Recent advances in understanding haemochromatosis: a transition state
Abstract
Mutations in the hepcidin gene HAMP and the hemojuvelin gene HJV have recently been shown to result in juvenile haemochromatosis (JH). Hepcidin is an antimicrobial peptide that plays a key role in regulating intestinal iron absorption. Hepcidin levels are reduced in patients with haemochromatosis due to mutations in the HFE and HJV genes. Digenic inheritance of mutations in HFE and HAMP can result in either JH or hereditary haemochromatosis (HH) depending upon the severity of the mutation in HAMP. Here we review these findings and discuss how understanding the different types of haemochromatosis and our increasing knowledge of iron metabolism may help to elucidate the host's response to infection.
Full Text
Supplementary Material
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Saddi R, Feingold J. Idiopathic haemochromatosis: an autosomal recessive disease. Clin Genet. 1974;5(3):234–241. [PubMed] [Google Scholar]
- Simon M, Bourel M, Genetet B, Fauchet R. Idiopathic hemochromatosis. Demonstration of recessive transmission and early detection by family HLA typing. N Engl J Med. 1977 Nov 10;297(19):1017–1021. [PubMed] [Google Scholar]
- Feder JN, Gnirke A, Thomas W, Tsuchihashi Z, Ruddy DA, Basava A, Dormishian F, Domingo R, Jr, Ellis MC, Fullan A, et al. A novel MHC class I-like gene is mutated in patients with hereditary haemochromatosis. Nat Genet. 1996 Aug;13(4):399–408. [PubMed] [Google Scholar]
- Jouanolle AM, Gandon G, Jézéquel P, Blayau M, Campion ML, Yaouanq J, Mosser J, Fergelot P, Chauvel B, Bouric P, et al. Haemochromatosis and HLA-H. Nat Genet. 1996 Nov;14(3):251–252. [PubMed] [Google Scholar]
- Jazwinska EC, Cullen LM, Busfield F, Pyper WR, Webb SI, Powell LW, Morris CP, Walsh TP. Haemochromatosis and HLA-H. Nat Genet. 1996 Nov;14(3):249–251. [PubMed] [Google Scholar]
- Merryweather-Clarke AT, Pointon JJ, Jouanolle AM, Rochette J, Robson KJ. Geography of HFE C282Y and H63D mutations. Genet Test. 2000;4(2):183–198. [PubMed] [Google Scholar]
- Merryweather-Clarke AT, Pointon JJ, Shearman JD, Robson KJ. Global prevalence of putative haemochromatosis mutations. J Med Genet. 1997 Apr;34(4):275–278.[PMC free article] [PubMed] [Google Scholar]
- Pointon JJ, Wallace D, Merryweather-Clarke AT, Robson KJ. Uncommon mutations and polymorphisms in the hemochromatosis gene. Genet Test. 2000;4(2):151–161. [PubMed] [Google Scholar]
- Steiner Michael, Ocran Kenneth, Genschel Janine, Meier Patrick, Gerl Helga, Ventz Michael, Schneider Marie-Luise, Büttner Carsten, Wadowska Kamilla, Kerner Wolfgang, et al. A homozygous HFE gene splice site mutation (IVS5+1 G/A) in a hereditary hemochromatosis patient of Vietnamese origin. Gastroenterology. 2002 Mar;122(3):789–795. [PubMed] [Google Scholar]
- Levy JE, Montross LK, Cohen DE, Fleming MD, Andrews NC. The C282Y mutation causing hereditary hemochromatosis does not produce a null allele. Blood. 1999 Jul 1;94(1):9–11. [PubMed] [Google Scholar]
- Bastin JM, Jones M, O'Callaghan CA, Schimanski L, Mason DY, Townsend AR. Kupffer cell staining by an HFE-specific monoclonal antibody: implications for hereditary haemochromatosis. Br J Haematol. 1998 Dec;103(4):931–941. [PubMed] [Google Scholar]
- Parkkila S, Waheed A, Britton RS, Feder JN, Tsuchihashi Z, Schatzman RC, Bacon BR, Sly WS. Immunohistochemistry of HLA-H, the protein defective in patients with hereditary hemochromatosis, reveals unique pattern of expression in gastrointestinal tract. Proc Natl Acad Sci U S A. 1997 Mar 18;94(6):2534–2539.[PMC free article] [PubMed] [Google Scholar]
- Parkkila S, Waheed A, Britton RS, Bacon BR, Zhou XY, Tomatsu S, Fleming RE, Sly WS. Association of the transferrin receptor in human placenta with HFE, the protein defective in hereditary hemochromatosis. Proc Natl Acad Sci U S A. 1997 Nov 25;94(24):13198–13202.[PMC free article] [PubMed] [Google Scholar]
- Parkkila S, Parkkila AK, Waheed A, Britton RS, Zhou XY, Fleming RE, Tomatsu S, Bacon BR, Sly WS. Cell surface expression of HFE protein in epithelial cells, macrophages, and monocytes. Haematologica. 2000 Apr;85(4):340–345. [PubMed] [Google Scholar]
- Griffiths William J H, Cox Timothy M. Co-localization of the mammalian hemochromatosis gene product (HFE) and a newly identified transferrin receptor (TfR2) in intestinal tissue and cells. J Histochem Cytochem. 2003 May;51(5):613–624. [PubMed] [Google Scholar]
- Zhang An-Sheng, Xiong Shigang, Tsukamoto Hidekazu, Enns Caroline A. Localization of iron metabolism-related mRNAs in rat liver indicate that HFE is expressed predominantly in hepatocytes. Blood. 2004 Feb 15;103(4):1509–1514. [PubMed] [Google Scholar]
- Camaschella C, Roetto A, Calì A, De Gobbi M, Garozzo G, Carella M, Majorano N, Totaro A, Gasparini P. The gene TFR2 is mutated in a new type of haemochromatosis mapping to 7q22. Nat Genet. 2000 May;25(1):14–15. [PubMed] [Google Scholar]
- Montosi G, Donovan A, Totaro A, Garuti C, Pignatti E, Cassanelli S, Trenor CC, Gasparini P, Andrews NC, Pietrangelo A. Autosomal-dominant hemochromatosis is associated with a mutation in the ferroportin (SLC11A3) gene. J Clin Invest. 2001 Aug;108(4):619–623.[PMC free article] [PubMed] [Google Scholar]
- Njajou OT, Vaessen N, Joosse M, Berghuis B, van Dongen JW, Breuning MH, Snijders PJ, Rutten WP, Sandkuijl LA, Oostra BA, et al. A mutation in SLC11A3 is associated with autosomal dominant hemochromatosis. Nat Genet. 2001 Jul;28(3):213–214. [PubMed] [Google Scholar]
