In vitro functional analysis of human ferroportin (FPN) and hemochromatosis-associated FPN mutations
Open accessAbstract
Type IV hemochromatosis is associated with dominant mutations in the SLC40A1 gene encoding ferroportin (FPN). Known as the “ferroportin disease,” this condition is typically characterized by high serum ferritin, reduced transferrin saturation, and macrophage iron loading. Previously FPN expression in vitro has been shown to cause iron deficiency in human cell lines and mediate iron export from Xenopus oocytes. We confirm these findings by showing that expression of human FPN in a human cell line results in an iron deficiency because of a 3-fold increased export of iron. We show that FPN mutations A77D, V162Δ, and G490D that are associated with a typical pattern of disease in vivo cause a loss of iron export function in vitro but do not physically or functionally impede wild-type FPN. These mutants may, therefore, lead to disease by haploinsufficiency. By contrast the variants Y64N, N144D, N144H, Q248H, and C326Y, which can be associated with greater transferrin saturation and more prominent iron deposition in liver parenchyma in vivo, retained iron export function in vitro. Because FPN is a target for negative feedback in iron homeostasis, we postulate that the latter group of mutants may resist inhibition, resulting in a permanently “turned on” iron exporter.
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Several hereditary hemochromatosis mutations in FPN directly coordinate Co2+ in the C domain, including C326S/F/Y and H507R.
“Several hereditary hemochromatosis mutations in FPN directly coordinate Co 2+ in the C domain, including C326S/F/Y 13,29-31 and H507R 32 .”
From Structure of hepcidin-bound ferroportin reveals iron homeostatic mechanisms (2020) · cites this paper as [30]
The Introduction identifies C326Y as a disease-associated FPN mutation, and the Discussion reports its iron-export function. The paper does not establish that C326Y directly coordinates Co²⁺ in the C domain, and it does not address C326S, C326F, or H507R. (LLM, conf=0.86)
Experimental — accuracy not yet measuredSeveral FPN mutations decrease hepcidin binding to FPN, including N144H/D/T, C326S/F/Y, Y333H, Y501C, D504N and H507R.
“Several FPN mutations decrease hepcidin binding to FPN, including N144H/D/T 34-36 , C326S/F/Y 13,29-31 , Y333H 37 , Y501C 7,38 , D504N 7,39 and H507R 32 .”
From Structure of hepcidin-bound ferroportin reveals iron homeostatic mechanisms (2020) · cites this paper as [30]
The Discussion proposes that N144H and N144D might prevent FPN from interacting with hepcidin, but presents this as a possibility, not a measured decrease in binding. The Introduction lists N144T as a disease-associated mutation without linking it to hepcidin binding. In the citing sentence, this source is attached to the N144H/D/T group, not the later mutations. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMutations in SLC40A1 can cause hemochromatosis by rendering the transporter insensitive to hepcidin regulation.
“Finally, mutations in the gene encoding ferroportin (SLC40A1) can cause hemochromatosis by rendering the transporter insensitive to hepcidin regulation.158,162”
From Forging a field: the golden age of iron biology. (2008) · cites this paper as [162]
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- Authors
- Schimanski, L. M., Drakesmith, H., Merryweather-Clarke, A. T., Viprakasit, V., Edwards, J. P., Sweetland, E., Bastin, J. M., Cowley, D., Chinthammitr, Y., Robson, K. J. H., & Townsend, A. R. M.
- Affiliations
- Siriraj Hospital (TH)
- From the Molecular Immunology Group, Weatherall Institute of Molecular Medicine, Oxford, United Kingdom; the MRC Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, Oxford, United Kingdom; the Department of Paediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand; and the Department of Internal Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
- Venue
- Blood
- Publisher
- American Society of Hematology
- Published
- 2005-05-15
- Volume
- 105
- Issue
- 10
- Pages
- 4096-4102
- ISSN
- 0006-4971 (ISSN-L)
- 1528-0020
- OpenAlex
- W2128704908
- Cited by
- 212
- References
- 36
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 10 · 2022: 4 · 2021: 7 · 2020: 8 · 2019: 4 · 2018: 5 · 2017: 9 · 2016: 13 · 2015: 7 · 2014: 6 · 2013: 10 · 2012: 8
- FWCI
- 13.77
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Blood (publishedVersion)
- PubMed (publishedVersion)
- 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
- ferroportin, SLC40A1, iron export, iron deficiency, haploinsufficiency, iron homeostasis, transferrin saturation, serum ferritin, iron overload
- MeSH terms
- Iron Deficiencies, Ferroportin, Cell Line, Ferritins, Hemochromatosis, Humans, Iron, Mutation, Phenotype, Protein Binding, Receptors, Transferrin, Antigens, CD, Cation Transport Proteins, Intracellular Space
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