Cited by 526Iron Metabolism and DisordersNeurological diseases and metabolismFerroptosis and cancer prognosis

The DOI matches its Crossref record; 350 of the 351 references it cites were found in a registry or an index; none of the 473 sources its claims cite is checked for support yet.

Intracellular Iron Transport and Storage: From Molecular Mechanisms to Health Implications

Open access
Mackenzie, Elizabeth L., Iwasaki, Kenta, Tsuji, Yoshiaki·2008·Antioxidants & Redox Signaling

Abstract

Maintenance of proper "labile iron" levels is a critical component in preserving homeostasis. Iron is a vital element that is a constituent of a number of important macromolecules, including those involved in energy production, respiration, DNA synthesis, and metabolism; however, excess "labile iron" is potentially detrimental to the cell or organism or both because of its propensity to participate in oxidation-reduction reactions that generate harmful free radicals. Because of this dual nature, elaborate systems tightly control the concentration of available iron. Perturbation of normal physiologic iron concentrations may be both a cause and a consequence of cellular damage and disease states. This review highlights the molecular mechanisms responsible for regulation of iron absorption, transport, and storage through the roles of key regulatory proteins, including ferroportin, hepcidin, ferritin, and frataxin. In addition, we present an overview of the relation between iron regulation and oxidative stress and we discuss the role of functional iron overload in the pathogenesis of hemochromatosis, neurodegeneration, and inflammation.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review synthesizes molecular mechanisms controlling intracellular iron transport and storage, emphasizing ferroportin, hepcidin, ferritin, and frataxin, and links dysregulation to hemochromatosis, neurodegeneration, and inflammation. It argues that labile iron must be tightly controlled because iron is essential but can drive Fenton chemistry and oxidative damage.

Key findings

  • Iron is essential for oxygen transport, oxidative phosphorylation, DNA biosynthesis, and xenobiotic metabolism, but excess labile iron generates reactive oxygen species via the Fenton reaction; ∼25 mg of iron is needed daily for erythropoiesis and other vital functions, while only 1 to 2 mg comes from intestinal sources, making storage and recycling critical.
  • Ferritin is the major iron-storage protein: it consists of 24 heavy and light subunits and can sequester 4,500 iron atoms; the H subunit has ferroxidase activity that converts Fe2+ to Fe3+ for storage, and cytoplasmic, mitochondrial, nuclear, and serum ferritin forms have distinct features.
  • Ferroportin is the only known iron exporter; hepcidin negatively regulates it by binding and triggering internalization and degradation. Hepcidin is a 25-amino-acid peptide whose expression is increased by iron and inflammation and decreased by hypoxia and anemia.
  • Frataxin deficiency causes Friedreich ataxia, most commonly (96% to 98%) from homozygous GAA repeat expansion; prevalence is estimated at 1 in 50,000 among whites, with normal individuals having fewer than 35 repeats and patients ranging from 100 to >1,000 repeats. Frataxin is involved in iron–sulfur cluster biosynthesis, heme synthesis, and mitochondrial iron homeostasis.

Methods

  • Narrative review; no primary experiments are reported. The paper synthesizes published literature on intracellular iron transport, storage, regulation, and disease.
  • It covers molecular mechanisms including transferrin/transferrin receptor, DMT1, ferroportin, hepcidin, ferritin, and frataxin, and discusses hereditary hemochromatosis types 1–4, neurodegeneration, and inflammation.
  • Main analysis is qualitative integration of cited studies, tables, and models; no systematic search strategy or meta-analysis is described.

Limitations

  • Stated: many mechanisms remain unclear, including the exact function of HFE in TfR1 regulation, how C/EBPα participates in global iron sensing and hepcidin regulation, crosstalk between lysosome- and proteasome-mediated ferritin degradation, sources and physiologic function/regulation of serum ferritin, and whether oxidative damage is tightly associated with FRDA pathophysiology.
  • Evident: as a narrative review, it lacks systematic search/inclusion criteria and quantitative synthesis; conclusions depend on cited literature and may reflect selection or interpretation bias.
  • Evident: no primary data or new experimental validation are presented; disease associations are largely correlative.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1089/ars.2007.1893

Cites

350 of 350 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 473 cited sources checked · 0 supported · 0 flagged

Show all 250 claims

  • It may state two separate claims as one. 159
  • Probably not a substantial claim. 14
  • The quote only partly states this claim. 1
167 of 167
  • The paper relies on this without support.

