Banerjee Somesh, Lu Shaolei, Jain Anand, Wang Irene, Tao Hui, Srinivasan Shanthi, Nemeth Elizabeta, He Peijian
Division of Digestive Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
Department of Pathology, Rhode Island Hospital and Alpert Medical School of Brown University, Providence, RI.
Blood. 2024 Sep 26;144(13):1433-1444. doi: 10.1182/blood.2024023829.
Ferroportin (Fpn) is the only iron exporter, playing a crucial role in systemic iron homeostasis. Fpn is negatively regulated by its ligand hepcidin, but other potential regulators in physiological and disease conditions remain poorly understood. Diabetes is a metabolic disorder that develops body iron loading with unknown mechanisms. By using diabetic mouse models and human duodenal specimens, we demonstrated that intestinal Fpn expression was increased in diabetes in a hepcidin-independent manner. Protein kinase C (PKC) is hyperactivated in diabetes. We showed that PKCα was required to sustain baseline Fpn expression and diabetes-induced Fpn upregulation in the enterocytes and macrophages. Knockout of PKCα abolished diabetes-associated iron overload. Mechanistically, activation of PKCα increased the exocytotic trafficking of Fpn and decreased the endocytic trafficking of Fpn in the resting state. Hyperactive PKCα also suppressed hepcidin-induced ubiquitination, internalization, and degradation of Fpn. We further observed that iron loading in the enterocytes and macrophages activated PKCα, acting as a novel mechanism to enhance Fpn-dependent iron efflux. Finally, we demonstrated that the loss-of-function of PKCα and pharmacological inhibition of PKC significantly alleviated hereditary hemochromatosis-associated iron overload. Our study has highlighted, to our knowledge, for the first time, that PKCα is an important positive regulator of Fpn and a new target in the control of iron homeostasis.
铁转运蛋白(Fpn)是唯一的铁输出蛋白,在全身铁稳态中发挥关键作用。Fpn受到其配体铁调素的负调控,但在生理和疾病状态下其他潜在的调节因子仍知之甚少。糖尿病是一种代谢紊乱疾病,其体内铁负荷增加的机制尚不清楚。通过使用糖尿病小鼠模型和人类十二指肠标本,我们证明糖尿病时肠道Fpn表达以铁调素非依赖的方式增加。蛋白激酶C(PKC)在糖尿病中被过度激活。我们发现PKCα是维持肠上皮细胞和巨噬细胞中Fpn的基础表达以及糖尿病诱导的Fpn上调所必需的。敲除PKCα可消除糖尿病相关的铁过载。机制上,PKCα的激活增加了静息状态下Fpn的胞吐转运并减少了Fpn的内吞转运。过度活跃的PKCα还抑制了铁调素诱导的Fpn泛素化、内化和降解。我们进一步观察到肠上皮细胞和巨噬细胞中的铁负荷激活了PKCα,这是增强Fpn依赖性铁外排的一种新机制。最后,我们证明PKCα的功能丧失和PKC的药理学抑制显著减轻了遗传性血色素沉着症相关的铁过载。据我们所知,我们的研究首次强调PKCα是Fpn的重要正调节因子,也是控制铁稳态的新靶点。
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