- Roetto Antonella, Papanikolaou George, Politou Marianna, Alberti Federica, Girelli Domenico, Christakis John, Loukopoulos Dimitris, Camaschella Clara. Mutant antimicrobial peptide hepcidin is associated with severe juvenile hemochromatosis. Nat Genet. 2003 Jan;33(1):21–22. [PubMed] [Google Scholar]
- Papanikolaou George, Samuels Mark E, Ludwig Erwin H, MacDonald Marcia L E, Franchini Patrick L, Dubé Marie-Pierre, Andres Lisa, MacFarlane Julie, Sakellaropoulos Nikos, Politou Marianna, et al. Mutations in HFE2 cause iron overload in chromosome 1q-linked juvenile hemochromatosis. Nat Genet. 2004 Jan;36(1):77–82. [PubMed] [Google Scholar]
- Kelly AL, Lunt PW, Rodrigues F, Berry PJ, Flynn DM, McKiernan PJ, Kelly DA, Mieli-Vergani G, Cox TM. Classification and genetic features of neonatal haemochromatosis: a study of 27 affected pedigrees and molecular analysis of genes implicated in iron metabolism. J Med Genet. 2001 Sep;38(9):599–610.[PMC free article] [PubMed] [Google Scholar]
- Hunter Howard N, Fulton D Bruce, Ganz Tomas, Vogel Hans J. The solution structure of human hepcidin, a peptide hormone with antimicrobial activity that is involved in iron uptake and hereditary hemochromatosis. J Biol Chem. 2002 Oct 4;277(40):37597–37603. [PubMed] [Google Scholar]
- Roetto Antonella, Daraio Filomena, Porporato Paolo, Caruso Roberta, Cox Timothy M, Cazzola Mario, Gasparini Paolo, Piperno Alberto, Camaschella Clara. Screening hepcidin for mutations in juvenile hemochromatosis: identification of a new mutation (C70R). Blood. 2004 Mar 15;103(6):2407–2409. [PubMed] [Google Scholar]
- Weinstein David A, Roy Cindy N, Fleming Mark D, Loda Massimo F, Wolfsdorf Joseph I, Andrews Nancy C. Inappropriate expression of hepcidin is associated with iron refractory anemia: implications for the anemia of chronic disease. Blood. 2002 Nov 15;100(10):3776–3781. [PubMed] [Google Scholar]
- Nicolas Gaël, Chauvet Caroline, Viatte Lydie, Danan Jean Louis, Bigard Xavier, Devaux Isabelle, Beaumont Carole, Kahn Axel, Vaulont Sophie. The gene encoding the iron regulatory peptide hepcidin is regulated by anemia, hypoxia, and inflammation. J Clin Invest. 2002 Oct;110(7):1037–1044.[PMC free article] [PubMed] [Google Scholar]
- Nicolas G, Bennoun M, Devaux I, Beaumont C, Grandchamp B, Kahn A, Vaulont S. Lack of hepcidin gene expression and severe tissue iron overload in upstream stimulatory factor 2 (USF2) knockout mice. Proc Natl Acad Sci U S A. 2001 Jul 17;98(15):8780–8785.[PMC free article] [PubMed] [Google Scholar]
- Pigeon C, Ilyin G, Courselaud B, Leroyer P, Turlin B, Brissot P, Loréal O. A new mouse liver-specific gene, encoding a protein homologous to human antimicrobial peptide hepcidin, is overexpressed during iron overload. J Biol Chem. 2001 Mar 16;276(11):7811–7819. [PubMed] [Google Scholar]
- Nemeth Elizabeta, Valore Erika V, Territo Mary, Schiller Gary, Lichtenstein Alan, Ganz Tomas. Hepcidin, a putative mediator of anemia of inflammation, is a type II acute-phase protein. Blood. 2003 Apr 1;101(7):2461–2463. [PubMed] [Google Scholar]
- Bridle Kim R, Frazer David M, Wilkins Sarah J, Dixon Jeanette L, Purdie David M, Crawford Darrell H G, Subramaniam V Nathan, Powell Lawrie W, Anderson Gregory J, Ramm Grant A. Disrupted hepcidin regulation in HFE-associated haemochromatosis and the liver as a regulator of body iron homoeostasis. Lancet. 2003 Feb 22;361(9358):669–673. [PubMed] [Google Scholar]
- Kulaksiz H, Gehrke SG, Janetzko A, Rost D, Bruckner T, Kallinowski B, Stremmel W. Pro-hepcidin: expression and cell specific localisation in the liver and its regulation in hereditary haemochromatosis, chronic renal insufficiency, and renal anaemia. Gut. 2004 May;53(5):735–743.[PMC free article] [PubMed] [Google Scholar]
- Roetto A, Totaro A, Cazzola M, Cicilano M, Bosio S, D'Ascola G, Carella M, Zelante L, Kelly AL, Cox TM, et al. Juvenile hemochromatosis locus maps to chromosome 1q. Am J Hum Genet. 1999 May;64(5):1388–1393.[PMC free article] [PubMed] [Google Scholar]
- Roetto A, Totaro A, Piperno A, Piga A, Longo F, Garozzo G, Calì A, De Gobbi M, Gasparini P, Camaschella C. New mutations inactivating transferrin receptor 2 in hemochromatosis type 3. Blood. 2001 May 1;97(9):2555–2560. [PubMed] [Google Scholar]
- Mattman Andre, Huntsman David, Lockitch Gillian, Langlois Sylvie, Buskard Noel, Ralston Diana, Butterfield Yaron, Rodrigues Pedro, Jones Steven, Porto Graça, et al. Transferrin receptor 2 (TfR2) and HFE mutational analysis in non-C282Y iron overload: identification of a novel TfR2 mutation. Blood. 2002 Aug 1;100(3):1075–1077. [PubMed] [Google Scholar]
- Hofmann Wolf-K, Tong Xiang-Jun, Ajioka Richard S, Kushner James P, Koeffler H Phillip. Mutation analysis of transferrin-receptor 2 in patients with atypical hemochromatosis. Blood. 2002 Aug 1;100(3):1099–1100. [PubMed] [Google Scholar]
- Girelli Domenico, Bozzini Claudia, Roetto Antonella, Alberti Federica, Daraio Filomena, Colombari Romano, Olivieri Oliviero, Corrocher Roberto, Camaschella Clara. Clinical and pathologic findings in hemochromatosis type 3 due to a novel mutation in transferrin receptor 2 gene. Gastroenterology. 2002 May;122(5):1295–1302. [PubMed] [Google Scholar]
