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HFE gene mutation, C282Y causing hereditary hemochromatosis in Caucasian is extremely rare in Korean population
1Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea.
Insights
Hereditary hemochromatosis (HFE) is rare in Koreans. Genetic testing found no C282Y HFE mutations in 502 individuals, indicating significant ethnic differences in HFE prevalence.
Area of Science:
- Genetics
- Internal Medicine
- Population Health
Background:
- Hereditary hemochromatosis (HFE) is an iron overload disorder common in Western populations.
- The C282Y mutation in the HFE gene is the primary cause of HFE in Caucasians.
- Previous reports suggest a low prevalence of HFE in Asian populations, hinting at ethnic heterogeneity.
Purpose of the Study:
- To investigate the prevalence of the C282Y HFE gene mutation in the Korean population.
- To determine the frequency of heterozygosity and homozygosity for this mutation.
Main Methods:
- Genotyping analysis of the HFE gene.
- Study included 502 unrelated Korean individuals.
Main Results:
- No C282Y HFE mutations were detected in any of the 502 participants.
- This finding contrasts sharply with the known prevalence in Caucasian populations.
Conclusions:
- The C282Y HFE mutation is virtually absent in the Korean population.
- This ethnic difference suggests genetic factors contribute to HFE prevalence variations.
- The study helps differentiate HFE from other iron overload conditions in Koreans.
Abstract:
Hereditary hemochromatosis (HFE), which affects 1 in 400 and has an estimated carrier frequency of 1 in 10 individuals in Western population, results in multiple organ damage caused by iron deposition, and is treatable if detected early. C282Y mutation in HFE gene has been known to be responsible for the most hereditary hemochromatosis cases and 5-10% of white subjects are heterozygous for this mutation. However, the prevalence of hemochromatosis in the Asian population was reported to be very low and ethnic heterogeneity has been suspected. The aim of our study was to determine the prevalence of heterozygosity and homozygosity for the C282Y HFE gene mutations in 502 unrelated Koreans. Results revealed that none of them had the mutant gene, suggesting a significant ethnic difference when compared with Caucasians. Our study excluded underlying possibility of hereditary hemochromatosis in Korean which could mimic the findings of alcoholic liver disease with iron overload or liver cirrhosis with chronic hepatitis C.
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