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Blood, 1 June 2005, Vol. 105, No. 11, pp. 4527-4531.
Prepublished online as a Blood First Edition Paper on January 25, 2005; DOI 10.1182/blood-2004-09-3468.


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Submitted September 13, 2004
Accepted January 13, 2005

Redox active plasma iron in C282Y/C282Y hemochromatosis

Caroline Le Lan, Olivier Loreal, Tally Cohen, Martine Ropert, Hava Glickstein, Fabrice Laine, Michel Pouchard, Yves Deugnier, Andre Le Treut, William Breuer, Z I Cabantchik, and Pierre Brissot*

Service des Maladies du Foie and INSERM U-522, University Hospital Pontchaillou, Rennes, France
Department of Biological Chemistry, Institute of Life Sciences, Hebrew University of Jerusalem, Jerusalem, Israel
Laboratoire de Biochimie Generale et Enzymologie, University Hospital Pontchaillou, Rennes, France
Centre d'examen de Sante, CPAM, Rennes, France

* Corresponding author; email: pierre.brissot{at}univ-rennes1.fr.

Labile Plasma Iron (LPI) represents the redox active component of Non-Transferrin-Bound Iron (NTBI). Its presence in thalassemic patients has been recently reported (Esposito, Blood, 2003). The aim of the present study was to quantify LPI in HFE-1 Genetic Hemochromatosis (GH) and to characterize the mechanisms accounting for its appearance. We studied 159 subjects subdivided into: i) 23 iron overloaded GH; ii) 14 iron-depleted GH; iii) 26 Dysmetabolic hepatosiderosis; iv) 33 Alcoholic cirrhosis; v) 63 Normal controls. Results: (i): Both NTBI and LPI were substantially higher in iron overloaded GH than in iron depleted GH or normal controls. (ii) LPI was significantly correlated with serum transaminase increase in this group. (iii) LPI was elevated in the alcoholic cirrhosis subgroup of severely affected patients. iv) LPI was found essentially when transferrin saturation exceeded 75%, regardless of the etiological condition. v) Transferrin saturation above 75% was related to iron overload in GH and to liver failure in alcoholic cirrhosis. Conclusions: LPI is present in C282Y/C282Y hemochromatosis and may be a marker of toxicity due to its potential for catalysing the generation of reactive oxygen radicals in vivo.


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