- Roetto Antonella, Daraio Filomena, Alberti Federica, Porporato Paolo, Calì Angelita, De Gobbi Marco, Camaschella Clara. Hemochromatosis due to mutations in transferrin receptor 2. Blood Cells Mol Dis. 2002 Nov-Dec;29(3):465–470. [PubMed] [Google Scholar]
- Biasiotto Giorgio, Belloli Silvana, Ruggeri Giuseppina, Zanella Isabella, Gerardi Gianmario, Corrado Marcella, Gobbi Elena, Albertini Alberto, Arosio Paolo. Identification of new mutations of the HFE, hepcidin, and transferrin receptor 2 genes by denaturing HPLC analysis of individuals with biochemical indications of iron overload. Clin Chem. 2003 Dec;49(12):1981–1988. [PubMed] [Google Scholar]
- Hattori Ai, Wakusawa Shinnya, Hayashi Hisao, Harashima Ai, Sanae Fujiko, Kawanaka Miwa, Yamada Gohtaro, Yano Motoyashi, Yoshioka Kenntaro. AVAQ 594-597 deletion of the TfR2 gene in a Japanese family with hemochromatosis. Hepatol Res. 2003 Jun;26(2):154–156. [PubMed] [Google Scholar]
- Lanzara Carmela, Roetto Antonella, Daraio Filomena, Rivard Silvain, Ficarella Romina, Simard Hervey, Cox Timothy M, Cazzola Mario, Piperno Alberto, Gimenez-Roqueplo Anne-Paule, et al. Spectrum of hemojuvelin gene mutations in 1q-linked juvenile hemochromatosis. Blood. 2004 Jun 1;103(11):4317–4321. [PubMed] [Google Scholar]
- Lee Pauline L, Beutler Ernest, Rao Sreenivas V, Barton James C. Genetic abnormalities and juvenile hemochromatosis: mutations of the HJV gene encoding hemojuvelin. Blood. 2004 Jun 15;103(12):4669–4671. [PubMed] [Google Scholar]
- Giancotti FG, Ruoslahti E. Integrin signaling. Science. 1999 Aug 13;285(5430):1028–1032. [PubMed] [Google Scholar]
- Fleming RE, Migas MC, Holden CC, Waheed A, Britton RS, Tomatsu S, Bacon BR, Sly WS. Transferrin receptor 2: continued expression in mouse liver in the face of iron overload and in hereditary hemochromatosis. Proc Natl Acad Sci U S A. 2000 Feb 29;97(5):2214–2219.[PMC free article] [PubMed] [Google Scholar]
- Hannuksela Jokke, Parkkila Seppo, Waheed Abdul, Britton Robert S, Fleming Robert E, Bacon Bruce R, Sly William S. Human platelets express hemochromatosis protein (HFE) and transferrin receptor 2. Eur J Haematol. 2003 Apr;70(4):201–206. [PubMed] [Google Scholar]
- West AP, Jr, Bennett MJ, Sellers VM, Andrews NC, Enns CA, Bjorkman PJ. Comparison of the interactions of transferrin receptor and transferrin receptor 2 with transferrin and the hereditary hemochromatosis protein HFE. J Biol Chem. 2000 Dec 8;275(49):38135–38138. [PubMed] [Google Scholar]
- Pietrangelo A, Montosi G, Totaro A, Garuti C, Conte D, Cassanelli S, Fraquelli M, Sardini C, Vasta F, Gasparini P. Hereditary hemochromatosis in adults without pathogenic mutations in the hemochromatosis gene. N Engl J Med. 1999 Sep 2;341(10):725–732. [PubMed] [Google Scholar]
- Eason RJ, Adams PC, Aston CE, Searle J. Familial iron overload with possible autosomal dominant inheritance. Aust N Z J Med. 1990 Jun;20(3):226–230. [PubMed] [Google Scholar]
- Arden KE, Wallace DF, Dixon JL, Summerville L, Searle JW, Anderson GJ, Ramm GA, Powell LW, Subramaniam VN. A novel mutation in ferroportin1 is associated with haemochromatosis in a Solomon Islands patient. Gut. 2003 Aug;52(8):1215–1217.[PMC free article] [PubMed] [Google Scholar]
- Hetet Gilles, Devaux Isabelle, Soufir Nadem, Grandchamp Bernard, Beaumont Carole. Molecular analyses of patients with hyperferritinemia and normal serum iron values reveal both L ferritin IRE and 3 new ferroportin (slc11A3) mutations. Blood. 2003 Sep 1;102(5):1904–1910. [PubMed] [Google Scholar]
- Jouanolle Anne-Marie, Douabin-Gicquel Véronique, Halimi Chantal, Loréal Olivier, Fergelot Patricia, Delacour Thierry, de Lajarte-Thirouard Anne-Sophie, Turlin Bruno, Le Gall Jean-Yves, Cadet Estelle, et al. Novel mutation in ferroportin 1 gene is associated with autosomal dominant iron overload. J Hepatol. 2003 Aug;39(2):286–289. [PubMed] [Google Scholar]
- Rivard Sylvain R, Lanzara Carmela, Grimard Doria, Carella Massimo, Simard Hervey, Ficarella Romina, Simard Raynald, D'Adamo Adamo Pio, De Braekeleer Marc, Gasparini Paolo. Autosomal dominant reticuloendothelial iron overload (HFE type 4) due to a new missense mutation in the FERROPORTIN 1 gene (SLC11A3) in a large French-Canadian family. Haematologica. 2003 Jul;88(7):824–826. [PubMed] [Google Scholar]
- Gordeuk Victor R, Caleffi Angela, Corradini Elena, Ferrara Francesca, Jones Russell A, Castro Oswaldo, Onyekwere Onyinye, Kittles Rick, Pignatti Elisa, Montosi Giuliana, et al. Iron overload in Africans and African-Americans and a common mutation in the SCL40A1 (ferroportin 1) gene. Blood Cells Mol Dis. 2003 Nov-Dec;31(3):299–304. [PubMed] [Google Scholar]
- Beutler Ernest, Barton James C, Felitti Vincent J, Gelbart Terri, West Carol, Lee Pauline L, Waalen Jill, Vulpe Chris. Ferroportin 1 (SCL40A1) variant associated with iron overload in African-Americans. Blood Cells Mol Dis. 2003 Nov-Dec;31(3):305–309. [PubMed] [Google Scholar]
- Devalia Vinod, Carter Kymberley, Walker Ann P, Perkins Stephen J, Worwood Mark, May Alison, Dooley James S. Autosomal dominant reticuloendothelial iron overload associated with a 3-base pair deletion in the ferroportin 1 gene (SLC11A3). Blood. 2002 Jul 15;100(2):695–697. [PubMed] [Google Scholar]
- Roetto Antonella, Merryweather-Clarke Alison T, Daraio Filomena, Livesey Karen, Pointon Jennifer J, Barbabietola Giuliana, Piga Antonio, Mackie Peter H, Robson Kathryn J H, Camaschella Clara. A valine deletion of ferroportin 1: a common mutation in hemochromastosis type 4. Blood. 2002 Jul 15;100(2):733–734. [PubMed] [Google Scholar]
