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Bone morphogenetic protein signaling by hemojuvelin regulates hepcidin expression
Abstract
Hepcidin is a key regulator of systemic iron homeostasis. Hepcidin deficiency induces iron overload, whereas hepcidin excess induces anemia. Mutations in the gene encoding hemojuvelin (HFE2, also known as HJV) cause severe iron overload and correlate with low hepcidin levels, suggesting that hemojuvelin positively regulates hepcidin expression. Hemojuvelin is a member of the repulsive guidance molecule (RGM) family, which also includes the bone morphogenetic protein (BMP) coreceptors RGMA and DRAGON (RGMB). Here, we report that hemojuvelin is a BMP coreceptor and that hemojuvelin mutants associated with hemochromatosis have impaired BMP signaling ability. Furthermore, BMP upregulates hepatocyte hepcidin expression, a process enhanced by hemojuvelin and blunted in Hfe2-/- hepatocytes. Our data suggest a mechanism by which HFE2 mutations cause hemochromatosis: hemojuvelin dysfunction decreases BMP signaling, thereby lowering hepcidin expression.
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In the citing paper
“The latter is due to the fact, that several co-factors expressed on the hepatocyte cell membrane such as HFE, hemojuvelin (HJV) or TfR2 impact on hepcidin expression via the BMP-SMAD pathway (Babitt et al., 2006).”
From The Role of Iron Regulation in Immunometabolism and Immune-Related Disease (2019) · cites this paper as Babitt et al., 2006
In the citing paper
“Regulation of hepcidin by iron depends on the hemojuvelin (HJV) and bone morphogenetic protein receptor (BMPR) complex activating the SMAD signaling pathway (Fig 3) [13–15].”
From Hepcidin and Host Defense against Infectious Diseases (2015) · cites this paper as [13]
In the citing paper
“HJV is a BMP co-receptor that enhances iron signaling to hepcidin (Babitt et al., 2006).”
From Pharmacological Targeting of the Hepcidin/Ferroportin Axis (2016) · cites this paper as Babitt et al., 2006
In the citing paper
“BMP6 binds to a heterodimeric receptor complexed with hemojuvelin (HJV) and matriptase-2 (the gene product of TMPRSS6), and stimulates HAMP expression [66, 67].”
From Iron deficiency or anemia of inflammation?: Differential diagnosis and mechanisms of anemia of inflammation (2016) · cites this paper as [67]
In the citing paper
“Nonetheless, BMP treatment is a potent stimulus for hepcidin expression both in cultured cells 113,114,116,117 and in animals.”
From Forging a field: the golden age of iron biology. (2008) · cites this paper as [114]
In the citing paper
“They showed that hemojuvelin acts as a BMP coreceptor to stimulate hepcidin transcription.”
From Forging a field: the golden age of iron biology. (2008) · cites this paper as [114]
In the citing paper
“Activation of signaling through the hemochromatosis protein HFE, TFR1, TFR2, or hemojuvelin (HJV), which acts as a co-receptor for bone morphogenetic protein 6 (BMP6), increases hepcidin transcription in a SMAD-dependent fashion.”
From Regulation of erythropoiesis by hypoxia-inducible factors (2013) · cites this paper as [200]
In the citing paper
“HFE2 is a BMP coreceptor, and its mutation suppresses BMP signaling (14).”
From Intracellular iron transport and storage: from molecular mechanisms to health implications (2008) · cites this paper as [14]
In the citing paper
“An alternative mechanism of hepcidin regulation through a signaling pathway involving hemojuvelin (HFE2, also known as HJV) and bone morphogenetic proteins (BMP) was recently identified (14).”
From Intracellular iron transport and storage: from molecular mechanisms to health implications (2008) · cites this paper as [14]
In the citing paper
“This study showed that BMP could upregulate hepcidin in hepatocytes.”
From Intracellular iron transport and storage: from molecular mechanisms to health implications (2008) · cites this paper as [14]
In the citing paper
“hepatocytes deficient in HFE2 had impaired hepcidin induction by BMP signaling (14).”
From Intracellular iron transport and storage: from molecular mechanisms to health implications (2008) · cites this paper as [14]
In the citing paper
“Overexpression of HFE2 enhanced hepcidin production.”
From Intracellular iron transport and storage: from molecular mechanisms to health implications (2008) · cites this paper as [14]
In the citing paper
“Smad4-knockout mice had lower levels of hepcidin and did not induce hepcidin in response to iron loading or IL-6 stimulation (14).”
From Intracellular iron transport and storage: from molecular mechanisms to health implications (2008) · cites this paper as [14]
In the citing paper
“downstream activation of Smad4 was required for BMP-mediated hepcidin upregulation,”
From Intracellular iron transport and storage: from molecular mechanisms to health implications (2008) · cites this paper as [14]
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“HJV has been shown to interact directly with BMP6,(2) and their interaction facilitates activation of the BMPR complex and enhances BMP-SMAD signaling to modulate hepcidin expression.(3) Although several BMPs including BMP2, 4, 5, 6, 7, and 9 can stimulate hepcidin expression,(3-5) BMP6 is physiologically the most rel…”
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Iron Metabolism and Related Disorders
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“This membrane-bound hemojuvelin (m-HJV) is capable of binding BMPs, facilitating their association with the BMP receptor [64].”
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“an important mechanism for regulating hepcidin expression.(6) To demonstrate causality of p.”
BackgroundDiagnosis and Management of Iron Deficiency Anaemia in Children — A Clinical Update
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“the BMP/Smad, STAT3 and ERK/p38MAP kinase signal transduction pathways are involved in the transcriptional regulation of hepcidin expression (Babitt et al., 2006; Calzolari et al., 2006; Verga Falzacappa et al., 2007; Wrighting & Andrews, 2006).”
