Deletion of HIF-2α in the enterocytes decreases the severity of tissue iron loading in hepcidin knockout mice

M Mastrogiannaki, P Matak, S Delga… - Blood, The Journal …, 2012 - ashpublications.org
M Mastrogiannaki, P Matak, S Delga, JC Deschemin, S Vaulont, C Peyssonnaux
Blood, The Journal of the American Society of Hematology, 2012ashpublications.org
Hereditary hemochromatosis (HH) is a highly prevalent genetic disorder characterized by
excessive parenchymal iron accumulation leading to liver cirrhosis, diabetes, and in some
cases hepatocellular carcinoma. HH is caused by mutations in the genes encoding
upstream regulators of hepcidin or more rarely in the hepcidin gene itself. A deficit in
hepcidin results in intestinal iron hyperabsorption; however, the local effectors mediating the
up-regulation of iron absorption genes are unknown. We hypothesized that HIF-2 could …
Hereditary hemochromatosis (HH) is a highly prevalent genetic disorder characterized by excessive parenchymal iron accumulation leading to liver cirrhosis, diabetes, and in some cases hepatocellular carcinoma. HH is caused by mutations in the genes encoding upstream regulators of hepcidin or more rarely in the hepcidin gene itself. A deficit in hepcidin results in intestinal iron hyperabsorption; however, the local effectors mediating the up-regulation of iron absorption genes are unknown. We hypothesized that HIF-2 could mediate high iron absorption rates in HH. We generated Hepc−/− mice (a murine model of hemochromatosis) lacking HIF-2 in the intestine and showed that duodenal HIF-2 was essential for the up-regulation of genes involved in intestinal iron import and the consequent iron accumulation in the liver and pancreas. This study highlights a role of HIF-2 in the dysregulation of iron absorption and chronic iron accumulation, as observed in patients with hemochromatosis.
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