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<art>
   <ui>gb-2007-8-10-r221</ui>
   <ji>GBJ</ji>
   <fm>
      <dochead>Research</dochead>
      <bibl>
         <title>
            <p>Gene expression profiling of <it>Hfe</it><sup>-/- </sup>liver and duodenum in mouse strains with differing susceptibilities to iron loading: identification of transcriptional regulatory targets of Hfe and potential hemochromatosis modifiers</p>
         </title>
         <aug>
            <au id="A1">
               <snm>Coppin</snm>
               <fnm>H&#233;l&#232;ne</fnm>
               <insr iid="I1"/>
               <insr iid="I2"/>
               <email>coppin@cict.fr</email>
            </au>
            <au id="A2">
               <snm>Darnaud</snm>
               <fnm>Val&#233;rie</fnm>
               <insr iid="I1"/>
               <insr iid="I2"/>
               <email>vdarnaud@toulouse.inserm.fr</email>
            </au>
            <au id="A3">
               <snm>Kautz</snm>
               <fnm>L&#233;on</fnm>
               <insr iid="I1"/>
               <insr iid="I2"/>
               <email>leon.kautz@toulouse.inserm.fr</email>
            </au>
            <au id="A4">
               <snm>Meynard</snm>
               <fnm>Delphine</fnm>
               <insr iid="I1"/>
               <insr iid="I2"/>
               <email>delphine.meynard@toulouse.inserm.fr</email>
            </au>
            <au id="A5">
               <snm>Aubry</snm>
               <fnm>Marc</fnm>
               <insr iid="I3"/>
               <insr iid="I4"/>
               <email>marc.aubry@univ-rennes1.fr</email>
            </au>
            <au id="A6">
               <snm>Mosser</snm>
               <fnm>Jean</fnm>
               <insr iid="I3"/>
               <insr iid="I4"/>
               <email>mosser@univ-rennes1.fr</email>
            </au>
            <au id="A7">
               <snm>Martinez</snm>
               <fnm>Maria</fnm>
               <insr iid="I1"/>
               <insr iid="I2"/>
               <email>maria.martinez@toulouse.inserm.fr</email>
            </au>
            <au id="A8" ca="yes">
               <snm>Roth</snm>
               <fnm>Marie-Paule</fnm>
               <insr iid="I1"/>
               <insr iid="I2"/>
               <email>roth@cict.fr</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>INSERM, U563, Centre de Physiopathologie de Toulouse Purpan, Toulouse, F-31300 France</p>
            </ins>
            <ins id="I2">
               <p>Universit&#233; Toulouse III Paul-Sabatier, IFR 30, Toulouse, F-31400 France</p>
            </ins>
            <ins id="I3">
               <p>CNRS, UMR6061, G&#233;n&#233;tique et D&#233;veloppement, Rennes, F-35000 France</p>
            </ins>
            <ins id="I4">
               <p>Universit&#233; de Rennes 1, IFR 140, Rennes, F-35000 France</p>
            </ins>
         </insg>
         <source>Genome Biology</source>
         <issn>1465-6906</issn>
         <pubdate>2007</pubdate>
         <volume>8</volume>
         <issue>10</issue>
         <fpage>R221</fpage>
         <url>http://genomebiology.com/2007/8/10/R221</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="pmpid">17945001</pubid>
               <pubid idtype="doi">10.1186/gb-2007-8-10-r221</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>8</day>
               <month>6</month>
               <year>2007</year>
            </date>
         </rec>
         <revrec>
            <date>
               <day>16</day>
               <month>10</month>
               <year>2007</year>
            </date>
         </revrec>
         <acc>
            <date>
               <day>18</day>
               <month>10</month>
               <year>2007</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>18</day>
               <month>10</month>
               <year>2007</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2007</year>
         <collab>Coppin et al.; licensee BioMed Central Ltd.</collab>
         <note>This is an open access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p><it>Hfe </it>disruption in mouse leads to experimental hemochromatosis by a mechanism that remains elusive. Affymetrix GeneChip<sup>&#174; </sup>Mouse Genome 430 2.0 microarrays and bioinformatics tools were used to characterize patterns of gene expression in the liver and the duodenum of wild-type and <it>Hfe</it>-deficient B6 and D2 mice (two inbred mouse strains with divergent iron loading severity in response to <it>Hfe </it>disruption), to clarify the mechanisms of Hfe action, and to identify potential modifier genes.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>We identified 1,343 transcripts that were upregulated or downregulated in liver and 370 in duodenum of <it>Hfe</it><sup>-/- </sup>mice, as compared to wild-type mice of the same genetic background. In liver, <it>Hfe </it>disruption upregulated genes involved in antioxidant defense, reflecting mechanisms of hepatoprotection activated by iron overload. <it>Hfe </it>disruption also downregulated the expression of genes involved in fatty acid &#946;-oxidation and cholesterol catabolism, and of genes participating in mitochondrial iron traffic, suggesting a link between Hfe and the mitochondrion in regulation of iron homeostasis. These latter alterations may contribute to the inappropriate iron deficiency signal sensed by the duodenal enterocytes of these mice, and the subsequent upregulation of the genes encoding the ferrireductase Dcytb and several iron transporters or facilitators of iron transport in the duodenum. In addition, for several genes differentially expressed between B6 and D2 mice, expression was regulated by loci overlapping with previously mapped <it>Hfe</it>-modifier loci.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusion</p>
               </st>
               <p>The expression patterns identified in this study contribute novel insights into the mechanisms of Hfe action and potential candidate genes for iron loading severity.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>Hereditary hemochromatosis (HH) accounts for most of the iron overload disorders that occur in individuals of European descent. It is an autosomal-recessive condition that is characterized by increased absorption of iron from the gastrointestinal tract and progressive accumulation of catalytically active iron in parenchymal organs. This iron excess can cause tissue damage and result in serious medical complications, including cirrhosis, primary liver cancer, diabetes, cardiomyopathy, endocrine dysfunction, and arthritis <abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. In Northern Europe, most patients with HH are homozygous for a single mutation (C282Y) in the <it>HFE </it>gene (which encodes the hereditary hemochromatosis [HFE] protein) <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. Although the C282Y mutation disrupts a disulfide bond required for proper folding of the HFE molecule, the exact mechanisms by which HFE regulates iron homeostasis remain elusive. HFE expression can result in either the accumulation or the depletion of intracellular iron stores, depending on the cell type, suggesting that HFE interacts with other proteins that are involved in either the import or the export of iron <abbrgrp><abbr bid="B3">3</abbr><abbr bid="B4">4</abbr></abbrgrp>. The challenge remains to identify these proteins.</p>
         <p>Despite its high prevalence (approximately 5/1,000 individuals of Northern European descent), C282Y homozygosity is characterized by a low penetrance <abbrgrp><abbr bid="B5">5</abbr></abbrgrp>, and family studies have shown that genetic factors contribute to this reduced penetrance <abbrgrp><abbr bid="B6">6</abbr></abbrgrp>. Polymorphisms of modifier genes may have profound effects on the dominance of the <it>HFE </it>gene defect itself and explain individual variations in excess iron absorption and their pathologic consequences among carriers of the HH-predisposing genotype. However, the exact nature of these modifier genes in HH remains unknown, which currently precludes accurate prediction of who, among C282Y homozygotes, is likely to develop clinically significant iron-storage disease.</p>
         <p>Murine models of iron loading, such as <it>Hfe </it>knockout mice (<it>Hfe</it><sup>-/-</sup>), provide a useful alternative to humans in which to elucidate the physiologic pathways that are involved in the HH disease process and identifying modifier loci <abbrgrp><abbr bid="B7">7</abbr><abbr bid="B8">8</abbr></abbrgrp>. We previously reported that, compared with the inbred mouse strain C57BL/6 (B6), the strain DBA/2 (D2) was particularly susceptible to iron loading in response to <it>Hfe </it>disruption <abbrgrp><abbr bid="B9">9</abbr></abbrgrp>, suggesting the existence of genes other than <it>HFE </it>that modify the severity of iron accumulation. We therefore took advantage of the marked phenotypic differences between these two strains to localize five chromosomal intervals that control hepatic iron loading <abbrgrp><abbr bid="B10">10</abbr></abbrgrp>. Analysis of recombinant inbred strains and exploration of strain-specific gene expression changes that result from <it>Hfe </it>disruption should facilitate the identification of the <it>Hfe </it>modifiers that account for variable disease expression in these intervals.</p>
         <p>Thus far, investigations of regulatory circuits in response to <it>Hfe </it>disruption haves not addressed possible strain differences and have been limited to IronChip cDNA microarrays customized to analyze a selection of 300 genes encoding proteins that are directly involved in iron metabolism or in linked pathways <abbrgrp><abbr bid="B11">11</abbr></abbrgrp>. Of note, expression of genes that may still have unsuspected importance in iron metabolism cannot be explored using these customized microarrays. Our goal in the present study was to identify functional classes of genes and individual candidates that are involved in the perturbation of mechanisms of iron homeostasis that results from <it>Hfe </it>disruption, and to identify differences in gene expression profiles between the inbred mouse strains B6 and D2 that could explain their difference in iron accumulation. To achieve this goal, we used Affymetrix GeneChip<sup>&#174; </sup>Mouse Genome 430 2.0 arrays containing 45,101 probe sets for over 39,000 transcripts, including 34,000 well characterized mouse genes, and bioinformatics tools to characterize expression networks in the duodenum and the liver of wild-type control and <it>Hfe</it><sup>-/- </sup>B6 and D2 mice.</p>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>Differential gene expression between <it>Hfe</it>-deficient and wild-type mice</p>
            </st>
