肾脏的铁调素/亚铁转运蛋白轴控制铁的重吸收,并决定肾脏和全身铁过载的程度。

The kidney hepcidin/ferroportin axis controls iron reabsorption and determines the magnitude of kidney and systemic iron overload.

机构信息

Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK.

Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.

出版信息

Kidney Int. 2021 Sep;100(3):559-569. doi: 10.1016/j.kint.2021.04.034. Epub 2021 May 12.

Abstract

The hepcidin/ferroportin axis controls systemic iron homeostasis by regulating iron acquisition from the duodenum and reticuloendothelial system, respective sites of iron absorption and recycling. Ferroportin is also abundant in the kidney, where it has been implicated in tubular iron reabsorption. However, it remains unknown whether endogenous hepcidin regulates ferroportin-mediated iron reabsorption under physiological conditions, and whether such regulation is important for kidney and/or systemic iron homeostasis. To address these questions, we generated a novel mouse model with an inducible kidney-tubule specific knock-in of fpnC326Y, which encodes a hepcidin-resistant ferroportin termed FPNC326Y. Under conditions of normal iron availability, female mice harboring this allele had consistently decreased kidney iron but only transiently increased systemic iron indices. Under conditions of excess iron availability, male and female mice harboring this allele had milder kidney iron overload, but greater systemic iron overload relative to controls. Additionally, despite comparable systemic iron overload, kidney iron overload occurred in wild type mice fed an iron-loaded diet but not in hemochromatosis mice harboring a ubiquitous knock-in of fpnC326Y. Thus, our study demonstrates that endogenous hepcidin controls ferroportin-mediated tubular iron reabsorption under physiological conditions. It also shows that such control is important for both kidney and systemic iron homeostasis in the context of iron overload.

摘要

亚铁肽/亚铁转运蛋白轴通过调节十二指肠和网状内皮系统的铁摄取和再循环,分别控制全身铁稳态。亚铁转运蛋白在肾脏中也很丰富,它与肾小管铁重吸收有关。然而,目前尚不清楚内源性亚铁肽是否在生理条件下调节亚铁转运蛋白介导的铁重吸收,以及这种调节对肾脏和/或全身铁稳态是否重要。为了解决这些问题,我们生成了一种新型的小鼠模型,其肾脏小管特异性敲入 fpnC326Y,该基因编码一种称为 FPNC326Y 的对亚铁肽有抗性的亚铁转运蛋白。在正常铁供应条件下,携带该等位基因的雌性小鼠的肾脏铁含量持续下降,但系统铁指标仅短暂增加。在铁过量供应条件下,携带该等位基因的雄性和雌性小鼠的肾脏铁过载程度较轻,但相对于对照组,全身铁过载程度较重。此外,尽管存在类似的全身铁过载,在给予铁负荷饮食的野生型小鼠中发生了肾脏铁过载,但在携带普遍敲入 fpnC326Y 的血色病小鼠中则没有发生。因此,我们的研究表明,内源性亚铁肽在生理条件下控制亚铁转运蛋白介导的肾小管铁重吸收。它还表明,在铁过载的情况下,这种控制对肾脏和全身铁稳态都很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86a8/8456337/dbec4ed22d34/fx1.jpg

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