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Blood, 1 August 2008, Vol. 112, No. 3, pp. 866-874.
Prepublished online as a Blood First Edition Paper on March 27, 2008; DOI 10.1182/blood-2007-12-126854.
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Submitted December 7, 2007
Accepted March 18, 2008
Iron-depletion limits intracellular bacterial growth in macrophages
Prasad Paradkar, Ivana De Domenico, Nina Durchfort, Irene Zohn, Jerry Kaplan, and Diane McVey Ward*
Department of Pathology, School of Medicine, University of Utah, Salt Lake City, UT, United States
Center for Neuroscience Research, Children's National Medical Center, Washington, D.C., United States
* Corresponding author; email: diane.mcveyward{at}path.utah.edu.
Many intracellular pathogens infect macrophages and these pathogens require iron for growth. Here we demonstrate in vitro that the intracellular growth of Chlamydia psittaci, Chlamydia trachomatis and Legionella pneumophila is regulated by the levels of intracellular iron. Macrophages that express cell surface ferroportin, the only known cellular iron exporter, limit the intracellular growth of these bacteria. Hepcidin is an anti-microbial peptide secreted by the liver in response to inflammation. Hepcidin binds to ferroportin mediating its internalization and degradation. Addition of hepcidin to infected macrophages enhanced the intracellular growth of these pathogens. Macrophages from flatiron mice, a strain heterozygous for a loss-of-function ferroportin mutation, showed enhanced intracellular bacterial growth independent of the presence of exogenous hepcidin. Macrophages, from wild type or flatiron mice, incubated with the oral iron chelators deferriprone or desferasirox showed reduced intracellular bacterial growth suggesting that these chelators might be therapeutic in chronic intracellular bacterial infections

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