            <p>Microarray studies of liver and duodenum from <it>Hfe</it><sup>-/- </sup>mice identified 1,343 transcripts that were upregulated or downregulated in liver of either B6 or D2 <it>Hfe</it><sup>-/- </sup>mice, as compared with wild-type mice of the same genetic backgrounds. Much fewer genes, namely 370, were upregulated or downregulated in the duodenum of these mice. A list of the transcripts differentially regulated between <it>Hfe</it>-deficient and wild-type mice is provided in Additional data files 1 (liver) and 2 (duodenum). As shown in Figure <figr fid="F1">1</figr>, more transcripts were regulated in <it>Hfe</it>-deficient D2 mice than in B6 mice, and this difference was particularly striking in duodenum.</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>Number of genes regulated by <it>Hfe </it>disruption by mouse strain and organ studied</p>
               </caption>
               <text>
                  <p>Number of genes regulated by <it>Hfe </it>disruption by mouse strain and organ studied. Genes regulated by <it>Hfe </it>disruption identified by statistical analysis of microarrays (SAM) were filtered to summarize the number of upregulated or downregulated genes in liver and duodenum. Genes were included if the mean S-score across three independent comparisons was &#8805;2 or &#8804;-2.</p>
               </text>
               <graphic file="gb-2007-8-10-r221-1"/>
            </fig>
            <p>In liver, clustering analysis detected groups of transcripts that were similarly regulated in response to <it>Hfe </it>disruption in B6 and D2 mice (specifically, they were either downregulated [Figure <figr fid="F2">2</figr>, cluster 4] or upregulated [cluster 5] in both strains). However, most of the transcripts modulated after <it>Hfe </it>disruption had expression patterns that were strain specific (regulated only in D2 mice [clusters 1 and 6] or only in B6 mice [clusters 3 and 8]).</p>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>Genes regulated by <it>Hfe </it>deficiency in D2 and B6 liver</p>
               </caption>
               <text>
                  <p>Genes regulated by <it>Hfe </it>deficiency in D2 and B6 liver. A tree view image of k-means clustering for 1,343 genes regulated by <it>Hfe </it>disruption in liver of D2 or B6 mice is shown. Genes were selected by statistical filtering of knockout (KO) versus wild-type (WT) S-scores, as described in Materials and methods. Corresponding values for wild-type D2 versus B6 S-scores are also shown. Red indicates upregulation by <it>Hfe </it>deficiency or more highly expressed in D2 mice; green indicates downregulation by <it>Hfe </it>deficiency or more highly expressed in B6 mice; and black indicates no difference.</p>
               </text>
               <graphic file="gb-2007-8-10-r221-2"/>
            </fig>
            <p>In duodenum of B6 mice, the expression of fewer than 20 genes was significantly modified by <it>Hfe </it>deficiency (Figure <figr fid="F1">1</figr>). Consequently, clustering analysis was essentially based on expression changes in D2 mice. Two main clusters were therefore identified in duodenum, one with genes upregulated (cluster 1, Additional data file 2) and the other with genes downregulated (cluster 3, Additional file 2) in response to <it>Hfe </it>disruption in D2 mice.</p>
         </sec>
         <sec>
            <st>
               <p>Enriched functional categories in the liver of <it>Hfe</it>-deficient mice</p>
            </st>
            <p>The Database for Annotation, Visualization, and Integrated Discovery (DAVID) annotation tool was used to search for over-representation of functional categories within the different gene clusters from Figure <figr fid="F2">2</figr>. Categories found to be enriched within the clusters of genes similarly regulated in the liver of <it>Hfe</it><sup>-/- </sup>compared with wild-type mice are summarized in Table <tblr tid="T1">1</tblr>. As detailed below, they mainly concern detoxification mechanisms in response to oxidative stress, fatty acid &#946;-oxidation, cholesterol catabolism, and circadian rhythm.</p>
            <tbl id="T1" hint_layout="double">
               <title>
                  <p>Table 1</p>
               </title>
               <caption>
                  <p>Functional categories over-represented in clusters of genes similarly regulated by <it>Hfe</it>-disruption in the liver</p>
               </caption>
               <tblbdy cols="4">
                  <r>
                     <c ca="left">
                        <p>Category</p>
                     </c>
                     <c ca="left">
                        <p>Term</p>
                     </c>
                     <c ca="left">
                        <p>
                           <it>n</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>EASE score</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="4">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c cspan="4" ca="left">
                        <p>Cluster 1 (284 Affy IDs [248 genes])</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_BP</p>
                     </c>
                     <c ca="left">
                        <p>Steroid metabolism</p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>1.4 &#215; 10<sup>-5</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_MF</p>
                     </c>
                     <c ca="left">
                        <p>Mono-oxygenase activity</p>
                     </c>
                     <c ca="left">
                        <p>10</p>
                     </c>
                     <c ca="left">
                        <p>3.7 &#215; 10<sup>-5</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_MF</p>
                     </c>
                     <c ca="left">
                        <p>UDP glucuronosyltransferase activity</p>
                     </c>
                     <c ca="left">
                        <p>5</p>
                     </c>
                     <c ca="left">
                        <p>2.9 &#215; 10<sup>-2</sup></p>
                     </c>
                  </r>
                  <r>
                     <c cspan="4" ca="left">
                        <p>Cluster 3 (218 Affy IDs [196 genes])</p>
                     </c>
                  </r>
                  <r>
                     <c>
                        <p/>
                     </c>
                     <c ca="left">
                        <p>No functional category overrepresented</p>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                  </r>
                  <r>
                     <c cspan="4" ca="left">
                        <p>Cluster 4 (145 Affy IDs [139 genes])</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_BP</p>
                     </c>
                     <c ca="left">
                        <p>Rhythmic process</p>
                     </c>
                     <c ca="left">
                        <p>6</p>
                     </c>
                     <c ca="left">
                        <p>6.5 &#215; 10<sup>-5</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>KEGG_PATHWAY</p>
                     </c>
                     <c ca="left">
                        <p>Fatty acid metabolism</p>
                     </c>
                     <c ca="left">
                        <p>7</p>
                     </c>
                     <c ca="left">
                        <p>3.2 &#215; 10<sup>-6</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_BP</p>
                     </c>
                     <c ca="left">
                        <p>Defense response</p>
                     </c>
                     <c ca="left">
                        <p>14</p>
                     </c>
                     <c ca="left">
                        <p>4.7 &#215; 10<sup>-3</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_BP</p>
                     </c>
                     <c ca="left">
                        <p>Nitrogen compound metabolism</p>
                     </c>
                     <c ca="left">
                        <p>9</p>
                     </c>
                     <c ca="left">
                        <p>5.6 &#215; 10<sup>-3</sup></p>
                     </c>
                  </r>
                  <r>
                     <c cspan="4" ca="left">
                        <p>Cluster 5 (94 Affy IDs [84 genes])</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>KEGG_PATHWAY</p>
                     </c>
                     <c ca="left">
                        <p>Glutathione metabolism</p>
                     </c>
                     <c ca="left">
                        <p>8</p>
                     </c>
                     <c ca="left">
                        <p>5.8 &#215; 10<sup>-8</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_MF</p>
                     </c>
                     <c ca="left">
                        <p>Iron ion binding</p>
                     </c>
                     <c ca="left">
                        <p>8</p>
                     </c>
                     <c ca="left">
                        <p>2.7 &#215; 10<sup>-4</sup></p>
                     </c>
                  </r>
                  <r>
                     <c cspan="4" ca="left">
                        <p>Cluster 6 (364 Affy IDs [315 genes])</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>SP_PIR_KEYWORDS</p>
                     </c>
                     <c ca="left">
                        <p>Fatty acid metabolism</p>
                     </c>
                     <c ca="left">
                        <p>15</p>
                     </c>
                     <c ca="left">
                        <p>2.5 &#215; 10<sup>-14</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>SP_PIR_KEYWORDS</p>
                     </c>
                     <c ca="left">
                        <p>Oxidoreductase</p>
                     </c>
                     <c ca="left">
                        <p>31</p>
                     </c>
                     <c ca="left">
                        <p>1.1 &#215; 10<sup>-8</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_MF</p>
                     </c>
                     <c ca="left">
                        <p>Iron ion binding</p>
                     </c>
                     <c ca="left">
                        <p>19</p>
                     </c>
                     <c ca="left">
                        <p>1.6 &#215; 10<sup>-6</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>KEGG_PATHWAY</p>
                     </c>
                     <c ca="left">
                        <p>Bile acid biosynthesis</p>
                     </c>
                     <c ca="left">
                        <p>6</p>
                     </c>
                     <c ca="left">
                        <p>1.1 &#215; 10<sup>-3</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_BP</p>
                     </c>
                     <c ca="left">
                        <p>Cholesterol metabolism</p>
                     </c>
                     <c ca="left">
                        <p>6</p>
                     </c>
                     <c ca="left">
                        <p>3.2 &#215; 10<sup>-3</sup></p>
                     </c>
                  </r>
                  <r>
                     <c cspan="4" ca="left">
                        <p>Cluster 8 (219 Affy IDs [209 genes])</p>
                     </c>
                  </r>
                  <r>
                     <c>
                        <p/>
                     </c>
