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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2003-8-21
pubmed:abstractText
Unexplained hyperferritinemia is a common clinical finding, even in asymptomatic persons. When early onset bilateral cataracts are also present, the hereditary hyperferritinemia-cataract syndrome (HHCS), because of heterozygous point mutation in the L ferritin iron-responsive element (IRE) sequence, can be suspected. We sequenced the L ferritin exon 1 in 52 DNA samples from patients referred to us for molecular diagnosis of HHCS. We identified 24 samples with a point mutation/deletion in the IRE. For the 28 samples in which no IRE mutation was present, we also genotyped HFE mutations and sequenced both H ferritin and ferroportin genes. We found an increased frequency of His63Asp heterozygotes (12 of 28) but no H ferritin mutations. We identified 3 new ferroportin mutations, producing, respectively, Asp157Gly, Gln182His, and Gly323Val amino acid replacements, suggesting that these patients have dominant type 4 hemochromatosis. This study demonstrates that both L ferritin IRE and ferroportin mutations can account for isolated hyperferritinemia. The presence of cataract does not permit the unambiguous identification of patients with HHCS, although the existence of a family history of cataract was only encountered in these patients. This raises the intriguing possibility that lens ferritin accumulation might be a factor contributing to age-related cataract in the general population. Additional causes of isolated hyperferritinemia remain to be identified.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0006-4971
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
102
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1904-10
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12730114-Adolescent, pubmed-meshheading:12730114-Adult, pubmed-meshheading:12730114-Amino Acid Sequence, pubmed-meshheading:12730114-Apoferritins, pubmed-meshheading:12730114-Cataract, pubmed-meshheading:12730114-Cation Transport Proteins, pubmed-meshheading:12730114-Child, pubmed-meshheading:12730114-Child, Preschool, pubmed-meshheading:12730114-Female, pubmed-meshheading:12730114-Ferritins, pubmed-meshheading:12730114-Gene Deletion, pubmed-meshheading:12730114-Humans, pubmed-meshheading:12730114-Iron, pubmed-meshheading:12730114-Iron Metabolism Disorders, pubmed-meshheading:12730114-Iron Regulatory Protein 1, pubmed-meshheading:12730114-Male, pubmed-meshheading:12730114-Middle Aged, pubmed-meshheading:12730114-Molecular Sequence Data, pubmed-meshheading:12730114-Point Mutation
pubmed:year
2003
pubmed:articleTitle
Molecular analyses of patients with hyperferritinemia and normal serum iron values reveal both L ferritin IRE and 3 new ferroportin (slc11A3) mutations.
pubmed:affiliation
INSERM U409, Faculte Xavier Bichat, 16 rue Henri Huchard, BP 416, 75870 Paris cedex 18, France.
pubmed:publicationType
Journal Article