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Cardiac ferroportin regulates cellular iron homeostasis and is important for cardiac function.

Abstract
Iron is essential to the cell. Both iron deficiency and overload impinge negatively on cardiac health. Thus, effective iron homeostasis is important for cardiac function. Ferroportin (FPN), the only known mammalian iron-exporting protein, plays an essential role in iron homeostasis at the systemic level. It increases systemic iron availability by releasing iron from the cells of the duodenum, spleen, and liver, the sites of iron absorption, recycling, and storage respectively. However, FPN is also found in tissues with no known role in systemic iron handling, such as the heart, where its function remains unknown. To explore this function, we generated mice with a cardiomyocyte-specific deletion of Fpn. We show that these animals have severely impaired cardiac function, with a median survival of 22 wk, despite otherwise unaltered systemic iron status. We then compared their phenotype with that of ubiquitous hepcidin knockouts, a recognized model of the iron-loading disease hemochromatosis. The phenotype of the hepcidin knockouts was far milder, with normal survival up to 12 mo, despite far greater iron loading in the hearts. Histological examination demonstrated that, although cardiac iron accumulates within the cardiomyocytes of Fpn knockouts, it accumulates predominantly in other cell types in the hepcidin knockouts. We conclude, first, that cardiomyocyte FPN is essential for intracellular iron homeostasis and, second, that the site of deposition of iron within the heart determines the severity with which it affects cardiac function. Both findings have significant implications for the assessment and treatment of cardiac complications of iron dysregulation.
AuthorsSamira Lakhal-Littleton, Magda Wolna, Carolyn A Carr, Jack J J Miller, Helen C Christian, Vicky Ball, Ana Santos, Rebeca Diaz, Daniel Biggs, Richard Stillion, Philip Holdship, Fiona Larner, Damian J Tyler, Kieran Clarke, Benjamin Davies, Peter A Robbins
JournalProceedings of the National Academy of Sciences of the United States of America (Proc Natl Acad Sci U S A) Vol. 112 Issue 10 Pg. 3164-9 (Mar 10 2015) ISSN: 1091-6490 [Electronic] United States
PMID25713362 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Cation Transport Proteins
  • metal transporting protein 1
  • Iron
Topics
  • Animals
  • Cation Transport Proteins (physiology)
  • Heart (physiology)
  • Homeostasis
  • Iron (metabolism)
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout

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