The DOI matches its Crossref record; 51 of the 53 references it cites were found in a registry or an index.
Serum ferritin is derived primarily from macrophages through a nonclassical secretory pathway
Abstract
The serum ferritin concentration is a clinical parameter measured widely for the differential diagnosis of anemia. Its levels increase with elevations of tissue iron stores and with inflammation, but studies on cellular sources of serum ferritin as well as its subunit composition, degree of iron loading and glycosylation have given rise to conflicting results. To gain further understanding of serum ferritin, we have used traditional and modern methodologies to characterize mouse serum ferritin. We find that both splenic macrophages and proximal tubule cells of the kidney are possible cellular sources for serum ferritin and that serum ferritin is secreted by cells rather than being the product of a cytosolic leak from damaged cells. Mouse serum ferritin is composed mostly of L-subunits, whereas it contains few H-subunits and iron content is low. L-subunits of serum ferritin are frequently truncated at the C-terminus, giving rise to a characteristic 17-kD band that has been previously observed in lysosomal ferritin. Taken together with the fact that mouse serum ferritin is not detectably glycosylated, we propose that mouse serum ferritin is secreted through the nonclassical lysosomal secretory pathway.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
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?
In the citing paper
“Of note, IrpLyzCre(+) mice display a marked increase in plasma ferritin concentration (Figure 1E), as predicted for animals with augmented macrophage ferritin expression (Cohen et al., 2010).”
From Iron Regulatory Proteins Mediate Host Resistance to Salmonella Infection (2015) · cites this paper as Cohen et al., 2010
In the citing paper
“This result supports earlier work concluding that macrophages represent a major source of ferritin in the blood (Cohen et al., 2010).”
From Iron Regulatory Proteins Mediate Host Resistance to Salmonella Infection (2015) · cites this paper as Cohen et al., 2010
Citations
Cites
The ferritins: molecular properties, iron storage function and cellular regulation
Harrison, P. M., & Arosio, P. (1996) · Biochimica et Biophysica Acta (BBA) - Bioenergetics · doi:10.1016/0005-2728(96)00022-9 · Cited by 2,667
Blott, E. J., & Griffiths, G. M. (2002) · Nature Reviews Molecular Cell Biology · doi:10.1038/nrm732 · Cited by 703
Binding and uptake of H-ferritin are mediated by human transferrin receptor-1
Li, L., Fang, C. J., Ryan, J. C., Niemi, E. C., Lebrón, J. A., Björkman, P. J., Arase, H., Torti, F. M., Torti, S. V., Nakamura, M. C., et al. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0913192107 · Cited by 558
A cytosolic iron chaperone that delivers iron to ferritin
Shi, H., Bencze, K. Z., Stemmler, T. L., & Philpott, C. C. (2008) · Science · doi:10.1126/science.1157643 · Cited by 536
LaVaute, T., Smith, S., Cooperman, S., Iwai, K., Land, W., Meyron-Holtz, E., Drake, S. K., Miller, G., Abu-Asab, M., Tsokos, M., et al. (2001) · Nature Genetics · doi:10.1038/84859 · Cited by 509
Levi, S., Luzzago, A., Cesareni, G., Cozzi, A., Franceschinelli, F., Albertini, A., & Arosio, P. (1988) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(19)81326-1 · Cited by 378
Scara5 Is a Ferritin Receptor Mediating Non-Transferrin Iron Delivery
Li, J. Y., Paragas, N., Ned, R. M., Qiu, A., Viltard, M., Leete, T., Drexler, I. R., Chen, X., Sanna‐Cherchi, S., Mohammed, F., et al. (2009) · Developmental Cell · doi:10.1016/j.devcel.2008.12.002 · Cited by 366
Jacobs, A., & Worwood, M. (1975) · New England Journal of Medicine · doi:10.1056/nejm197505012921805 · Cited by 353
Nichol, H., Law, J. H., & Winzerling, J. J. (2002) · Annual Review of Entomology · doi:10.1146/annurev.ento.47.091201.145237 · Cited by 282
Secretion of Ferritin by Rat Hepatoma Cells and Its Regulation by Inflammatory Cytokines and Iron
Tran, T. N., Eubanks, S. K., Schaffer, K. J., Zhou, C. Y. J., & Linder, M. C. (1997) · Blood · doi:10.1182/blood.v90.12.4979 · Cited by 236
Cited by
Sorted by citations
Items 401–452 of 452
Leite, L. R. (2015) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · doi:10.34626/v3x7-ys11
Does HFE Genotype Impact Macrophage Phenotype in Disease Process and Therapeutic Response?
