The "anemic" enterocyte in hereditary hemochromatosis: molecular insights into the control of intestinal iron absorption

Nutr Rev. 2002 May;60(5 Pt 1):144-8. doi: 10.1301/00296640260093814.

Abstract

Studies of the molecular function of HFE, the protein defective in hereditary hemochromatosis, have provided important insights into the control of intestinal iron absorption. A recent study suggests that HFE controls the recycling rate of the transferrin receptor and thereby ultimately controls the iron status of the enterocyte. In hereditary hemochromatosis, a defect in HFE causes relative iron starvation in the enterocyte leading paradoxically to the development of an "anemic" enterocyte phenotype in the midst of bountiful body iron stores. Despite ever-increasing stores of body iron, the inappropriately low iron status of the hereditary hemochromatosis enterocyte continues to drive the hyper-absorption of dietary iron, eventually leading to iron overload.

Publication types

  • Review

MeSH terms

  • Enterocytes / metabolism*
  • Enterocytes / pathology
  • HLA Antigens / genetics
  • HLA Antigens / physiology
  • Hemochromatosis / genetics*
  • Hemochromatosis / metabolism*
  • Hemochromatosis Protein
  • Histocompatibility Antigens Class I / genetics
  • Histocompatibility Antigens Class I / physiology
  • Humans
  • Intestinal Absorption / genetics*
  • Iron / metabolism*
  • Iron, Dietary / pharmacokinetics
  • Membrane Proteins*
  • Mutation

Substances

  • HFE protein, human
  • HLA Antigens
  • Hemochromatosis Protein
  • Histocompatibility Antigens Class I
  • Iron, Dietary
  • Membrane Proteins
  • Iron