Serveur d'exploration sur la glutarédoxine

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The human counterpart of zebrafish shiraz shows sideroblastic-like microcytic anemia and iron overload.

Identifieur interne : 000C48 ( Main/Exploration ); précédent : 000C47; suivant : 000C49

The human counterpart of zebrafish shiraz shows sideroblastic-like microcytic anemia and iron overload.

Auteurs : Clara Camaschella [Italie] ; Alessandro Campanella ; Luigia De Falco ; Loredana Boschetto ; Roberta Merlini ; Laura Silvestri ; Sonia Levi ; Achille Iolascon

Source :

RBID : pubmed:17485548

Descripteurs français

English descriptors

Abstract

Inherited microcytic-hypochromic anemias in rodents and zebrafish suggest the existence of corresponding human disorders. The zebrafish mutant shiraz has severe anemia and is embryonically lethal because of glutaredoxin 5 (GRLX5) deletion, insufficient biogenesis of mitochondrial iron-sulfur (Fe/S) clusters, and deregulated iron-regulatory protein 1 (IRP1) activity. This leads to stabilization of transferrin receptor 1 (TfR) RNA, repression of ferritin, and ALA-synthase 2 (ALAS2) translation with impaired heme synthesis. We report the first case of GLRX5 deficiency in a middle-aged anemic male with iron overload and a low number of ringed sideroblasts. Anemia was worsened by blood transfusions but partially reversed by iron chelation. The patient had a homozygous (c.294A>G) mutation that interferes with intron 1 splicing and drastically reduces GLRX5 RNA. As in shiraz, aconitase and H-ferritin levels were low and TfR level was high in the patient's cells, compatible with increased IRP1 binding. Based on the biochemical and clinical phenotype, we hypothesize that IRP2, less degraded by low heme, contributes to the repression of the erythroblasts ferritin and ALAS2, increasing mitochondrial iron. Iron chelation, redistributing iron to the cytosol, might relieve IRP2 excess, improving heme synthesis and anemia. GLRX5 function is highly conserved, but at variance with zebrafish, its defect in humans leads to anemia and iron overload.

DOI: 10.1182/blood-2007-02-072520
PubMed: 17485548


Affiliations:


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Le document en format XML

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<term>Aconitate Hydratase (MeSH)</term>
<term>Anemia, Sideroblastic (genetics)</term>
<term>Anemia, Sideroblastic (pathology)</term>
<term>Blotting, Western (MeSH)</term>
<term>Cells, Cultured (MeSH)</term>
<term>Enzyme-Linked Immunosorbent Assay (MeSH)</term>
<term>Glutaredoxins (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Immunoprecipitation (MeSH)</term>
<term>Iron Overload (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Mitochondria (enzymology)</term>
<term>Mutation (genetics)</term>
<term>Oxidoreductases (genetics)</term>
<term>Oxidoreductases (metabolism)</term>
<term>Reverse Transcriptase Polymerase Chain Reaction (MeSH)</term>
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<term>Aconitate hydratase (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Anémie sidéroblastique (anatomopathologie)</term>
<term>Anémie sidéroblastique (génétique)</term>
<term>Cellules cultivées (MeSH)</term>
<term>Glutarédoxines (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Immunoprécipitation (MeSH)</term>
<term>Mitochondries (enzymologie)</term>
<term>Mutation (génétique)</term>
<term>Mâle (MeSH)</term>
<term>Oxidoreductases (génétique)</term>
<term>Oxidoreductases (métabolisme)</term>
<term>RT-PCR (MeSH)</term>
<term>Surcharge en fer (MeSH)</term>
<term>Technique de Western (MeSH)</term>
<term>Test ELISA (MeSH)</term>
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<term>Oxidoreductases</term>
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<term>Oxidoreductases</term>
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<term>Aconitate Hydratase</term>
<term>Glutaredoxins</term>
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<term>Anémie sidéroblastique</term>
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<term>Mitochondries</term>
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<term>Mitochondria</term>
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<term>Anemia, Sideroblastic</term>
<term>Mutation</term>
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<term>Anémie sidéroblastique</term>
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<term>Enzyme-Linked Immunosorbent Assay</term>
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<term>Immunoprecipitation</term>
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<term>Reverse Transcriptase Polymerase Chain Reaction</term>
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<term>Immunoprécipitation</term>
<term>Mâle</term>
<term>RT-PCR</term>
<term>Surcharge en fer</term>
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<div type="abstract" xml:lang="en">Inherited microcytic-hypochromic anemias in rodents and zebrafish suggest the existence of corresponding human disorders. The zebrafish mutant shiraz has severe anemia and is embryonically lethal because of glutaredoxin 5 (GRLX5) deletion, insufficient biogenesis of mitochondrial iron-sulfur (Fe/S) clusters, and deregulated iron-regulatory protein 1 (IRP1) activity. This leads to stabilization of transferrin receptor 1 (TfR) RNA, repression of ferritin, and ALA-synthase 2 (ALAS2) translation with impaired heme synthesis. We report the first case of GLRX5 deficiency in a middle-aged anemic male with iron overload and a low number of ringed sideroblasts. Anemia was worsened by blood transfusions but partially reversed by iron chelation. The patient had a homozygous (c.294A>G) mutation that interferes with intron 1 splicing and drastically reduces GLRX5 RNA. As in shiraz, aconitase and H-ferritin levels were low and TfR level was high in the patient's cells, compatible with increased IRP1 binding. Based on the biochemical and clinical phenotype, we hypothesize that IRP2, less degraded by low heme, contributes to the repression of the erythroblasts ferritin and ALAS2, increasing mitochondrial iron. Iron chelation, redistributing iron to the cytosol, might relieve IRP2 excess, improving heme synthesis and anemia. GLRX5 function is highly conserved, but at variance with zebrafish, its defect in humans leads to anemia and iron overload.</div>
</front>
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<AbstractText>Inherited microcytic-hypochromic anemias in rodents and zebrafish suggest the existence of corresponding human disorders. The zebrafish mutant shiraz has severe anemia and is embryonically lethal because of glutaredoxin 5 (GRLX5) deletion, insufficient biogenesis of mitochondrial iron-sulfur (Fe/S) clusters, and deregulated iron-regulatory protein 1 (IRP1) activity. This leads to stabilization of transferrin receptor 1 (TfR) RNA, repression of ferritin, and ALA-synthase 2 (ALAS2) translation with impaired heme synthesis. We report the first case of GLRX5 deficiency in a middle-aged anemic male with iron overload and a low number of ringed sideroblasts. Anemia was worsened by blood transfusions but partially reversed by iron chelation. The patient had a homozygous (c.294A>G) mutation that interferes with intron 1 splicing and drastically reduces GLRX5 RNA. As in shiraz, aconitase and H-ferritin levels were low and TfR level was high in the patient's cells, compatible with increased IRP1 binding. Based on the biochemical and clinical phenotype, we hypothesize that IRP2, less degraded by low heme, contributes to the repression of the erythroblasts ferritin and ALAS2, increasing mitochondrial iron. Iron chelation, redistributing iron to the cytosol, might relieve IRP2 excess, improving heme synthesis and anemia. GLRX5 function is highly conserved, but at variance with zebrafish, its defect in humans leads to anemia and iron overload.</AbstractText>
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<Language>eng</Language>
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<Grant>
<GrantID>GGP05024</GrantID>
<Agency>Telethon</Agency>
<Country>Italy</Country>
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<RegistryNumber>0</RegistryNumber>
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<name sortKey="Campanella, Alessandro" sort="Campanella, Alessandro" uniqKey="Campanella A" first="Alessandro" last="Campanella">Alessandro Campanella</name>
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<name sortKey="Levi, Sonia" sort="Levi, Sonia" uniqKey="Levi S" first="Sonia" last="Levi">Sonia Levi</name>
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