                     <c ca="left">
                        <p>No functional category overrepresented</p>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                  </r>
               </tblbdy>
               <tblfn>
                  <p>Affymetrix probesets in the different k-means clusters shown in Figure 2 were compared with Affymetrix MG-430 2.0 probe sets for over-representation of gene categories, using the DAVID (Database for Annotation, Visualization, and Integrated Discovery) functional annotation tool. The Category column shows the original database/resource from which the terms originate. The Term column indicates enriched terms associated with the gene list. The <it>n </it>column indicates the number of genes involved in the term. The expression analysis systematic explorer (EASE) score is a modified Fisher exact <it>P </it>value [51]. BP, biological processes; GO, Gene Ontology; KEGG, Kyoto Encyclopedia of Genes and Genomes; MF, molecular functions; PIR, Protein Information Resource; UDP, Uridine 5'-diphospho.</p>
               </tblfn>
            </tbl>
            <sec>
               <st>
                  <p>Detoxification mechanisms in response to oxidative stress</p>
               </st>
               <p>The 84 genes from cluster 5 (Figure <figr fid="F2">2</figr>) and the 248 genes from cluster 1 that were induced by <it>Hfe</it>-deficiency in the liver were particularly enriched for functional categories associated with response to oxidative stress and iron ion binding (Table <tblr tid="T2">2</tblr>). Excess iron is known to generate reactive oxygen species that promote cell damage and fibrosis, and may be responsible for the induction of the aldehyde oxidase and NADPH (nicotinamide adenine dinucleotide phosphate) oxidase genes observed in these mice. This appears to be counterbalanced by upregulation of genes involved in the glutathione metabolism pathway, in particular genes encoding enzymes that are responsible for glutathione synthesis (<it>Gclc</it>, <it>Gclm</it>, and <it>Gss</it>) and glutathione <it>S</it>-transferases, which catalyze the conjugation of reduced glutathione to electrophilic centers on a wide variety of substrates; the latter activity is useful in the detoxification of endogenous compounds such as peroxidized lipids. Excess iron also appears to be counterbalanced, particularly in <it>Hfe</it><sup>-/- </sup>D2 mice, by upregulation of genes encoding uridine 5'-diphospho (UDP)-glucuronosyltransferases, which catalyze the glucuronidation reaction (the addition of sugars to lipids), which is an important step in the body's elimination of endogenous toxins. In addition, there was an enrichment, most notably in <it>Hfe</it><sup>-/- </sup>D2 mice, of genes with mono-oxygenase activity, particularly genes encoding several cytochrome P450 isoforms and flavin-containing mono-oxygenase-5, which are considered to be xenobiotic detoxication catalysts and believed to protect mammals from lipophilic nucleophilic chemicals <abbrgrp><abbr bid="B12">12</abbr></abbrgrp>. The iron ion binding category, also enriched in the liver of both strains, includes the genes for ferroportin, ferritin light chain, and heme oxygenase, which catalyzes the degradation of heme into carbon monoxide and biliverdin. Of note, although expression of <it>vanin1 </it>was downregulated in mice lacking <it>Hfe </it>in both strains (cluster 4), this regulation is worth noting because mice deficient in vanin-1 exhibit a glutathione-mediated tissue resistance to oxidative stress <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>.</p>
               <tbl id="T2" hint_layout="double">
                  <title>
                     <p>Table 2</p>
                  </title>
                  <caption>
                     <p>Main genes regulated by <it>Hfe </it>deficiency in liver and pertaining to enriched functional categories related to response to oxidative stress</p>
                  </caption>
                  <tblbdy cols="5">
                     <r>
                        <c ca="left">
                           <p>Gene</p>
                        </c>
                        <c ca="left">
                           <p>Protein</p>
                        </c>
                        <c cspan="3" ca="center">
                           <p>S-score</p>
                        </c>
                     </r>
                     <r>
                        <c>
                           <p/>
                        </c>
                        <c>
                           <p/>
                        </c>
                        <c cspan="3">
                           <hr/>
                        </c>
                     </r>
                     <r>
                        <c>
                           <p/>
                        </c>
                        <c>
                           <p/>
                        </c>
                        <c ca="left">
                           <p>D2 KO versus WT</p>
                        </c>
                        <c ca="left">
                           <p>B6 KO versus WT</p>
                        </c>
                        <c ca="left">
                           <p>D2 WT versus B6 WT</p>
                        </c>
                     </r>
                     <r>
                        <c cspan="5">
                           <hr/>
                        </c>
                     </r>
                     <r>
                        <c cspan="5" ca="left">
                           <p>Glutathione metabolism pathway</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Gclc</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Glutamate-cysteine ligase, catalytic subunit</p>
                        </c>
                        <c ca="left">
                           <p>3.68</p>
                        </c>
                        <c ca="left">
                           <p>4.74</p>
                        </c>
                        <c ca="left">
                           <p>3.24</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Gclm</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Glutamate-cysteine ligase, modifier subunit</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>4.11</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Gss</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Glutathione synthetase</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>2.15</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Gsta2</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Glutathione S-transferase alpha2</p>
                        </c>
                        <c ca="left">
                           <p>8.83</p>
                        </c>
                        <c ca="left">
                           <p>9.10</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Gsta3</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Glutathione S-transferase alpha3</p>
                        </c>
                        <c ca="left">
                           <p>2.44</p>
                        </c>
                        <c ca="left">
                           <p>2.24</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Gsta4</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Glutathione S-transferase alpha4</p>
                        </c>
                        <c ca="left">
                           <p>4.64</p>
                        </c>
                        <c ca="left">
                           <p>5.99</p>
                        </c>
                        <c ca="left">
                           <p>4.35</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Gstm1</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Glutathione S-transferase mu1</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>2.65</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Gstm3</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Glutathione S-transferase mu3</p>
                        </c>
                        <c ca="left">
                           <p>3.04</p>
                        </c>
                        <c ca="left">
                           <p>4.04</p>
                        </c>
                        <c ca="left">
                           <p>2.56</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Gstm6</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Glutathione S-transferase mu6</p>
                        </c>
                        <c ca="left">
                           <p>3.36</p>
                        </c>
                        <c ca="left">
                           <p>2.26</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c cspan="5" ca="left">
                           <p>UDP glucuronosyltransferase activity</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Ugt2b1</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>UDP glucuronosyltransferase 2B1</p>
                        </c>
                        <c ca="left">
                           <p>3.72</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Ugt2b5</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>UDP glucuronosyltransferase 2B5</p>
                        </c>
                        <c ca="left">
                           <p>2.56</p>
                        </c>
                        <c ca="left">
                           <p>3.91</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Ugt2b34</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>UDP glucuronosyltransferase 2B34</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>2.25</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Ugt2b35</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>UDP glucuronosyltransferase 2B35</p>
                        </c>
                        <c ca="left">
                           <p>2.56</p>
                        </c>
                        <c ca="left">
                           <p>3.91</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Ugt2b36</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>UDP glucuronosyltransferase 2B36</p>
                        </c>
                        <c ca="left">
                           <p>4.66</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>-4.89</p>
                        </c>
                     </r>
                     <r>
                        <c cspan="5" ca="left">
                           <p>Mono-oxygenase activity</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cyp1a2</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cytochrome P450 1A2</p>
                        </c>
                        <c ca="left">
                           <p>3.14</p>
                        </c>
                        <c ca="left">
                           <p>2.60</p>
                        </c>
                        <c ca="left">
                           <p>3.49</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cyp2c29</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cytochrome P450 2C29</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>2.79</p>
                        </c>
                        <c ca="left">