- Wallace Daniel F, Pedersen Palle, Dixon Jeannette L, Stephenson Peter, Searle Jeffrey W, Powell Lawrie W, Subramaniam V Nathan. Novel mutation in ferroportin1 is associated with autosomal dominant hemochromatosis. Blood. 2002 Jul 15;100(2):692–694. [PubMed] [Google Scholar]
- Cazzola Mario, Cremonesi Laura, Papaioannou Maria, Soriani Nadia, Kioumi Anna, Charalambidou Anastasia, Paroni Rita, Romtsou Katerina, Levi Sonia, Ferrari Maurizio, et al. Genetic hyperferritinaemia and reticuloendothelial iron overload associated with a three base pair deletion in the coding region of the ferroportin gene (SLC11A3). Br J Haematol. 2002 Nov;119(2):539–546. [PubMed] [Google Scholar]
- Donovan A, Brownlie A, Zhou Y, Shepard J, Pratt SJ, Moynihan J, Paw BH, Drejer A, Barut B, Zapata A, et al. Positional cloning of zebrafish ferroportin1 identifies a conserved vertebrate iron exporter. Nature. 2000 Feb 17;403(6771):776–781. [PubMed] [Google Scholar]
- McKie AT, Marciani P, Rolfs A, Brennan K, Wehr K, Barrow D, Miret S, Bomford A, Peters TJ, Farzaneh F, et al. A novel duodenal iron-regulated transporter, IREG1, implicated in the basolateral transfer of iron to the circulation. Mol Cell. 2000 Feb;5(2):299–309. [PubMed] [Google Scholar]
- Abboud S, Haile DJ. A novel mammalian iron-regulated protein involved in intracellular iron metabolism. J Biol Chem. 2000 Jun 30;275(26):19906–19912. [PubMed] [Google Scholar]
- Fleming RE, Sly WS. Ferroportin mutation in autosomal dominant hemochromatosis: loss of function, gain in understanding. J Clin Invest. 2001 Aug;108(4):521–522.[PMC free article] [PubMed] [Google Scholar]
- Frazer David M, Anderson Gregory J. The orchestration of body iron intake: how and where do enterocytes receive their cues? Blood Cells Mol Dis. 2003 May-Jun;30(3):288–297. [PubMed] [Google Scholar]
- Harris ZL, Durley AP, Man TK, Gitlin JD. Targeted gene disruption reveals an essential role for ceruloplasmin in cellular iron efflux. Proc Natl Acad Sci U S A. 1999 Sep 14;96(19):10812–10817.[PMC free article] [PubMed] [Google Scholar]
- Vulpe CD, Kuo YM, Murphy TL, Cowley L, Askwith C, Libina N, Gitschier J, Anderson GJ. Hephaestin, a ceruloplasmin homologue implicated in intestinal iron transport, is defective in the sla mouse. Nat Genet. 1999 Feb;21(2):195–199. [PubMed] [Google Scholar]
- Mok Henry, Jelinek Jaroslav, Pai Sonia, Cattanach Bruce M, Prchal Josef T, Youssoufian Hagop, Schumacher Armin. Disruption of ferroportin 1 regulation causes dynamic alterations in iron homeostasis and erythropoiesis in polycythaemia mice. Development. 2004 Apr;131(8):1859–1868. [PubMed] [Google Scholar]
- Townsend Alain, Drakesmith Hal. Role of HFE in iron metabolism, hereditary haemochromatosis, anaemia of chronic disease, and secondary iron overload. Lancet. 2002 Mar 2;359(9308):786–790. [PubMed] [Google Scholar]
- Fleming Robert E, Sly William S. Mechanisms of iron accumulation in hereditary hemochromatosis. Annu Rev Physiol. 2002;64:663–680. [PubMed] [Google Scholar]
- Chorney Michael J, Yoshida Yukinori, Meyer Paul N, Yoshida Mika, Gerhard Glenn S. The enigmatic role of the hemochromatosis protein (HFE) in iron absorption. Trends Mol Med. 2003 Mar;9(3):118–125. [PubMed] [Google Scholar]
- Kato J, Fujikawa K, Kanda M, Fukuda N, Sasaki K, Takayama T, Kobune M, Takada K, Takimoto R, Hamada H, et al. A mutation, in the iron-responsive element of H ferritin mRNA, causing autosomal dominant iron overload. Am J Hum Genet. 2001 Jul;69(1):191–197.[PMC free article] [PubMed] [Google Scholar]
- Beaumont C, Leneuve P, Devaux I, Scoazec JY, Berthier M, Loiseau MN, Grandchamp B, Bonneau D. Mutation in the iron responsive element of the L ferritin mRNA in a family with dominant hyperferritinaemia and cataract. Nat Genet. 1995 Dec;11(4):444–446. [PubMed] [Google Scholar]
- Martin ME, Fargion S, Brissot P, Pellat B, Beaumont C. A point mutation in the bulge of the iron-responsive element of the L ferritin gene in two families with the hereditary hyperferritinemia-cataract syndrome. Blood. 1998 Jan 1;91(1):319–323. [PubMed] [Google Scholar]
- Cicilano M, Zecchina G, Roetto A, Bosio S, Infelise V, Stefani S, Mazza U, Camaschella C. Recurrent mutations in the iron regulatory element of L-ferritin in hereditary hyperferritinemia-cataract syndrome. Haematologica. 1999 Jun;84(6):489–492. [PubMed] [Google Scholar]
- McLeod Janet L, Craig Jamie, Gumley Sarah, Roberts Sarah, Kirkland Mark A. Mutation spectrum in Australian pedigrees with hereditary hyperferritinaemia-cataract syndrome reveals novel and de novo mutations. Br J Haematol. 2002 Sep;118(4):1179–1182. [PubMed] [Google Scholar]
- Cazzola Mario. Hereditary hyperferritinaemia/ cataract syndrome. Best Pract Res Clin Haematol. 2002 Jun;15(2):385–398. [PubMed] [Google Scholar]
- Harris ZL, Takahashi Y, Miyajima H, Serizawa M, MacGillivray RT, Gitlin JD. Aceruloplasminemia: molecular characterization of this disorder of iron metabolism. Proc Natl Acad Sci U S A. 1995 Mar 28;92(7):2539–2543.[PMC free article] [PubMed] [Google Scholar]
- Bosio Sandra, De Gobbi Marco, Roetto Antonella, Zecchina Gabriella, Leonardo Eugenio, Rizzetto Mario, Lucetti Claudio, Petrozzi Lucia, Bonuccelli Ubaldo, Camaschella Clara. Anemia and iron overload due to compound heterozygosity for novel ceruloplasmin mutations. Blood. 2002 Sep 15;100(6):2246–2248. [PubMed] [Google Scholar]
