Colleges
COLLABORATORS
Prof John Cleland, University of Glasgow
Prof Ewa Jankowska, Wraclaw Medical School
Prof Piotr Ponikowski, Wraclaw Medical School
Prof Paul Leeson, University of Oxford
Prof Domenico Girelli, University of Verona
Prof Stefan Piechnik, University of Oxford
Prof Vanessa Ferreira, University of Oxford
Prof Keith Channon, University of Oxford
Prof Lars Gullestad, University of Oslo
Prof Pal Aukrust, University of Oslo
Prof Thor Ueland, University of Oslo
Prof Philip Kalra, University of Manchester
Prof Paul Kalra, University of Portsmouth
Prof Hal Drakesmith, University of Oxford
Prof Jemma Hopewell, University of Oxford
Prof Michael Desborough, University of Oxford
Prof Julio Nunez, University of Valencia
Samira Lakhal-Littleton
BSc DPhil FESC MAE
Professor of Iron Physiology and Tutorial Fellow in Medicine
RESEARCH ACHIEVEMENTS
I am a translational scientist. My focus is the role of iron in physiology and pathophysiology.
I completed a DPhil in Molecular Medicine at the University of Oxford in 2007, then joined the laboratory of Sir Prof Peter Ratcliffe as a postdoctoral researcher. There, I investigated the interplay between Hypoxia Inducible Factors (HIFs) and iron homeostasis. My research findings defined the molecular mechanisms underlying this interplay, e.g. I discovered that TMPRSS6 and GDF15, known regulators of the iron homeostatic hormone hepcidin, are both responsive to hypoxia. I also collaborated with clinician scientists to uncover how hepcidin is regulated by hypoxia at altitude.
In 2013, I secured a BHF Intermediate Research Fellowship and became an independent principal investigator. At the time, iron research pivoted on one of two axes; the cellular axis, controlled by iron regulatory proteins (IRPs), and the whole-body (systemic) axis, controlled by ferroportin in the gut and spleen, and by its antagonist hormone hepcidin. During my BHF fellowship, I discovered that many cell types use ferroportin and hepcidin to finetune intracellular iron levels, thus revealing the crosstalk between the cellular and systemic axes of iron regulation. I defined the molecular mechanisms of this crosstalk and demonstrated its fundamental importance for the function of the heart (PNAS, 2015; eLife, 2016), the pulmonary vasculature (PNAS, 2019), the liver (Blood, 2020), the kidney (Kidney Int, 2021), and the systemic vasculature (Arterioscler Thromb Vasc Biol, 2023), and collaborated with others to discover a similar mechanism in immune cells (J Innate Immunity, 2016), retinal cells (Exp Eye Res, 2019), gut mucosa (J Clin Invest, 2019; Science, 2020), and colorectal cancer (Nat Metab, 2021). These discoveries are important because they provide a long-sought mechanism for why factors that perturb the systemic iron axis, e.g. inflammation, hypoxia, pregnancy also perturb the physiological functioning of certain organ systems.
In 2021, I secured a £2m Senior Research Fellowship from the Medical Research Council (MRC). The aim of this fellowship is to build on the discoveries I made during the BHF Fellowship, in order to enhance our underatsnding of the clinical consequences of iron deficiency and to change clinical practice on iron supplementation, especially in patients with heart failure. My team and I have already mapped many of the basic discoveries onto actionable clinical targets, e.g. Nature Reviews Cardiology 2024, European Heart Journal 2025,. European Heart Journal 2024, Br J of Haem 2025, Eur J of Heart Failure 2025, and Medrxiv.
To find out more about my team's work, please visit my team's webpage.
RESEARCH LEADERSHIP
BHF Clinical Fellowships Panel
Medical Research Council Experimental Medicine Panel
Royal Society Research Grants Committee: Biological Science
UKRI Interdisciplinary Assessment College
Board of Directors of the International BioIron Society
Steering Committee and mechanistic lead for FRAIL-ID clinical trial “effect of intravenous versus oral iron supplementation on physical performance in iron deficient FRAIL elderly IndiviDuals with cardiovascular disease” lead by Prof Ewa Jankowska
Steering Committee and mechanistic lead for INFERRCT clinical trial “Effect of INtravenous FERRic Carboxymaltose on morTality and Cardiovascular Morbidity, and Quality of Life in Iron Deficient Patients With Recent Myocardial infarction” lead by Prof Piotr Ponikowski
International expert panel for PANDA: Prevention of Anaemia in Pregnancy
SELECTED PRIZES AND AWARDS
Membership of the Academia Europaea (MAE)
Fellowship of the European Society of Cardiology (FESC)
Physiological Society’s Bayliss-Starling Prize Lecture
Pulmonary Vascular Research Institute Sheila Glennis Howarth Prize Lecture
The BioIron Society’s Gunshin Levy Award for contributions to advancing iron research
TEACHING
I am a tutorial fellow for Medicine at Brasenose College Oxford. You can find out more about my teachinf role here Professor Samira Lakhal-Littleton – Brasenose College
Research groups
Recent publications
Changes in platelet count as a marker of myocardial iron uptake after administration of ferric carboxymaltose in patients with heart failure.
Journal article
Mollar A. et al, (2026), Sci Rep, 16
Functional iron deficiency and outcomes in patients with kidney disease.
Journal article
O'Keeffe H. et al, (2026), PLoS One, 21
Intravenous iron for the treatment of iron deficiency in adults with cystic fibrosis: a prospective observational cohort study.
Journal article
Talbot NP. et al, (2025), Eur Respir J, 66
Baseline serum ferritin predicts myocardial iron uptake following intravenous iron therapy - a hypothesis-generating study.
Journal article
Nunez J. et al, (2025), Eur J Heart Fail, 27, 2352 - 2356
Iron Deficiency in Cardiovascular Disease - Diagnosis, Clinical Implications, and Future Directions.
Journal article
Graham FJ. et al, (2025), Circ J
Tissue-Specific Iron Levels Modulate Lipid Peroxidation and the FLASH Radiotherapy Effect.
Preprint
Vilaplana-Lopera N. et al, (2025)
Anaemia, neurohormonal activation, and myocardial iron depletion in heart failure: can this vicious circle be broken?
Journal article
Lakhal-Littleton S., (2025), Eur Heart J, 46, 1524 - 1527