                           <p>4.84</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cup2c44</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cytochrome P450 2C44</p>
                        </c>
                        <c ca="left">
                           <p>3.07</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>-5.89</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cyp2c55</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cytochrome P450 2C55</p>
                        </c>
                        <c ca="left">
                           <p>3.94</p>
                        </c>
                        <c ca="left">
                           <p>6.22</p>
                        </c>
                        <c ca="left">
                           <p>4.43</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cyp2c70</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cytochrome P450 2C70</p>
                        </c>
                        <c ca="left">
                           <p>5.55</p>
                        </c>
                        <c ca="left">
                           <p>4.70</p>
                        </c>
                        <c ca="left">
                           <p>4.17</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cyp2j6</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cytochrome P450 2J6</p>
                        </c>
                        <c ca="left">
                           <p>2.70</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cyp2j9</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cytochrome P450 2J9</p>
                        </c>
                        <c ca="left">
                           <p>NSD</p>
                        </c>
                        <c ca="left">
                           <p>2.91</p>
                        </c>
                        <c ca="left">
                           <p>2.14</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cyp2u1</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cytochrome P450 2U1</p>
                        </c>
                        <c ca="left">
                           <p>3.50</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Fmo5</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Flavin mono-oxygenase 5</p>
                        </c>
                        <c ca="left">
                           <p>2.12</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c cspan="5" ca="left">
                           <p>Iron ion binding</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Ftl1</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Ferritin light chain 1</p>
                        </c>
                        <c ca="left">
                           <p>1.70</p>
                        </c>
                        <c ca="left">
                           <p>2.24</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Slc40a1</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Ferroportin</p>
                        </c>
                        <c ca="left">
                           <p>3.18</p>
                        </c>
                        <c ca="left">
                           <p>4.89</p>
                        </c>
                        <c ca="left">
                           <p>3.94</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Hmox1</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Heme oxygenase 1</p>
                        </c>
                        <c ca="left">
                           <p>5.27</p>
                        </c>
                        <c ca="left">
                           <p>2.40</p>
                        </c>
                        <c ca="left">
                           <p>-3.66</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Blvrb</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Biliverdin reductase (for information)</p>
                        </c>
                        <c ca="left">
                           <p>2.50</p>
                        </c>
                        <c ca="left">
                           <p>3.06</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Vnn1</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Vanin 1 (for information)</p>
                        </c>
                        <c ca="left">
                           <p>-4.27</p>
                        </c>
                        <c ca="left">
                           <p>-2.73</p>
                        </c>
                        <c ca="left">
                           <p>2.69</p>
                        </c>
                     </r>
                  </tblbdy>
                  <tblfn>
                     <p>S-scores were obtained as described in Materials and methods and are proportional to fold changes. Positive S-scores indicate that the genes are more highly expressed in knockout (KO) than in wild-type (WT) mice, or in WT D2 than in WT B6 mice. NS, not significant; UDP, Uridine 5'-diphospho.</p>
                  </tblfn>
               </tbl>
            </sec>
            <sec>
               <st>
                  <p>Fatty acid &#946;-oxidation and cholesterol catabolism</p>
               </st>
               <p>The 139 genes from cluster 4 (Figure <figr fid="F2">2</figr>) and the 315 genes from cluster 6, which were repressed in liver by <it>Hfe </it>deficiency, were particularly enriched for functional categories associated with lipid metabolism (Table <tblr tid="T3">3</tblr>). In particular, genes encoding the rate-limiting enzyme for &#946;-oxidation of long-chain fatty acids (<it>Cpt</it>) and the transcripts for enzymes involved in the three steps of &#946;-oxidation were all significantly downregulated. The expression of the <it>Cyp4a10 </it>and <it>Cyp4a14 </it>genes was also repressed in <it>Hfe</it><sup>-/- </sup>mice of both strains, which could be a physiologic response in the context of the reduced fatty acid &#946;-oxidation. With a decrease in acetyl-coenzyme A generated by decreased &#946;-oxidation, a decrease in citrate (the first intermediate generated in the tricarboxylic acid [TCA] cycle) would be expected in the mitochondria of <it>Hfe</it><sup>-/- </sup>mice, with a subsequent slowing of the TCA cycle. Indeed, a downregulation of mitochondrial aconitase and isocitrate dehydrogenase suggests that the flux through the TCA cycle is maintained at a low level in order to adapt to the downregulated &#946;-oxidation in these <it>Hfe</it>-deficient mice. Interestingly, the cholesterol metabolism category is also enriched among genes downregulated by <it>Hfe </it>deficiency in D2 mice, and this mainly affects genes that are involved in the catabolism of cholesterol into bile acids (<it>Cyp7a1 </it>and <it>Cyp39a1</it>).</p>
               <tbl id="T3" hint_layout="double">
                  <title>
                     <p>Table 3</p>
                  </title>
                  <caption>
                     <p>Main genes regulated by <it>Hfe </it>deficiency in liver and pertaining to the enriched functional categories fatty acid &#946;-oxidation and cholesterol metabolism</p>
                  </caption>
                  <tblbdy cols="5">
                     <r>
                        <c ca="left">
                           <p>Gene</p>
                        </c>
                        <c ca="left">
                           <p>Protein</p>
                        </c>
                        <c cspan="3" ca="center">
                           <p>S-score</p>
                        </c>
                     </r>
                     <r>
                        <c>
                           <p/>
                        </c>
                        <c>
                           <p/>
                        </c>
                        <c ca="left">
                           <p>D2 KO versus WT</p>
                        </c>
                        <c ca="left">
                           <p>B6 KO versus WT</p>
                        </c>
                        <c ca="left">
                           <p>D2 WT versus B6 WT</p>
                        </c>
                     </r>
                     <r>
                        <c cspan="5">
                           <hr/>
                        </c>
                     </r>
                     <r>
                        <c cspan="5" ca="left">
                           <p>Fatty acid &#946;-oxidation</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cpt1a</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Carnitine palmitoyl transferase 1a</p>
                        </c>
                        <c ca="left">
                           <p>-2.95</p>
                        </c>
                        <c ca="left">
                           <p>-1.94</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cpt2</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Carnitine palmitoyl transferase 2</p>
                        </c>
                        <c ca="left">
                           <p>-2.59</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Acadm</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Acyl-CoA dehydrogenase, medium chain</p>
                        </c>
                        <c ca="left">
                           <p>-2.97</p>
                        </c>
                        <c ca="left">
                           <p>-1.80</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Acadl</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Acyl-CoA dehydrogenase, long chain</p>
                        </c>
                        <c ca="left">
                           <p>-3.00</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Acadvl</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Acyl-CaA dehydrogenase, very long chain</p>
                        </c>
                        <c ca="left">
                           <p>-2.40</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Ehhadh</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Enoyl-CoA hydratase/3-hydroxyacyl-CoA dehydrogenase</p>
                        </c>
                        <c ca="left">
                           <p>-2.30</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Hadha</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Tripartite protein, alpha subunit</p>
                        </c>
                        <c ca="left">
                           <p>-2.08</p>
                        </c>
                        <c ca="left">
                           <p>-1.58</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Hadhb</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Tripartite protein, beta subunit</p>
                        </c>
                        <c ca="left">
                           <p>-2.96</p>
                        </c>
                        <c ca="left">
                           <p>-1.90</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Hadh2</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Hydroxyacyl-CoA dehydrogenase type II</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>-4.05</p>
                        </c>
                        <c ca="left">