- Gitlin JD. Aceruloplasminemia. Pediatr Res. 1998 Sep;44(3):271–276. [PubMed] [Google Scholar]
- Miyajima Hiroaki, Takahashi Yoshitomo, Kono Satoshi. Aceruloplasminemia, an inherited disorder of iron metabolism. Biometals. 2003 Mar;16(1):205–213. [PubMed] [Google Scholar]
- Merryweather-Clarke AT, Worwood M, Parkinson L, Mattock C, Pointon JJ, Shearman JD, Robson KJ. The effect of HFE mutations on serum ferritin and transferrin saturation in the Jersey population. Br J Haematol. 1998 May;101(2):369–373. [PubMed] [Google Scholar]
- Jackson HA, Carter K, Darke C, Guttridge MG, Ravine D, Hutton RD, Napier JA, Worwood M. HFE mutations, iron deficiency and overload in 10,500 blood donors. Br J Haematol. 2001 Aug;114(2):474–484. [PubMed] [Google Scholar]
- Deugnier Yves, Jouanolle Anne-Marie, Chaperon Jacques, Moirand Romain, Pithois Catherine, Meyer Jean-François, Pouchard Michel, Lafraise Bernard, Brigand Alain, Caserio-Schoenemann Céline, et al. Gender-specific phenotypic expression and screening strategies in C282Y-linked haemochromatosis: a study of 9396 French people. Br J Haematol. 2002 Sep;118(4):1170–1178. [PubMed] [Google Scholar]
- Dautry-Varsat A, Ciechanover A, Lodish HF. pH and the recycling of transferrin during receptor-mediated endocytosis. Proc Natl Acad Sci U S A. 1983 Apr;80(8):2258–2262.[PMC free article] [PubMed] [Google Scholar]
- Diagnosis and management of haemochromatosis since the discovery of the HFE gene: a European experience. Br J Haematol. 2000 Jan;108(1):31–39. [PubMed] [Google Scholar]
- Beutler Ernest, Felitti Vincent J, Koziol James A, Ho Ngoc J, Gelbart Terri. Penetrance of 845G--> A (C282Y) HFE hereditary haemochromatosis mutation in the USA. Lancet. 2002 Jan 19;359(9302):211–218. [PubMed] [Google Scholar]
- Cox Timothy, Rochette Jacques, Camaschella Clara, Walker Ann, Robson Kathryn. Clinical haemochromatosis in HFE mutation carriers. Lancet. 2002 Aug 3;360(9330):412–414. [PubMed] [Google Scholar]
- Allen KJ, Warner B, Delatycki MB. Clinical haemochromatosis in HFE mutation carriers. Lancet. 2002 Aug 3;360(9330):412–414. [PubMed] [Google Scholar]
- McCune Anne, Worwood Mark. Penetrance in hereditary hemochromatosis. Blood. 2003 Oct 1;102(7):2696–2697. [PubMed] [Google Scholar]
- Cazzola Mario. Genetic disorders of iron overload and the novel "ferroportin disease". Haematologica. 2003 Jul;88(7):721–724. [PubMed] [Google Scholar]
- Barton JC, Bertoli LF, Rothenberg BE. Peripheral blood erythrocyte parameters in hemochromatosis: evidence for increased erythrocyte hemoglobin content. J Lab Clin Med. 2000 Jan;135(1):96–104. [PubMed] [Google Scholar]
- Bolan CD, Conry-Cantilena C, Mason G, Rouault TA, Leitman SF. MCV as a guide to phlebotomy therapy for hemochromatosis. Transfusion. 2001 Jun;41(6):819–827. [PubMed] [Google Scholar]
- Fleming RE, Holden CC, Tomatsu S, Waheed A, Brunt EM, Britton RS, Bacon BR, Roopenian DC, Sly WS. Mouse strain differences determine severity of iron accumulation in Hfe knockout model of hereditary hemochromatosis. Proc Natl Acad Sci U S A. 2001 Feb 27;98(5):2707–2711.[PMC free article] [PubMed] [Google Scholar]
- Dupic Françoise, Fruchon Séverine, Bensaid Mounia, Borot Nicolas, Radosavljevic Mirjana, Loreal Olivier, Brissot Pierre, Gilfillan Susan, Bahram Siamak, Coppin Hélène, et al. Inactivation of the hemochromatosis gene differentially regulates duodenal expression of iron-related mRNAs between mouse strains. Gastroenterology. 2002 Mar;122(3):745–751. [PubMed] [Google Scholar]
- Distante S, Berg JP, Lande K, Haug E, Bell H. HFE gene mutation (C282Y) and phenotypic expression among a hospitalised population in a high prevalence area of haemochromatosis. Gut. 2000 Oct;47(4):575–579.[PMC free article] [PubMed] [Google Scholar]
- McCune C Anne, Al-Jader Layla N, May Alison, Hayes Sara L, Jackson Helen A, Worwood Mark. Hereditary haemochromatosis: only 1% of adult HFEC282Y homozygotes in South Wales have a clinical diagnosis of iron overload. Hum Genet. 2002 Dec;111(6):538–543. [PubMed] [Google Scholar]
- Cadet E, Capron D, Perez AS, Crépin SN, Arlot S, Ducroix J-P, Dautréaux M, Fardellone P, Leflon P, Merryweather-Clarke AT, et al. A targeted approach significantly increases the identification rate of patients with undiagnosed haemochromatosis. J Intern Med. 2003 Feb;253(2):217–224. [PubMed] [Google Scholar]
- Roest M, van der Schouw YT, de Valk B, Marx JJ, Tempelman MJ, de Groot PG, Sixma JJ, Banga JD. Heterozygosity for a hereditary hemochromatosis gene is associated with cardiovascular death in women. Circulation. 1999 Sep 21;100(12):1268–1273. [PubMed] [Google Scholar]
- Fuchs Jurgen, Podda M, Packer L, Kaufmann R. Morbidity risk in HFE associated hereditary hemochromatosis C282Y heterozygotes. Toxicology. 2002 Nov 15;180(2):169–181. [PubMed] [Google Scholar]
- Robson KJH, Lehmann DJ, Wimhurst VLC, Livesey KJ, Combrinck M, Merryweather-Clarke AT, Warden DR, Smith AD. Synergy between the C2 allele of transferrin and the C282Y allele of the haemochromatosis gene (HFE) as risk factors for developing Alzheimer's disease. J Med Genet. 2004 Apr;41(4):261–265.[PMC free article] [PubMed] [Google Scholar]
- Welch S, Langmead L. A comparison of the structure and properties of normal human transferrin and a genetic variant of human transferrin. Int J Biochem. 1990;22(3):275–282. [PubMed] [Google Scholar]