BackgroundAnemia in End Stage Renal Disease
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“Mutations in HJV cause decreased BMP signaling, resulting in decreased hepcidin expression, followed by severe iron overload [33] and HH.”
BackgroundUnveiling the Impact of BMP9 in Liver Diseases: Insights into Pathogenesis and Therapeutic Potential
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“BMP ligands can regulate the hepcidin levels through BMP receptors and the co-receptor hemojuvelin with the exception of BMP9, which does not interact functionally with hemojuvelin [147].”
BackgroundRetinoids as Promising Treatment for Non-alcoholic Fatty Liver Disease
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“Variation in hepcidin expression by transcriptional regulators primarily acts through IL-6/STAT3 and BMP/Smad signaling pathways (4).”
BackgroundTransferrin receptor 2 is emerging as a major player in the control of iron metabolism
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Host-Directed Therapies for Tuberculosis
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New Players in Neuronal Iron Homeostasis: Insights from CRISPRi Studies
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“This phenotype is attributed to a hepatic deficiency of hemojuvelin (HJV), a GPI-anchored protein [56] that regulates the transcription of hepcidin, a cytokine that acts as the master regulator of systemic iron homeostasis [57].”
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Repulsive Guidance Molecule b (RGMb) Is Dispensable for Normal Gonadal Function in Mice1
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“This suggests that BMP6 expression may be closely associated with the occurrence of CRA, which is consistent with previously published studies (Babitt et al., 2006; Andriopoulos Jr. et al., 2009).”
ResultInfluentialIron and aluminum in Alzheimer's disease.
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Basic Understanding of Iron Metabolism
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“BMP가 hepcidin 유전자의 촉진자(promoter)에 결합하여 hepcidin의 합성을 촉진시킬 수 있도록 한다[27,29].”
Valenzuela‐Muñoz, V., Benavente, B. P., Casuso, A., Leal, Y., Valenzuela‐Miranda, D., Núñez-Acuña, G., Sáez-Vera, C., & Gallardo‐Escárate, C. (2021) · Fish & Shellfish Immunology · doi:10.1016/j.fsi.2021.08.005 · Cited by 6
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“For example, BMPs induce hepcidin synthesis in breast, prostate and liver cancer cells [7-19].”
Hepatocyte-specific deletion of peroxisomal protein PEX13 results in disrupted iron homeostasis
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“Briefly, HepG2 cells were transfected with FLAG-SMILE, HA-SMAD1, HA-SMAD5, HA-SMAD8 and HASMAD4 for 48 h. Whole-cell lysates (200 µL) were immunoprecipitated with anti-FLAG M2 affinity gel and eluted with 3× FLAG peptide.”
BackgroundInfluentialPhysiopathologie et génétique de l'hémochromatose HFE de type 1
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Novel tools for the evaluation of iron metabolism
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“Like other members of this family, it is a co-receptor for bone morphogenetic proteins (BMP) and potentiates BMP pathway signaling.(4) The BMP signaling cascade is initiated by BMP binding to a complex composed of two type I and two type II BMP receptors, and hemojuvelin appears to increase the utilization of specific…”
BackgroundXiao, X., Moschetta, G. A., Chowdhury, S. B., Phillips, S., Ghatpande, N., Fisher, A. L., Xue, Y., & Babitt, J. L. (2025) · American Journal of Hematology · doi:10.1002/ajh.70055 · Cited by 5
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“The most two important signaling pathways for hepcidin expression are the bone morphogenetic protein 6 (BMP6) (13) and Janus kinase2/signal transducer and activator of transcription 3 (JAK2/STAT3) signal pathways (14).”
Metadata
- Authors
- Babitt, J. L., Huang, F. W., Wrighting, D. M., Xia, Y., Sidis, Y., Samad, T. A., Campagna, J. A., Chung, R. T., Schneyer, A. L., Woolf, C. J., Andrews, N. C., & Lin, H. Y.
- Affiliations
- Harvard University (US)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Lin, Herbert Y
- ORCID
- Venue
- Nature Genetics
- Published
- 2006-04-09
- Volume
- 38
- Issue
- 5
- Pages
- 531-539
- ISSN
- 1061-4036 (ISSN-L)
- 1546-1718
- OpenAlex
- W2050833520
- Cited by
- 1,026
- References
- 52
- Citations by year
- 2026: 17 · 2025: 23 · 2024: 21 · 2023: 22 · 2022: 21 · 2021: 54 · 2020: 35 · 2019: 39 · 2018: 39 · 2017: 50 · 2016: 44 · 2015: 50 · 2014: 58 · 2013: 62 · 2012: 67
- FWCI
- 49.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Genetics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (T32HL07623, T32HL007623)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-71837, R01DK066373, DK-69533, K08DK075846, R01DK071837, F32DK068997, R01DK069533)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Plant Micronutrient Interactions and Effects
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Keywords
- hemojuvelin, hepcidin, BMP signaling, iron homeostasis, hemochromatosis, RGMa, dragons, hepatocytes, iron overload, anemia
- MeSH terms
- Hemochromatosis Protein, Amino Acid Sequence, Animals, Gene Expression Regulation, Cricetinae, Humans, Liver, Membrane Proteins, Molecular Sequence Data, Mutation, Signal Transduction, Polymerase Chain Reaction, Transforming Growth Factor beta, CHO Cells, Bone Morphogenetic Proteins, Antimicrobial Cationic Peptides, Bone Morphogenetic Protein 2, GPI-Linked Proteins, Hepcidins
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