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1
The Scripps Research Institute, La Jolla, CA 92037.
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Kaiser Permanente, San Diego, CA 92111.
a*Address correspondence to this author at: Department of Molecular and Experimental Medicine, MEM216, The Scripps Research Institute, 10550 N. Torrey Pines Rd., La Jolla, CA 92037. Fax 858-554-2252; e-mail koziol{at}scripps.edu.
Background: The gene that causes most cases of hereditary hemochromatosis is designated HFE. Individuals with mutations in the HFE gene may have increased serum iron, transferrin saturation, and ferritin concentrations relative to individuals with the wild-type genotype.
Methods: We generated reference centiles for percentage of transferrin saturation and serum ferritin concentrations in normal (wild-type), healthy Caucasian adults. We then examined transferrin and ferritin concentrations relative to these centiles in 81 individuals homozygous for the major hemochromatosis mutation C282Y and 438 individuals with the compound heterozygous HFE genotype C282Y/H63D.
Results: Serum ferritin concentrations, but not percentage of transferrin saturation, in normal, healthy women tended to increase sharply as they progressed through menopause. Transferrin and serum ferritin centiles for normal, healthy females were lower than the corresponding centiles in normal, healthy males. C282Y homozygotes had abnormally high transferrin saturation and serum ferritin values relative to the wild types. Compound heterozygotes appeared to be a mixture of individuals with unexceptional transferrin and ferritin values and those with abnormally large values similar to the homozygotes, with equal proportions of each.
Conclusions: There are age- and sex-related differences in reference centiles for the percentage of transferrin saturation and serum ferritin concentrations in normal, healthy adults. Individuals homozygous for the C282Y mutation in the HFE gene have abnormal transferrin saturation and serum ferritin values relative to the reference population; penetrance with the compound heterozygotes, as reflected by abnormal transferrin and ferritin values, is less than with the homozygotes.
The following articles in journals at HighWire Press have cited this article:
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J. R Hunt and H. Zeng Iron absorption by heterozygous carriers of the HFE C282Y mutation associated with hemochromatosis Am. J. Clinical Nutrition, October 1, 2004; 80(4): 924 - 931. [Abstract] [Full Text] [PDF] |
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S. Tomatsu, K. O. Orii, R. E. Fleming, C. C. Holden, A. Waheed, R. S. Britton, M. A. Gutierrez, S. Velez-Castrillon, B. R. Bacon, and W. S. Sly Contribution of the H63D mutation in HFE to murine hereditary hemochromatosis PNAS, December 23, 2003; 100(26): 15788 - 15793. [Abstract] [Full Text] [PDF] |
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J.-M. Liu, S. E Hankinson, M. J Stampfer, N. Rifai, W. C Willett, and J. Ma Body iron stores and their determinants in healthy postmenopausal US women Am. J. Clinical Nutrition, December 1, 2003; 78(6): 1160 - 1167. [Abstract] [Full Text] [PDF] |
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H. Van Vlierberghe and J. Delanghe Haptoglobin Polymorphism and Iron Hemostasis Clin. Chem., April 1, 2003; 49(4): 708 - 709. [Full Text] [PDF] |
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F. M. Torti and S. V. Torti Regulation of ferritin genes and protein Blood, May 15, 2002; 99(10): 3505 - 3516. [Full Text] [PDF] |
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