                           <p>-4.61</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Acox1</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Acyl-CoA oxydase 1, palmitoyl (peroxisomal)</p>
                        </c>
                        <c ca="left">
                           <p>-2.10</p>
                        </c>
                        <c ca="left">
                           <p>-1.63</p>
                        </c>
                        <c ca="left">
                           <p>-4.27</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cyp4a10</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cytochrome P450 4A10</p>
                        </c>
                        <c ca="left">
                           <p>-6.76</p>
                        </c>
                        <c ca="left">
                           <p>-2.46</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cpy4a14</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cytochrome P450 4A14</p>
                        </c>
                        <c ca="left">
                           <p>-9.21</p>
                        </c>
                        <c ca="left">
                           <p>-3.09</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c cspan="5" ca="left">
                           <p>TCA cycle</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Aco2</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Aconitase 2, mitochondrial</p>
                        </c>
                        <c ca="left">
                           <p>-2.14</p>
                        </c>
                        <c ca="left">
                           <p>-1.82</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Idh2</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Isocitrate dehydrogenase 2, mitochondrial</p>
                        </c>
                        <c ca="left">
                           <p>-2.09</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c cspan="5" ca="left">
                           <p>Cholesterol catabolism</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cyp7a1</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Cholesterol 7&#945;-hydroxylase</p>
                        </c>
                        <c ca="left">
                           <p>-3.15</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                     <r>
                        <c indent="1" ca="left">
                           <p>
                              <it>Cyp39a1</it>
                           </p>
                        </c>
                        <c ca="left">
                           <p>Oxysterol 7&#945;-hydroxylase</p>
                        </c>
                        <c ca="left">
                           <p>-2.60</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                        <c ca="left">
                           <p>NS</p>
                        </c>
                     </r>
                  </tblbdy>
                  <tblfn>
                     <p>S-scores were obtained as described in Material and methods and are proportional to fold changes. Negative S-scores indicate that the genes are more highly expressed in wild-type (WT) than in knockout (KO) mice, or in WT B6 than in WT D2 mice. Variations in the expression of genes involved in the tricarboxylic acid (TCA) cycle are provided for information. CoA, coenzyme A; NS, not significant.</p>
                  </tblfn>
               </tbl>
            </sec>
            <sec>
               <st>
                  <p>Circadian rhythm</p>
               </st>
               <p><it>Hfe</it><sup>-/- </sup>mice of both strains exhibit reduced expression of genes encoding Period (<it>Per2 </it>and <it>Per3</it>), D site albumin promoter binding protein (<it>Dpb</it>), and the nuclear receptor subfamily 1 (<it>Nr1d1</it>). Although surprising, this can be related to the recent observation that the circadian clock and heme biosynthesis are reciprocally regulated in mammals <abbrgrp><abbr bid="B14">14</abbr></abbrgrp> and may be correlated with the upregulation of &#948;-aminolevulinate synthase (<it>Alas2</it>) in the liver of these mice.</p>
            </sec>
            <sec>
               <st>
                  <p>Other variations of potential interest</p>
               </st>
               <p><it>Hfe</it><sup>-/- </sup>D2 mice exhibit increased expression of the gene encoding 3&#946;-hydroxysteroid dehydrogenase (<it>Hsd3b5</it>), which is thought to be involved in the inactivation of steroid hormones, for example dihydrotestosterone <abbrgrp><abbr bid="B15">15</abbr></abbrgrp>. They also exhibit induction of the dopachrome tautomerase gene (<it>Dpt</it>), which affects pigmentation <abbrgrp><abbr bid="B16">16</abbr></abbrgrp>. It would be interesting to investigate whether these variations in gene expression are related to the deficit in testosterone and melanodermia observed in patients with severe hemochromatosis.</p>
            </sec>
         </sec>
         <sec>
            <st>
               <p>Enriched functional categories in the duodenum of <it>Hfe</it>-deficient mice</p>
            </st>
            <p>As shown in Table <tblr tid="T4">4</tblr>, there was no clearly enriched functional categories among the 177 genes (cluster 1) that were induced in #<it>Hfe</it><sup>-/- </sup>D2 mice. Conversely, there was significant enrichment of genes involved in the immune defense among the 131 genes that were repressed in the same mice (cluster 3), particularly for genes involved in apoptosis (<it>Casp4</it>, <it>Cdca7l</it>, <it>Ifit1 </it>and <it>Ifit2</it>, <it>Oasl2</it>, and <it>Scotin</it>), innate antiviral or antimicrobial activity (<it>Defcr4</it>, <it>Ddx58</it>, and <it>Lzp-s</it>), and B and T cell mediated immune response (<it>Mpa2l</it>, <it>Psme1</it>, <it>Trfrsf13b</it>, and <it>Tnfrsf17</it>). This suggests a link between the control of iron metabolism and the immune system that should be explored.</p>
            <tbl id="T4" hint_layout="double">
               <title>
                  <p>Table 4</p>
               </title>
               <caption>
                  <p>Functional categories over-represented in clusters of genes similarly regulated by <it>Hfe </it>disruption in duodenum</p>
               </caption>
               <tblbdy cols="4">
                  <r>
                     <c ca="left">
                        <p>Category</p>
                     </c>
                     <c ca="left">
                        <p>Term</p>
                     </c>
                     <c ca="left">
                        <p>
                           <it>n</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>EASE score</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="4">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c cspan="4" ca="left">
                        <p>Cluster 1 (209 Affy IDs [177 genes])</p>
                     </c>
                  </r>
                  <r>
                     <c>
                        <p/>
                     </c>
                     <c ca="left">
                        <p>No functional category overrepresented</p>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                  </r>
                  <r>
                     <c cspan="4" ca="left">
                        <p>Cluster 3 (141 Affy IDs [131 genes])</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_BP</p>
                     </c>
                     <c ca="left">
                        <p>Defense response</p>
                     </c>
                     <c ca="left">
                        <p>21</p>
                     </c>
                     <c ca="left">
                        <p>1.6 &#215; 10<sup>-7</sup></p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>GOTERM_BP</p>
                     </c>
                     <c ca="left">
                        <p>Induction of apoptosis</p>
                     </c>
                     <c ca="left">
                        <p>6</p>
                     </c>
                     <c ca="left">
                        <p>1.7 &#215; 10<sup>-3</sup></p>
                     </c>
                  </r>
               </tblbdy>
               <tblfn>
                  <p>Affymetrix probesets in the different k-means clusters shown in Additional data file 2 were compared with Affymetrix MG-430 2.0 probe sets for over-representation of gene categories, using the DAVID (Database for Annotation, Visualization, and Integrated Discovery) functional annotation tool. The Category column shows the original database/resource from which the terms originate. The Term column indicates enriched terms associated with the gene list. The <it>n </it>column indicates the number of genes involved in the term. The expression analysis systematic explorer (EASE) score is a modified Fisher exact <it>P </it>value [51]. BP, biological process; GO, Gene Ontology.</p>
               </tblfn>
            </tbl>
            <p>Although mRNAs for duodenal iron transporters were not found to be significantly upregulated, expression levels of other metal ion transporters were increased in duodenum of <it>Hfe</it><sup>-/- </sup>D2 mice, most notably the zinc transporters <it>Slc39a4 </it>and <it>Slc39a14</it>. The copper transporter <it>Slc31a1 </it>and, more anecdotally, the sodium-dependent vitamin C transporter <it>Slc23a2 </it>(previously observed to be increased in response to dietary iron deprivation <abbrgrp><abbr bid="B17">17</abbr></abbrgrp>) were also induced in D2 mice lacking <it>Hfe</it>. In addition, <it>Hfe</it><sup>-/- </sup>D2 mice had increased expression of the mucin (<it>Muc3</it>) and spermin synthase (<it>Sms</it>) genes, which encode proteins that both may modulate iron uptake <abbrgrp><abbr bid="B18">18</abbr><abbr bid="B19">19</abbr></abbrgrp>.</p>
         </sec>
         <sec>
            <st>
               <p>Changes in expression of genes encoding proteins of iron metabolism</p>
            </st>
            <p>The Affymetrix GeneChip<sup>&#174; </sup>Mouse Genome 430 2.0 arrays contain probe sets for the transcripts of all the genes directly or indirectly involved in iron metabolism <abbrgrp><abbr bid="B20">20</abbr></abbrgrp>. Significant alterations in their expression in liver or duodenum of <it>Hfe</it><sup>-/- </sup>mice and gene expression differences between wild-type strains are summarized in Table <tblr tid="T5">5</tblr>. Specifically in the D2 strain, <it>Hfe </it>disruption induces expression of the <it>Cybrd1 </it>gene in duodenum; this gene encodes Dcytb, which converts dietary ferric iron into its ferrous form for transport. In the liver, <it>Hfe</it>-deficient mice of both strains exhibit upregulated expression of the gene encoding the ferritin light chain, which is responsible for cytosolic iron storage, and of the ferroportin gene, which is consistent with the notion that this protein plays a protective role by facilitating the release of excess iron <abbrgrp><abbr bid="B21">21</abbr></abbrgrp>. Somewhat unexpectedly, we observed significant downregulation of the sideroflexin gene (<it>Sfxn2</it>) and upregulation of the mitoferrin gene (<it>Slc25a37</it>) and the Bcrp gene (<it>Abcg2</it>), which encode three molecules that are involved in the mitochondrial import/traffic of iron and heme export. Also worthy of mention are several strain-specific modifications of the messengers of some regulators of iron metabolism in <it>Hfe</it>-deficient mice. First, we confirmed that wild-type B6 and D2 diverge in terms of the amounts of the two hepcidin messengers, namely <it>Hamp1 </it>and <it>Hamp2 </it><abbrgrp><abbr bid="B22">22</abbr></abbrgrp>, and we observed a downregulation of the two genes in <it>Hfe</it><sup>-/- </sup>D2 mice. Conversely, we observed significant upregulation of the gene encoding the upstream transcription factor <it>Usf2</it>, which was recently found to be involved in the control of hepcidin expression <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>, in the B6 strain. Finally, and worthy of note within the context of modifiers of iron loading severity, wild-type D2 mice have significantly lower expression of the Smad4 transcription factor, also involved in the control of hepcidin expression, than wild-type B6 mice.</p>
