Evidence map›Paper›PMID 31276102›Full record

ArticleNature metabolism2019

Nrf2 controls iron homeostasis in haemochromatosis and thalassaemia via Bmp6 and hepcidin.

Pei Jin Lim, Tiago L Duarte, João Arezes, Daniel Garcia-Santos, Amel Hamdi, Sant-Rayn Pasricha, Andrew E Armitage, Hema Mehta, Sarah Wideman, Ana G Santos and 14 more

Open access · greenAbstract read
In one paragraph

Article in Nature metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
10.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 135 citations in OpenAlex.

  1. Review
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  14. Role of NRF2 in Pathogenesis of Alzheimer's Disease.Antioxidants (Basel, Switzerland) · 2024
    Review
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 9 institutions in 5 countries.

Pei Jin LimMRC Human Immunology Unit, MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DS, UK.
Tiago L DuarteInstituto de Biologia Molecular e Celular & Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.
João ArezesMRC Human Immunology Unit, MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DS, UK.
Daniel Garcia-SantosLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Amel HamdiLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Sant-Rayn PasrichaMRC Human Immunology Unit, MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DS, UK.
Andrew E ArmitageMRC Human Immunology Unit, MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DS, UK.
Hema MehtaPeter Medawar Building for Pathogen Research, University of Oxford, Oxford, Oxfordshire, UK.
Sarah WidemanMRC Human Immunology Unit, MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DS, UK.
Ana G SantosInstituto de Biologia Molecular e Celular & Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.
Andreia Santos-GonçalvesInstituto de Biologia Molecular e Celular & Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.
Alireza MorovatDepartment of Clinical Biochemistry, Oxford University Hospitals NHS Foundation Trust, UK.
Jim R HughesMRC Molecular Haematology Unit, MRC Weatherall Institute of Molecular Medicine. University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DS, UK.
Elizabeth SoilleuxDepartment of Cellular Pathology, Oxford University Hospitals NHS Trust, John Radcliffe Hospital, Oxford, UK.
Chia-Yu WangNephrology Division, Program in Membrane Biology, Center for Systems Biology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Abraham L BayerNephrology Division, Program in Membrane Biology, Center for Systems Biology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Paul KlenermanThe Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.
Christian B WillbergThe Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.
Richard C HartleyWestCHEM School of Chemistry, University of Glasgow, Glasgow, G12 8QQ, UK.
Michael P MurphyMRC Mitochondrial Biology Unit, University of Cambridge, Cambridge, CB2 0XY, UK.
Jodie L BabittNephrology Division, Program in Membrane Biology, Center for Systems Biology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Prem PonkaLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Graça PortoInstituto de Biologia Molecular e Celular & Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.
Hal DrakesmithMRC Human Immunology Unit, MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DS, UK.
John Radcliffe Hospital · GBi3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto · PTHarvard University · USJewish General Hospital · CAWalter and Eliza Hall Institute of Medical Research · AUOxford University Hospitals NHS Trust · GBUniversity of Cambridge · GBUniversity of Glasgow · GBUniversity of Oxford · GB

Funding

Regulation of Iron Homeostasis by BMP SignalingR01DK087727 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI BABITT, JODIE L · 2010 to 2024
$6.0M
CIHR MOP-126064CIHR MOP-14100Medical Research Council MC_PC_14131Medical Research Council MC_U105663142Medical Research Council MC_UU_00008/10Medical Research Council MC_UU_00016/14Medical Research Council MC_UU_12009/15Medical Research Council MC_UU_12010/10NIDDK NIH HHS R01 DK087727Wellcome Trust 109965/Z/15/ZWellcome Trust 110159/Z/15/Z
6 · The paper itself

Abstract

Iron is critical for life but toxic in excess because of iron-catalysed formation of pro-oxidants that cause tissue damage in a range of disorders. The Nrf2 transcription factor orchestrates cell-intrinsic protective antioxidant responses, and the peptide hormone hepcidin maintains systemic iron homeostasis, but is pathophysiologically decreased in haemochromatosis and beta-thalassaemia. Here, we show that Nrf2 is activated by iron-induced, mitochondria-derived pro-oxidants and drives Bmp6 expression in liver sinusoid endothelial cells, which in turn increases hepcidin synthesis by neighbouring hepatocytes. In Nrf2 knockout mice, the Bmp6-hepcidin response to oral and parenteral iron is impaired and iron accumulation and hepatic damage are increased. Pharmacological activation of Nrf2 stimulates the Bmp6-hepcidin axis, improving iron homeostasis in haemochromatosis and counteracting the inhibition of Bmp6 by erythroferrone in beta-thalassaemia. We propose that Nrf2 links cellular sensing of excess toxic iron to control of systemic iron homeostasis and antioxidant responses, and may be a therapeutic target for iron-associated disorders.

Indexed as

beta-ThalassemiaBone Morphogenetic Protein 6HepcidinsHomeostasisHumansIronNF-E2-Related Factor 2BMP6 protein, humanBone Morphogenetic Protein 6HepcidinsIronNFE2L2 protein, humanNF-E2-Related Factor 2

Identifiers

PMID31276102
PMCPMC6609153
OpenAlexW2944225554

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.