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Part of the book series: Current Clinical Practice ((CCP))

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Abstract

Genetic hemochromatosis is an autosomal recessive disorder in which an inappropriate increase in the absorption of dietary iron is associated with accumulation of this metal within liver cells and in other sites of the body (1). The gene for hemochromatosis has been localized by genetic linkage to the histocompatibility leukocyte antigen (HLA) locus (2–4) on chromosome 6. The genetic mutation that gave rise to hemochromatosis seems to originate in a Celtic individual (5). Genetic and population screening studies indicate that the disease occurs in about 1 in 300 of the Caucasian population (5). A candidate gene for hemochromatosis has only recently been identified with the predicted gene product, MHC-H, being a protein that bears resemblance to other major histocompatability (MHC) proteins (6).

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References

  1. Powell LW, Jazwinska E, Halliday JW. Primary iron overload. In: Brook JH, Halliday JW, Pippard MJ, Powell LW, eds. Iron metabolism in health and disease. Saunders, London, 1994, pp. 227–270.

    Google Scholar 

  2. Simon M, Bourel M, Fauchet R, Genetet BG. Association of HLA-A3 and HLA-B1 antigens with idiopathic hemochromatosis. Gut 1976;17:332–334.

    Article  PubMed  CAS  Google Scholar 

  3. Simon M, Bourel M, Genetet B, Fauchet R. Idiopathic hemochromatosis: demonstration of recessive transmission and early detection by family HLA typing. N Engl J Med 1977;297:1017–1021.

    Article  PubMed  CAS  Google Scholar 

  4. Edwards CQ, Caroli M, Bray P, Cartwright GE. Hereditary hemochromatosis. N Engl J Med 1977;297:7–13.

    Article  PubMed  CAS  Google Scholar 

  5. Simon M, LeMignon L, Fauchet R, et al. A study of 609 HLA haplotypes marking for the hemochromatosis gene (1) mapping of the gene near the HLA-A locus and characters required to define a heterozygous population and (2) hypothesis concerning the underlying cause of hemochromatosis HLA association. Am J Hum Genet 1987;41:89–105.

    PubMed  CAS  Google Scholar 

  6. Feder JN, Gnirke A, Thomas W, et al. A novel MHC class 1-like gene is mutated in patients with hereditary haemochromatosis. Nat Gen 1996; 13:399–408.

    Article  CAS  Google Scholar 

  7. Whittaker P, Skikne BS, Covell AM, et al. Duodenal iron proteins in idiopathic hemochromatosis. J Clin Invest 1989;83:261–268.

    Article  PubMed  CAS  Google Scholar 

  8. Fracanzani AL, Fargion S, Romano R, Piperno A, Arosio P, Ruggeri G, Ronchi G, Fiorelli G. Immunohis-tochemical evidence for a lack of ferri tin in duodenal absorptive epithelial cells in idiopathic hemochromatosis. Gastroenterology 1989;96:1071–1078.

    Google Scholar 

  9. Lombard M, Bomford AB, Polson RJ, Bellingham AJ, Williams R. Differential expression of transferrin receptor in duodenal mucosa in iron overload; evidence for a site-specific defect in genetic hemochromatosis. Gastroenterology 1990;98:976–984.

    Article  PubMed  CAS  Google Scholar 

  10. McLaren GD, Nathanson MH, Jacobs A, Trevett D, Thomson W. Regulation of intestinal iron absorption and mucosal iron kinetics in hereditary hemochromatosis. J Lab Clin Med 1991;117:390–401.

    PubMed  CAS  Google Scholar 

  11. Pietrangelo A, Rocchi E, Casalgrandi G, Rigo G, Ferrari A, Perini M, Ezio V, Cairo G. Regulation of transferrin, transferrin receptor, and ferritin genes in human duodenum. Gastroenterology 1992; 102:802–809.

    PubMed  CAS  Google Scholar 

  12. Powell LW. Does transplantation of the liver cure genetic hemochromatosis? J Hepatol 1992; 16:259–261.

    Article  PubMed  CAS  Google Scholar 

  13. Bacon BR, Britton RS. The pathology of hepatic iron overload: a free radical-mediated process? Hepatology 1990;11:127–137.

    Article  PubMed  CAS  Google Scholar 

  14. Adams PC, Valberg LS. Evolving expression of hereditary hemochromatosis. Sem Liver Dis 1996; 16:47–54.

    Article  CAS  Google Scholar 

  15. Pietrangelo A. Metals, oxidative stress, and hepatic fibrogenesis. Sem Liver Dis 1996; 16:13–30.

    Article  CAS  Google Scholar 

  16. Niederau C, Fischer R, Sonnenberg A, Stremmel W, Trampesch HJ, Strohmayer G. Survival and causes of death in cirrhotic and noncirrhotic patients with primary hemochromatosis. N Engl J Med 1985;313:1256–1262.

    Article  PubMed  CAS  Google Scholar 

  17. Adams PC, Speechley M, Kertesz AE. Long-term survival analysis in hereditary hemochromatosis. Gastroen-terology 1991; 01:368–372.