Nixon, A. M., & Connor, J. R. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-804562-6.00004-x
Iron-Deficiency Anemia of Gastrointestinal Origin
Dharmarajan, T. S., Lourdusamy, D., & Pitchumoni, C. S. (2020) · Springer eBooks · doi:10.1007/978-3-319-90761-1_24-1
El-Toukhy, S. E., Fadel, F. I., Elshamaa, M. F., El-Saeed, G. S. M., Abdelaziz, H., El-Sonbaty, M. M., Elghoroury, E. A., Hamza, E., & Atef, S. N. (2020) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2020.4268
“In the presence of inflammation, hepcidin stimulates ferritin production and macrophages, prolific secretors of serum ferritin, trap iron inside it [28].”
BackgroundGalarregui, C., Marín-Alejandre, B. A., Pérez-Díaz-del-Campo, N., Cantero, I., Monreal, J. I., Elorz, M., Benito, A., Herrero, J. I., Tur, J. A., Mart�nez, J., et al. (2020)
Perbedaan Rerata Feritin Serum antara Pria Obesitas Sentral dengan Non Obesitas Sentral
Wowor, R. E. (2020) · e-CliniC · doi:10.35790/ecl.v8i2.29627
Engineered ferritin nanocage as a cholesterol sequestering agent
Ravishankar, S. (2021) · DR-NTU (Nanyang Technological University) · doi:10.32657/10356/148691
Yan, L., Chen, S., Hou, C., Lin, J., Xiong, W., Shen, Y., & Zhou, T. (2022) · SSRN Electronic Journal · doi:10.2139/ssrn.4011055
Iron Homeostasis in Neuron-Glia Interaction
Kling, T. (2018) · eDiss (Georg-August-Universität Göttingen) · doi:10.53846/goediss-6784
Mortality Associated with Recurrent Extreme Hyperferritinemia in Critically Ill Adolescents
Baird, J. S. (2022) · International Journal of Inflammation · doi:10.1155/2022/6207417
“In any case, an animal model suggests the importance of macrophage secretion of ferritin during inflammation [11].”
BackgroundResearch Progress on the Role of Iron Overload in Chronic Viral Hepatitis B
丁, 银. (2022) · Advances in Clinical Medicine · doi:10.12677/acm.2022.123262
Iron Uptake in Host Defense Against Pneumonia
Michels, K. R. (2017) · doi:10.18130/v3465h
typhein, G. (2009) · Emerging infectious diseases · doi:10.3201/eid1506.999999
Karvunidis, T., & Matějovič, M. (2019) · Vnitřní lékařství · doi:10.36290/vnl.2019.078
Nielsen, P. (2015) · Springer eBooks · doi:10.1007/978-3-662-47258-3_1
Multiscale Methods for Signal Selection in Single-Cell Data
Hoekzema, R. S., Marsh, L., Sumray, O., Carroll, T. M., Lü, X., Byrne, H. M., & Harrington, H. A. (2022) · Entropy · doi:10.3390/e24081116
Assessment of iron status markers in patients with lung cancer
Jasim, Z. Q., & Hadi, A.-H. A. (2022) · International Journal of Health Sciences · doi:10.53730/ijhs.v6ns6.9972 · Cited by 1
“The sources of serum ferritin are currently unknown; however, hepatocytes and macrophages are reported to release serum ferritin (Cohen et al., 2010).”
BackgroundShannak, Q. A., Najim, T. M., & Madab, D. I. (2022) · Technium BioChemMed · doi:10.47577/biochemmed.v3i2.7179
Assessment of iron status markers in patients with lung cancer
Jasim, Z. Q., & Hadi, A.-H. A. (2022) · International Journal of Health Sciences · doi:10.53730/ijhs.v6ns4.11931
Screening for Iron Deficiency in Early Childhood Using Serum Ferritin
Mahajan, A., Gupta, R. K., Sabharwal, R., & Mahajan, P. (2022) · Journal of Advances in Medical and Pharmaceutical Sciences · doi:10.9734/jamps/2022/v24i8571
“The ferritin that we measure in the serum is mainly derived from macrophages, [10] and does not contain storage iron but it only reflects overall storage form of iron and concentration of ferritin in the liver and other tissues [11].”
BackgroundBiallelic STAB1 pathogenic variants cause hereditary hyperferritinemiaPreprint
Monfrini, E., Pelucchi, S., Hollmén, M., Viitala, M., Mariani, R., Bertola, F., Majore, S., Fonzo, A. D., & Piperno, A. (2022) · medRxiv · doi:10.1101/2022.11.24.22282670
Abou‐El‐Hassan, H., Kantono, M., Bhagat, A., Hu, J., Karp, D., Jerome, R., Randhawa, J. S., Shafer, D., & Farmand, F. (2023) · Cureus · doi:10.7759/cureus.36199
“Hyperferritinemia is common in HLH as the primary storage site for ferritin is within tissue macrophages [18].”
