Cited by 623Iron Metabolism and DisordersNeurological diseases and metabolismTrace Elements in Health

The DOI matches its Crossref record; 213 of the 213 references it cites were found in a registry or an index; 3 of the 179 sources its claims cite were checked for support.

Forging a field: the golden age of iron biology.

Open access
Andrews, Nancy C.·2008·Blood

Abstract

Oh what a difference a decade makes! In a landmark paper published in 1996, Feder and colleagues identified the long-sought gene mutated in patients with classical hereditary hemochromatosis. In many ways, this seemed to ignite an explosion in iron biology which, over the next 10 years, led to a

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review traces the “golden age” of iron biology from 1958 to 2008, emphasizing molecular discoveries in iron transport, regulation, and disease. It argues that understanding hepcidin/ferroportin regulation unified the pathophysiology of hemochromatosis, iron deficiency anemia, and anemia of chronic disease.

Key findings

  • Ferritin is a 24-subunit cage that can hold up to 4500 iron atoms, while transferrin transports iron in plasma; both keep iron nonreactive and are used clinically in iron-status assays.
  • The IRE/IRP posttranscriptional system regulates ferritin and TFR1: IRP binding blocks ferritin translation under low iron, whereas 3′ IRE binding protects TFR1 mRNA from degradation.
  • Hepcidin, a 25-amino-acid liver peptide, binds ferroportin and triggers its internalization and lysosomal degradation, reducing serum iron; hemochromatosis is classified into 3 classes affecting the hepcidin/ferroportin axis.
  • Iron deficiency anemia is estimated to affect 3 billion people worldwide; IRIDA patients fitting strict criteria carried inactivating TMPRSS6 mutations, and mutations in DMT1 or GLRX5 cause rare autosomal recessive microcytic anemia.

Methods

  • Narrative review of iron biology from the birth of ASH in 1958 to 2008, focusing on physiology and inherited/acquired iron disorders.
  • Synthesizes ferrokinetic studies, molecular biology, positional cloning, targeted mouse mutants, zebrafish mutants, and human genetic/clinical observations.
  • No systematic search, meta-analysis, or new primary data are reported.

Limitations

  • Stated by the author: important areas are neglected, including mitochondrial iron metabolism, heme metabolism, brain iron accumulation in neurodegenerative disorders, Fe-S cluster formation, therapeutic chelation, classical ferrokinetics, microbial iron metabolism, and structural characterizations.
  • Stated by the author: topic choice reflects personal expertise and a focus on diseases that have only recently become understood, not a judgment of importance.
  • Evident from the text: as a narrative review, it lacks systematic methods, quantitative synthesis, and formal assessment of evidence quality.

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

Integrity signals

Registry

Crossref · 10.1182/blood-2007-12-077388

Cites

213 of 213 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

115 Not checked yet · 19 Own interpretation · 2 No basis given · 1 Supported · 1 Supported so far · accuracy not yet measured

Verify all 176 references — free account
  • It may state two separate claims as one. 50
  • Probably not a substantial claim. 17
63 of 63
  • The paper relies on this without support.

    In nontransfused individuals, iron enters the body exclusively through the diet.

    “In nontransfused individuals, iron enters the body exclusively through the diet.”
  • The paper relies on this without support.

    There is no regulated excretion of iron through the liver or kidneys.

    “Because there is no regulated excretion of iron through the liver or kidneys, iron balance is primarily controlled at the level of intestinal absorption.”
  • The paper relies on this without support.

    Most dietary nonheme iron is in the ferric (Fe3+) form.

    “Most dietary nonheme iron is in the ferric (Fe 3ϩ ) form.”
  • The paper relies on this without support.

    Only iron exported across the basolateral membrane of the enterocyte is absorbed.

    “Only iron exported across the basolateral membrane of the enterocyte is absorbed.”
  • The paper relies on this without support.

    Hepcidin has primary responsibility for modulating iron availability to meet iron needs.

    “In this context, we now know that hepcidin, a peptide hormone produced in the liver, has primary responsibility for modulating iron availability to meet iron needs.”
  • The paper relies on this without support.

    All ferroportin mutations cause missense changes rather than truncations or frameshifts.

    “Strikingly, all ferroportin mutations caused missense changes, rather than truncations or frameshifts.”
6 of 6

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.

1 of 1

Citations

Cites

Show all 213 references

Research works printed but not linked: 5

  1. Laufberger, 1937, Sur la cristallisation de la ferritine., Soc Chim Biol, 19, 1575
  2. Trousseau, 1865, Glycosurie; diabete sucre., Clinique medicale de l'Hotel-Dieu de Paris, 2, 663
  3. Blaud, 1832, Sur les maladies chlorotiques et sur un mode de traitement specifique dans ces affections., Rev Med Franc Etrang, 45, 357
  4. Faber, 1909, Achylia gastrica mit Anamie., Medizinishe Klinik, 5, 1310
  5. Heilmeyer, 1961, Congenital transferrin deficiency in a seven-year old girl., German Medical Monthly, 86, 1745

Cited by

Sorted by citations

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Metadata

Authors
Andrews, N. C.
Affiliations
Duke University (US)
Corresponding author
Andrews, Nancy C.
Venue
Blood
Published
2008-07-15
Volume
112
Issue
2
Pages
219-230
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2074040887
Cited by
623
References
213
Citations by year
2026: 12 · 2025: 17 · 2024: 19 · 2023: 9 · 2022: 31 · 2021: 29 · 2020: 31 · 2019: 25 · 2018: 27 · 2017: 28 · 2016: 36 · 2015: 27 · 2014: 31 · 2013: 52 · 2012: 49
FWCI
8.67
Type
journal article
Language
en
Open access
Locations
  • Blood (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Heart, Lung, and Blood Institute (R01HL051057)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK066373, R01DK053813, DK06637, DK053813)
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
hereditary hemochromatosis, HFE gene, iron metabolism, iron overload
MeSH terms
Iron Deficiencies, Homeostasis, Humans, Iron, Iron Metabolism Disorders, Antimicrobial Cationic Peptides, Hepcidins

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