- Zhou B, Westaway SK, Levinson B, Johnson MA, Gitschier J, Hayflick SJ. A novel pantothenate kinase gene (PANK2) is defective in Hallervorden-Spatz syndrome. Nat Genet. 2001 Aug;28(4):345–349. [PubMed] [Google Scholar]
- Dexter DT, Carayon A, Javoy-Agid F, Agid Y, Wells FR, Daniel SE, Lees AJ, Jenner P, Marsden CD. Alterations in the levels of iron, ferritin and other trace metals in Parkinson's disease and other neurodegenerative diseases affecting the basal ganglia. Brain. 1991 Aug;114(Pt 4):1953–1975. [PubMed] [Google Scholar]
- Gorell JM, Ordidge RJ, Brown GG, Deniau JC, Buderer NM, Helpern JA. Increased iron-related MRI contrast in the substantia nigra in Parkinson's disease. Neurology. 1995 Jun;45(6):1138–1143. [PubMed] [Google Scholar]
- Curtis AR, Fey C, Morris CM, Bindoff LA, Ince PG, Chinnery PF, Coulthard A, Jackson MJ, Jackson AP, McHale DP, et al. Mutation in the gene encoding ferritin light polypeptide causes dominant adult-onset basal ganglia disease. Nat Genet. 2001 Aug;28(4):350–354. [PubMed] [Google Scholar]
- Ke Ya, Ming Qian Zhong. Iron misregulation in the brain: a primary cause of neurodegenerative disorders. Lancet Neurol. 2003 Apr;2(4):246–253. [PubMed] [Google Scholar]
- Merryweather-Clarke Alison T, Cadet Estelle, Bomford Adrian, Capron Dominique, Viprakasit Vip, Miller Anne, McHugh Paddy J, Chapman Roger W, Pointon Jennifer J, Wimhurst Victoria L C, et al. Digenic inheritance of mutations in HAMP and HFE results in different types of haemochromatosis. Hum Mol Genet. 2003 Sep 1;12(17):2241–2247. [PubMed] [Google Scholar]
- Jacolot Sandrine, Le Gac Gerald, Scotet Virginie, Quere Isabelle, Mura Catherine, Ferec Claude. HAMP as a modifier gene that increases the phenotypic expression of the HFE pC282Y homozygous genotype. Blood. 2004 Apr 1;103(7):2835–2840. [PubMed] [Google Scholar]
- Nicolas Gaël, Andrews Nancy C, Kahn Axel, Vaulont Sophie. Hepcidin, a candidate modifier of the hemochromatosis phenotype in mice. Blood. 2004 Apr 1;103(7):2841–2843. [PubMed] [Google Scholar]
- Crawford DH, Powell LW, Leggett BA, Francis JS, Fletcher LM, Webb SI, Halliday JW, Jazwinska EC. Evidence that the ancestral haplotype in Australian hemochromatosis patients may be associated with a common mutation in the gene. Am J Hum Genet. 1995 Aug;57(2):362–367.[PMC free article] [PubMed] [Google Scholar]
- Piperno A, Arosio C, Fargion S, Roetto A, Nicoli C, Girelli D, Sbaiz L, Gasparini P, Boari G, Sampietro M, et al. The ancestral hemochromatosis haplotype is associated with a severe phenotype expression in Italian patients. Hepatology. 1996 Jul;24(1):43–46. [PubMed] [Google Scholar]
- Piperno A, Sampietro M, Pietrangelo A, Arosio C, Lupica L, Montosi G, Vergani A, Fraquelli M, Girelli D, Pasquero P, et al. Heterogeneity of hemochromatosis in Italy. Gastroenterology. 1998 May;114(5):996–1002. [PubMed] [Google Scholar]
- Fargion S, Valenti L, Dongiovanni P, Scaccabarozzi A, Fracanzani AL, Taioli E, Mattioli M, Sampietro M, Fiorelli G. Tumor necrosis factor alpha promoter polymorphisms influence the phenotypic expression of hereditary hemochromatosis. Blood. 2001 Jun 15;97(12):3707–3712. [PubMed] [Google Scholar]
- Cardoso CS, de Sousa M. HFE, the MHC and hemochromatosis: paradigm for an extended function for MHC class I. Tissue Antigens. 2003 Apr;61(4):263–275. [PubMed] [Google Scholar]
- Livesey KJ, Wimhurst VLC, Carter K, Worwood M, Cadet E, Rochette J, Roberts AG, Pointon JJ, Merryweather-Clarke AT, Bassett ML, et al. The 16189 variant of mitochondrial DNA occurs more frequently in C282Y homozygotes with haemochromatosis than those without iron loading. J Med Genet. 2004 Jan;41(1):6–10.[PMC free article] [PubMed] [Google Scholar]
- Hershko C, Peto TE, Weatherall DJ. Iron and infection. Br Med J (Clin Res Ed) 1988 Mar 5;296(6623):660–664.[PMC free article] [PubMed] [Google Scholar]
- Marx JJM. Iron and infection: competition between host and microbes for a precious element. Best Pract Res Clin Haematol. 2002 Jun;15(2):411–426. [PubMed] [Google Scholar]
- Krause A, Neitz S, Mägert HJ, Schulz A, Forssmann WG, Schulz-Knappe P, Adermann K. LEAP-1, a novel highly disulfide-bonded human peptide, exhibits antimicrobial activity. FEBS Lett. 2000 Sep 1;480(2-3):147–150. [PubMed] [Google Scholar]
- Laftah Abas H, Ramesh Bala, Simpson Robert J, Solanky Nita, Bahram Seiamak, Schümann Klaus, Debnam Edward S, Srai Surjit K S. Effect of hepcidin on intestinal iron absorption in mice. Blood. 2004 May 15;103(10):3940–3944. [PubMed] [Google Scholar]
- Nemeth Elizabeta, Rivera Seth, Gabayan Victoria, Keller Charlotte, Taudorf Sarah, Pedersen Bente K, Ganz Tomas. IL-6 mediates hypoferremia of inflammation by inducing the synthesis of the iron regulatory hormone hepcidin. J Clin Invest. 2004 May;113(9):1271–1276.[PMC free article] [PubMed] [Google Scholar]
- Means RT., Jr The anaemia of infection. Baillieres Best Pract Res Clin Haematol. 2000 Jun;13(2):151–162. [PubMed] [Google Scholar]
- Roy Cindy N, Custodio Angel O, de Graaf Jos, Schneider Susanne, Akpan Imo, Montross Lynne K, Sanchez Mayka, Gaudino Alessandro, Hentze Matthias W, Andrews Nancy C, et al. An Hfe-dependent pathway mediates hyposideremia in response to lipopolysaccharide-induced inflammation in mice. Nat Genet. 2004 May;36(5):481–485. [PubMed] [Google Scholar]
- Lebrón JA, Bennett MJ, Vaughn DE, Chirino AJ, Snow PM, Mintier GA, Feder JN, Bjorkman PJ. Crystal structure of the hemochromatosis protein HFE and characterization of its interaction with transferrin receptor. Cell. 1998 Apr 3;93(1):111–123. [PubMed] [Google Scholar]
