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Blood, 1 January 2007, Vol. 109, No. 1, pp. 353-358.
Prepublished online as a Blood First Edition Paper on August 31, 2006; DOI 10.1182/blood-2006-07-033969.
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Submitted July 11, 2006
Accepted August 9, 2006
STAT-3 mediates hepatic hepcidin expression and its inflammatory stimulation
Maria Vittoria Verga Falzacappa, Maja Vujic Spasic, Regina Kessler, Jens Stolte, Matthias W Hentze, and Martina U Muckenthaler*
MMPU/Department of Pediatric Oncology, Hematology and Immunology, University of Heidelberg, Germany
Department of Pediatric Oncology, Hematology and Immunology, University of Heidelberg, Germany
European Molecular Biology Laboratory, Heidelberg, Germany
Molecular Medicine Partnership Unit/European Molecular Biology Laboratory, Heidelberg, Germany
* Corresponding author; email: martina.muckenthaler{at}med.uni-heidelberg.de.
Hepcidin is a key iron-regulatory hormone produced by the liver. Inappropriately low hepcidin levels cause iron overload, while increased hepcidin expression plays an important role in the anaemia of inflammation (AI) by restricting intestinal iron absorption and macrophage iron release. Its expression is modulated in response to body iron stores, hypoxia, inflammatory and infectious stimuli, involving at least in part cytokines secreted by macrophages. In this study we established and characterized IL-6-mediated hepcidin activation in the human liver cell line Huh7. We show that the proximal 165bp of the hepcidin promoter are critical for hepcidin activation in response to exogenously administered IL-6 or to conditioned medium from the monocyte/macrophage cell line THP-1. Importantly, we show that hepcidin activation by these stimuli requires a STAT-3 binding motif located at position -64/-72 of the promoter. The same STAT binding site is also required for high basal level hepcidin mRNA expression under control culture conditions, and siRNA-mediated RNA knock-down of STAT-3 strongly reduces hepcidin mRNA expression. These results identify a missing link in the acute phase activation of hepcidin and establish STAT-3 as a key effector of baseline hepcidin expression and during inflammatory conditions.

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