Pocket-sized iron regulators: one size fits all?

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Pocket-sized iron regulators: one size fits all? by V. Nathan Subramaniam Blood Volume 128(2):153-154 July 14, 2016 ©2016 by American Society of Hematology

Regulation of hepcidin. Regulation of hepcidin. Schema illustrating some of the complex regulation of hepcidin by iron status, hypoxia, and erythropoietic demand. Increased iron status induces hepcidin through: bone morphogenetic protein 6 (BMP6), bone morphogenetic protein receptors (BMP-Rs), hemojuvelin (HJV), hemochromatosis protein (HFE), and transferrin receptor 1 (TfR1) and TfR2. Hypoxia and increased erythropoiesis work through: erythropoietin (EPO), erythropoietin receptor (EPOR), and the erythropoietic regulators, erythroferrone (ERFE), growth differentiation factor 15 (GDF15), and twisted gastrulation BMP signaling modulator 1 (TWSG1), to inhibit hepcidin expression. Iron absorbed by duodenal enterocytes and recycled from Hb from senescent red blood cells (RBCs) by macrophages is transported into the circulation by ferroportin 1 (Fpn1). Hepcidin secreted by the hepatocyte binds to Fpn1, causing its internalization and degradation, thereby limiting iron transport. Hb, hemoglobin. V. Nathan Subramaniam Blood 2016;128:153-154 ©2016 by American Society of Hematology