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Blood, 15 September 2008, Vol. 112, No. 6, pp. 2539-2545.
Prepublished online as a Blood First Edition Paper on June 3, 2008; DOI 10.1182/blood-2008-04-149773.
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Submitted April 4, 2008
Accepted May 6, 2008
The membrane-bound serine protease matriptase-2 (Tmprss6) is an essential regulator of iron homeostasis
Alicia R Folgueras, Fernando Martin de Lara, Alberto M Pendas, Cecilia Garabaya, Francisco Rodriguez, Aurora Astudillo, Teresa Bernal, Ruben Cabanillas, Carlos Lopez-Otin*, and Gloria Velasco
Departamento de Bioquimica y Biologia Molecular, Universidad de Oviedo-IUOPA, Oviedo, Spain
Servicio de Anatomia Patologica, Hospital Universitario Central de Asturias, Oviedo, Spain
Servicio de Hematologia, Hospital Universitario Central de Asturias, Oviedo, Spain
Servicio de Otorrinolaringologia, Hospital Universitario Central de Asturias, Oviedo, Spain
* Corresponding author; email: clo{at}uniovi.es.
Proteolytic events at the cell surface are essential in the regulation of signal transduction pathways. Over the last years, the family of type II transmembrane serine proteases (TTSPs) has acquired an increasing relevance due to their privileged localization at the cell surface, although our current understanding of the biological function of most TTSPs is very limited. Here we demonstrate that matriptase-2 (Tmprss6), a recently described member of the TTSP family, is an essential regulator of iron homeostasis. Thus, Tmprss6-/- mice display an overt phenotype of alopecia and a severe iron deficiency anemia. These hematological alterations found in Tmprss6-/- mice are accompanied by a marked up-regulation of hepcidin, a negative regulator of iron export into plasma. Likewise, Tmprss6-/- mice have reduced ferroportin expression in the basolateral membrane of enterocytes and accumulate iron in these cells. Iron-dextran therapy rescues both alopecia and hematological alterations of Tmprss6-/- mice, providing causal evidence that the anemic phenotype of these mutant mice results from the blockade of intestinal iron export into plasma after dietary absorption. Based on these findings, we conclude that matriptase-2 activity represents a novel and relevant step in hepcidin regulation and iron homeostasis.

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