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Blood, 11 June 2009, Vol. 113, No. 24, pp. 6225-6236.
Prepublished online as a Blood First Edition Paper on April 20, 2009; DOI 10.1182/blood-2009-01-201590.


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Submitted January 26, 2009
Accepted April 13, 2009

Hepcidin, the hormone of iron metabolism, is bound specifically to {alpha}-2-macroglobulin in blood

Gabriela Peslova, Jiri Petrak, Katerina Kuzelova, Ivan Hrdy, Petr Halada, Philip W. Kuchel, Shan Soe-Lin, Prem Ponka, Robert Sutak, Erika Becker, Michael Li-Hsuan Huang, Yohan Suryo Rahmanto, Des R. Richardson, and Daniel Vyoral*

Institute of Hematology and Blood Transfusion, Prague, Czech Republic
Charles University in Prague, First Faculty of Medicine, Institute of Pathological Physiology, Prague, Czech Republic
Department of Parasitology, Faculty of Science, Charles University, Prague, Czech Republic
Institute of Microbiology, Academy of Sciences of the Czech Republic, Prague, Czech Republic
School of Molecular and Microbial Biosciences, University of Sydney, Sydney, NSW, Australia
Lady Davis Institute, Montreal, Quebec, Canada
Iron Metabolism and Chelation Program, Department of Pathology and Bosch Institute, University of Sydney, Sydney, NSW, Australia

* Corresponding author; email: daniel.vyoral{at}uhkt.cz.

Hepcidin is a major regulator of iron metabolism. Hepcidin-based therapeutics/diagnostics could play roles in hematology in the future, and thus, hepcidin transport is crucial to understand. In this study, we identify {alpha}2-macroglobulin ({alpha}2-M) as the specific hepcidin-binding molecule in blood. Interaction of 125I-hepcidin with {alpha}2-M was identified using fractionation of plasma proteins followed by native gradient PAGE and mass spectrometry. Hepcidin-binding to non-activated {alpha}2-M displays high affinity (Kd 177 ± 27 nM), whereas hepcidin binding to albumin was non-specific and displayed non-saturable kinetics. Surprisingly, the interaction of hepcidin with activated {alpha}2-M exhibited a classical sigmoidal binding curve demonstrating cooperative binding of 4 high affinity (Kd 0.3 µM) hepcidin-binding sites. This property probably enables efficient sequestration of hepcidin and its subsequent release or inactivation that may be important for its effector functions. Since {alpha}2-M rapidly targets ligands to cells via receptor-mediated endocytosis, the binding of hepcidin to {alpha}2-M may influence its functions. In fact, the {alpha}2-M-hepcidin complex decreased ferroportin expression in J774 cells more effectively than hepcidin alone. The demonstration that {alpha}2-M is the hepcidin transporter could lead to better understanding of hepcidin physiology, methods for its sensitive measurement and the development of novel drugs for the treatment of iron-related diseases.


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