BackgroundPyroptosis: the potential eye of the storm in adult-onset Still’s disease
He, X., You, R., Shi, Y., Zeng, Z., Tang, B., Yu, J., Xiao, Y., & Xiao, R. (2023) · Inflammopharmacology · doi:10.1007/s10787-023-01275-0
“Macrophages have a major contribution to hyperferritinemia through the lysosomal secretory pathway (Cohen et al. 2010).”
BackgroundCorrelation of serum ferritin with severity of liver disease
Blah, G. R. T., & Rs, T. (2023) · Muller Journal of Medical Sciences and Research · doi:10.4103/mjmsr.mjmsr_47_22
Involvement of Ferroptosis in Lupus Nephritis
Hosohata, K. (2023) · Springer eBooks · doi:10.1007/978-3-031-39171-2_15
Thodi, N. M., Peruvankuzhiyil, F., Vasantha, S. C., Pulloor, N. K., & Parambath, N. V. (2023) · National Journal of Laboratory Medicine · doi:10.7860/njlm/2023/61486.2765
Костенко, С. М., Tulinova, I. A., Земсков, А. М., Khamburov, V. V., Mukha, T. A., & Костенко, Д. С. (2023) · Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ) · doi:10.18499/1990-472x-2023-24-2-84-92
KHATAB, H. S., & MOHAMMED, M. Y. (2023) · المجلة الليبية العالمية · doi:10.37376/glj.vi69.4250
Abdulateef, Y. M., Ayad, Z. N., Noaman, H., Fadhel, M. F., Taha, M. Z., Rafeeq, F. M., & Salih, A. Y. (2024) · Anti-Infective Agents · doi:10.2174/0122113525284502240217161226
Iron deficiency anemia in hospitalized children
Skenderi, E., Kuli-Lito, G., Shkembi, A., Sulovari, A., Bogdani, B., Duka, I., & Ruci, A. (2024) · World Journal of Advanced Research and Reviews · doi:10.30574/wjarr.2024.21.3.0852
“It generally correlates with body iron stores but is olso influenced by inflammation, infection, liver diseases and malignancies [20,21].”
Total body iron as a novel iron surrogate marker in hemodialysis patients
Maeda, A. (2024) · Nihon Toseki Igakkai Zasshi · doi:10.4009/jsdt.57.353
Enfoque de un paciente con perfil de hierro sugestivo de sobrecarga
Chiappe, G. (2024) · Revista Hematología · doi:10.48057/hematologa.v28i2.587
Tomkova, K., Cabolis, K., Sajic, M., Wozniak, M. J., Richards, T., & Murphy, G. J. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.11.10.622860
Brzezinski, R. Y., Wasserman, A., Rogowski, O., Berliner, S., & Argov, O. (2025) · The American Journal of Medicine · doi:10.1016/j.amjmed.2024.11.004
Association of Inflammatory Markers with the Severity of COVID-19
Mishra, S., Gupta, V. K., & Tickoo, R. (2024) · CHRISMED Journal of Health and Research · doi:10.4103/cjhr.cjhr_87_24
Khanolkar, A., Weyers, E., Sompallae, R. R., & Krasowski, M. D. (2025) · Clinical Immunology Communications · doi:10.1016/j.clicom.2025.05.004
Li, C., Lv, K., Zhou, Y., Cheng, X., & Li, F. (2025) · International Journal of General Medicine · doi:10.2147/ijgm.s518920
“19,20 The present study has demonstrated that ferritin is an ineffective marker for identifying patients at high risk in the early stages of illness.”
Serum hepcidin as a biomarker of treatment response in Gaucher disease
Koppe, T., Pinheiro, F. C., Siebert, M., Basgalupp, S. P., Daudt, L. E., & Schwartz, I. V. D. (2025) · Molecular Genetics and Metabolism Reports · doi:10.1016/j.ymgmr.2025.101255
“Contrastingly, macrophage-derived serum ferritin follows a nonclassical lysosomal secretory pathway and is mostly non-glycosylated [16].”
Cao, K., Fan, X., Lee, C. F., Wong, R. S. M., Chan, D., & Yan, X. (2025) · International Journal of Nanomedicine · doi:10.2147/ijn.s534063
Fragmented QRS duration as a marker of cardiac and hepatic iron overload: across-sectional study
Hedayati, S. B., Hooshmandi, S., Ghorbani, R., Kamali, M., & Arabkhani, M. H. (2025) · Scientific Reports · doi:10.1038/s41598-025-33007-5
“This protein is secreted into the blood by hepatocytes and macrophages, and normally resides inside the cells 22 .”
