Hepcidin regulation by innate immune and infectious stimuli

Blood. 2011 Oct 13;118(15):4129-39. doi: 10.1182/blood-2011-04-351957. Epub 2011 Aug 26.

Abstract

Hepcidin controls the levels and distribution of iron, an element whose availability can influence the outcome of infections. We investigated hepcidin regulation by infection-associated cytokines, pathogen-derived molecules, and whole pathogens in vitro and in vivo. We found that IL-22, an effector cytokine implicated in responses to extracellular infections, caused IL-6-independent hepcidin up-regulation in human hepatoma cells, suggesting it might represent an additional inflammatory hepcidin agonist. Like IL-6, IL-22 caused phosphorylation of STAT3 and synergized with BMP6 potentiating hepcidin induction. In human leukocytes, IL-6 caused potent, transient hepcidin up-regulation that was augmented by TGF-β1. Pathogen-derived TLR agonists also stimulated hepcidin, most notably the TLR5 agonist flagellin in an IL-6-dependent manner. In contrast, leukocyte hepcidin induction by heat-killed Candida albicans hyphae was IL-6-independent, but partially TGF-β-dependent. In a murine acute systemic candidiasis model, C albicans strongly stimulated hepcidin, accompanied by a major reduction in transferrin saturation. Similarly, hepcidin was up-regulated with concomitant lowering of serum iron during acute murine Influenza A/PR/8/34 virus (H1N1) infection. This intracellular pathogen also stimulated hepcidin expression in leukocytes and hepatoma cells. Together, these results indicate that hepcidin induction represents a component of the innate immune response to acute infection, with the potential to affect disease pathogenesis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antimicrobial Cationic Peptides / immunology*
  • Antimicrobial Cationic Peptides / metabolism
  • Candida albicans / immunology*
  • Candidiasis / immunology*
  • Candidiasis / metabolism
  • Flagellin / immunology
  • Hep G2 Cells
  • Hepcidins
  • Humans
  • Immunity, Innate / physiology*
  • Influenza A Virus, H1N1 Subtype / immunology*
  • Interleukin-22
  • Interleukin-6 / immunology
  • Interleukin-6 / metabolism
  • Interleukins / immunology
  • Interleukins / metabolism
  • Mice
  • Orthomyxoviridae Infections / immunology*
  • Orthomyxoviridae Infections / metabolism
  • STAT3 Transcription Factor / immunology
  • STAT3 Transcription Factor / metabolism
  • Toll-Like Receptor 5 / immunology
  • Toll-Like Receptor 5 / metabolism
  • Transforming Growth Factor beta1 / immunology
  • Transforming Growth Factor beta1 / metabolism

Substances

  • Antimicrobial Cationic Peptides
  • HAMP protein, human
  • Hamp protein, mouse
  • Hepcidins
  • IL6 protein, human
  • Interleukin-6
  • Interleukins
  • STAT3 Transcription Factor
  • STAT3 protein, human
  • Stat3 protein, mouse
  • TLR5 protein, human
  • Toll-Like Receptor 5
  • Transforming Growth Factor beta1
  • Flagellin