Lack of functional hereditary hemochromatosis protein, HFE, causes iron overload predominantly in hepatocytes, the major site of HFE expression in the liver. In this study, we investigated the role of HFE in the regulation of both transferrin-bound iron (TBI) and non-transferrin-bound iron (NTBI) uptake in HepG2 cells, a human hepatoma cell line. Expression of HFE decreased both TBI and NTBI uptake. It also resulted in a decrease in the protein levels of Zip14 with no evident change in the mRNA level of Zip14. Zip14 (Slc39a14) Iron absorbed from the intestine is transported directly to the liver, a key organ involved in iron homeostasis. Hepatocytes, making up about 80% of the liver in volume, play an important role in maintaining iron homeostasis and iron sensing. They take up both transferrin-bound iron (TBI) 2 and nontransferrin-bound iron (NTBI). NTBI uptake requires both reduction by ferric reductase and transport by a ferrous transporter. Steap3 is the candidate reductase in the liver (1, 2), and DMT1 (divalent metal transporter 1) and Zip14 (Zrtand Irt-like protein 14) are candidate transporters. DMT1 was the first iron transporter identified and is ubiquitously expressed (3, 4). Zip14, a member of the SLC39A metal ion transporter family, initially identified as zinc transporter (5, 6), was recently reported to be abundantly expressed in hepatocytes and involved in NTBI uptake (7). Patients with hereditary hemochromatosis have significant levels of NTBI in their serum (8,9).Mutation of a single base pair in the hereditary hemochromatosis gene (HFE) causes iron overload in the liver, heart, pancreas, and parathyroid and pituitary glands, leading to multiorgan dysfunction (10, 11). This mutation results in a substitution of tyrosine for cysteine in the hereditary hemochromatosis protein, HFE, which disrupts a disulfide bond required for proper folding, preventing it from binding to  2 -microglobulin and trafficking to the cell surface (12). The importance of functional HFE in iron metabolism is also supported by the evidence that hepatocytes from Hfe Ϫ/Ϫ knock-out mice can take up more NTBI (9) and have an 8-fold higher iron accumulation in the liver than wild-type mice (13).Several mechanisms have been proposed by which HFE regulates iron metabolism. HFE competes with transferrin (Tf) for binding to TfR1 (transferrin receptor 1), lowering iron uptake into cells (14 -16). Alternately, Tf binding to TfR1 releases HFE to bind to TfR2 in hepatocytes to increase hepcidin transcription (17). Hepcidin is a hormone secreted by the liver that negatively regulates dietary iron uptake by the intestine. HFE can also lower NTBI uptake in isolated primary mouse hepatocytes (9) and in Chinese hamster ovary cells lacking endogenous TfR1 (18). Thus, the mechanism by which HFE regulates iron metabolism still remains elusive.In the present study, the regulation of both TBI and NTBI uptake by HFE was studied in HepG2 cells, a human hepatoma cell line. We found that expression of HFE decreased both TBI and NTBI uptake. Expre...