The purpose of this project is to better understand the regulation of iron homeostasis. Dysregulation of iron homeostasis results in iron overload or iron deficiency. The major regulator of iron homeostasis is the 25 amino acid peptide hepcidin. Hemochromatosis caused by genetic mutations in HFE, TfR2 and HJV is due primarily to dysregulation of hepcidin transcription. We have recently discovered that a serum protease encoded by the Tmprss6 gene is a potent downregulator of hepcidin. A robust transcriptional response to iron is only observed in intact animals. To understand normal transcriptional regulation of hepcidin by iron and also to gain insight into the roles of the products of the genes known to be involved in its regulation, we will investigate hepcidin transcription in liver, the primary site of synthesis in wildtype mice and mutant mice lacking these genes. In a two-pronged approach we will: 1) study nuclear extracts prepared from mice stimulated with iron;and 2) investigate the response of hepcidin promoter reporter constructs in an in vivo system that we have devised. Classical ex vivo techniques including EMSA, ChIP assays, DNA affinity purification and mass spectrophotometric identification will be employed to identify transcription factors in nuclear extracts. These studies will reveal which transcription factors are involved in the response to iron and how this response is modified in mutant animals. There is marked variability in the expression of the hemochromatosis phenotype in patients homozygous for the C282Y HFE mutation. Studies to date have failed to identify either genetic or environmental factors that account for any but a very small portion of the known variability. We will investigate, in mice, whether there is transgenerational epigenetic modification of iron absorption, based on the experience of prior generations with iron. Mice receiving iron-deficient diets or diets containing iron excess will be bred and their offspring will either be weaned to the same diet or to a normal diet. Those weaned to a deficient or iron excess diet will be bred for additional generations. If transgenerational epigenetic modification occurs, then the iron burden of iron deficient mice moved to normal diet will be greater than that of mice derived from iron-heavy progenitors.

Public Health Relevance

By studying various mouse models of iron overload and iron deficiency, we will gain an understanding how the body regulates iron. This will open the door to treatments of iron overload, the anemia of chronic inflammation, as well as of hemochromatosis itself. If we are able to demonstrate that the regulation of iron absorption is inherited epigenetically, this finding would not only explain the variable penetrance of hemochromatosis, but would greatly alter our perception of how natural selection functions over the span of only a few generations.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK053505-12
Application #
7883300
Study Section
Erythrocyte and Leukocyte Biology Study Section (ELB)
Program Officer
Wright, Daniel G
Project Start
1998-04-28
Project End
2012-01-31
Budget Start
2010-08-01
Budget End
2012-01-31
Support Year
12
Fiscal Year
2010
Total Cost
$398,661
Indirect Cost
Name
Scripps Research Institute
Department
Type
DUNS #
781613492
City
La Jolla
State
CA
Country
United States
Zip Code
92037
Bertoli, Luigi F; Lee, Pauline L; Lallone, Lauren et al. (2017) Intravenous Bevacizumab Therapy in a Patient with Hereditary Hemorrhagic Telangiectasia, ENG E137K, Alcoholic Cirrhosis, and Portal Hypertension. Case Rep Gastroenterol 11:293-304
Duncan, Jacque L; Biswas, Pooja; Kozak, Igor et al. (2016) Ocular Phenotype of a Family with FAM161A-associated Retinal Degeneration. Ophthalmic Genet 37:44-52
Lee, Pauline L; Gaasterland, Terry; Barton, James C (2012) Mild iron overload in an African American man with SLC40A1 D270V. Acta Haematol 128:28-32
Lee, Pauline; Hsu, Mei-Hui; Welser-Alves, Jennifer et al. (2012) Severe microcytic anemia but increased erythropoiesis in mice lacking Hfe or Tfr2 and Tmprss6. Blood Cells Mol Dis 48:173-8
Lee, Pauline L; Barton, J Clayborn; Khaw, Peter L et al. (2012) Common TMPRSS6 mutations and iron, erythrocyte, and pica phenotypes in 48 women with iron deficiency or depletion. Blood Cells Mol Dis 48:124-7
Beutler, E; Van Geet, C; te Loo, D M W M et al. (2010) Polymorphisms and mutations of human TMPRSS6 in iron deficiency anemia. Blood Cells Mol Dis 44:16-21
Peng, Hongfan; Truksa, Jaroslav; Lee, Pauline (2010) EPO-mediated reduction in Hamp expression in vivo corrects iron deficiency anaemia in TMPRSS6 deficiency. Br J Haematol 151:106-9
Truksa, Jaroslav; Lee, Pauline; Beutler, Ernest (2009) Two BMP responsive elements, STAT, and bZIP/HNF4/COUP motifs of the hepcidin promoter are critical for BMP, SMAD1, and HJV responsiveness. Blood 113:688-95
Lee, Pauline; Rice, Lawrence; McCarthy, John J et al. (2009) Severe iron overload with a novel aminolevulinate synthase mutation and hepatitis C infection. A case report. Blood Cells Mol Dis 42:1-4
Lee, Pauline (2008) Commentary to: ""Post-translational processing of hepcidin in human hepatocytes is mediated by the prohormone convertase furin,"" by Erika Valore and Tomas Ganz. Blood Cells Mol Dis 40:139-40

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