            <tbl id="T5" hint_layout="double">
               <title>
                  <p>Table 5</p>
               </title>
               <caption>
                  <p>Changes in expression of genes involved in iron metabolism</p>
               </caption>
               <tblbdy cols="8">
                  <r>
                     <c ca="left">
                        <p>Gene</p>
                     </c>
                     <c ca="left">
                        <p>Protein</p>
                     </c>
                     <c ca="left">
                        <p>Major biochemical activity</p>
                     </c>
                     <c ca="left">
                        <p>Role</p>
                     </c>
                     <c ca="left">
                        <p>Organ</p>
                     </c>
                     <c cspan="3" ca="center">
                        <p>S-score</p>
                     </c>
                  </r>
                  <r>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c ca="left">
                        <p>D2 KO versus D2 WT</p>
                     </c>
                     <c ca="left">
                        <p>B6 KO versus B6 WT</p>
                     </c>
                     <c ca="left">
                        <p>D2 WT versus B6 WT</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="8">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c cspan="8" ca="left">
                        <p>Iron storage</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Ftl1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Ferritin L chain</p>
                     </c>
                     <c ca="left">
                        <p>Fe mineralization</p>
                     </c>
                     <c ca="left">
                        <p>Cytosolic storage</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>+1.70</p>
                     </c>
                     <c ca="left">
                        <p>+2.24</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="8" ca="left">
                        <p>Iron transport</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Slc40a1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Ferroportin</p>
                     </c>
                     <c ca="left">
                        <p>Membrane transporter</p>
                     </c>
                     <c ca="left">
                        <p>Cellular export</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>+3.18</p>
                     </c>
                     <c ca="left">
                        <p>+4.89</p>
                     </c>
                     <c ca="left">
                        <p>+3.94</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Abcg2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Bcrp</p>
                     </c>
                     <c ca="left">
                        <p>Membrane transporter</p>
                     </c>
                     <c ca="left">
                        <p>Possible mitochondrial heme export</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>+2.97</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Sfxn2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Sideroflexin2</p>
                     </c>
                     <c ca="left">
                        <p>Membrane transporter</p>
                     </c>
                     <c ca="left">
                        <p>Mitochondrial traffic</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>-2.38</p>
                     </c>
                     <c ca="left">
                        <p>-2.16</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Slc25a37</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Mitoferrin</p>
                     </c>
                     <c ca="left">
                        <p>Membrane transporter</p>
                     </c>
                     <c ca="left">
                        <p>Mitochondrial traffic</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>+2.28</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Lcn2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Lipocalin2</p>
                     </c>
                     <c ca="left">
                        <p>Siderophore iron binding</p>
                     </c>
                     <c ca="left">
                        <p>Traffic of siderophore-bound iron</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>-2.91</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="8" ca="left">
                        <p>Receptors</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Tfrc</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Transferrin receptor1</p>
                     </c>
                     <c ca="left">
                        <p>Transferrin binding</p>
                     </c>
                     <c ca="left">
                        <p>Transferrin iron uptake</p>
                     </c>
                     <c ca="left">
                        <p>Duodenum</p>
                     </c>
                     <c ca="left">
                        <p>-2.07</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Lrp1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>LRP/CD91</p>
                     </c>
                     <c ca="left">
                        <p>Hemoplexin receptor</p>
                     </c>
                     <c ca="left">
                        <p>Hemoplexin uptake</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>-2.03</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="8" ca="left">
                        <p>Regulators</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Ireb2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>IRP2</p>
                     </c>
                     <c ca="left">
                        <p>RNA binding</p>
                     </c>
                     <c ca="left">
                        <p>Control of cellular iron</p>
                     </c>
                     <c ca="left">
                        <p>Duodenum</p>
                     </c>
                     <c ca="left">
                        <p>+2.26</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>-2.64</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Hamp1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Hepcidin 1</p>
                     </c>
                     <c ca="left">
                        <p>Ferroportin binding</p>
                     </c>
                     <c ca="left">
                        <p>Control of systemic iron</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>-6.27</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>-3.57</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Hamp2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Hepcidin 2</p>
                     </c>
                     <c ca="left">
                        <p>?</p>
                     </c>
                     <c ca="left">
                        <p>?</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>-3.40</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>+3.36</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Hfe</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>HFE</p>
                     </c>
                     <c ca="left">
                        <p>TfR1 binding</p>
                     </c>
                     <c ca="left">
                        <p>?</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>-7.96</p>
                     </c>
                     <c ca="left">
                        <p>-8.96</p>
                     </c>
                     <c ca="left">
                        <p>-3.16</p>
                     </c>
                  </r>
                  <r>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c ca="left">
                        <p>Duodenum</p>
                     </c>
                     <c ca="left">
                        <p>-5.70</p>
                     </c>
                     <c ca="left">
                        <p>-7.32</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Hfe2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>HJV</p>
                     </c>
                     <c ca="left">
                        <p>Neogenin binding</p>
                     </c>
                     <c ca="left">
                        <p>Control of hepcidin expression</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>-2.01</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Fxn</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Frataxin</p>
                     </c>
                     <c ca="left">
                        <p>Iron binding</p>
                     </c>
                     <c ca="left">
                        <p>Chaperon for Fe-S synthesis</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>-3.09</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Smad4</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Smad4</p>
                     </c>
                     <c ca="left">
                        <p>Transcription factor</p>
                     </c>
                     <c ca="left">
                        <p>Control of hepcidin expression</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>-3.59</p>
                     </c>
                  </r>
                  <r>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c ca="left">
                        <p>Duodenum</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>-5.05</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Usf2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Usf2</p>
                     </c>
                     <c ca="left">
                        <p>Transcription factor</p>
                     </c>
                     <c ca="left">
                        <p>Control of hepcidin expression</p>
                     </c>
                     <c ca="left">
                        <p>Liver</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>+2.08</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="8" ca="left">
