Iron overloaded M0 macrophages regulate hematopoietic stem cell proliferation and senescence via the Nrf2/Keap1/HO-1

Lu Bai1, Fan Wang1, Hongmei Ouyang1

  • 1Department of Clinical Laboratory, The First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan Province, 650032, China.

Open Life Sciences
|March 26, 2026
PubMed

Insights

Iron overload impairs macrophage function, negatively impacting hematopoietic stem cells (HSCs) proliferation and promoting senescence. Activating the Nrf2 pathway, however, can protect HSCs from these detrimental effects.

Area of Science:

  • Hematology
  • Cell Biology
  • Immunology

Background:

  • Iron overload is linked to hematological disorders, but its specific effects on hematopoietic stem cell (HSC) homeostasis are not fully understood.
  • Macrophages play a crucial role in regulating HSC function and maintaining bone marrow microenvironment.
  • The Nrf2/Keap1/HO-1 signaling pathway is a key regulator of cellular defense against oxidative stress.

Purpose of the Study:

  • To investigate the impact of iron-overloaded macrophages on HSC proliferation and senescence.
  • To explore the protective role of the Nrf2/Keap1/HO-1 signaling pathway in mitigating iron overload-induced damage to HSCs.

Main Methods:

  • Established an iron overload model in THP-1 derived macrophages using ferric ammonium citrate (FAC).
  • Assessed macrophage function by measuring phagocytic activity, reactive oxygen species (ROS), and inducible nitric oxide synthase (iNOS) expression.
  • Utilized a co-culture system with HSCs to evaluate proliferation, cell cycle, and senescence markers, alongside Western blot analysis for oxidative stress and aging markers.
  • Induced Nrf2 activation using 2-trifluoromethyl-2'-methoxychalcone (TMC) to assess its protective effects.

Main Results:

  • Iron overload impaired macrophage function, characterized by reduced phagocytosis, increased ROS, and elevated iNOS.
  • Iron-overloaded macrophages inhibited HSC proliferation, induced cell cycle arrest, and accelerated senescence, indicated by altered aging and proliferation markers (P16, SA-β-gal, HOXB4, RUNX1).
  • Nrf2 activation via TMC treatment reversed these adverse effects, restoring HSC proliferation and reducing oxidative damage.

Conclusions:

  • Iron-overloaded macrophages adversely affect HSCs homeostasis by impairing their function and promoting senescence.
  • The Nrf2/Keap1/HO-1 signaling pathway plays a significant protective role against iron overload-induced HSC damage.
  • Targeting the Nrf2 pathway may offer a therapeutic strategy for hematological disorders associated with iron overload.

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