Food Science and Human Nutrition Department, University of Florida, Gainesville, FL, USA.
Department of Biochemistry, University at Buffalo-The State University of New York, Buffalo, NY, USA.
J Nutr. 2019 Dec 1;149(12):2085-2100. doi: 10.1093/jn/nxz172.
Research on the interplay between iron and copper metabolism in humans began to flourish in the mid-20th century, and diseases associated with dysregulated homeostasis of these essential trace minerals are common even today. Iron deficiency is the most frequent cause of anemia worldwide, leading to significant morbidity, particularly in developing countries. Iron overload is also quite common, usually being the result of genetic mutations which lead to inappropriate expression of the iron-regulatory hormone hepcidin. Perturbations of copper homeostasis in humans have also been described, including rare genetic conditions which lead to severe copper deficiency (Menkes disease) or copper overload (Wilson disease). Historically, the common laboratory rat (Rattus norvegicus) was the most frequently utilized species to model human physiology and pathophysiology. Recently, however, the development of genetic-engineering technology combined with the worldwide availability of numerous genetically homogenous (i.e., inbred) mouse strains shifted most research on iron and copper metabolism to laboratory mice. This created new opportunities to understand the function of individual genes in the context of a living animal, but thoughtful consideration of whether mice are the most appropriate models of human pathophysiology was not necessarily involved. Given this background, this review is intended to provide a guide for future research on iron- and copper-related disorders in humans. Generation of complementary experimental models in rats, swine, and other mammals is now facile given the advent of newer genetic technologies, thus providing the opportunity to accelerate the identification of pathogenic mechanisms and expedite the development of new treatments to mitigate these important human disorders.
人类中铁和铜代谢相互作用的研究始于 20 世纪中期,而与这些必需微量元素稳态失调相关的疾病即使在今天也很常见。铁缺乏是全世界贫血最常见的原因,导致发病率显著增加,尤其是在发展中国家。铁过载也很常见,通常是由于基因突变导致铁调节激素铁调素表达不当引起的。人类铜稳态的失调也有描述,包括导致严重铜缺乏(Menkes 病)或铜过载(Wilson 病)的罕见遗传疾病。历史上,常见的实验大鼠(Rattus norvegicus)是最常用于模拟人类生理学和病理生理学的物种。然而,最近遗传工程技术的发展以及全球众多遗传同质(即近交系)小鼠品系的可用性,将铁和铜代谢的大部分研究转移到了实验小鼠上。这为在活体动物背景下理解单个基因的功能创造了新的机会,但不一定涉及到是否将小鼠作为人类病理生理学的最佳模型的深思熟虑。鉴于此,这篇综述旨在为未来人类铁和铜相关疾病的研究提供指导。由于新的遗传技术的出现,大鼠、猪和其他哺乳动物的补充实验模型的生成现在变得轻而易举,从而为加速确定致病机制和加快开发减轻这些重要人类疾病的新治疗方法提供了机会。