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Blood, 15 December 2000, Vol. 96, No. 13, pp. 4020-4027
REVIEW ARTICLE
Iron homeostasis: new tales from the crypt
Cindy N. Roy and
Caroline
A. Enns
From the Department of Cell and Developmental Biology,
Oregon Health Sciences University, Portland, OR.
The enterocyte is a highly specialized cell of the duodenal
epithelium that coordinates iron uptake and transport into the body.
Until recently, the molecular mechanisms underlying iron absorption and
iron homeostasis have remained a mystery. This review focuses on the
proteins and regulatory mechanisms known to be present in the
enterocyte precursor cell and in the mature enterocyte. The recent
cloning of a basolateral iron transporter and investigations into its
regulation provide new insights into possible mechanisms for iron
transport and homeostasis. The roles of proteins such as iron
regulatory proteins, the hereditary hemochromatosis protein
(HFE)-transferrin receptor complex, and hephaestin in regulating this
transporter and in regulating iron transport across the intestinal
epithelium are discussed. A speculative, but testable, model for the
maintenance of iron homeostasis, which incorporates the changes in the
iron-related proteins associated with the life cycle of the enterocyte
as it journeys from the crypt to the tip of the villous is proposed.

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