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Regulation of Iron Metabolism by Hepcidin
Abstract
▪ Abstract Hepcidin, a peptide hormone made in the liver, is the principal regulator of systemic iron homeostasis. Hepcidin controls plasma iron concentration and tissue distribution of iron by inhibiting intestinal iron absorption, iron recycling by macrophages, and iron mobilization from hepatic stores. Hepcidin acts by inhibiting cellular iron efflux through binding to and inducing the degradation of ferroportin, the sole known cellular iron exporter. Synthesis of hepcidin is homeostatically increased by iron loading and decreased by anemia and hypoxia. Hepcidin is also elevated during infections and inflammation, causing a decrease in serum iron levels and contributing to the development of anemia of inflammation, probably as a host defense mechanism to limit the availability of iron to invading microorganisms. At the opposite side of the spectrum, hepcidin deficiency appears to be the ultimate cause of most forms of hemochromatosis, either due to mutations in the hepcidin gene itself or due to mutations in the regulators of hepcidin synthesis. The emergence of hepcidin as the pathogenic factor in most systemic iron disorders should provide important opportunities for improving their diagnosis and treatment.
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“Once secreted, HAMP circulates and reaches the duodenum and spleen where it tags the iron exporter FPN1 for internalization from the cell membrane and subsequent degradation in the proteasome (Nemeth and Ganz, 2006).”
From Iron in infection and immunity (2020) · cites this paper as Nemeth and Ganz, 2006
In the citing paper
“The presence of Fpn1 in the absorptive epithelium is under negative control of hepcidin, which is mainly secreted by hepatocytes in response to high circulating and tissue amounts of iron or upon stimulation by inflammatory mediators [171, 229].”
From “Pumping iron”—how macrophages handle iron at the systemic, microenvironmental, and cellular levels (2017) · cites this paper as [171]
In the citing paper
“The key to systemic iron homeostasis lies with hepcidin (HAMP) regulation. 37”
From The battle for iron in enteric infections (2020) · cites this paper as [37]
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“FPN1 expressions are regulated by IRP/IRE interactions and hepcidin, a Fe regulatory hormone [17-20].”
BackgroundHamaSalih, R. M., & Al-Nimer, M. S. M. (2019) · Al Mustansiriyah Journal of Pharmaceutical Sciences · doi:10.32947/ajps.19.04.0429 · Cited by 4
The Role of Iron in Retinal Diseases
Mehta, S., & Dunaief, J. L. (2012) · Humana Press eBooks · doi:10.1007/978-1-61779-606-7_12 · Cited by 3
Review of therapeutic options and the management of patients with myelodysplastic syndromes
Özcan, M. A., İlhan, O., Ozcebe, O. I., Nalçacı, M., & Gülbaş, Z. (2013) · Expert Review of Hematology · doi:10.1586/ehm.13.7 · Cited by 3
Iron overload in myelodysplastic syndromes
Chodirker, L., & Wells, R. A. (2009) · Expert Review of Hematology · doi:10.1586/ehm.09.23 · Cited by 3
Structural Proteins of HCV and Biological Functions
Moriishi, K., & Matsuura, Y. (2016) · Springer eBooks · doi:10.1007/978-4-431-56098-2_6 · Cited by 3
Antianemic action of the iron (IV) clathrochelate complexes
Dukhnitsky, V. B., Деркач, І. М., Plutenko, M. O., Fritsky, I. O., & Деркач, С. С. (2020) · Regulatory Mechanisms in Biosystems · doi:10.15421/022064 · Cited by 3
“Synthesis of hepcidin is homeostatically increased by iron loading and decreased by anemia and hypoxia (Ganz & Nemeth 2006, 2012; Nemeth & Ganz, 2006; Sangkhae & Nemeth, 2017).”
BackgroundOhsugi, Y., & Kishimoto, T. (2009) · Clinical Medicine Therapeutics · doi:10.4137/cmt.s2048 · Cited by 3
Managing anaemia of chronic kidney disease
Murphy, F. L. M., Bennett, L., & Jenkins, K. (2010) · British Journal of Nursing · doi:10.12968/bjon.2010.19.20.79681 · Cited by 3
Iron Metabolism in Children: Confounding Factors
Brittenham, G. M. (2007) · Food and Nutrition Bulletin · doi:10.1177/15648265070284s404 · Cited by 3
“Hepcidin, a small antimicrobial peptide principally produced by the liver, has been identified as the central regulator of iron homeostasis, controlling absorption from the intestine, export from macrophages, and release from body stores [5].”
BackgroundAruomaren, A. I., Omonkhua, A. A., & Osime, E. O. (2023) · Research Square · doi:10.21203/rs.3.rs-3220425/v1 · Cited by 3
Sood, P., Kaur, G., Thapa, K., Sharma, K., & Sindhu, R. K. (2024) · Antioxidants · doi:10.1002/9781394270576.ch13 · Cited by 3
Prevalence of Iron Deficiency Anaemia in Elderly Aged > 60 Taking Daily Low‐Dose Aspirin
Alaklabi, A. A., Altowaim, A. S., Alqahtani, H., Moammar, A. A. B., Alturki, A., & Muammar, R. A. A. (2025) · Journal of Aging Research · doi:10.1155/jare/6989003 · Cited by 2
“Instead, other variables, including dietary iron or comorbidities or comedications, might have a stronger role in developing IDA [13, 18].”
