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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2002-01-0133.

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Blood, 1 August 2002, Vol. 100, No. 3, pp. 1075-1077

BRIEF REPORT

Transferrin receptor 2 (TfR2) and HFE mutational analysis in non-C282Y iron overload: identification of a novel TfR2 mutation

Andre Mattman, David Huntsman, Gillian Lockitch, Sylvie Langlois, Noel Buskard, Diana Ralston, Yaron Butterfield, Pedro Rodrigues, Steven Jones, Graça Porto, Marco Marra, Maria De Sousa, and Greg Vatcher

From the Genes, Elements, and Metabolism Program, Children and Women's Hospital of British Columbia; the British Columbia Genome Sequencing Centre, British Columbia Cancer Agency, Vancouver, British Columbia, Canada; the Instituto de Ciências Biomedicas Abel Salazar, Hospital Geral de Santo António, and Instituto de Biologia Molecular e Celular, Porto, Portugal; the Vancouver General Hospital, Vancouver, British Columbia, Canada; and the Department of Pathology, British Columbia Cancer Agency, Vancouver, British Columbia, Canada.

Hereditary hemochromatosis (HH) is classically associated with a Cys282Tyr (C282Y) mutation of the HFE gene. Non-C282Y HH is a heterogeneous group accounting for 15% of HH in Northern Europe. Pathogenic mutations of the transferrin receptor 2 (TfR2) gene have been identified in 4 Italian pedigrees with the latter syndrome. The goal of this study was to perform a mutational analysis of the TfR2 and HFE genes in a cohort of non-C282Y iron overload patients of mixed ethnic backgrounds. Several sequence variants were identified within the TfR2 gene, including a homozygous missense change in exon 17, c2069 Aright-arrowC, which changes a glutamine to a proline residue at position 690. This putative mutation was found in a severely affected Portuguese man and 2 family members with the same genotype. In summary, pathologic TfR2 mutations are present outside of Italy, accounting for a small proportion of non-C282Y HH.

© 2002 by The American Society of Hematology.
 

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