Evidence map›Paper›PMID 34614145›Full record

ArticleBlood2022

Erythroid overproduction of erythroferrone causes iron overload and developmental abnormalities in mice.

Richard Coffey, Grace Jung, Joseph D Olivera, Gabriel Karin, Renata C Pereira, Elizabeta Nemeth, Tomas Ganz

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07612345 (Safety and Tolerability of Supratherapeutic Vitamin C Supplementation in Class A Glucose-6-Phosphate Dehydrogenase), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 5% 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.

NCT07612345 phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Safety and Tolerability of Supratherapeutic Vitamin C Supplementation in Class A Glucose-6-Phosphate Dehydrogenase (G6PD A) Deficiency and Pyruvate Kinase Deficiency (PKD)

TypeinterventionalSponsorUniversity of UtahRan2026 to 2027Enrolled3ConditionsPyruvate Kinase Deficiency, Glucose 6 Phosphate Dehydrogenase DeficiencyArmsVitamin C
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Hereditary disorders of ineffective erythropoiesis.Blood cells, molecules & diseases · 2025
    Review
  6. Review
  7. Outline of Iron Metabolism, with Emphasis on Erythroid Cells.Mediterranean journal of hematology and infectious diseases · 2025
    Review
  8. Article
  9. Activation of Intestinal HIF2α Ameliorates Iron-Refractory Anemia.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  10. Mechanisms controlling cellular and systemic iron homeostasis.Nature reviews. Molecular cell biology · 2024
    Review
  11. Review
  12. Ferroptosis as an emerging target in sickle cell disease.Current research in toxicology · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Managing the Dual Nature of Iron to Preserve Health.International journal of molecular sciences · 2023
    Review
  18. Iron as a therapeutic target in chronic liver disease.World journal of gastroenterology · 2023
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Richard CoffeyDepartment of Medicine.
Grace JungDepartment of Medicine.
Joseph D OliveraDepartment of Medicine.
Gabriel KarinDepartment of Medicine.ORCID 0000-0002-4662-0921
Renata C PereiraDepartment of Pathology, and.
Elizabeta NemethDepartment of Medicine.ORCID 0000-0002-3477-2397
Tomas GanzDepartment of Medicine.ORCID 0000-0002-2830-5469
University of California, Los Angeles · US

Funding

UCLA Pulmonary and Critical Care Medicine Training ProgramT32HL072752 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JOHN A BELPERIO, TOMAS GANZ · 2003 to 2026
$8.3M
The role of erythroferrone in iron homeostasis and in iron-loading anemiasR01DK065029 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GANZ, TOMAS · 2004 to 2017
$4.9M
MECHANISM OF ACTION OF ERYTHROFERRONE AND PATHOLOGICAL IMPLICATIONSR01DK126680 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GANZ, TOMAS · 2020 to 2024
$2.6M
Iron physiology and pathology in pregnancyR01HD096863 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NEMETH, ELIZABETA · 2019 to 2023
$2.1M
Erythroferrone and Its Impact on Maternal and Neonatal Iron HomeostasisR21HD098864 · NICHD · CORNELL UNIVERSITY · PI NEMETH, ELIZABETA, O'BRIEN, KIMBERLY O · 2019 to 2020
$445k
NHLBI NIH HHS T32 HL072752NICHD NIH HHS R01 HD096863NICHD NIH HHS R21 HD098864NIDDK NIH HHS R01 DK065029NIDDK NIH HHS R01 DK126680
6 · The paper itself

Abstract

The hormone erythroferrone (ERFE) is produced by erythroid cells in response to hemorrhage, hypoxia, or other erythropoietic stimuli, and it suppresses the hepatic production of the iron-regulatory hormone hepcidin, thereby mobilizing iron for erythropoiesis. Suppression of hepcidin by ERFE is believed to be mediated by interference with paracrine bone morphogenetic protein (BMP) signaling that regulates hepcidin transcription in hepatocytes. In anemias with ineffective erythropoiesis, ERFE is pathologically overproduced, but its contribution to the clinical manifestations of these anemias is not well understood. We generated 3 lines of transgenic mice with graded erythroid overexpression of ERFE and found that they developed dose-dependent iron overload, impaired hepatic BMP signaling, and relative hepcidin deficiency. These findings add to the evidence that ERFE is a mediator of iron overload in conditions in which ERFE is overproduced, including anemias with ineffective erythropoiesis. At the highest levels of ERFE overexpression, the mice manifested decreased perinatal survival, impaired growth, small hypofunctional kidneys, decreased gonadal fat depots, and neurobehavioral abnormalities, all consistent with impaired organ-specific BMP signaling during development. Neutralizing excessive ERFE in congenital anemias with ineffective erythropoiesis may not only prevent iron overload but may have additional benefits for growth and development.

Indexed as

AnimalsBone Morphogenetic ProteinsCytokinesDevelopmental DisabilitiesErythroid CellsFemaleHepcidinsIron OverloadMaleMiceMice, Inbred C57BLMice, TransgenicMuscle ProteinsSignal TransductionUp-RegulationBone Morphogenetic ProteinsCytokinesErfe protein, mouseHepcidinsMuscle Proteins

Identifiers

PMID34614145
PMCPMC8777203
OpenAlexW3202097872

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.