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Prepublished online as a Blood First Edition Paper on April 30, 2002; DOI 10.1182/blood-2001-11-0037.
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Blood, 15 August 2002, Vol. 100, No. 4, pp. 1465-1469
RED CELLS
Regulation of iron absorption in Hfe mutant
mice
Richard S. Ajioka,
Joanne
E. Levy,
Nancy C. Andrews, and
James P. Kushner
From the Division of Hematology, Department of Internal
Medicine, University of Utah School of Medicine, Salt Lake City; the
Division of Hematology/ Oncology, Children's Hospital, Department of
Pediatrics, Harvard University, Cambridge, MA; Howard Hughes Medical
Institute, Chevy Chase, MD; and the Division of Hematology, Brigham and
Women's Hospital, Boston, MA.
Hereditary hemochromatosis is most commonly caused by
homozygosity for a point mutation (C282Y) in the human hemochromatosis gene (HFE). The mechanism by which HFE
regulates iron absorption is not known, but the C282Y mutation results
in loss of cell surface expression of the human hemachromatosis protein
(HFE) and hyperabsorption of iron by the duodenal enterocyte.
Mice homozygous for a deletion in the mouse hemochromatosis gene
(Hfe) or a mutation equivalent to that seen in human
hereditary hemochromatosis (C282Y) were compared with wild-type animals
for their ability to regulate iron absorption. Both mutant strains
hyperabsorbed 59Fe administered by gavage. Feeding a
diet supplemented with carbonyl iron resulted in a more than 5-fold
reduction of 59Fe absorption in both wild-type and mutant
mouse strains. Similarly, the iron loading associated with age in
Hfe mutant mice resulted in nearly a 4-fold reduction in
iron absorption. When mice were stimulated to absorb iron either by
depleting iron stores or by inducing erythropoiesis, wild type and
Hfe mutant strains increased absorption to similar levels,
approximately 5-fold over control values. Our data indicate that
Hfe mutant mice retain the ability to regulate iron
absorption. Mouse hemachromatosis protein (Hfe) plays a minor
role in down-regulation but does not influence the up-regulation of
iron absorption.

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