    Google Scholar 

  18. Adams PC. Hepatocellular carcinoma in hereditary hemochromatosis. Can J Gastroenterol 1993;7:37–41.

    Google Scholar 

  19. Basset ML, Halliday JW, Ferris RA, Powell LW. Diagnosis of hemochromatosis in young subjects: predictive accuracy of biochemical screening tests. Gastroenterology 1984;87:628–633.

    Google Scholar 

  20. Brittenham GM, Farrell DE, Harris JW et al. Magnetic susceptibility measurement of human iron stores. N Engl J Med 1982;307:1671–1675.

    Article  PubMed  CAS  Google Scholar 

  21. Chezmar JL, Nelson RC, Malko JA, Bernardino ME. Hepatic iron overload: diagnosis and quantification by non-invasive imaging. Gastroenterol Radiol 1990; 15:27–31.

    Article  CAS  Google Scholar 

  22. Bonkovsky HL, Slaker DP, Bills EB, Wolf DC. Usefulness and limitations of laboratory and hepatic imaging studies in iron storage disease. Gastroenterology 1990;99:1079–1091.

    PubMed  CAS  Google Scholar 

  23. Gomori JM, Harev G, Tamary H, et al. Hepatic iron overload: quantitative MR imaging. Radiology 1991;179:367–369.

    PubMed  CAS  Google Scholar 

  24. Stark DD. Hepatic iron overload: paramagnetic pathology. Radiology 1991; 179:333–335.

    PubMed  CAS  Google Scholar 

  25. Mitchell DG. Hepatic imaging: techniques and unique applications of magnetic resonance imaging. Mag Res Q 1993;9:103–112.

    Google Scholar 

  26. Gandon Y, Guyader D, Heautot JF, et al. Hemochromatosis: diagnosis and quantification of liver iron with gradient-echo MR imaging. Radiology 1994; 193:533–538.

    PubMed  CAS  Google Scholar 

  27. Alt E, Sternlieb I, Goldfischer S. The cytopathology of metal overload [review]. Int Rev Exp Pathol 1990;31:165–188.

    PubMed  CAS  Google Scholar 

  28. Basset ML, Halliday JW, Powell LW. Value of hepatic iron measurements in early hemochromatosis and determination of the critical iron level associated with fibrosis. Hepatology 1986;6:24–29.

    Article  Google Scholar 

  29. Bonkovsky HL, Banner BF, Lambrecht RL, Rubin RB. Iron in liver diseases other than hemochromatosis. Sem Liv Dis 1996;16:65–82.

    Article  CAS  Google Scholar 

  30. Summers KM, Halliday JW, Powell LW. Identification of homozygous hemochromatosis subjects by measurement of hepatic iron index. Hepatology 1990; 12:20–25.

    Article  PubMed  CAS  Google Scholar 

  31. Sallie RW, Reed WD, Shilkin KB. Confirmation of the efficacy of hepatic tissue iron index in differentiating genetic hemochromatosis from alcoholic liver disease complicated by alcoholic haemosiderosis. Gut 1991;32:207–210.

    Article  PubMed  CAS  Google Scholar 

  32. Adams PC, Speechley M, Kertesz AE. Long-term survival analysis in hereditary hemochromatosis. Gastroenterology 1991;101:368–372.

    PubMed  CAS  Google Scholar 

  33. Propper RD, Shwin SB, Nathan DG. Reassessment of the use of desferioxamine B in iron overload. N Engl J Med 1977;297:418.

    Article  PubMed  CAS  Google Scholar 

  34. Farrell FJ, Nguyen M, Woodley S, et al. Outcome of liver transplantation in patients with hemochromatosis. Hepatology 1994;20:404–410.

    Article  PubMed  CAS  Google Scholar 

  35. Westra WH, Hruban RH, Baughman KL, et al. Progressive hemochromatotic cardiomyopathy despite reversal of iron deposition after liver transplantation. Am J Clin Pathol 1993;99:39–44.

    PubMed  CAS  Google Scholar 

  36. Bomford A, Williams R. Long-term results of venesection therapy in idiopathic haemochromatosis. Q J Med 1976;45:611–623.

    PubMed  CAS  Google Scholar 

  37. Vadillo M, Corbella X, Pac V, et al. Multiple liver abscesses due to Yersinia enterocolitica discloses primary hemochromatosis: Three case reports and review. Clin Infect Dis 1995;21:223,224.

    Google Scholar 

  38. Oliveri NV, Buncic JR, Chew E, et al. Visual and auditory neurotoxicity in patients receiving subcutaneous desferrioxamine infusions. N Engl J Med 1986;314:869–873.

    Article  Google Scholar 

  39. Fargion S, Mandelli C, Piperno A, et al. Survival and prognostic factors in 212 Italian patients with genetic hemochromatosis. Hepatology 1992; 15:655–659.

    Article  PubMed  CAS  Google Scholar 

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© 1998 Springer Science+Business Media New York

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Schilsky, M.L., Sternlieb, I. (1998). Genetic Hemochromatosis. In: Wu, G.Y., Israel, J. (eds) Diseases of the Liver and Bile Ducts. Current Clinical Practice. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-1808-1_18

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  • DOI: https://doi.org/10.1007/978-1-4612-1808-1_18

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4612-7293-9

  • Online ISBN: 978-1-4612-1808-1

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