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Clinical Chemistry 44: 2429-2432, 1998;
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Right arrow Molecular Diagnostics and Genetics
(Clinical Chemistry. 1998;44:2429-2432.)
© 1998 American Association for Clinical Chemistry, Inc.


Molecular Diagnostics and Genetics

Heterozygosity for the C282Y mutation in the hemochromatosis gene is associated with increased serum iron, transferrin saturation, and hemoglobin in young women: a protective role against iron deficiency?

Christian Datz1, Thomas Haas1, Heinrich Rinner2, Friedrich Sandhofer1, Wolfgang Patsch3 and Bernhard Paulweber1,a

1 First Department of Internal Medicine, St. Johanns Spital, Muellner-Haupstrasse 48, 5020 Salzburg, Austria.

2 Institute of Biostatistics, University of Innsbruck, 6020 Innsbruck, Austria.

3 Department of Laboratory Medicine, St. Johanns Spital, 5020 Salzburg, Austria.
a Author for correspondence. Fax 43-662-4482-881; e-mail b.paulweber{at}lkasbg.gv.at.

Genetic hemochromatosis (GH) is the most common autosomal-recessive disorder (1 in 300 in populations of Celtic origin). Homozygosity for a C282Y mutation in the hemochromatosis (HFE) gene is the underlying defect in ~80% of patients with GH, and 3.2–13% of Caucasians are heterozygous for this gene alteration. Because the high frequency of this mutation may result from a selection advantage, the hypothesis was tested that the C282Y mutation confers protection against iron deficiency in young women. To address this question the genotype of codon 282 was determined in a cohort of 468 unrelated female healthcare workers, ages 18–40 years. In all study participants, a complete blood count was obtained, and erythrocyte distribution width, serum iron, transferrin, transferrin saturation, and ferritin were measured. Two individuals were homozygous for the C282Y mutation, 44 were heterozygous, and 416 were homozygous for the wild-type allele. Heterozygous women had significantly higher values for hemoglobin (P = 0.006), serum iron (P = 0.013), and transferrin saturation (P = 0.006) than women homozygous for the wild-type allele. Our data provide evidence for a protective role of the C282Y mutation in the HFE gene against iron deficiency in young women and suggest that a more efficient utilization of nutritional iron may have contributed to the high prevalence of the mutation in Caucasian populations.




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