We have demonstrated that the kidney plays an important role in iron balanc
e and that metabolically significant reabsorption of this ion occurs in the
loop of Henle and the collecting ducts [Wareing M, Ferguson CJ, Green R, R
iccardi D, and Smith CP. J Physiol (Lond) 524: 581-586, 2000]. To test the
possibility that the divalent metal transporter DMT1 (Gunshin H, Mackenzie
B, Berger UV, Gunshin Y, Romero MF, Boron WF, Nussberger S, Gollan JL, and
Hediger MA. Nature 388: 482-488, 1997) could represent the apical route for
iron entry in the kidney, we raised and affinity-purified an anti-DMT-1 po
lyclonal antibody and determined DMT-1 distribution in rat kidney by Wester
n analysis, immunofluorescence, and confocal microscopy. The strongest DMT1
-specific (i.e., peptide-protectable) immunoreactivity was found in the col
lecting ducts, in both principal and intercalated cells. Thick ascending li
mbs of Henle's loop and, more intensely, distal convoluted tubules exhibite
d apical immunostaining. Considerable intracellular DMT-1 immunoreactivity
was seen throughout the nephron, particularly in S3 segments. The described
distribution of DMT-1 protein is in agreement with our previous identifica
tion of nephron sites of iron reabsorption, suggesting that DMT-1 provides
the molecular mechanism for apical iron entry in the distal nephron but not
in the proximal tubule. Basolateral iron exit may be facilitated by a diff
erent system.