Erythrocytic ferroportin reduces intracellular iron accumulation, hemolysis, and malaria risk

De Liang Zhang, Jian Wu, Binal N. Shah, Katja C. Greutélaers, Manik C. Ghosh, Hayden Ollivierre, Xin Zhuan Su, Philip E. Thuma, George Bedu-Addo, Frank P. Mockenhaupt, Victor R. Gordeuk, Tracey A. Rouault

Research output: Contribution to journalArticlepeer-review

Abstract

Malaria parasites invade red blood cells (RBCs), consume copious amounts of hemoglobin, and severely disrupt iron regulation in humans. Anemia often accompanies malaria disease; however, iron supplementation therapy inexplicably exacerbates malarial infections. Here we found that the iron exporter ferroportin (FPN) was highly abundant in RBCs, and iron supplementation suppressed its activity. Conditional deletion of the Fpn gene in erythroid cells resulted in accumulation of excess intracellular iron, cellular damage, hemolysis, and increased fatality in malaria-infected mice. In humans, a prevalent FPN mutation, Q248H (glutamine to histidine at position 248), prevented hepcidin-induced degradation of FPN and protected against severe malaria disease. FPN Q248H appears to have been positively selected in African populations in response to the impact of malaria disease. Thus, FPN protects RBCs against oxidative stress and malaria infection.

Original languageEnglish (US)
Pages (from-to)1520-1523
Number of pages4
JournalScience
Volume359
Issue number6383
DOIs
StatePublished - Mar 30 2018

ASJC Scopus subject areas

  • General

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