Effect of the Hemochromatosis Mutations on Iron Overload among the Indian β Thalassemia Carriers

J Clin Lab Anal. 2017 May;31(3):e22054. doi: 10.1002/jcla.22054. Epub 2016 Aug 26.

Abstract

Background: Hereditary hemochromatosis is a disorder of iron metabolism characterized by increased iron absorption.HFE gene mutations C282Y and H63D are responsible for the majority of hereditary hemochromatosis cases.

Methods: We tried to look at the effect of HFE mutations on the iron status. A total of 100 β thalassemia traits (BTT) with 100 normal individuals were screened for the C282Y and H63D mutations using PCR-RFLP. The serum ferritin levels were determined using ELISA kit.

Results: We did not find the C282Y mutation in our study group. The allelic frequencies for H63D mutation did not differ significantly between β-thalassemia traits (8.5%) and normal controls (9%). ΒΤΤ with H63D genotype of H/D (143.16 ± 80.3 ng/ml) and D/D (504 ng/ml) showed higher ferritin levels as against H/H genotype (88.64 ± 92.43 ng/ml). The statistically significant difference was observed in the mean serum ferritin levels among the individuals showing H/H and D/D genotypes (P < 0.002) and H/D and D/D genotype (P < 0.01) in both the groups.

Conclusion: This suggests that iron load in BTT tends to aggravated with the co-inheritance of the H63D mutation. The mutant H63D gene showed the presence of haplotype 6 which is reported in the European population suggesting a common origin.

Keywords: HFE gene mutations; India; iron overload; β thalassemia.

MeSH terms

  • Ferritins / blood
  • Gene Frequency
  • Hemochromatosis / genetics*
  • Hemochromatosis Protein / genetics*
  • Hemoglobins / analysis
  • Heterozygote
  • Humans
  • India
  • Mutation / genetics
  • White People / genetics
  • beta-Thalassemia / genetics*

Substances

  • HFE protein, human
  • Hemochromatosis Protein
  • Hemoglobins
  • Ferritins