The Liver in Regulation of Iron Homeostasis
Open accessAbstract
The liver is one of the largest and most functionally diverse organs in the human body. In addition to roles in detoxification of xenobiotics, digestion, synthesis of important plasma proteins, gluconeogenesis, lipid metabolism, and storage, the liver also plays a significant role in iron homeostasis. Apart from being the storage site for excess body iron, it also plays a vital role in regulating the amount of iron released into the blood by enterocytes and macrophages. Since iron is essential for many important physiological and molecular processes, it increases the importance of liver in the proper functioning of the body’s metabolism. This hepatic iron-regulatory function can be attributed to the expression of many liver-specific or liver-enriched proteins, all of which play an important role in the regulation of iron homeostasis. This review focuses on these proteins and their known roles in the regulation of body iron metabolism.
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Hepcidin is the main regulator for the accumulation of iron in the body; when iron stores and circulating iron in transferrin are saturated, liver hepatocytes produce hepcidin, triggering degradation of ferroportin and preventing further iron absorption.
“Hepcidin is the main regulator for the accumulation of iron in the body. When iron stores and circulating iron in transferrin are at saturation point, liver hepatocytes produce hepcidin. This triggers the degradation of ferroportin, a transmembrane protein involved in iron efflux, preventing further iron absorption [20].”
From Oral Iron Supplementation—Gastrointestinal Side Effects and the Impact on the Gut Microbiota (2021) · cites this paper as [20]
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- G162 CENTRAL ROLE OF THE LIVER IN IRON REGULATION AJP-Gastrointest Liver Physiol • doi:10.1152/ajpgi.00004.2017 • www.ajpgi.org · DOI
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Sucrosomial® Iron: A New Generation Iron for Improving Oral Supplementation
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“This triggers the degradation of ferroportin, a transmembrane protein involved in iron efflux, preventing further iron absorption [20].”
BackgroundMacrophage extracellular traps aggravate iron overload‐related liver ischaemia/reperfusion injury
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Regulators of hepcidin expression
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NRF2 and Hypoxia-Inducible Factors: Key Players in the Redox Control of Systemic Iron Homeostasis
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Iron overload involved in the enhancement of unloading-induced bone loss by hypomagnetic field
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Cytochrome P450 1B1: A Key Regulator of Ocular Iron Homeostasis and Oxidative Stress
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Micronutrients throughout the Life Cycle: Needs and Functions in Health and Disease
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Ex Vivo and in Vivo Study of Sucrosomial® Iron Intestinal Absorption and Bioavailability
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Ferroptosis in organ ischemia–reperfusion injuries: recent advancements and strategies
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Circulating iron levels influence the regulation of hepcidin following stimulated erythropoiesis
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Antibacterial application and toxicity of metal–organic frameworks
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Low Serum Hepcidin Is Associated With Reduced Short‐Term Survival in Adults With Acute Liver Failure
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Resveratrol ameliorates iron overload induced liver fibrosis in mice by regulating iron homeostasis
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Iron metabolism in non-alcoholic fatty liver disease: A promising therapeutic target
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The Availability of Iron Is Involved in the Murine Experimental Toxoplasma gondii Infection Outcome
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Iron chelators in obesity therapy – Old drugs from a new perspective?
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In vitro and in vivo translational models for rare liver diseases
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Biology of the iron efflux transporter, ferroportin
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Hemochromatosis: Evaluation of the dietary iron model and regulation of hepcidin
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Self-citationMice overexpressing hepcidin suggest ferroportin does not play a major role in Mn homeostasis
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A review on background, process and application of electrospun nanofibers for tissue regeneration
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Hepatocytes and Their Role in Metabolism
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Novel Antioxidants for Animal Nutrition
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Yohana, M. A., Gyan, R. W., Ding, M. Y., Tan, B., Chi, S., & Yang, Q. (2025) · Animal Feed Science and Technology · doi:10.1016/j.anifeedsci.2025.116274 · Cited by 4 · see citing works
Microbial oil, alone or paired with β-glucans, can control hypercholesterolemia in a zebrafish model
Gora, A. H., Rehman, S., Dias, J. P., Fernandes, J. M. O., Olsvik, P. A., Sørensen, M., & Kiron, V. (2023) · Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids · doi:10.1016/j.bbalip.2023.159383 · Cited by 3 · see citing works
Lin, H.-B., Peng, C., Wang, H., Sun, Y.-E., Duan, X.-B., Liu, H., Lin, X., Yang, L.-Y., Tu, Z., & Sha, X. (2025) · npj Science of Food · doi:10.1038/s41538-025-00617-2 · Cited by 3 · see citing works
Systemic iron overload: Review of pathophysiology and clinical-radiological diagnostic approach
Guevara, A. E. M., Consuegra, I. A. D. Á., & Lewis, M. S. M. (2024) · World Journal of Advanced Research and Reviews · doi:10.30574/wjarr.2024.22.2.1383 · Cited by 3 · see citing works
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Role of ferroptosis in liver diseases and its implications for therapeutic strategies
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Liver HFE protein content is posttranscriptionally decreased in iron-deficient mice and rats
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Advances in nutrient metabolism and emission of livestock and poultry dietary trace elements
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The role and mechanism of ERalpha(ERα) in atrazine-induced disorders of hepatic iron metabolism
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3D liver model for assessing immune-mediated hepatotoxicity from biopharmaceutical risks
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Metabolism, Mechanisms of Antioxidants in Plants, Microbes and Animals
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Aether, Fields & Energy Dynamics in Living Bodies - Part III
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- Authors
- Rishi, G., & Subramaniam, V. N.
- Affiliations
- Queensland University of Technology (AU)
- Corresponding author
- Subramaniam, V. Nathan
- Venue
- American Journal of Physiology-Gastrointestinal and Liver Physiology
- Publisher
- American Physiological Society
- Published
- 2017-09-01
- Volume
- 313
- Issue
- 3
- Pages
- G157-G165
- ISSN
- 0193-1857 (ISSN-L)
- 1522-1547
- OpenAlex
- W2621447670
- Cited by
- 124
- References
- 104
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 16 · 2023: 12 · 2022: 15 · 2021: 21 · 2020: 13 · 2019: 9 · 2018: 15
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Physiology-Gastrointestinal and Liver Physiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Department of Health, Australian Government | National Health and Medical Research Council (NHMRC) (APP1118888, APP1082224)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Health Sciences › Nursing › Nutrition and Dietetics › Trace Elements in Health
- Keywords
- liver, iron homeostasis, hepatic iron metabolism, iron storage, iron export, enterocytes, macrophages, iron regulatory proteins, iron metabolism
- MeSH terms
- Homeostasis, Humans, Iron, Liver, Macrophages, Enterocytes
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