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Blood, 19 February 2009, Vol. 113, No. 8, pp. 1841-1844.
Prepublished online as a Blood First Edition Paper on December 23, 2008; DOI 10.1182/blood-2008-09-178517.


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TRANSPLANTATION

Brief Report

Transplantation of allogeneic T cells alters iron homeostasis in NOD/SCID mice

Steven Bair1, Emily Spaulding1, Jaakko Parkkinen1, Howard M. Shulman1,2, Vladimir Lesnikov1, Mary Beauchamp3, François Canonne-Hergaux4, Kris V. Kowdley2,3, and H. Joachim Deeg1,2

1 Fred Hutchinson Cancer Research Center, Seattle, WA; 2 University of Washington, Seattle; 3 Benaroya Research Institute at Virginia Mason, Seattle, WA; and 4 Institut de Chimie des Substances Naturelles (ICSN), Centre National de la Recherche Scientifique (CNRS), Gif-Sur-Yvette, France

Iron overload is common in patients undergoing allogeneic hematopoietic cell transplantation (HCT), but the mechanisms leading to overload are unknown. Here, we determined iron levels and the expression of iron regulatory proteins in the liver and gut of nonobese diabetic–severe combined immunodeficient (NOD/SCID) mice that underwent transplantation with syngeneic (histocompatible) or allogeneic (histoincompatible) T lymphocytes. Infusion of histoincompatible T cells resulted in a significant rise in serum iron levels and liver iron content. Iron deposition was accompanied by hepatocyte injury and intestinal villous damage. Feeding of low- or high-iron diet was associated with appropriate ferroportin 1 and hepcidin responses in mice given histocompatible T cells, whereas mice given histoincompatible T cells showed inappropriate up-regulation of duodenal ferroportin 1 and a loss of expression of hepatic hepcidin. These findings suggest that alloreactive T cell–dependent signals induced dysregulation of intestinal iron absorption, which contributed to liver iron overload after HCT.


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