HJV and HFE Play Distinct Roles in Regulating Hepcidin

Abstract Aims: Hereditary hemochromatosis (HH) is an iron overload disease that is caused by mutations in HFE, HJV, and several other genes. However, whether HFE-HH and HJV-HH share a common pathway via hepcidin regulation is currently unclear. Recently, some HH patients have been reported to carry concurrent mutations in both the HFE and HJV genes. To dissect the roles and molecular mechanisms of HFE and/or HJV in the pathogenesis of HH, we studied Hfe−/−, Hjv−/−, and Hfe−/−Hjv−/− double-knockout mouse models. Results: Hfe−/−Hjv−/− mice developed iron overload in multiple organs at levels comparable to Hjv−/− mice. After an acute delivery of iron, the expression of hepcidin (i.e., Hamp1 mRNA) was increased in the livers of wild-type and Hfe−/− mice, but not in either Hjv−/− or Hfe−/−Hjv−/− mice. Furthermore, iron-induced phosphorylation of Smad1/5/8 was not detected in the livers of Hjv−/− or Hfe−/−Hjv−/− mice. Innovation: We generated and phenotypically characterized Hfe−/−Hjv−/− double-knockout mice. I...