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Collin-Jamal Smith The Role of Ferroportin in Macrophage-Mediated Immunity From before birth until death, macrophages exhibit an integral role in tissue homeostasis. Their phagocytic abilities are used for clearing cell debris, as observed in embryogenic apoptosis (Böse et al., 2004), and for destroying pathogens, as observed in innate and adaptive immune responses. One role of macrophages in the reticuloendothelial system (spleen, liver, bone marrow, and other lymphoid tissues) is eryptosis, or the phagocytosis and elimination of senescent erythrocytes in circulation; a consequence of this is the elevation of intracellular iron (Fe2+) levels. The iron is either stored in ferritin proteins or exported out of the cell to the plasma via the ferroportin protein. Ferroportin-driven iron export is regulated by the presence hepcidin. Hepcidin, a peptide of hepatic origin, binds to ferroportin and transports it to a lysosome within which it is degraded. Consequently, high levels of hepcidin result in low levels of ferroportin and high levels of iron inside macrophages; the reverse of this also holds true. Among other stimuli, hepcidin synthesis is induced by excessive iron levels in the blood and the presence of lipopolysaccharide. Since ferroportin is the only known transporter of iron into the plasma and hepcidin is the primary regulator of ferroportin, disorders whose symptoms involve detrimentally high iron levels are commonly caused by the disruption of the ferroportin/hepcidin equilibrium (Abboud et al., 2000). Aberrations from this equilibrium commonly have genetic origins; mutations in the Hfe gene, for example, enervate the body’s ability to sense serum iron levels. As a result, hepcidin is under expressed, allowing the overexpression of ferroportin and the over-export of iron into the blood. Similarly, autosomal dominant mutations in the ferroportin gene cause acute variation in iron homeostasis. One group of mutations is characterized by a delocalization from the plasma membrane to the center of the cell; this dissonance suffers from iron export ebbing, but boasts hepcidin resistance. Intracellular iron concentrations experience a pronounced augmentation under these conditions. The other group of mutations produces proteins with typical iron exporting capabilities, but its interactions with hepcidin are dysfunctional. Evasion of counterbalancing degradation causes a concurrent rise in serum iron levels. Various pathogens, such as Mycobacterium tuberculosis, Chlamydia trachomatis, and Legionella pneumophila, grow inside macrophages; moreover, their growth and virulence are elevated under conditions of iron abundance in vivo and in vitro. In Lounis, N. et al., 2001, researchers tested the influence of iron administration on the growth of M. tuberculosis in 8 week old Balb/C female mice. Thirty mice were treated with 50 mg/kg of polymaltose ferric hydroxide three times a week for two weeks before infection. The control group contained thirty mice which did not receive the iron supplement prior to infection. Each of the sixty mice was then injected intravenously with 7.2×103 colony forming units (CFU) of the virulent H37Rv strain of M. tuberculosis; 42 days later, they were sacrificed. Amounts of M. tuberculosis were quantified using cultures of the lungs and the spleen. The cultures were homogenized, diluted, plated in triplicate on medium, and recorded after 6 weeks of incubation at 37°C. A significant difference increase in spleen weights and a significant increase in both lung and spleen M. tuberculosis counts (p<0.001) was observed in the iron-loaded mice. The results were bolstered by the absence of a significant difference between the body weights of the iron-fed mice and control mice. Thus, the iron-loading of mice was correlated with an enhancement in the multiplication of M.tuberculosis in both the lungs and the spleen. In addition to the aforementioned study, many experiments have demonstrated a connection between bacterial proliferation and the iron homeostasis of the host cell. Other evidence suggests that the iron status of a macrophage affects other mechanisms of immune responses, such as the synthesis of nitric oxide (NO) by the inducible nitric oxide synthase (iNOS). Infection with virulent M. tuberculosis is known to induce iNOS and, consequently, the production of