                        <p>Oxidoreductases</p>
                     </c>
                  </r>
                  <r>
                     <c indent="1" ca="left">
                        <p>
                           <it>Cybrd1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>Dcytb</p>
                     </c>
                     <c ca="left">
                        <p>Fe(III) reduction</p>
                     </c>
                     <c ca="left">
                        <p>Facilitates duodenal transport by DMT1</p>
                     </c>
                     <c ca="left">
                        <p>Duodenum</p>
                     </c>
                     <c ca="left">
                        <p>+2.97</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                     <c ca="left">
                        <p>NS</p>
                     </c>
                  </r>
               </tblbdy>
               <tblfn>
                  <p>Iron metabolism genes are cited in this table where significant expression variations in <it>Hfe</it><sup>-/- </sup>mice (knockout [KO]) or expression differences between wild-type (WT) strains were detected. S-scores were obtained as described in Material and Methods and are proportional to fold changes. Positive S-scores indicate that the genes are more highly expressed in KO than in WT mice, or in WT D2 than in WT B6 mice. NS, not significant.</p>
               </tblfn>
            </tbl>
         </sec>
         <sec>
            <st>
               <p>Confirmation of differential gene expression by quantitative PCR</p>
            </st>
            <p>Quantitative real-time PCR was performed on 21 genes expressed in the liver and four genes expressed in the duodenum. The selection of these genes was based on different criteria. The first group included genes of an enriched functional category identified using the DAVID annotation tool (<it>Aox1</it>, <it>Ftl1</it>, <it>Fpn1</it>, <it>Hmox1</it>, <it>Vnn1</it>, <it>Por</it>, <it>Cpt1a</it>, <it>Aco2</it>, <it>Cyp7a1</it>, and <it>Hsd3b5</it>). The second group of genes encode proteins of iron or heme metabolism, and their expression was either induced or repressed in <it>Hfe</it><sup>-/- </sup>mice (<it>Hfe2</it>, <it>Hamp1</it>, <it>Hamp2</it>, <it>Usf2</it>, <it>Lcn2</it>, <it>Sfxn2</it>, <it>Alas2</it>, <it>Slc25a37</it>, and <it>Abcg2</it>). The third group encode proteins that might modulate iron absorption in the duodenum (<it>Dcytb</it>, <it>Slc39a4</it>, and <it>Muc3</it>). The fourth group includes genes that, although their involvement in iron metabolism regulation cannot be assumed, were highly regulated in liver (<it>Lcn13 </it>and <it>Fmo3</it>) or duodenum (<it>Clca4</it>) of <it>Hfe</it><sup>-/- </sup>mice. A further 20 mice that were not analyzed using Affymetrix arrays (five per genotype/strain combination) were included in the analysis to test the validity of the results.</p>
            <p>Concordant results were obtained for 24 out of 25 genes selected. Downregulation of the hemojuvelin gene (<it>Hfe2</it>) in <it>Hfe</it><sup>-/- </sup>B6 mice was not confirmed. Downregulation of <it>Lcn2</it>, <it>Hamp1</it>, and <it>Hamp2 </it>in <it>Hfe</it><sup>-/- </sup>D2 mice was confirmed in the samples used for Affymetrix array hybridizations but not in the additional samples used for validation, although a trend toward downregulation was observed in the validation set for <it>Hamp1 </it>and <it>Hamp2</it>. The upregulation of <it>Usf2 and Slc25a37</it>, originally found only in the liver of <it>Hfe</it><sup>-/- </sup>B6 mice, was observed by quantitative PCR in both strains. Interestingly, <it>Lcn13 </it>and <it>Fmo3 </it>- which had highly significant S-scores of 11.06 and -6.66, respectively, in the liver of <it>Hfe</it><sup>-/- </sup>D2 mice - were confirmed to be regulated by <it>Hfe </it>deficiency in both datasets. Because neither of these two genes is regulated by dietary iron content in wild-type mice (data not shown), these variations appear specific to <it>Hfe </it>disruption and warrant further investigation.</p>
         </sec>
         <sec>
            <st>
               <p>Correlation of expression profiling with studies on <it>Hfe </it>modifiers</p>
            </st>
            <p>Differences in liver or duodenal expression of specific genes between B6 and D2 wild-type mice could contribute to the divergent phenotypes induced by <it>Hfe </it>disruption in the two strains. We therefore established a list of the 1,538 transcripts with differential expression between wild-type D2 and B6 mice (Additional data file 3). In order to relate genomic results to severity of hemochromatosis, we first identified 210 genes exhibiting differences in basal expression between strains or with expression regulation in response to <it>Hfe </it>disruption, which reside within the five <it>Hfe</it>-modifier regions that we previously mapped on chromosomes 3, 7, 8, 11, and 12 <abbrgrp><abbr bid="B10">10</abbr></abbrgrp>. To identify those that could be potential candidates for disease severity, we used the WebQTL interface to map the loci that regulate the expression of these genes. The information necessary to map these regulatory loci was available for a subset of 139 of these 210 genes.</p>
            <p>We found that two genes on chromosome 3, four on chromosome 7, six on chromosome 8, 17 on chromosome 11, and one on chromosome 12 exhibited highly significant evidence for <it>cis </it>regulation (for regulation by a polymorphic variant between B6 and D2 mice located in the region of the gene itself; Table <tblr tid="T6">6</tblr>). None of them, except for <it>Hamp</it>, has yet been implicated in iron metabolism.</p>
            <tbl id="T6" hint_layout="double">
               <title>
                  <p>Table 6</p>
               </title>
               <caption>
                  <p>Genes differentially expressed between wild-type strains or regulated by <it>Hfe deficiency</it>, located within the chromosomal regions containing <it>Hfe</it>-modifiers, and with evidence for <it>cis </it>regulation</p>
               </caption>
               <tblbdy cols="6">
                  <r>
                     <c ca="left">
                        <p>Gene name</p>
                     </c>
                     <c ca="left">
                        <p>Chromosome</p>
                     </c>
                     <c ca="left">
                        <p>Position (Mb)</p>
                     </c>
                     <c ca="left">
                        <p>Type</p>
                     </c>
                     <c ca="left">
                        <p>Position of linkage peak (Mb) for <it>cis </it>regulator</p>
                     </c>
                     <c ca="left">
                        <p>Max LRS for <it>cis </it>regulator</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="6">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Clca2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>3</p>
                     </c>
                     <c ca="left">
                        <p>144.73</p>
                     </c>
                     <c ca="left">
                        <p>D</p>
                     </c>
                     <c ca="left">
                        <p>144.70 to 144.94</p>
                     </c>
                     <c ca="left">
                        <p>46.7</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Lphn2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>3</p>
                     </c>
                     <c ca="left">
                        <p>148.87</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>149.36 to 151.27</p>
                     </c>
                     <c ca="left">
                        <p>15.5</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Uble1a</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>7</p>
                     </c>
                     <c ca="left">
                        <p>15.49</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>15.19 to 15.53</p>
                     </c>
                     <c ca="left">
                        <p>51.53</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Ckap1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>7</p>
                     </c>
                     <c ca="left">
                        <p>29.93</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>29.49 to 30.12</p>
                     </c>
                     <c ca="left">
                        <p>53.8</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Hamp1/Hamp2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>7</p>
                     </c>
                     <c ca="left">
                        <p>30.63</p>
                     </c>
                     <c ca="left">
                        <p>L, S</p>
                     </c>
                     <c ca="left">
                        <p>30.43 to 34.11</p>
                     </c>
                     <c ca="left">
                        <p>18.9</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Fxyd5</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>7</p>
                     </c>
                     <c ca="left">
                        <p>30.74</p>
                     </c>
                     <c ca="left">
                        <p>D</p>
                     </c>
                     <c ca="left">
                        <p>34.41 to 34.62</p>
                     </c>
                     <c ca="left">
                        <p>15.2</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Gpsn2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>8</p>
                     </c>
                     <c ca="left">
                        <p>86.46</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>83.77 to 85.83</p>
                     </c>
                     <c ca="left">
                        <p>15.2</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Ddx39</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>8</p>
                     </c>
                     <c ca="left">
                        <p>86.61</p>
                     </c>
                     <c ca="left">
                        <p>L</p>
                     </c>
                     <c ca="left">
                        <p>86.07 to 88.74</p>
                     </c>
                     <c ca="left">
                        <p>12.7</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>2410018C20Rik</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>8</p>
                     </c>
                     <c ca="left">
                        <p>87.14</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>86.07 to 88.74</p>
                     </c>
                     <c ca="left">
                        <p>20.6</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Ier2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>8</p>
                     </c>
                     <c ca="left">
                        <p>87.55</p>
                     </c>
                     <c ca="left">
                        <p>L</p>
                     </c>
