Evidence map›Paper›PMID 34265052›Full record

ArticleBlood2021

CD63 is regulated by iron via the IRE-IRP system and is important for ferritin secretion by extracellular vesicles.

Izumi Yanatori, Des R Richardson, Herschel S Dhekne, Shinya Toyokuni, Fumio Kishi

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed
9.6field-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

86 citing papers in PubMed, 144 citations in OpenAlex.

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  18. The D826V point mutation inFrontiers in cell and developmental biology · 2026
    Article
  19. Article
  20. Ferroptosis and cancer: when iron turns against tumors.Cellular and molecular life sciences : CMLS · 2025
    Review

26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Izumi YanatoriDepartment of Pathology and Biological Responses, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID 0000-0002-1945-5473
Des R RichardsonDepartment of Pathology and Biological Responses, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID 0000-0003-0960-6415
Herschel S DhekneDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0002-2240-1230
Shinya ToyokuniDepartment of Pathology and Biological Responses, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID 0000-0002-5757-1109
Fumio KishiKenjinkai Healthcare Corporation, Yamaguchi, Japan.ORCID 0000-0002-0949-5914
Nagoya University · JPGriffith University · AUStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extracellular vesicles (EVs) transfer functional molecules between cells. CD63 is a widely recognized EV marker that contributes to EV secretion from cells. However, the regulation of its expression remains largely unknown. Ferritin is a cellular iron storage protein that can also be secreted by the exosome pathway, and serum ferritin levels classically reflect body iron stores. Iron metabolism-associated proteins such as ferritin are intricately regulated by cellular iron levels via the iron responsive element-iron regulatory protein (IRE-IRP) system. Herein, we present a novel mechanism demonstrating that the expression of the EV-associated protein CD63 is under the regulation of the IRE-IRP system. We discovered a canonical IRE in the 5' untranslated region of CD63 messenger RNA that is responsible for regulating its expression in response to increased iron. Cellular iron loading caused a marked increase in CD63 expression and the secretion of CD63+ EVs from cells, which were shown to contain ferritin-H and ferritin-L. Our results demonstrate that under iron loading, intracellular ferritin is transferred via nuclear receptor coactivator 4 (NCOA4) to CD63+ EVs that are then secreted. Such iron-regulated secretion of the major iron storage protein ferritin via CD63+ EVs, is significant for understanding the local cell-to-cell exchange of ferritin and iron.

Indexed as

ApoferritinsCell LineExtracellular VesiclesFerritinsGene SilencingHumansIronIron Regulatory Protein 1Iron Regulatory Protein 2OxidoreductasesProtein TransportRNA, MessengerTetraspanin 30Up-RegulationACO1 protein, humanApoferritinsCD63 protein, humanFerritinsFTH1 protein, humanFTL protein, humanIREB2 protein, humanIronIron Regulatory Protein 1Iron Regulatory Protein 2OxidoreductasesRNA, MessengerTetraspanin 30

Identifiers

PMID34265052
PMCPMC8667049
OpenAlexW3177874667

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.