Objective To investigate a new type of HFE gene mutation in a family with hereditary hemochromatosis( HH). Methods The analysis of HFE gene was performed for one patient with a confirmed diagnosis of HH and five relatives. Blood genomic DNA was extracted and PCR multiplication was performed for the exon and intron splice sequences of related HFE,HJV,HAMP,transferrin receptor 2( TfR2),and SLC40A1 genes. After agarose gel electrophoresis and purification,bi- directional direct sequencing was performed to detect mutation sites. Results The proband had abnormal liver function and increases in serum iron,total iron binding capacity,serum ferritin,and transferrin saturation,as well as T→C homozygous mutation in the fourth base of intron 2 in the intervening sequence of the exon EXON2 of HFE gene( IVs 2 + 4T→C,C / C homozygous,splicing,abnormal). There were no abnormalities in HJV,HAMP,TfR2,and SLC40A1 genes. The proband's son had the same homozygous mutation,three relatives had heterozygous mutations,and one relative had no abnormal mutations. Conclusion Gene detection plays an important role in the diagnosis of hemochromatosis,and IVs 2 + 4T→C mutation may be a new pathogenic mutation for HH in China.
[1]European Association for the Study of the Liver.EASL clinical practice guidelines for HFE hemochromatosis[J].J Hepatol,2010,53(1):3-22.
|
[2]BACON BR,ADAMS PC,KOWDLEY KV,et al.Diagnosis and management of hemochromatosis:2011 practice guideline by the American Association for the Study of Liver Diseases[J].Hepatology,2011,54(1):328-343.
|
[3]BLACHIER M,LELEU H,PECK-RADOSAVLJEVIC M,et al.The burden of liver disease in Europe:a review of available epidemiological data[J].J Hepatol,2013,58(3):593-608.
|
[4]ZOLLER H,HENNINGER B.Pathogenesis,diagnosis and treatment of hemochromatosis[J].Dig Dis,2016,34(4):364-373.
|
[5]KATSAROU MS,LATSI R,PAPASAVVA M,et al.Populationbased analysis of the frequency of HFE gene polymorphisms:correlation with the susceptibility to develop hereditary hemochromatosis[J].Mol Med Rep,2016,14(1):630-636.
|
[6]JIANG J,HUANG JM,QIAN W,et al.Clinical research and preliminarily exploration of genetic basis on a hereditary hemachromatosis pedigree[J].Chin J Hepatol,2010,18(11):842-844.(in Chinese)江军,黄金明,钱伟,等.一个遗传性血色病家系的临床特点及其遗传基础初探[J].中华肝脏病杂志,2010,18(11):842-844.
|
[7]Mc DONALD CJ,WALLACE DF,CRAWFORD DH,et al.Iron storage disease in Asia-Pacific populations:the importance of nonHFE mutations[J].Gastroenterol Hepatol,2013,28(7):1087-1094.
|
[8]WALLACE DF,SUMMERVILLE L,CRAMPTON EM,et al.Combined deletion of Hfe and transferrin receptor 2 in mice leads to marked dysregulation of hepcidin and iron overload[J].Hepatology,2009,50(6):1992-2000.
|
[9]PAPANIKOLAOU G,SAMUELS ME,GOLDBERG YP,et al.Mutations in HFE2 cause iron overload in chromosome 1q-linked juvenile hemochromatosis[J].Nat Genet,2004,36(1):77-82.
|
[10]HUANG FW,RUBIO-ALIAGA I,KUSHNER JP,et al.Identification of a novel mutation(C321X)in HJV[J].Blood,2004,104(7):2176-2177.
|
[11]LI SF,XUE J,ZHANG L,et al.Two middle-age-onset hemochromatosis patients with heterozygous mutations in the hemojuvelin gene in a Chinese family[J].Int J Hematol,2014,99(4):487-492.
