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Adaptive Response of Iron Absorption to Anemia, Increased
Erythropoiesis, Iron Deficiency, and Iron Loading in
2-Microglobulin Knockout Mice
Manuela Santos,
Hans Clevers,
Maria de Sousa, and
J.J.M. Marx
From the Departments of Immunology and Internal Medicine and
Eijkman-Winkler Institute, University Hospital Utrecht, Utrecht, The
Netherlands; and Molecular Pathology and Immunology, Abel Salazar
Institute for the Biomedical Sciences, Porto, Portugal.
Recently, a novel gene of the major histocompatibility complex (MHC)
class I family, HFE (HLA-H), has been found to be mutated in a large
proportion of hereditary hemochromatosis (HH) patients. Further support
for a causative role of HFE in this disease comes from the observation
that 2-microglobulin knockout ( 2m / ) mice, that
fail to express MHC class I products, develop iron overload. We have
now used this animal model of HH to examine the capacity to adapt iron
absorption in response to altered iron metabolism in the absence of
2m-dependent molecule(s). Mucosal uptake, mucosal transfer and
retention of iron were measured in control and 2m /
mice with altered iron metabolism. Mucosal uptake of Fe(III), but not
of Fe(II), by the mutant mice was significantly higher when compared
with B6 control mice. Mucosal transfer in the 2m /
mice was higher, independent of the iron form tested. No significant differences were found in iron absorption between control and 2m / mice when anemia was induced either by
repetitive bleeding or by hemolysis through phenylhydrazine treatment.
However, iron absorption in mice made anemic by dietary deprivation of
iron was significantly higher in the mutant mice. Furthermore, the 2m / mice manifested an impaired capacity to
downmodulate iron absorption when dietary or parenterally iron-loaded.
The expression of the defect in iron absorption in the
2m / mice is quantitative, with iron absorption
being excessively high for the size of body iron stores. The higher
iron absorption capacity in the 2m / mice may
involve the initial step of ferric mucosal uptake and the subsequent
step of mucosal transfer of iron to the plasma.
Blood, Vol. 91 No. 8 (April 15), 1998:
pp. 3059-3065
© 1998 by The American Society of Hematology.

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