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Systemic Iron Homeostasis
Abstract
The iron hormone hepcidin and its receptor and cellular iron exporter ferroportin control the major fluxes of iron into blood plasma: intestinal iron absorption, the delivery of recycled iron from macrophages, and the release of stored iron from hepatocytes. Because iron losses are comparatively very small, iron absorption and its regulation by hepcidin and ferroportin determine total body iron content. Hepcidin is in turn feedback-regulated by plasma iron concentration and iron stores, and negatively regulated by the activity of erythrocyte precursors, the dominant consumers of iron. Hepcidin and ferroportin also play a role in host defense and inflammation, and hepcidin synthesis is induced by inflammatory signals including interleukin-6 and activin B. This review summarizes and discusses recent progress in molecular characterization of systemic iron homeostasis and its disorders, and identifies areas for further investigation.
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“Macrophages are essential for systemic iron recycling, and also control iron availability to pathogens.”
From Iron Regulatory Proteins Mediate Host Resistance to Salmonella Infection (2015) · cites this paper as Ganz, 2013
In the citing paper
“The iron regulatory hormone hepcidin limits iron fluxes to the bloodstream by promoting degradation of the iron exporter ferroportin in target cells.”
From Pharmacological Targeting of the Hepcidin/Ferroportin Axis (2016) · cites this paper as Ganz, 2013
In the citing paper
“Amongst these, hepcidin stands out as the central regulator of systemic iron balance [14].”
From Rapidly Escalating Hepcidin and Associated Serum Iron Starvation Are Features of the Acute Response to Typhoid Infection in Humans (2015) · cites this paper as [14]
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“terminal hepcidin segment of six amino acids is highly conserved, unstructured, and essential for the iron-regulatory function of hepcidin and its interaction with its receptor ferroportin (161).”
BackgroundSelf-citationSubstrate Profile and Metal-ion Selectivity of Human Divalent Metal-ion Transporter-1
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“On the ferroportin side, identification of the potential receptor site was greatly aided by the discovery of an informative family which manifested resistance to hepcidin as a result of an isosteric C326S substitution in ferroportin (63, 67, 218, 219), located in an extracellular loop (FIGURE 4) in both of the reasona…”
BackgroundRelease of iron from ferritin requires lysosomal activity
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“Exit of iron from ferritin may occur through gated pores or by autophagy and lysosomal degradation of ferritin (129, 240).”
BackgroundHepcidin mRNA levels in mouse liver respond to inhibition of erythropoiesis
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Self-citationUrinary hepcidin in congenital chronic anemias
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BackgroundInhibition of hepcidin transcription by growth factors
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Self-citationReduction of serum hepcidin by hemodialysis in pediatric and adult patients
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Self-citationInvolvement of Hepcidin in the Anemia of Multiple Myeloma
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Self-citationThe flatiron mutation in mouse ferroportin acts as a dominant negative to cause ferroportin disease.
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ER Stress-Inducible Factor CHOP Affects the Expression of Hepcidin by Modulating C/EBPalpha Activity
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Self-citationMechanisms of action of plant growth promoting bacteria
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The molecular and metabolic landscape of iron and ferroptosis in cardiovascular disease
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Self-citation
Metadata
- Authors
- Ganz, T.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Ganz, Tomas
- ORCID
- Ganz, Tomas
- Venue
- Physiological Reviews
- Publisher
- American Physiological Society
- Published
- 2013-10
- Volume
- 93
- Issue
- 4
- Pages
- 1721-1741
- ISSN
- 0031-9333 (ISSN-L)
- 1522-1210
- OpenAlex
- W2170885365
- Cited by
- 1,122
- References
- 282
- Citations by year
- 2026: 77 · 2025: 91 · 2024: 89 · 2023: 107 · 2022: 91 · 2021: 95 · 2020: 90 · 2019: 67 · 2018: 78 · 2017: 91 · 2016: 97 · 2015: 83 · 2014: 63 · 2013: 1
- FWCI
- 12.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Physiological Reviews (publishedVersion)
- PubMed (publishedVersion)
- 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
- iron homeostasis, hepcidin, ferroportin, intestinal iron absorption, erythroid precursors, inflammation, interleukin-6, activin B, iron deficiency, iron overload
- MeSH terms
- Ferroportin, Amino Acid Sequence, Hemostasis, Humans, Iron, Macrophages, Molecular Sequence Data, Hepatocytes, Cation Transport Proteins, Hepcidins
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