposition in the kidneys of Hepc(-/-) mice, and iron leak in the urine. The kidneys of Hepc(-/-) mice exhibited a concomitant decrease in TFR1 and increase in ferritin and FPN expression. Increased FPN abundance was restricted to the thick ascending limb (TAL). DMT1 protein remained unaffected despite a significant decrease of its mRNA level, suggesting that DMT1 protein is stabilized in the absence of hepcidin. Treatment of kidney sections from Hepc(-/-) mice with hepcidin decreased DMT1 protein, an effect confirmed in renal cell lines where hepcidin markedly decreased (55)Fe transport. In the kidneys of Hjv(-/-) mice exhibiting low hepcidin expression, the iron overload was similar to that in the kidneys of Hepc(-/-) mice. However, in PHZ mice, iron accumulation resulting from hemoglobin leak was detected in the proximal tubule. Thus, kidneys exhibit a tissue-specific handling of iron that depends on the extra iron source. Hepcidin may control the expression of iron transporters to prevent renal iron overload.
铁调素是铁稳态的关键调节激素,而转铁蛋白受体 1 (TFR1)、二价金属转运蛋白 1 (DMT1)和铁蛋白 (FPN) 等铁载体在肾脏中表达。铁调素是否在肾脏铁转运的调节中发挥内在作用尚不清楚。在这里,我们分析了血色病 Hepc(-/-)和 Hjv(-/-)小鼠模型以及苯肼 (PHZ) 处理小鼠的肾脏铁处理。我们发现 Hepc(-/-)小鼠肾脏的髓质铁沉积明显,尿液中有铁漏出。Hepc(-/-)小鼠的肾脏表现出 TFR1 同时减少和铁蛋白和 FPN 表达增加。FPN 丰度增加仅限于厚升支 (TAL)。尽管 DMT1 mRNA 水平显著下降,但 DMT1 蛋白仍未受影响,表明在没有铁调素的情况下 DMT1 蛋白被稳定。用铁调素处理 Hepc(-/-)小鼠的肾脏切片可降低 DMT1 蛋白,这一效应在铁调素显著降低 (55)Fe 转运的肾细胞系中得到证实。在铁调素表达较低的 Hjv(-/-)小鼠的肾脏中,铁过载与 Hepc(-/-)小鼠的肾脏相似。然而,在 PHZ 小鼠中,血红蛋白泄漏导致的铁积累在近端肾小管中被检测到。因此,肾脏表现出依赖于额外铁源的组织特异性铁处理。铁调素可能通过控制铁转运蛋白的表达来防止肾脏铁过载。
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