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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2001-11-0132.

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Blood, 15 July 2002, Vol. 100, No. 2, pp. 695-697

BRIEF REPORT

Autosomal dominant reticuloendothelial iron overload associated with a 3-base pair deletion in the ferroportin 1 gene (SLC11A3)

Vinod Devalia, Kymberley Carter, Ann P. Walker, Stephen J. Perkins, Mark Worwood, Alison May, and James S. Dooley

From the Department of Haematology, Princess of Wales Hospital, Bridgend, United Kingdom; the Department of Haematology, University of Wales College of Medicine, Heath Park, Cardiff; the Centre for Hepatology, Department of Medicine, Royal Free and University College Medical School, University College London, Royal Free Campus; and the Department of Biochemistry and Molecular Biology, Royal Free and University College Medical School, University College London, all from United Kingdom.

We describe a family with autosomal dominant inheritance of increased body iron stores characterized by raised serum ferritin concentration and normal transferrin saturation. Liver biopsy showed iron deposition in Kupffer cells without fibrosis. The clinical features of HFE-related hemochromatosis were absent, as were the Cys282Tyr and His63Asp mutations. Venesection therapy was poorly tolerated, suggesting a defect in iron release from reticuloendothelial stores. A 3-base pair deletion in exon 5 of the ferroportin 1 gene (SLC11A3) predicting Val162 deletion was found in affected members, but not in unaffected individuals or in 100 control subjects. Consensus structural predictions of the transmembrane helices showed that the deletion is in the extracellular loop between the third and fourth predicted transmembrane helices and lies within a spatial cluster of other known ferroportin 1 mutations. These results indicate that this extracellular cluster is functionally important for iron transport, and its disruption leads to iron overload.

© 2002 by The American Society of Hematology.
 

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