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Blood, 28 May 2009, Vol. 113, No. 22, pp. 5605-5608. Prepublished online as a Blood First Edition Paper on April 8, 2009; DOI 10.1182/blood-2008-12-195594.
Submitted December 22, 2008
Vita-Salute University - San Raffaele Scientific Institute, Milan, Italy * Corresponding author; email: bernard.grandchamp{at}inserm.fr.
Matriptase-2 is a transmembrane serine protease that negatively regulates hepcidin expression by cleaving membrane-bound hemojuvelin. Matriptase-2 has a complex ectodomain including a C-terminal serine protease domain and its activation requires an autocatalytic cleavage. Matriptase-2 mutations have been reported in several patients with iron-refractory iron deficiency anemia. Here we describe a patient with two missense mutations in the second LDLRA domain. Functional studies of these two mutations and of a previously reported mutation in the second CUB domain were performed. Transfection of mutant cDNAs showed that membrane-targeting of the two LDLRA mutants was impaired, with Golgi retention of the variants. The activating cleavage was absent for the LDLRA mutants, and reduced for the CUB mutant. All three mutated proteins were still able to physically interact with hemojuvelin but only partially repressed hepcidin expression as compared to wild type matriptase-2. Our results underline the importance of LDLRA and CUB domains of matriptase-2.
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