- de Sousa M, Reimão R, Lacerda R, Hugo P, Kaufmann SH, Porto G. Iron overload in beta 2-microglobulin-deficient mice. Immunol Lett. 1994 Feb;39(2):105–111. [PubMed] [Google Scholar]
- Levy JE, Montross LK, Andrews NC. Genes that modify the hemochromatosis phenotype in mice. J Clin Invest. 2000 May;105(9):1209–1216.[PMC free article] [PubMed] [Google Scholar]
- Fleming MD, Romano MA, Su MA, Garrick LM, Garrick MD, Andrews NC. Nramp2 is mutated in the anemic Belgrade (b) rat: evidence of a role for Nramp2 in endosomal iron transport. Proc Natl Acad Sci U S A. 1998 Feb 3;95(3):1148–1153.[PMC free article] [PubMed] [Google Scholar]
- Gruenheid S, Cellier M, Vidal S, Gros P. Identification and characterization of a second mouse Nramp gene. Genomics. 1995 Jan 20;25(2):514–525. [PubMed] [Google Scholar]
- Cellier M, Govoni G, Vidal S, Kwan T, Groulx N, Liu J, Sanchez F, Skamene E, Schurr E, Gros P. Human natural resistance-associated macrophage protein: cDNA cloning, chromosomal mapping, genomic organization, and tissue-specific expression. J Exp Med. 1994 Nov 1;180(5):1741–1752.[PMC free article] [PubMed] [Google Scholar]
- Cellier M, Shustik C, Dalton W, Rich E, Hu J, Malo D, Schurr E, Gros P. Expression of the human NRAMP1 gene in professional primary phagocytes: studies in blood cells and in HL-60 promyelocytic leukemia. J Leukoc Biol. 1997 Jan;61(1):96–105. [PubMed] [Google Scholar]
- Skamene E, Forget A. Genetic basis of host resistance and susceptibility to intracellular pathogens. Adv Exp Med Biol. 1988;239:23–37. [PubMed] [Google Scholar]
- Jabado N, Jankowski A, Dougaparsad S, Picard V, Grinstein S, Gros P. Natural resistance to intracellular infections: natural resistance-associated macrophage protein 1 (Nramp1) functions as a pH-dependent manganese transporter at the phagosomal membrane. J Exp Med. 2000 Nov 6;192(9):1237–1248.[PMC free article] [PubMed] [Google Scholar]
- Hackam DJ, Rotstein OD, Zhang W, Gruenheid S, Gros P, Grinstein S. Host resistance to intracellular infection: mutation of natural resistance-associated macrophage protein 1 (Nramp1) impairs phagosomal acidification. J Exp Med. 1998 Jul 20;188(2):351–364.[PMC free article] [PubMed] [Google Scholar]
- Gruenheid S, Canonne-Hergaux F, Gauthier S, Hackam DJ, Grinstein S, Gros P. The iron transport protein NRAMP2 is an integral membrane glycoprotein that colocalizes with transferrin in recycling endosomes. J Exp Med. 1999 Mar 1;189(5):831–841.[PMC free article] [PubMed] [Google Scholar]
- de Sousa M, Porto G. The immunological system in hemochromatosis. J Hepatol. 1998;28 (Suppl 1):1–7. [PubMed] [Google Scholar]
- Porto G, Vicente C, Teixeira MA, Martins O, Cabeda JM, Lacerda R, Goncalves C, Fraga J, Macedo G, Silva BM, et al. Relative impact of HLA phenotype and CD4-CD8 ratios on the clinical expression of hemochromatosis. Hepatology. 1997 Feb;25(2):397–402. [PubMed] [Google Scholar]
- Reimão R, Porto G, de Sousa M. Stability of CD4/CD8 ratios in man: new correlation between CD4/CD8 profiles and iron overload in idiopathic haemochromatosis patients. C R Acad Sci III. 1991;313(11):481–487. [PubMed] [Google Scholar]
- Cardoso C, Porto G, Lacerda R, Resende D, Rodrigues P, Bravo F, Oliveira JC, Justiça B, de Sousa M. T-cell receptor repertoire in hereditary hemochromatosis: a study of 32 hemochromatosis patients and 274 healthy subjects. Hum Immunol. 2001 May;62(5):488–499. [PubMed] [Google Scholar]
- Xiong Shigang, She Hongyun, Takeuchi Heigo, Han Bora, Engelhardt John F, Barton CH, Zandi Ebrahim, Giulivi Cecilia, Tsukamoto Hidekazu. Signaling role of intracellular iron in NF-kappaB activation. J Biol Chem. 2003 May 16;278(20):17646–17654. [PubMed] [Google Scholar]
- Boismenu R, Havran WL. Modulation of epithelial cell growth by intraepithelial gamma delta T cells. Science. 1994 Nov 18;266(5188):1253–1255. [PubMed] [Google Scholar]
- Kwak EL, Larochelle DA, Beaumont C, Torti SV, Torti FM. Role for NF-kappa B in the regulation of ferritin H by tumor necrosis factor-alpha. J Biol Chem. 1995 Jun 23;270(25):15285–15293. [PubMed] [Google Scholar]
- Sánchez C, Doménech N, Vázquez J, Alonso F, Ezquerra A, Domínguez J. The porcine 2A10 antigen is homologous to human CD163 and related to macrophage differentiation. J Immunol. 1999 May 1;162(9):5230–5237. [PubMed] [Google Scholar]
- Sulahian TH, Högger P, Wahner AE, Wardwell K, Goulding NJ, Sorg C, Droste A, Stehling M, Wallace PK, Morganelli PM, et al. Human monocytes express CD163, which is upregulated by IL-10 and identical to p155. Cytokine. 2000 Sep;12(9):1312–1321. [PubMed] [Google Scholar]
- Schaer Dominik J, Boretti Felicitas S, Schoedon Gabriele, Schaffner Andreas. Induction of the CD163-dependent haemoglobin uptake by macrophages as a novel anti-inflammatory action of glucocorticoids. Br J Haematol. 2002 Oct;119(1):239–243. [PubMed] [Google Scholar]
- Kristiansen M, Graversen JH, Jacobsen C, Sonne O, Hoffman HJ, Law SK, Moestrup SK. Identification of the haemoglobin scavenger receptor. Nature. 2001 Jan 11;409(6817):198–201. [PubMed] [Google Scholar]
- Schaer Dominik J. The macrophage hemoglobin scavenger receptor (CD163) as a genetically determined disease modifying pathway in atherosclerosis. Atherosclerosis. 2002 Jul;163(1):199–201. [PubMed] [Google Scholar]