    Each day approximately 25 mg of iron is needed for erythropoiesis and other vital functions, while only 1 to 2 mg comes from intestinal iron sources.

    “Each day ∼ 25 mg of iron is needed for erythropoiesis and other vital functions. Only 1 to 2 mg of iron comes from intestinal iron sources”
  • The paper relies on this without support.

    Most cytoplasmic iron is in its reduced (ferrous) form.

    “Most cytoplasmic iron is in its reduced form, meaning that it is an excellent substrate for oxidation.”
  • The paper relies on this without support.

    Tf and TfR are absent from enterocytes.

    “Because Tf and TfR are absent from enterocytes, Tf binds iron and plays an essential role in the transport of iron only once it is exported from duodenal enterocytes into the bloodstream.”
  • The paper relies on this without support.

    Nonheme iron is predominantly insoluble Fe3+ and must be reduced before transport by DMT1.

    “It is important to note that nonheme iron is predominantly insoluble Fe3+. It must be reduced before transport by DMT1.”
  • The paper relies on this without support.

    Fpn is the only known iron exporter to date.

    “The transmembrane protein ferroportin (Fpn) is the only known iron exporter to date”
  • The paper relies on this without support.

    Iron must be oxidized to be incorporated into transferrin.

    “Because Fpn transports Fe2+ into the plasma, and iron must be oxidized to be incorporated into transferrin (Tf), it is believed that Fpn cooperates with proteins that act as ferroxidases.”
  • The paper relies on this without support.

    Ferritin is the major iron-storage protein at the cellular and organismal level.

    “Ferritin is the major iron-storage protein at the cellular and organismal level.”
  • The paper relies on this without support.

    Ferritin is responsible for the sequestration of potentially harmful, reactive iron.

    “It is responsible for the sequestration of potentially harmful, reactive iron.”
  • The paper relies on this without support.

    Ferritin stores iron in its unreactive Fe3+ form inside its shell as a result of a strong equilibrium between ferritin-bound iron (Fe3+) and the labile iron pool in the cells (Fe2+), preventing ROS formation via the Fenton reaction.

    “Ferritin stores iron in its unreactive Fe3+ form inside its shell as a result of a strong equilibrium between ferritin-bound iron (Fe3+) and the labile iron pool in the cells (Fe2+), by which ferritin prevents the formation of ROS mediated by Fenton reaction.”
  • The paper relies on this without support.

    Ferritin is ubiquitous in tissues, serum, and other multiple locations within the cell.

    “Because of its important function in the storage of iron, ferritin is ubiquitous in tissues, serum, and in other multiple locations within the cell.”
  • The paper relies on this without support.

    Ferritin is regulated at the transcriptional and posttranscriptional level by various pathways in response to diverse stimuli.

    “It is regulated at the transcriptional and posttranscriptional level by various pathways in response to diverse stimuli.”
  • The paper relies on this without support.

    In vertebrates, cytoplasmic ferritin is expressed in almost all tissues.

    “In vertebrates, cytoplasmic ferritin is expressed in almost all tissues.”
  • The paper relies on this without support.

    Proteasomal degradation commonly requires the attachment of polyubiquitin to a target protein that is misfolded.

    “Proteasomal degradation commonly requires the attachment of polyubiquitin to a target protein that is misfolded, in most cases.”
  • The paper relies on this without support.

    Polyubiquitination of ferritin protein has not been reported.

    “However, polyubiquitination of ferritin protein has not been reported.”
  • The paper relies on this without support.

    Both IRP1 and IRP2 are expressed ubiquitously in most tissues.

    “Both IRP1 and IRP2 are expressed ubiquitously in most tissues.”
  • The paper relies on this without support.

