Mutations in HFE cause the most common form of hereditary hemochromatosis (HH). We previously showed that liverspecific, transgenic overexpression of murine Hfe stimulates production of the iron regulatory hormone hepcidin. Here, we developed several additional transgenic mouse strains to further interrogate the structural basis of HFE function in the pathophysiology of HH. We hypothesized that the small, cytoplasmic domain of HFE might be necessary for HFE-mediated induction of hepcidin. We demonstrate that, like the full-length protein, overexpression of Hfe proteins lacking the cytoplasmic domain leads to hepcidin induction, iron deficiency and a hypochromic, microcytic anemia. However, high-level expression of a liver-specific Hfe transgene carrying the mouse equivalent of the common HFE C282Y human diseasecausing mutation (murine C294Y )
IntroductionThe common iron overload disease hereditary hemochromatosis (HH) is caused by a chronic increase in dietary iron absorption. A unifying model has emerged to explain the pathogenesis of genetically distinct forms of HH. 1 Aberrant iron homeostasis results from interruption of a regulatory axis involving the hormone hepcidin, predominantly produced by hepatocytes, and the iron exporter ferroportin, present in duodenal enterocytes and macrophages. Hepcidin binds to ferroportin to trigger its internalization and lysosomal degradation. 2 In this way, circulating hepcidin controls both intestinal iron absorption and the release of iron from macrophages into the plasma. There are 3 general classes of genetic defects known to cause HH. First, recessive mutations in the gene encoding hepcidin (HAMP) prevent the production of functional peptide. 3 Second, some dominant mutations in ferroportin (encoded by SLC40A1) render it resistant to hepcidin regulation. 4,5 Third, recessive mutations in the genes encoding HFE, transferrin receptor-2 (TFR2) or hemojuvelin (HFE2 or HJV), alter hepcidin expression by the hepatocyte. [6][7][8] Most hemochromatosis patients are homozygous for a C282Y mutation in HFE (equivalent to C294Y in mouse Hfe), an atypical major histocompatibility complex (MHC) class I-like molecule 9 that heterodimerizes with 2-microglobulin 10 and associates with the major transferrin receptor (TFR1). 11,12 HFE is similar to MHC class I proteins in that it contains a signal sequence, 3 sequential immunoglobulin superfamily ␣-domains, and a transmembrane domain followed by a 19 amino acid, cytoplasmic domain. The cytoplasmic domain of human HFE has 2 conserved, potential phosphorylation sites at 335 Ser and 342 Tyr. Although it has been shown that the cytoplasmic domains of Class I MHC proteins are not necessary for transmitting T-cell activation signals, 13 and overexpression of HFE proteins containing either a S335M or Y342C mutation decreased ferritin levels in HEK293 cells, 14 we hypothesized that these 2 phosphorylation sites might be involved in HFE-mediated hepcidin induction in vivo. Cytoplasmic motifs similar to the YVLA ( 342 Tyr) motif in HFE function ...