Iron absorption from intestine is regulated by:(1994)
Wait, so when hepcidin is high, it inhibits the transport of iron from the enterocytes into the blood. That makes sense because if there's enough iron stored, you don't want to absorb more. Conversely, when iron levels are low, hepcidin decreases, allowing more absorption. That's the core concept here.
Now, looking at the options. The correct answer should be hepcidin. Let's think about the other options. Ferroportin is a protein that hepcidin binds to, so if hepcidin is inhibited, ferroportin is active. But the main regulator is hepcidin. Transferrin is involved in transporting iron in the blood, but it's not directly regulating absorption. Hemosiderin is a storage form of iron, not a regulator. Ferritin is another storage protein, but again, not a regulator of absorption.
So the clinical pearl here is that hepcidin is the key hormone regulating iron absorption. Students should remember that hepcidin is the master regulator and its dysregulation can lead to conditions like hemochromatosis. Also, understanding the pathway involving hepcidin, ferroportin, and DMT1 is important for exams.
**Core Concept**
Iron absorption is primarily regulated by **hepcidin**, a peptide hormone produced by the liver. Hepcidin controls intestinal iron absorption by binding to and inhibiting **ferroportin**, the iron exporter protein on enterocytes, thereby reducing iron release into the bloodstream.
**Why the Correct Answer is Right**
**Hepcidin** is the central regulator of iron homeostasis. When iron stores are adequate, hepcidin levels rise, bind to ferroportin, and induce its internalization and degradation, blocking iron efflux from enterocytes. Conversely, low iron levels suppress hepcidin, allowing ferroportin to remain active and promote iron absorption. This feedback loop ensures systemic iron balance.
**Why Each Wrong Option is Incorrect**
**Option A:** *Ferritin* is an intracellular iron storage protein, not a regulator of absorption.
**Option B:** *Transferrin* binds and transports iron in plasma but does not regulate intestinal absorption.
**Option C:** *Hemosiderin* is an insoluble iron storage complex found in macrophages, not a regulatory molecule.
**Clinical Pearl / High-Yield Fact**
Hepcidin deficiency (e.g., in hereditary hemochromatosis) causes excessive iron absorption. Conversely, inflammation upregulates hepcidin, leading to anemia of chronic disease. Remember: **"Hepcidin = Iron Traffic Cop"** β it stops or allows iron release based on body needs.
**Correct Answer: D. Hepcidin**