Guisado‐Cuadrado, I., Recacha-Ponce, P., Peinado, A. B., & Romero‐Parra, N. (2026) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.70249 · Cited by 2
“The absence of an inflammatory stimulus is also relevant when interpreting iron metabolism, given that IL-6 upregulates hepcidin—an iron-regulatory hormone that limits iron availability during inflammation [33].”
Veenemans, J. (2012) · PubMed Central · doi:10.5281/zenodo.10997433 · Cited by 2
The Effects of Treatment on Serum Hepcidin and Iron Homeostasis in HIV-1-Infected In-dividuals
da Cunha, J., Maselli, L. M. F., Ferreira, J. D. S., Spada, C., & Bydlowski, S. P. (2015) · World Journal of AIDS · doi:10.4236/wja.2015.53018 · Cited by 2
“In response to the administration of iron orally or intravenously, large amounts of liver hepcidin are produced by reducing iron absorption through the intestine [7].”
BackgroundRole of iron metabolism-regulator hepcidin in perinatal iron homeostasis
Balogh, Á., Bősze, S. E., Horváti, K., Mező, G., Kéki, S., Nagy, L., Bokodi, G., Szabó, M., & Vásárhelyi, B. (2010) · Orvosi Hetilap · doi:10.1556/oh.2010.28773 · Cited by 2
“Mindazonáltal a szérum és a szöveti hepcidin koncentrációt még nem mérték megbízható módszerekkel, ezért a hepcidin ezen tulajdonságának élettani és kórélettani jelentősége egyelőre bizonytalan [44].”
Is Hepcidin a Good Marker for Inflammation in Obstructive Sleep Apnea Syndrome (OSAS) Patients?
Fırat, H., Özdemir, C., Bilgin, E., Luyster, F. S., Yüceege, M., Kızılgün, M., Demır, A. U., Strollo, P. J., & Ardıç, S. (2015) · Journal of Turkish Sleep Medicine · doi:10.4274/jtsm.02.009 · Cited by 2
“The major regulatory action of hepcidin is to bind to and internalize the transmembrane iron efflux transporter, ferroportin, which is present on enterocytes, macrophages, and hepatocytes (19).”
BackgroundMain Pathophysiological, Diagnostic and Therapeutic Aspects in Anemia of Chronic Inflammation
D’Angelo, G. (2022) · European Journal of Clinical Medicine · doi:10.24018/clinicmed.2022.3.2.157 · Cited by 2
Performance-Based Nutrition for Endurance Training
Liu, S., Hueglin, S., Scaramella, J., & Vitale, K. (2023) · Springer eBooks · doi:10.1007/978-3-031-26600-3_23 · Cited by 3
Anemia ferropriva: aspectos clínicos, diagnósticos e terapêuticos
Teixeira, A. L. A. N., Morais, M. G., dos Reis, S., Braga, Y. A. V., Goulart, M. O., & Perina, K. C. B. (2024) · Revista de Medicina · doi:10.11606/issn.1679-9836.v103i2e-221582 · Cited by 5
“Thus, understand the pathophysiological mechanisms underlying anemia from chronic disease is crucial to an comprehensive and effective approach in the diagnosis a treatment of iron deficiency anemias specially in patients with complex chronic medical conditions 7,8,9,10 .”
BackgroundHepcidin: A potent antimicrobial peptide involved in iron homeostasis
Soofiyani, S. R., Soltani, E., Nejad, M. K., Ghanbari, R., & Memar, M. Y. (2024) · Gene Reports · doi:10.1016/j.genrep.2024.102082 · Cited by 3
Atar, R., Dayer, D., Far, M. A. J., Keikhaei, B., & Asadi, Z. T. (2021) · Clinical Cancer Investigation Journal · doi:10.51847/15mq0q6jdfo901 · Cited by 2
HamaSalih, R. M., & Al-Nimer, M. S. M. (2019) · Al Mustansiriyah Journal of Pharmaceutical Sciences · doi:10.32947/ajps.v19i4.648 · Cited by 2
Wessling‐Resnick, M. (2008) · Blood · doi:10.1182/blood-2008-05-150417 · Cited by 2
Metadata
- Authors
- Nemeth, E., & Ganz, T.
- Affiliations
- University of California, Los Angeles (US)
- Venue
- Annual Review of Nutrition
- Publisher
- Annual Reviews
- Published
- 2006-08-01
- Volume
- 26
- Issue
- 1
- Pages
- 323-342
- ISSN
- 0199-9885 (ISSN-L)
- 1545-4312
- OpenAlex
- W2153145418
- Cited by
- 756
- References
- 89
- Citations by year
- 2026: 10 · 2025: 26 · 2024: 26 · 2023: 32 · 2022: 28 · 2021: 39 · 2020: 47 · 2019: 27 · 2018: 29 · 2017: 33 · 2016: 38 · 2015: 38 · 2014: 57 · 2013: 39 · 2012: 41
- FWCI
- 6.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (DK065029, R01DK065029)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Ferroptosis and cancer prognosis
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Keywords
- hepcidin, iron metabolism, iron homeostasis, ferroportin, intestinal iron absorption, hepatic iron stores, anemia of chronic disease, iron deficiency anemia, hemochromatosis, hypoxia, infection, inflammation, iron efflux
- MeSH terms
- Hemochromatosis, Homeostasis, Humans, Inflammation, Iron, Iron Metabolism Disorders, Antimicrobial Cationic Peptides, Hepcidins
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