Abstract

In patients with iron overload disorders, increasing number of reports of renal dysfunction and renal iron deposition support an association between increased iron exposure and renal injury. In systemic iron overload, elevated circulating levels of transferrin-bound (TBI) and non-transferrin-bound iron (NTBI) are filtered to the renal proximal tubules, where they may cause injury. However, the mechanisms of tubular iron handling remain elusive. To unravel molecular renal proximal tubular NTBI and TBI handling, human conditionally immortalized proximal tubular epithelial cells (ciPTECs) were incubated with 55Fe as NTBI and fluorescently labeled holo-transferrin as TBI. Ferrous iron importers ZIP8 and ZIP14 were localized in the ciPTEC plasma membrane. Whereas silencing of either ZIP8 or ZIP14 alone did not affect 55Fe uptake, combined silencing significantly reduced 55Fe uptake compared to control (p < 0.05). Furthermore, transferrin receptor 1 (TfR1) and ZIP14, but not ZIP8, colocalized with early endosome antigen 1 (EEA1). TfR1 and ZIP14 also colocalized with uptake of fluorescently labeled transferrin. Furthermore, ZIP14 silencing decreased 55Fe uptake after 55Fe-Transferrin exposure (p < 0.05), suggesting ZIP14 could be involved in early endosomal transport of TBI-derived iron into the cytosol. Our data suggest that human proximal tubular epithelial cells take up TBI and NTBI, where ZIP8 and ZIP14 are both involved in NTBI uptake, but ZIP14, not ZIP8, mediates TBI-derived iron uptake. This knowledge provides more insights in the mechanisms of renal iron handling and suggests that ZIP8 and ZIP14 could be potential targets for limiting renal iron reabsorption and enhancing urinary iron excretion in systemic iron overload disorders.

Highlights

  • Iron is an essential element for life, but it can be harmful by catalyzing the formation of reactive oxygen species in the Fenton reaction (Koppenol 1993)

  • Alexa546Transferrin uptake was mostly observed after apical exposure, and little uptake was seen after basolateral exposure, whereas both apical and basolateral uptake was reduced in iron-loaded cells (Fig. 1f)

  • We have shown that human proximal tubular epithelial cells (PTs) take up both non-transferrin-bound iron (NTBI) and TBI

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Summary

Introduction

Iron is an essential element for life, but it can be harmful by catalyzing the formation of reactive oxygen species in the Fenton reaction (Koppenol 1993). Disturbed intestinal iron uptake in hereditary hemochromatosis, and frequent red blood cell transfusions in b-thalassemia major, can result in systemic iron overload and organ damage (Brissot and Loreal 2016). In these disorders, patients present with increased levels of iron bound to the circulating transport protein transferrin (transferrin-bound iron; TBI) (Brissot and Loreal 2016). These findings support an association between increased renal tubular iron exposure and renal tubular injury in systemic iron overload

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