Iron is vital for almost all organisms because of its
ability to donate and accept electrons with relative ease. It serves
as a cofactor for many proteins and enzymes necessary for oxygen and
energy metabolism, as well as for several other essential processes.
Mammalian cells utilize multiple mechanisms to acquire iron. Disruption
of iron homeostasis is associated with various human diseases: iron
deficiency resulting from defects in the acquisition or distribution
of the metal causes anemia, whereas iron surfeit resulting from excessive
iron absorption or defective utilization causes abnormal tissue iron
deposition, leading to oxidative damage. Mammals utilize distinct
mechanisms to regulate iron homeostasis at the systemic and cellular
levels. These involve the hormone hepcidin and iron regulatory proteins,
which collectively ensure iron balance. This review outlines recent
advances in iron regulatory pathways as well as in mechanisms underlying
intracellular iron trafficking, an important but less studied area
of mammalian iron homeostasis.