Hephaestin is a membrane-bound multicopper ferroxidase necessary for iron egress from intestinal enterocytes into the circulation. Mice with sex-linked anemia (sla) have a mutant form of Hephaestin and a defect in intestinal basolateral iron transport, which results in iron deficiency and anemia. Ireg1 (SLC11A3, also known as Ferroportin1 or Mtp1) is the putative intestinal basolateral iron transporter. We compared iron levels and expression of genes involved in iron uptake and storage in sla mice and C57BL/6J mice fed iron-deficient, iron-overload, or control diets. Both iron-deficient wildtype mice and sla mice showed increased expression of Heph and Ireg1 mRNA, compared to controls, whereas only irondeficient wild-type mice had increased expression of the brush border transporter Dmt1. Unlike iron-deficient mice, sla mouse enterocytes accumulated nonheme iron and ferritin. These results indicate that Dmt1 can be modulated by the enterocyte iron level, whereas Hephaestin and Ireg1 expression respond to systemic rather than local signals of iron status. Thus, the basolateral transport step appears to be the primary site at which the small intestine responds to alterations in body iron requirements.
IntroductionIron is essential for normal metabolic function, and disturbances of iron homeostasis, including iron deficiency and iron overload, can have significant clinical consequences. Humans maintain iron homeostasis through regulation of intestinal iron absorption because the capacity to excrete iron is very limited. 1,2 The intestinal enterocyte represents the key regulatory point for iron absorption into the body. 3 Iron must cross the apical brush border of the intestinal enterocyte, translocate within the enterocyte from the apical to basolateral surfaces, and ultimately exit into the circulation. Heme and nonheme iron in the diet enter enterocytes by distinct paths but follow a convergent export route. The means by which heme is actively transported into intestinal enterocytes 3 or other mammalian cells 4 remains unknown, but once within enterocytes, heme oxygenase releases the iron from the heme. 5 Nonheme iron uptake has been better characterized. Dcytb, a recently identified ferric reductase that resides on the apical surface of mature enterocytes, likely increases the availability of Fe ϩϩ from the dietary iron pool. 6,7 Dmt1 (SLC11A2, previously Nramp2 or Dct1), 8 subsequently transports Fe ϩϩ into enterocytes. 9,10 Free iron from both heme and nonheme sources ends up in the same iron pool. This iron exits into the circulation through an export path likely involving at least 2 proteins: a candidate basolateral iron exporter, Ireg1 (SLC11A3, also known as Ferroportin1 or Mtp1) 11-14 and a membrane-bound ferroxidase called Hephaestin (Heph, Hp). The common export path for distinct uptake systems represents a physiologic checkpoint in the control of iron absorption. [15][16][17] The importance of Hephaestin in body iron homeostasis is illustrated by the sex-linked anemia (sla) mouse. We previously identi...