Shaping the bone through iron and iron-related proteins

Research output: Contribution to journalReview articleContributedpeer-review

Contributors

  • Maria G Ledesma-Colunga - , Divisions of Endocrinology and Molecular Bone Biology, University Hospital Carl Gustav Carus Dresden (Author)
  • Heike Weidner - , Divisions of Endocrinology and Molecular Bone Biology, University Hospital Carl Gustav Carus Dresden (Author)
  • Maja Vujic Spasic - , Ulm University (Author)
  • Lorenz C Hofbauer - , Divisions of Endocrinology and Molecular Bone Biology, University Hospital Carl Gustav Carus Dresden (Author)
  • Ulrike Baschant - , Divisions of Endocrinology and Molecular Bone Biology, University Hospital Carl Gustav Carus Dresden (Author)
  • Martina Rauner - , Divisions of Endocrinology and Molecular Bone Biology, University Hospital Carl Gustav Carus Dresden (Author)

Abstract

Well-controlled iron levels are indispensable for health. Iron deficiency is the most common cause of anemia, whereas iron overload, either hereditary or secondary due to disorders of ineffective erythropoiesis, causes widespread organ failure. Bone is particularly sensitive to fluctuations in systemic iron levels as both iron deficiency and overload are associated with low bone mineral density and fragility. Recent studies have shown that not only iron itself, but also iron-regulatory proteins that are mutated in hereditary hemochromatosis can control bone mass. This review will summarize the current knowledge on the effects of iron on bone homeostasis and bone cell activities, and on the role of proteins that regulate iron homeostasis, i.e. hemochromatosis proteins and proteins of the bone morphogenetic protein pathway, on bone remodeling. As disorders of iron homeostasis are closely linked to bone fragility, deeper insights into common regulatory mechanisms may provide new opportunities to concurrently treat disorders affecting iron homeostasis and bone.

Details

Original languageEnglish
Pages (from-to)188-200
Number of pages13
JournalSeminars in hematology
Volume58
Issue number3
Publication statusPublished - Jul 2021
Peer-reviewedYes
Externally publishedYes

External IDs

Scopus 85110757820
ORCID /0000-0002-8691-8423/work/142236019
ORCID /0000-0002-2061-8663/work/142246356
ORCID /0009-0001-6045-3349/work/150330111

Keywords

Keywords

  • Hemochromatosis/complications, Homeostasis, Humans, Iron/metabolism, Iron Deficiencies, Iron Overload/complications