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Updated: Jun 21, 2026

Quantifiable and Inexpensive Cell-Free Fluorescent Method to Confirm the Ability of Novel Compounds to Chelate Iron
Published on: February 23, 2024
Specific iron chelators determine the route of ferritin degradation
Ivana De Domenico1, Diane McVey Ward, Jerry Kaplan
1Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT 84132, USA.
Abstract:
Deferoxamine (DFO) is a high-affinity Fe (III) chelator produced by Streptomyces pilosus. DFO is used clinically to remove iron from patients with iron overload disorders. Orally administered DFO cannot be absorbed, and therefore it must be injected. Here we show that DFO induces ferritin degradation in lysosomes through induction of autophagy. DFO-treated cells show cytosolic accumulation of LC3B, a critical protein involved in autophagosomal-lysosomal degradation. Treatment of cells with the oral iron chelators deferriprone and desferasirox did not show accumulation of LC3B, and degradation of ferritin occurred through the proteasome. Incubation of DFO-treated cells with 3-methyladenine, an autophagy inhibitor, resulted in degradation of ferritin by the proteasome. These results indicate that ferritin degradation occurs by 2 routes: a DFO-induced entry of ferritin into lysosomes and a cytosolic route in which iron is extracted from ferritin before degradation by the proteasome.
Insights
Deferoxamine (DFO) triggers ferritin breakdown via autophagy and lysosomal pathways. Other iron chelators degrade ferritin through the proteasome, highlighting distinct cellular mechanisms for iron overload treatment.
Area of Science:
- Biochemistry
- Cell Biology
- Pharmacology
Background:
- Deferoxamine (DFO) is an injectable iron chelator used for iron overload disorders.
- Oral iron chelators like deferiprone and desferasirox exist but have different absorption properties.
- The cellular mechanisms of iron chelation and ferritin degradation are not fully understood.
Purpose of the Study:
- To investigate the cellular mechanism by which Deferoxamine (DFO) induces ferritin degradation.
- To compare the degradation pathways of DFO with oral iron chelators (deferiprone, desferasirox).
- To elucidate the role of autophagy in DFO-mediated ferritin degradation.
Main Methods:
- Cell culture treated with Deferoxamine (DFO), deferiprone, and desferasirox.
- Analysis of LC3B protein accumulation as an indicator of autophagy.
- Inhibition of autophagy using 3-methyladenine to observe alternative degradation pathways.
- Assessment of ferritin degradation through lysosomal and proteasomal pathways.
Main Results:
- Deferoxamine (DFO) treatment induced ferritin degradation via autophagy, evidenced by cytosolic LC3B accumulation.
- Deferiprone and desferasirox treatments did not induce LC3B accumulation; ferritin degraded via the proteasome.
- Inhibition of autophagy in DFO-treated cells shifted ferritin degradation to the proteasome.
- Identified two distinct ferritin degradation routes: DFO-induced lysosomal entry and a proteasomal route.
Conclusions:
- Deferoxamine (DFO) uniquely induces ferritin degradation through an autophagy-dependent lysosomal pathway.
- Ferritin degradation can occur via distinct cellular mechanisms, influenced by the type of iron chelator used.
- Understanding these pathways may inform the development of more effective iron overload therapies.
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