    Corneal epithelial cells are constantly exposed to UV that may cause DNA damage.

    “Corneal epithelial cells are constantly exposed to UV that may cause DNA damage.”
  • The paper relies on this without support.

    Ferritin does not possess a nuclear localization signal.

    “ferritin does not possess a nuclear localization signal”
  • The paper relies on this without support.

    Increased iron content in afflicted regions in PD and evidence of oxidative stress are present.

    “The iron-storage protein, ferritin, has been studied in PD because of the increased iron content in the afflicted regions in PD and the increase in evidence of oxidative stress.”
  • The paper relies on this without support.

    Aggregation of α-synuclein is a hallmark of PD.

    “Another hallmark of PD is the aggregation of the protein α-synuclein.”
  • The paper relies on this without support.

    An antibody for TfR that blocks iron uptake abrogates up-regulation of α-synuclein after MPP+ treatment.

    “An antibody for the TfR, which blocked iron uptake, abrogated up-regulation of α-synuclein after MPP+ treatment.”
  • The paper relies on this without support.

    Cp is similar to ferritin H in having ferroxidase activity and may serve an antioxidant role in addition to its role in iron regulation.

    “Cp is similar to ferritin H in that it also has ferroxidase activity and thereby may serve an antioxidant role in addition to its role in iron regulation.”
21 of 21

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Ceruloplasmin-knockout iron export is described in opposite terms

    Minor

    Table 4 lists accelerated iron export for Cp-knockout mice, whereas the text attributes their iron accumulation to impaired iron efflux.

  • Ceruloplasmin variant is named D554E and D544E

    Minor

    The discussion first identifies the PD-associated ceruloplasmin variant as D554E, then calls it D544E when describing its expression and activity.

  • Transferrin receptors are both absent and present in enterocytes

    Minor

    The paper says transferrin receptors are absent from enterocytes, but later says TfR2 is expressed in intestinal iron-absorbing cells.

3 of 3

Citations

Cites

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Show all 351 references

1 of the 351 references couldn’t be matched to a known paper.

Research works printed but not linked: 8

  1. Arosio P, 1976, Cancer Res, 36, 1735
  2. 1987, J Lab Clin Med, 110, 690
  3. Carella M, 1997, Am J Hum Genet, 60, 828
  4. De Domenico I, 2006, Haematologica, 91, 92
  5. Gray CP, 2003, Clin Cancer Res, 9, 2551
  6. Ponka P, 1998, Semin Hematol, 35, 35
  7. 10.1172/jci200421146 · DOI
  8. Thimmulappa RK, 2002, Cancer Res, 62, 5196

Cited by

Sorted by citations

Items 501–526 of 526

Metadata

Authors
Mackenzie, E. L., Iwasaki, K., & Tsuji, Y.
Affiliations
North Carolina State University (US)
Venue
Antioxidants & Redox Signaling
Published
2008-06
Volume
10
Issue
6
Pages
997-1030
ISSN
  • 1523-0864 (ISSN-L)
  • 1557-7716
OpenAlex
W2063804160
Cited by
526
References
351
Citations by year
2026: 16 · 2025: 47 · 2024: 43 · 2023: 44 · 2022: 41 · 2021: 38 · 2020: 36 · 2019: 28 · 2018: 23 · 2017: 23 · 2016: 21 · 2015: 17 · 2014: 29 · 2013: 16 · 2012: 27
FWCI
3.37
Type
journal article
Language
en
Open access
Locations
  • Antioxidants and Redox Signaling (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute of Diabetes and Digestive and Kidney Diseases (DK60007, R01DK060007)
Topics
  • Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
  • Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Ferroptosis and cancer prognosis
Keywords
iron homeostasis, labile iron, iron transport, iron storage, ferroportin, hepcidin, ferritin, frataxin, oxidative stress, iron overload, hemochromatosis, neurodegeneration, inflammation, free radicals
MeSH terms
Frataxin, Animals, Biological Transport, Humans, Iron, Transferrin, Oxidative Stress, Iron Overload, Iron-Binding Proteins, Mice

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