                     <c ca="left">
                        <p>86.07 to 88.74</p>
                     </c>
                     <c ca="left">
                        <p>15.9</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Gadd45gip1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>8</p>
                     </c>
                     <c ca="left">
                        <p>87.72</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>86.07 to 88.74</p>
                     </c>
                     <c ca="left">
                        <p>116.4</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Prdx2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>8</p>
                     </c>
                     <c ca="left">
                        <p>87.86</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>83.77 to 85.83</p>
                     </c>
                     <c ca="left">
                        <p>36.1</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Pttg1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>43.26</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>42.87 to 44.25</p>
                     </c>
                     <c ca="left">
                        <p>68.9</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>5730409G07Rik</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>45.79</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>42.21 to 46.06</p>
                     </c>
                     <c ca="left">
                        <p>16.4</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>2900006B13Rik</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>51.43</p>
                     </c>
                     <c ca="left">
                        <p>L, S</p>
                     </c>
                     <c ca="left">
                        <p>50.95 to 53.90</p>
                     </c>
                     <c ca="left">
                        <p>38.9</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Tnip1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>54.75</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>50.95 to 53.90</p>
                     </c>
                     <c ca="left">
                        <p>60.6</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Sparc</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>55.24</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>55.24 to 55.92</p>
                     </c>
                     <c ca="left">
                        <p>26.1</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Guk1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>59.00</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>58.93 to 59.04</p>
                     </c>
                     <c ca="left">
                        <p>50.8</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Sat2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>69.44</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>69.42 to 70.27</p>
                     </c>
                     <c ca="left">
                        <p>133.2</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Mpdu1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>69.47</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>72.49 to 72.98</p>
                     </c>
                     <c ca="left">
                        <p>43.3</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Asgr2</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>69.91</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>69.42 to 70.27</p>
                     </c>
                     <c ca="left">
                        <p>69.9</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Rabep1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>70.66</p>
                     </c>
                     <c ca="left">
                        <p>L</p>
                     </c>
                     <c ca="left">
                        <p>73.93 to 75.08</p>
                     </c>
                     <c ca="left">
                        <p>18.3</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Txnl5</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>72.02</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>67.96 to 68.74</p>
                     </c>
                     <c ca="left">
                        <p>11.1</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Pafah1b1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>74.49</p>
                     </c>
                     <c ca="left">
                        <p>L, S</p>
                     </c>
                     <c ca="left">
                        <p>75.29 to 76.41</p>
                     </c>
                     <c ca="left">
                        <p>14.5</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Crk</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>75.50</p>
                     </c>
                     <c ca="left">
                        <p>L</p>
                     </c>
                     <c ca="left">
                        <p>76.76 to 76.83</p>
                     </c>
                     <c ca="left">
                        <p>10.5</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Ccl9</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>83.39</p>
                     </c>
                     <c ca="left">
                        <p>L, S</p>
                     </c>
                     <c ca="left">
                        <p>88.48 to 89.36</p>
                     </c>
                     <c ca="left">
                        <p>36.9</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Bcas3</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>85.17</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>89.57 to 89.92</p>
                     </c>
                     <c ca="left">
                        <p>12.2</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Dhx40</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>86.59</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>83.52 to 88.25</p>
                     </c>
                     <c ca="left">
                        <p>36.8</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>Scpep1</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>11</p>
                     </c>
                     <c ca="left">
                        <p>88.74</p>
                     </c>
                     <c ca="left">
                        <p>L, S</p>
                     </c>
                     <c ca="left">
                        <p>83.52 to 88.25</p>
                     </c>
                     <c ca="left">
                        <p>39.2</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>
                           <it>9030617O03Rik</it>
                        </p>
                     </c>
                     <c ca="left">
                        <p>12</p>
                     </c>
                     <c ca="left">
                        <p>101.18</p>
                     </c>
                     <c ca="left">
                        <p>S</p>
                     </c>
                     <c ca="left">
                        <p>100.97 to 102.71</p>
                     </c>
                     <c ca="left">
                        <p>51.5</p>
                     </c>
                  </r>
               </tblbdy>
               <tblfn>
                  <p>The Chromosome and Position columns indicate, respectively, the chromosome number and position (in megabases [Mb]) within one of the five <it>Hfe</it>-modifier intervals of the gene with expression variation. In the Type column, S indicates that expression differed between wild-type strains, D that expression was modulated by <it>Hfe </it>deficiency in duodenum, and L that expression was modulated by <it>Hfe </it>deficiency in liver. Max LRS indicates the maximum likelihood ratio statistic in favor of the <it>cis </it>regulator. Position of linkage peak for <it>cis </it>regulator and maximum LRS were retrieved from the WebQTL interface.</p>
               </tblfn>
            </tbl>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>Recent advances in the field of iron metabolism have elucidated basic processes of iron absorption and distribution in mammals <abbrgrp><abbr bid="B24">24</abbr></abbrgrp>. However, many aspects of iron metabolism remain obscure, in particular the mechanisms by which HFE regulates iron absorption. In this study we investigated the expression patterns of 34,000 well characterized mouse genes in liver and duodenum of wild-type and <it>Hfe</it><sup>-/- </sup>mice of two inbred strains with different susceptibilities to iron accumulation.</p>
         <p>Variations in duodenal gene expression in <it>Hfe</it>-deficient mice, as compared with wild-type mice, are consistent with our previously reported hypothesis <abbrgrp><abbr bid="B9">9</abbr></abbrgrp> that hyperabsorption of iron in these mice reflects an inappropriate iron deficiency signal that is sensed by duodenal enterocytes. Indeed, expression of the <it>Cybrd1 </it>gene (encoding Dcytb, which converts dietary ferric iron to its ferrous form for transport by the divalent metal iron transporter Dmt1 to the duodenum) and the expression levels of several metal ion transporters, most notably the zinc transporters Zip4 (<it>Slc39a4</it>) and Zip14 (<it>Slc39a14</it>), were increased in the duodenum of <it>Hfe</it><sup>-/- </sup>D2 mice. Although <it>Hfe </it>knockout was previously shown to increase <it>Cybrd1 </it>expression <abbrgrp><abbr bid="B11">11</abbr></abbrgrp> and mucosal reductase activity near the villus tips <abbrgrp><abbr bid="B25">25</abbr></abbrgrp>, the increase in expression of the two zinc transporters has not yet been observed and is interesting within the context of recent reports indicating that Zip4 is a minor intestinal iron importer <abbrgrp><abbr bid="B26">26</abbr></abbrgrp> and that Zip14 mediates non-transferrin-bound iron uptake into cells <abbrgrp><abbr bid="B27">27</abbr></abbrgrp>. Of note, <it>Hfe</it><sup>-/- </sup>D2 mice also have increased duodenal expression of mucin and spermine synthase. Increased binding of Dmt1 to mucin in vesicles near the intestinal surface was observed in iron-deficient animals, which is believed to facilitate iron internalization <abbrgrp><abbr bid="B19">19</abbr></abbrgrp>, and recent studies have suggested that polyamines such as spermine modulate iron uptake <abbrgrp><abbr bid="B18">18</abbr></abbrgrp>.</p>
         <p>Although it cannot be excluded that a slight upregulation of the <it>Cybrd1</it>, <it>Slc39a4</it>, and <it>Muc3 </it>messengers also exists in <it>Hfe</it><sup>-/- </sup>B6 mice but does not reach a level detectable by microarray or RT-PCR analysis, the differential expression of these genes between <it>Hfe</it><sup>-/- </sup>D2 and B6 mice does not appear to be related to the individual capacity of the two strains to respond to an iron-deficiency signal. Indeed, as shown in Figure <figr fid="F3">3</figr>, wild-type mice of both B6 and D2 genetic backgrounds fed an iron-deficient diet have induced duodenal expression of <it>Cybrd1</it>, <it>Slc39a4</it>, and <it>Muc