- Yang Funmei, Liu Xiao-Bing, Quinones Marlon, Melby Peter C, Ghio Andrew, Haile David J. Regulation of reticuloendothelial iron transporter MTP1 (Slc11a3) by inflammation. J Biol Chem. 2002 Oct 18;277(42):39786–39791. [PubMed] [Google Scholar]
- Yeh Kwo-yih, Yeh Mary, Glass Jonathan. Hepcidin regulation of ferroportin 1 expression in the liver and intestine of the rat. Am J Physiol Gastrointest Liver Physiol. 2004 Mar;286(3):G385–G394. [PubMed] [Google Scholar]
- Beutler E, Griffin MJ, Gelbart T, West C. A previously undescribed nonsense mutation of the HFE gene. Clin Genet. 2002 Jan;61(1):40–42. [PubMed] [Google Scholar]
- de Villiers JN, Hillermann R, Loubser L, Kotze MJ. Spectrum of mutations in the HFE gene implicated in haemochromatosis and porphyria. Hum Mol Genet. 1999 Aug;8(8):1517–1522. [PubMed] [Google Scholar]
- Liechti-Gallati S, Schneider V, Neeser D, Kraemer R. Two buffer PAGE system-based SSCP/HD analysis: a general protocol for rapid and sensitive mutation screening in cystic fibrosis and any other human genetic disease. Eur J Hum Genet. 1999 Jul;7(5):590–598. [PubMed] [Google Scholar]
- Oberkanins C, Moritz A, de Villiers JN, Kotze MJ, Kury F. A reverse-hybridization assay for the rapid and simultaneous detection of nine HFE gene mutations. Genet Test. 2000;4(2):121–124. [PubMed] [Google Scholar]
- Piperno A, Arosio C, Fossati L, Viganò M, Trombini P, Vergani A, Mancia G. Two novel nonsense mutations of HFE gene in five unrelated italian patients with hemochromatosis. Gastroenterology. 2000 Aug;119(2):441–445. [PubMed] [Google Scholar]
- Bradbury R, Fagan E, Payne SJ. Two novel polymorphisms (E277K and V212V) in the haemochromatosis gene HFE. Hum Mutat. 2000 Jan;15(1):120–120. [PubMed] [Google Scholar]
- Rosmorduc O, Poupon R, Nion I, Wendum D, Feder J, Béréziat G, Hermelin B. Differential HFE allele expression in hemochromatosis heterozygotes. Gastroenterology. 2000 Oct;119(4):1075–1086. [PubMed] [Google Scholar]
- Imanishi H, Liu W, Cheng J, Ikeda N, Amuro Y, Hada T. Idiopathic hemochromatosis with the mutation of Ala176Val heterozygous for HFE gene. Intern Med. 2001 Jun;40(6):479–483. [PubMed] [Google Scholar]
- Jones DC, Young NT, Pigott C, Fuggle SV, Barnardo MCNM, Marshall SE, Bunce M. Comprehensive hereditary hemochromatosis genotyping. Tissue Antigens. 2002 Dec;60(6):481–488. [PubMed] [Google Scholar]
- Le Gac Gérald, Dupradeau François-Yves, Mura Catherine, Jacolot Sandrine, Scotet Virginie, Esnault Germain, Mercier Anne-Yvonne, Rochette Jacques, Férec Claude. Phenotypic expression of the C282Y/Q283P compound heterozygosity in HFE and molecular modeling of the Q283P mutation effect. Blood Cells Mol Dis. 2003 May-Jun;30(3):231–237. [PubMed] [Google Scholar]
- Kinkely SM, Brown BD, Lyng AT, Harrison WK, Schep GN, Goddard-Hill AC, Aubrey ME, Lillicrap D, Taylor SAM. Absence of overt iron overload in two individuals compound heterozygotes for a 22 base pair deletion of exon 2 and the C282Y missense mutation of the HFE gene. Clin Genet. 2003 Feb;63(2):163–165. [PubMed] [Google Scholar]
- De Gobbi Marco, Daraio Filomena, Oberkanins Christian, Moritz Anne, Kury Fritz, Fiorelli Gemino, Camaschella Clara. Analysis of HFE and TFR2 mutations in selected blood donors with biochemical parameters of iron overload. Haematologica. 2003 Apr;88(4):396–401. [PubMed] [Google Scholar]
- Wallace DF, Dooley JS, Walker AP. A novel mutation of HFE explains the classical phenotype of genetic hemochromatosis in a C282Y heterozygote. Gastroenterology. 1999 Jun;116(6):1409–1412. [PubMed] [Google Scholar]
- Wigg AJ, Harley H, Casey G. Heterozygous recipient and donor HFE mutations associated with a hereditary haemochromatosis phenotype after liver transplantation. Gut. 2003 Mar;52(3):433–435.[PMC free article] [PubMed] [Google Scholar]
- Waheed A, Parkkila S, Zhou XY, Tomatsu S, Tsuchihashi Z, Feder JN, Schatzman RC, Britton RS, Bacon BR, Sly WS. Hereditary hemochromatosis: effects of C282Y and H63D mutations on association with beta2-microglobulin, intracellular processing, and cell surface expression of the HFE protein in COS-7 cells. Proc Natl Acad Sci U S A. 1997 Nov 11;94(23):12384–12389.[PMC free article] [PubMed] [Google Scholar]
- Ramalingam TS, West AP, Jr, Lebrón JA, Nangiana JS, Hogan TH, Enns CA, Bjorkman PJ. Binding to the transferrin receptor is required for endocytosis of HFE and regulation of iron homeostasis. Nat Cell Biol. 2000 Dec;2(12):953–957. [PubMed] [Google Scholar]
- Wallace Daniel F, Clark Roslyn M, Harley Hugh A J, Subramaniam V Nathan. Autosomal dominant iron overload due to a novel mutation of ferroportin1 associated with parenchymal iron loading and cirrhosis. J Hepatol. 2004 Apr;40(4):710–713. [PubMed] [Google Scholar]
Abstract
Mutations in the hepcidin gene HAMP and the hemojuvelin gene HJV have recently been shown to result in juvenile haemochromatosis (JH). Hepcidin is an antimicrobial peptide that plays a key role in regulating intestinal iron absorption. Hepcidin levels are reduced in patients with haemochromatosis due to mutations in the HFE and HJV genes. Digenic inheritance of mutations in HFE and HAMP can result in either JH or hereditary haemochromatosis (HH) depending upon the severity of the mutation in HAMP. Here we review these findings and discuss how understanding the different types of haemochromatosis and our increasing knowledge of iron metabolism may help to elucidate the host's response to infection.