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Blood, 15 April 2005, Vol. 105, No. 8, pp. 3353-3355.
Prepublished online as a Blood First Edition Paper on December 21, 2004; DOI 10.1182/blood-2004-07-2814.


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Submitted July 21, 2004
Accepted December 14, 2004

Haptoglobin modifies the hemochromatosis phenotype in mice

Emanuela Tolosano*, Sharmila Fagoonee, Cinzia Garuti, Linda Valli, Nancy C Andrews, Fiorella Altruda, and Antonello Pietrangelo

Department of Genetics, Biology and Biochemistry, University of Turin, Turin, Italy; Experimental Medicine Research Center, San Giovanni Battista Hospital, Turin, Italy
Department of Genetics, Biology and Biochemistry, University of Turin, Turin, Italy
Center for Hemochromatosis, Department of Internal Medicine, University of Modena and Reggio Emilia, Modena, Italy
Division of Hematology/Oncology, Children's Hospital Boston, Boston, MA, USA; Howard Hughes Medical Institute, Harvard Medical School, Boston, MA, USA

* Corresponding author; email: emanuela.tolosano{at}unito.it.

Classic hereditary hemochromatosis (HH) is a common genetic disorder of iron metabolism caused by a mutation in the HFE gene. Whereas the prevalence of the mutation is very high, the clinical penetrance of the disease is low suggesting that the HFE mutation is a necessary but not sufficient cause of clinical HH. Several candidate modifier genes have been proposed in mice and humans, including haptoglobin. Haptoglobin is the plasma protein with the highest binding affinity for hemoglobin. It delivers free plasma hemoglobin to the reticulo-endothelial system, thus reducing loss of hemoglobin through the glomeruli and allowing heme-iron recycling. To gain insight into the role of haptoglobin as a modifier gene in HH, we used Hfe and haptoglobin double null mice. Here, we show that Hfe and haptoglobin compound mutant mice accumulate significantly less hepatic iron than Hfe-null mice, thus demonstrating that haptoglobin-mediated heme-iron recovery may contribute significantly to iron loading in HH.


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