The relation of iron status and hemochromatosis gene mutations in patients with chronic hepatitis C.

Abstract:

BACKGROUND & AIMS:Elevated hepatic iron concentration may affect the response to antiviral therapy in chronic hepatitis C. This study explored the contribution of genetic hemochromatosis to iron accumulation in chronic hepatitis C. METHODS:HFE mutations (C282Y and H63D) were assessed in 184 patients with chronic hepatitis C virus and 487 controls. Liver biopsy specimens were available in 149 patients. Hepatic iron content was measured in 114 patients by atom-absorption spectrophotometry. RESULTS:The C282Y and H63D allele frequencies were 7.06 and 11.6 in patients and 4.83 and 11.09 in controls, respectively. Eight patients were homozygotes (5 C282Y [2.7%] and 3 H63D [1.6%]), 2 compound heterozygotes (1%), and 49 heterozygotes (14 C282Y [7.6%] and 35 H63D [19%]). Biochemical evidence of iron overload was more common in patients with HFE mutations (28 of 47) than in those without (34 of 102; P = 0.0045). Histological iron grading and hepatic iron content overlapped among patients with or without mutations. A hepatic iron index of >1.9 was observed only in 1 of the 4 C282Y homozygotes and 1 of the 3 H63D homozygotes. CONCLUSIONS:HFE mutations contribute to but do not fully explain hepatic iron accumulation in chronic hepatitis C. Furthermore, C282Y or H63D homozygosity in chronic hepatitis C is not necessarily associated with a high hepatic iron content.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Kazemi-Shirazi L,Datz C,Maier-Dobersberger T,Kaserer K,Hackl F,Polli C,Steindl PE,Penner E,Ferenci P

doi

10.1016/s0016-5085(99)70236-2

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

127-34

issue

1

eissn

0016-5085

issn

1528-0012

pii

S0016508599000384

journal_volume

116

pub_type

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