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Prepublished online as a Blood First Edition Paper on April 30, 2002; DOI 10.1182/blood-2001-11-0037.

Submitted November 27, 2001
Accepted April 3, 2002
Regulation of Iron Absorption in Hfe Mutant Mice
Richard S Ajioka*, Joanne E Levy, Nancy C Andrews, and James P Kushner
Div. of Hematology Dept. of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA
Div. of Hematology/Oncology Dept. of Pediatrics, Children's Hospital Harvard University, Boston, MA, USA; Div. of Hematology Dept. of Pediatrics, Brigham and Women's Hospital, Boston, MA, USA
Div. of Hematology/Oncology Dept. of Pediatrics, Children's Hospital Harvard University, Boston, MA, USA; Howard Hughes Medical Institute, Boston, MA, USA
* Corresponding author; email: richard.ajioka{at}hsc.utah.edu.
Hereditary hemochromatosis is most commonly caused by homozygosity for a point mutation (C282Y) in the HFE gene. The mechanism by which HFE regulates iron absorption is not known but the C282Y mutation results in loss of cell surface expression of HFE protein and hyperabsorption of iron by the duodenal enterocyte. Mice homozygous for a deletion in the Hfe gene 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 greater than five-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 four-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 five-fold over control values. Our data indicate that Hfe mutant mice retain the ability to regulate iron absorption. Hfe protein plays a minor role in down regulation but does not influence the up regulation of iron absorption.

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