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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.

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