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PCBP1 and NCOA4 regulate erythroid iron storage and heme biosynthesis
Moon-Suhn Ryu, Deliang Zhang, Olga Protchenko, Minoo Shakoury-Elizeh, Caroline C. Philpott
Moon-Suhn Ryu, Deliang Zhang, Olga Protchenko, Minoo Shakoury-Elizeh, Caroline C. Philpott
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Research Article Hematology

PCBP1 and NCOA4 regulate erythroid iron storage and heme biosynthesis

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Abstract

Developing erythrocytes take up exceptionally large amounts of iron, which must be transferred to mitochondria for incorporation into heme. This massive iron flux must be precisely controlled to permit the coordinated synthesis of heme and hemoglobin while avoiding the toxic effects of chemically reactive iron. In cultured animal cells, iron chaperones poly rC–binding protein 1 (PCBP1) and PCBP2 deliver iron to ferritin, the sole cytosolic iron storage protein, and nuclear receptor coactivator 4 (NCOA4) mediates the autophagic turnover of ferritin. The roles of PCBP, ferritin, and NCOA4 in erythroid development remain unclear. Here, we show that PCBP1, NCOA4, and ferritin are critical for murine red cell development. Using a cultured cell model of erythroid differentiation, depletion of PCBP1 or NCOA4 impaired iron trafficking through ferritin, which resulted in reduced heme synthesis, reduced hemoglobin formation, and perturbation of erythroid regulatory systems. Mice lacking Pcbp1 exhibited microcytic anemia and activation of compensatory erythropoiesis via the regulators erythropoietin and erythroferrone. Ex vivo differentiation of erythroid precursors from Pcbp1-deficient mice confirmed defects in ferritin iron flux and heme synthesis. These studies demonstrate the importance of ferritin for the vectorial transfer of imported iron to mitochondria in developing red cells and of PCBP1 and NCOA4 in mediating iron flux through ferritin.

Authors

Moon-Suhn Ryu, Deliang Zhang, Olga Protchenko, Minoo Shakoury-Elizeh, Caroline C. Philpott

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Figure 8

Model of changing paths of iron flux in developing erythrocytes.

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Model of changing paths of iron flux in developing erythrocytes.
(A) In ...
(A) In earliest stages of terminal differentiation, proerythroblasts upregulate transferrin receptor (TfR) and begin accumulating iron. Iron is bound by PCBP1 and delivered to ferritin. Turnover of ferritin is low; heme and Hb synthesis have not begun. (B) At the middle stages of development, iron is delivered to ferritin and NCOA4 captures ferritin and directs it into the autophagosome, which fuses with the lysosome. Lysosomal iron is delivered to mitochondria by an undetermined mechanism that could involve direct transfer. Heme and Hb synthesis are high. Baso e., basophilic erythroblast; Ortho e., orthochromatic erythroblast. Dash indicates range. (C) In late erythrocyte development, circulating reticulocytes progressively lose intracellular organelles. Iron is not directed into ferritin and may be delivered directly to mitochondria for heme synthesis.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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