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Blood, 1 April 2004, Vol. 103, No. 7, pp. 2841-2843.
Prepublished online as a Blood First Edition Paper on December 4, 2003; DOI 10.1182/blood-2003-09-3358.


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RED CELLS
Brief report

Hepcidin, a candidate modifier of the hemochromatosis phenotype in mice

Gaël Nicolas, Nancy C. Andrews, Axel Kahn, and Sophie Vaulont

From the Institut National de la Santé et de la Recherche Médicale 409, Faculté de Médecine Xavier Bichat, Paris, France; Howard Hughes Medical Institute, Children's Hospital, Harvard Medical School, Boston, MA; and Département de Génétique, Développement et Pathologie Moléculaire, Institut Cochin, Institut National de la Santé et de la Recherche Médicale, Centre National de la Recherche Scientifique, et Université René Descartes, Faculté de Médecine Cochin-Port Royal, Paris, France.

Hereditary hemochromatosis (HH) type I is a disorder of iron metabolism caused by a mutation in the HFE gene. Whereas the prevalence of the mutation is very high, its penetrance seems very low. The goal of our study was to determine whether hepcidin, a recently identified iron-regulatory peptide, could be a genetic modifier contributing to the HH phenotype. In mice, deficiency of either HFE (Hfe-/-) or hepcidin (Usf2-/-) is associated with the same pattern of iron overload observed in patients with HH. We intercrossed Hfe-/- and Usf2+/- mice and asked whether hepcidin deficiency increased the iron burden in Hfe-/- mice. Our results showed that, indeed, liver iron accumulation was greater in the Hfe-/-Usf2+/- mice than in mice lacking Hfe alone. This result, in agreement with recent findings in humans, provides a genetic explanation for some variability of the HH phenotype. (Blood. 2004;103: 2841-2843)


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