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Blood, 15 May 2006, Vol. 107, No. 10, pp. 4168-4170.
Prepublished online as a Blood First Edition Paper on January 26, 2006; DOI 10.1182/blood-2005-10-4269.
Previous Article | Next Article 
Submitted October 27, 2005
Accepted January 12, 2006
Two new human DMT1 gene mutations in a patient with microcytic anemia, low ferritinemia, and liver iron overload
Carole Beaumont*, Jean Delaunay, Gilles Hetet, Bernard Grandchamp, Mariane de Montalembert, and Gil Tchernia
INSERM U773, Centre de Recherche Biomedicale Bichat Beaujon, Paris, France
Centre de Reference des Maladies Constitutionnelles du Globule Rouge et de l'Erythropoiese, AP-HP, Hopital Bicetre, Le Kremlin Bicetre, France; INSERM, U473, Hopital Bicetre; Universite Paris 11, Faculte de Medecine Paris-Sud, Le Kremlin Bicetre, France
Service de Biochimie Hormonale et Genetique, AP-HP, Hopital Bichat, Paris, France
INSERM U773, Centre de Recherche Biomedicale Bichat Beaujon, Paris, France; Service de Biochimie Hormonale et Genetique, AP-HP, Hopital Bichat, Paris, France
Centre de Reference des Maladies Constitutionnelles du Globule Rouge et de l'Erythropoiese, AP-HP, Hopital Bicetre, Le Kremlin Bicetre, France
* Corresponding author; email: beaumont{at}bichat.inserm.fr.
DMT1 mediates the pH-dependent uptake of Fe2+ from the diet in duodenal enterocytes and in most other cells. It transfers iron from the endosomes to the cytosol following the uptake of the transferrin-transferrin receptor complex. DMT1 mutations are responsible for severe hypochromic microcytic anemia in rodents and in two human patients described recently. We report a compound heterozygote for two new DMT1 mutations, associated with microcytic anemia from birth and progressive liver iron overload. The first mutation is a GTG deletion in exon 5, leading to the V114 in-frame deletion in transmembrane domain 2, and the second a G >T substitution in exon 8 leading to the G212V replacement in transmembrane domain 5. Together with the two previously reported cases, this patient defines a new syndrome of congenital microcytic hypochromic anemia, poorly responsive to oral iron treatment, with liver iron overload associated paradoxically with normal to moderately elevated serum ferritin levels.

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