Zhou, J., Zhou, J., Shen, D.-T., Goyal, H., Wu, Z.-Q., & Xu, H.-G. (2020) · Figshare · doi:10.6084/m9.figshare.11979147
Portilla, Y., Fernández-Afonso, Y., Pérez-Yagüe, S., Mulens‐Arias, V., Morales, M. P., Gutiérrez, L., & Barber, D. F. (2024) · Figshare · doi:10.6084/m9.figshare.26557895
Kobune, M., Horiguchi, H., Iyama, S., Goto, A., & Yoshida, M. (2025) · Japanese Journal of Transfusion and Cell Therapy · doi:10.3925/jjtc.71.741
Hyperferritinemic Syndromes and Long COVID
Stoian, M. (2026) · IntechOpen eBooks · doi:10.5772/intechopen.1014823
Shan, K., Li, Q., Liu, H. Y., Feng, N., Jiang, S., Zhao, D., Ke, W., Zhang, M., & Li, C. (2026) · Fundamental Research · doi:10.1016/j.fmre.2026.03.018
Turrubiates-Hernández, G. A., Mares-Gil, J. E., la Cruz, C. D. L. C.-D., & Tamez‐Rivera, O. (2026) · Mediators of Inflammation · doi:10.1155/mi/8962790
“Theories of this elevation point towards an increase in the number and activity of macrophages, as well as due to the release of ferritin from damaged cells such as hepatocytes in cirrhosis or erythrocytes in cardiovascular or neoplastic diseases [3 – 5].”
Zhu, Y., Gao, T., Zhang, X., Gong, C., Yang, C., He, X., & Song, Y. (2026) · Infectious Diseases and Therapy · doi:10.1007/s40121-026-01449-7
Iron Homeostasis and Liver Diseases
Yang, P., Shi, Z. X., Huang, Q., Tu, Z., Sun, Y., Wang, L., & Wei, Y. (2026) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.71412
“The absence of glycosylation on circulating ferritin supports the involvement of a non-classical, autophagy-dependent mechanism [153].”
Renal siderosis and serum ferritin
Koduri, P. R., & Kaza, S. (2015) · Annals of Hematology · doi:10.1007/s00277-015-2432-x
Metadata
- Authors
- Cohen, L. A., Gutierrez, L., Weiss, A., Leichtmann-Bardoogo, Y., Zhang, D.-L., Crooks, D. R., Sougrat, R., Morgenstern, A., Galy, B., Hentze, M. W., Lazaro, F. J., Rouault, T. A., & Meyron-Holtz, E. G.
- Affiliations
- Technion – Israel Institute of Technology (IL)
- Departamento de Ciencia y Tecnología de Materiales y Fluidos, Universidad de Zaragoza, Zaragoza, Spain;
- Laboratory for Molecular Nutrition, Faculty of Biotechnology and Food Engineering, Technion, Technion City, Haifa, Israel;
- Molecular Medicine Program and
- National Institutes of Health (US)
- European Molecular Biology Laboratory (DE)
- ORCID
- Venue
- Blood
- Publisher
- American Society of Hematology
- Published
- 2010-09-02
- Volume
- 116
- Issue
- 9
- Pages
- 1574-1584
- ISSN
- 0006-4971 (ISSN-L)
- 1528-0020
- OpenAlex
- W2153170511
- Cited by
- 452
- References
- 53
- Citations by year
- 2026: 8 · 2025: 34 · 2024: 33 · 2023: 30 · 2022: 43 · 2021: 45 · 2020: 35 · 2019: 34 · 2018: 31 · 2017: 24 · 2016: 23 · 2015: 33 · 2014: 18 · 2013: 24 · 2012: 17
- FWCI
- 11.41
- Type
- journal article
- Language
- en
- Open access
- closed
- 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
- serum ferritin, macrophages, lysosomal secretion, L subunit, H subunit, C-terminal truncation, glycosylation, proximal tubular epithelial cells, splenic macrophages, iron stores, mice
- MeSH terms
- Amino Acid Sequence, Animals, Enzyme-Linked Immunosorbent Assay, Ferritins, Glycosylation, Iron, Lysosomes, Macrophages, Male, Mice, Inbred C57BL, Molecular Sequence Data, Sequence Homology, Amino Acid, Iron Overload, Protein Subunits, Mice, Secretory Pathway
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review