|
[12]CAMASCHELLA C,ROETTO A,CALIA,et al.The gene TFR2 is mutated in a new type of haemochromatosis mapping to 7q22[J].Nat Genet,2000,25(1):14-15.
|
[13]CHEN J,ENNS CA.Hereditary hemochromatosis and transferrin receptor 2[J].Biochim Biophys Acta,2012,1820(3):256-263.
|
[14]OLYNYK JK,TRINDER D,RAMM GA,et al.Hereditary hemochromatosis in the post-HFE era[J].Hepatology,2008,48(3):991-1001.
|
[15]ACTONRT,BARTON JC,SNIVELY BM,et al.Geographic and racial/ethnic differences in HFE mutation frequencies in the Hemochromatosis and Iron Overload Screening(HEIRS)Study[J].Ethn Dis,2006,16(4):815-821.
|
[1] | Mengke WANG, Shousheng LIU, Xueru CHU, Yifen WANG, Yongning XIN. Construction of Pnpla3 I148M and Tm6sf2 E167K double mutant mouse model[J]. Journal of Clinical Hepatology, 2022, 38(8): 1784-1789. doi: 10.3969/j.issn.1001-5256.2022.08.013 |
[2] | Yaxin HU, Zhuo CHENG, Shuo CONG, Yongmei LIU, Baofang ZHANG, Yu LEI, Zhao YAN, Yiwei ZHANG, Xi PU, Lei YU, Mingliang CHENG. Whole genome analysis of a Wilson's disease family[J]. Journal of Clinical Hepatology, 2022, 38(7): 1616-1619. doi: 10.3969/j.issn.1001-5256.2022.07.029 |
[3] | Jie ZHOU, Jinmao LIAO, Ling LIAO, Huanchun YANG, Zhan LIU. A rare ATP7B genotype identified in the siblings with hepatolenticular degeneration and their pedigree analysis[J]. Journal of Clinical Hepatology, 2022, 38(5): 1122-1125. doi: 10.3969/j.issn.1001-5256.2022.05.029 |
[4] | Shuduo WU, Yibo ZHAN, Xinhua LI, Changlei XU, Minling CAO, Xiaoling CHI. Hereditary hemochromatosis with multiple organ damage caused by HJV gene mutation in adults: A case report[J]. Journal of Clinical Hepatology, 2022, 38(11): 2571-2574. doi: 10.3969/j.issn.1001-5256.2022.11.026 |
[5] | Yingyue HU, Lisha LU, Zhenmao LI, Liangping LI, Lei LEI. A case of hereditary hemochromatosis with diabetic ketoacidosis as the manifestation[J]. Journal of Clinical Hepatology, 2021, 37(5): 1177-1179. doi: 10.3969/j.issn.1001-5256.2021.05.040 |
[6] | Lin Jian, Fang XueQing, Song YouLiang. A case of recurrent liver dysfunction caused by NBAS gene mutation[J]. Journal of Clinical Hepatology, 2020, 36(9): 2069-2071. doi: 10.3969/j.issn.1001-5256.2020.09.034 |
[7] | Luo Min, Liu YiHan, Deng ZeBin, Yang BinYi, Liu NingYuan, Huo JiRong. An excerpt of ACG clinical guideline: Hereditary hemochromatosis (2019)[J]. Journal of Clinical Hepatology, 2020, 36(1): 53-56. doi: 10.3969/j.issn.1001-5256.2020.01.011 |
[8] | Han Yue, Zhang XinXin. Genetic diagnosis of hereditary hemochromatosis[J]. Journal of Clinical Hepatology, 2019, 35(8): 1673-1679. doi: 10.3969/j.issn.1001-5256.2019.08.004 |
[9] | Zhu Min, Li DongYing, Du BaiXue, Li JianSheng. A case of hemochromatosis with anemia and severe jaundice[J]. Journal of Clinical Hepatology, 2017, 33(4): 742-743. doi: 10.3969/j.issn.1001-5256.2017.04.033 |
