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Hernández G, Ferrer-Cortès X, Venturi V, Musri M, Pilquil MF, Torres PMM, Rodríguez IH, Mínguez MÀR, Kelleher NJ, Pelucchi S, Piperno A, Alberca EP, Ricós GG, Giró EC, Pérez-Montero S, Tornador C, Villà-Freixa J, Sánchez M. New Mutations in HFE2 and TFR2 Genes Causing Non HFE-Related Hereditary Hemochromatosis. Genes (Basel) 2021; 12:genes12121980. [PMID: 34946929 PMCID: PMC8702017 DOI: 10.3390/genes12121980] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 12/07/2021] [Accepted: 12/08/2021] [Indexed: 01/04/2023] Open
Abstract
Hereditary hemochromatosis (HH) is an iron metabolism disease clinically characterized by excessive iron deposition in parenchymal organs such as liver, heart, pancreas, and joints. It is caused by mutations in at least five different genes. HFE hemochromatosis is the most common type of hemochromatosis, while non-HFE related hemochromatosis are rare cases. Here, we describe six new patients of non-HFE related HH from five different families. Two families (Family 1 and 2) have novel nonsense mutations in the HFE2 gene have novel nonsense mutations (p.Arg63Ter and Asp36ThrfsTer96). Three families have mutations in the TFR2 gene, one case has one previously unreported mutation (Family A-p.Asp680Tyr) and two cases have known pathogenic mutations (Family B and D-p.Trp781Ter and p.Gln672Ter respectively). Clinical, biochemical, and genetic data are discussed in all these cases. These rare cases of non-HFE related hereditary hemochromatosis highlight the importance of an earlier molecular diagnosis in a specialized center to prevent serious clinical complications.
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Affiliation(s)
- Gonzalo Hernández
- Iron Metabolism: Regulation and Diseases Group, Department of Basic Sciences, Universitat Internacional de Catalunya (UIC), 08195 Sant Cugat del Vallès, Spain; (G.H.); (X.F.-C.); (V.V.)
- BloodGenetics S.L., Diagnostics in Inherited Blood Diseases, 08950 Esplugues de Llobregat, Spain; (M.M.); (S.P.-M.); (C.T.)
| | - Xenia Ferrer-Cortès
- Iron Metabolism: Regulation and Diseases Group, Department of Basic Sciences, Universitat Internacional de Catalunya (UIC), 08195 Sant Cugat del Vallès, Spain; (G.H.); (X.F.-C.); (V.V.)
- BloodGenetics S.L., Diagnostics in Inherited Blood Diseases, 08950 Esplugues de Llobregat, Spain; (M.M.); (S.P.-M.); (C.T.)
| | - Veronica Venturi
- Iron Metabolism: Regulation and Diseases Group, Department of Basic Sciences, Universitat Internacional de Catalunya (UIC), 08195 Sant Cugat del Vallès, Spain; (G.H.); (X.F.-C.); (V.V.)
| | - Melina Musri
- BloodGenetics S.L., Diagnostics in Inherited Blood Diseases, 08950 Esplugues de Llobregat, Spain; (M.M.); (S.P.-M.); (C.T.)
| | - Martin Floor Pilquil
- Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain; (M.F.P.); (P.M.M.T.); (J.V.-F.)
- Department of Biosciences, Faculty of Sciences and Technology, Universitat de Vic—Universitat Central de Catalunya, 08500 Vic, Spain
| | - Pau Marc Muñoz Torres
- Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain; (M.F.P.); (P.M.M.T.); (J.V.-F.)
| | | | - Maria Àngels Ruiz Mínguez
- Department of Laboratory Medicine/Fundació Hospital de l’Esperit Sant, 08923 Santa Coloma de Gramenet, Spain;
| | | | - Sara Pelucchi
- Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy; (S.P.); (A.P.)
| | - Alberto Piperno
- Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy; (S.P.); (A.P.)
- Medical Genetics—ASST-Monza, S. Gerardo Hospital, 20900 Monza, Italy
- Centre for Rare Diseases—Disorders of Iron Metabolism—ASST-Monza, San Gerardo Hospital, 20900 Monza, Italy
| | - Esther Plensa Alberca
- Hematologia i Hemoteràpia, Consorci Sanitari del Maresme, Institut Català d’Oncologia, 08304 Mataró, Spain; (E.P.A.); (G.G.R.); (E.C.G.)
| | - Georgina Gener Ricós
- Hematologia i Hemoteràpia, Consorci Sanitari del Maresme, Institut Català d’Oncologia, 08304 Mataró, Spain; (E.P.A.); (G.G.R.); (E.C.G.)
| | - Eloi Cañamero Giró
- Hematologia i Hemoteràpia, Consorci Sanitari del Maresme, Institut Català d’Oncologia, 08304 Mataró, Spain; (E.P.A.); (G.G.R.); (E.C.G.)
| | - Santiago Pérez-Montero
- BloodGenetics S.L., Diagnostics in Inherited Blood Diseases, 08950 Esplugues de Llobregat, Spain; (M.M.); (S.P.-M.); (C.T.)
| | - Cristian Tornador
- BloodGenetics S.L., Diagnostics in Inherited Blood Diseases, 08950 Esplugues de Llobregat, Spain; (M.M.); (S.P.-M.); (C.T.)
| | - Jordi Villà-Freixa
- Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain; (M.F.P.); (P.M.M.T.); (J.V.-F.)
- Department of Biosciences, Faculty of Sciences and Technology, Universitat de Vic—Universitat Central de Catalunya, 08500 Vic, Spain
| | - Mayka Sánchez
- Iron Metabolism: Regulation and Diseases Group, Department of Basic Sciences, Universitat Internacional de Catalunya (UIC), 08195 Sant Cugat del Vallès, Spain; (G.H.); (X.F.-C.); (V.V.)
- BloodGenetics S.L., Diagnostics in Inherited Blood Diseases, 08950 Esplugues de Llobregat, Spain; (M.M.); (S.P.-M.); (C.T.)
- Correspondence:
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