Iron-deficiency anemia from matriptase-2 inactivation is dependent on the presence of functional Bmp6

A Lenoir, JC Deschemin, L Kautz… - Blood, The Journal …, 2011 - ashpublications.org
A Lenoir, JC Deschemin, L Kautz, AJ Ramsay, MP Roth, C Lopez-Otin, S Vaulont, G Nicolas
Blood, The Journal of the American Society of Hematology, 2011ashpublications.org
Hepcidin is the master regulator of iron homeostasis. In the liver, iron-dependent hepcidin
activation is regulated through Bmp6 and its membrane receptor hemojuvelin (Hjv),
whereas, in response to iron deficiency, hepcidin repression seems to be controlled by a
pathway involving the serine protease matriptase-2 (encoded by Tmprss6). To determine the
relationship between Bmp6 and matriptase-2 pathways, Tmprss6−/− mice (characterized by
increased hepcidin levels and anemia) and Bmp6−/− mice (exhibiting severe iron overload …
Abstract
Hepcidin is the master regulator of iron homeostasis. In the liver, iron-dependent hepcidin activation is regulated through Bmp6 and its membrane receptor hemojuvelin (Hjv), whereas, in response to iron deficiency, hepcidin repression seems to be controlled by a pathway involving the serine protease matriptase-2 (encoded by Tmprss6). To determine the relationship between Bmp6 and matriptase-2 pathways, Tmprss6−/− mice (characterized by increased hepcidin levels and anemia) and Bmp6−/− mice (exhibiting severe iron overload because of hepcidin deficiency) were intercrossed. We showed that loss of Bmp6 decreased hepcidin levels; increased hepatic iron; and, importantly, corrected hematologic abnormalities in Tmprss6−/− mice. This finding suggests that elevated hepcidin levels in patients with familial iron-refractory, iron-deficiency anemia are the result of excess signaling through the Bmp6/Hjv pathway.
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