microbicidal NO in murine macrophages. In Chan J. et al. (1992), primary murine peritoneal macrophages were harvested from 8 week old Balb/C female mice. M. tuberculosis was labeled with [3H]uracil; it is known that 80% of [3H]uracil is assimilated into the RNA of mycobacteria while the remaining portion ends up in DNA. After 7 days, the M. tuberculosis cultures were used to infect the murine macrophages. The anti-mycobacterial activity was measured by metabolic labeling; NO2- levels were quantified by sterilizing the culture supernatant, applying the Griess reagent, and measuring its absorption at 540nm. As shown by Figure 1, increases in NO2- were concomitant with increases in [3H]uracil suppression, illustrating the mycobactericidal effects of NO2-. The results provided support for the view that the L-arginine-dependent production of reactive nitrogen intermediates was the principal mechanism by which murine macrophages killed and inhibited virulent M. tuberculosis. Figure 1: NO2- at acidic pH effectively inhibits M. tuberculosis. Figure 2: Summary of Ferroportin/Hepcidin/NO control of Intracellular Fe2+ Levels and Bacterial Growth. Figure 2 is a summary and revision of the components of the iron homeostasis mechanism as described previously. There is a clear connection between iron homeostasis and macrophage anti-microbial function. This connection warranted the investigation of ferroportin’s effect on NO production in response to bacterial assaults (Johnson et al. 2010). J774 murine macrophages stably overexpressing ferroportin and a matched vector control were generated using retroviral transduction. Cells were cultured in antibiotic-free DMEM (nutrient-rich medium). Total nitrite concentration was obtained using the Griess reaction. Ferroportin and iNOS levels were detected using fluorescent antibodies and a Zeiss Axitome Fluorescent microscope. mRNA was isolated and analyzed using quantitative Real Time PCR. Protein levels were examined using Western Blotting and the Bradford Assay. Statistical analysis was completed using ANOVA and the Student’s t test. Figure 3: Ferroportin Overexpression Limits Early Intracellular M. tuberculosis Growth. As illustrated by the red staining in graph A, the J774 mutant (FPN.RV2) is expressing more of the ferroportin protein (the darker stain indicates a larger amount) when compared to the control (GFP.RV). Moreover, graph B shows that the mutant is expressing less ferritin, which means less iron is being stored inside the cell. This bifold decrease in intracellular iron has a detrimental effect on the growth of M. tuberculosis as displayed by graph C. Figure 4: iNOS mRNA is Induced in Ferroportin Overexpressing Cells. The relative expression of iNOS mRNA in macrophages exposed to M. tuberculosis (top two graphs on the right side) and lipopolysaccharide (bottom two graphs on the right side) is generally and significantly induced relative to the control (graph on the left). Figure 5: Ferroportin Overexpression Inhibits NO Production and iNOS Protein Expression following LPS Treatment Contrary to the increase in iNOS mRNA shown in Figure 4, the level of NO in the mutant FPN.RV2 macrophages is significantly lower than the control. Graph A shows the highly significant different in µM of nitrite, graph B shows the lack of iNOS protein in the mutant via a western blot, and graph C shows the lack of red staining due to iNOS protein after 24 hours of incubation. Collectively, these findings suggest a novel role for the iron export protein ferroportin in modulation of the innate immune response through post-transcriptional control of iNOS expression. Works Cited Abboud, S. and D. J. Haile. 2000. A novel mammalian iron-regulated protein involved in intracellular iron metabolism. J. Biol. Chem. 275:19906-19912. Chan, J., Y. Xing, R. S. Magliozzo, and B. R. Bloom. 1992. Killing of virulent Mycobacterium tuberculosis by reactive nitrogen intermediates produced by activated murine macrophages. J. Exp. Med. 175:1111-1122. Johnson, E. E., A. Sandgren, B. J. Cherayil, M. Murray, and M. Wessling-Resnick. "The Role of Ferroportin in Macrophage-mediated Immunity." Infection and Immunity (2010). Pubmed. Web. 22 Sept. 2010. <http://www.ncbi.nlm.nih.gov/pubmed/20837712>. Lounis, N., C. Truffot -Pernot, J. Grosset, V. R. Gordeuk, and J. R. Boelaert . 2001. 9 Iron and Mycobacterium tuberculosis infection. J. Clin. Virol. 20:123-126.