[10] | Mou WenQian, Li ChunYan, Chen YanPing. A case of secondary hemochromatosis[J]. Journal of Clinical Hepatology, 2016, 32(9): 1789-1790. doi: 10.3969/j.issn.1001-5256.2016.09.034 |
[11] | An BaiQuan, Xin YongNing, Lu LinLin, Xuan ShiYing. Effect of PNPLA3 I148M mutation on expression of TGF- β1 in rat hepatic stellate cells[J]. Journal of Clinical Hepatology, 2016, 32(4): 769-771. doi: 10.3969/j.issn.1001-5256.2016.04.035 |
[12] | Lu: TingXia, Zhang Wei, Li XiaoJin, Xu AnJian, Zhao XinYan, Ou XiaoJuan, Huang Jian. Characteristics of gene mutation in Chinese patients with hereditary hemochromatosis[J]. Journal of Clinical Hepatology, 2016, 32(8): 1571-1574. doi: 10.3969/j.issn.1001-5256.2016.08.028 |
[13] | Lei Man, He Song. Study of HBV- X gene mutation among patients with HBV- related chronic hepatitis, liver cirrhosis, and primary liver cancer[J]. Journal of Clinical Hepatology, 2014, 30(6): 531-536. doi: 10.3969/j.issn.1001-5256.2014.06.013 |
[14] | Yang YanLin, Xiao Ping, Gao Peng, Wang LiMing, Wei XiSheng, He Qiang, Zhou Ping. Distribution of HBV genotypes and YMDD mutations in E antigen-positive patients[J]. Journal of Clinical Hepatology, 2012, 28(6): 428-430. |
[15] | Jin WenWen, Xin YongNing, Dong QuanJiang, Zhao ShouFeng, Yu XinJuan, Jiang Man, Xu Jing, Xuan ShiYing. The preliminary study on the relationship between hepatitis B virus BCP gene mutations and HBV-related primary hepatocellular carcinoma in Qingdao[J]. Journal of Clinical Hepatology, 2012, 28(2): 130-134. |
[16] | Li AiHua, Huang JinMing, Kong XiangQuan, Ye Jin, Hou XiaoHua. The magnetic resonance imaging findings in a hereditary hemochromatosis pedigree[J]. Journal of Clinical Hepatology, 2011, 27(3): 302-305. |
[17] | Zhao Pan, Zhong YanWei, Xu DongPing. A181 site mutation in HBV reverse transcriptase region on chronic HBV-infected patients during Entecavir therapy[J]. Journal of Clinical Hepatology, 2011, 27(3): 289-291. |
[18] | Feng ShaoChun, Wang Shan, Chen Hong. Report of a patient with hereditary hemochromatosis[J]. Journal of Clinical Hepatology, 2011, 27(10): 1100-1101. |
[19] | Duan WeiJiaYi, Jia JiDong. The European Society of Hepatology (EASL)2010 Guidelines for the Clinical Diagnosis and Treatment of HFE Gene-Related Hematochromia [J]. Journal of Clinical Hepatology, 2010, 26(4): 348-348. |
[20] | Luo LiSha, Zhang JiWan, Zhou JianLi, Kang Ning, He PengFei, Long Li, Zhang XiaoFang, Zhao ZhiYong, Wang HaiBin. Changes on the spots mutation of complement receptor type 1 and on erythrocytes immune adhesion function in HBeAg positive hepatitis patients[J]. Journal of Clinical Hepatology, 2010, 26(6): 635-637. |
1. | 张海静,邵雪,杨岚岚,张传辉,张倩,金珍婧. 继发性含铁血黄素沉积症1例. 肝脏. 2019(10): 1215-1217 . ![]() | |
2. | 刘亚平,刘晓,刘楠,段雪飞. 酒精性肝硬化继发性血色病1例. 中国肝脏病杂志(电子版). 2019(03): 85-88 . ![]() |