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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 A C, 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.

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