The effect of HFE polymorphisms on cardiac iron overload in patients with beta-thalassemia major

Aysen Turedi1, Yesim Oymak, Timur Meşe

  • 1Department of Pediatric Hematology, Diyarbakir Children's Hospital , Diyarbakir , Turkey.

Insights

Human hemochromatosis protein (HFE) polymorphisms did not affect cardiac iron overload in beta-thalassemia major patients. However, these polymorphisms may indicate diastolic dysfunction detected by pulmonary vein flow velocity.

Area of Science:

  • Cardiology
  • Genetics
  • Hematology

Background:

  • Beta-thalassemia major patients often develop cardiac iron overload due to regular transfusions.
  • Human hemochromatosis protein (HFE) gene polymorphisms are associated with iron metabolism.
  • The impact of HFE polymorphisms on cardiac iron in beta-thalassemia major is not well understood.

Purpose of the Study:

  • To investigate the association between HFE gene polymorphisms and cardiac iron overload.
  • To evaluate cardiac function using echocardiography and MRI in patients with beta-thalassemia major and HFE polymorphisms.

Main Methods:

  • 33 beta-thalassemia major patients undergoing transfusion and chelation therapy were studied.
  • Echocardiography (M-mode, tissue Doppler, pulsed wave Doppler) and T2* MRI were performed.
  • Polymerase chain reaction was used to analyze HFE polymorphisms (H63D, C282Y, etc.).

Main Results:

  • The H63D polymorphism was found in 6 patients; no other polymorphisms were detected.
  • No significant correlation was observed between HFE polymorphisms and serum ferritin or cardiac iron levels (T2* MRI).
  • Pulmonary vein atrial reversal flow velocity, indicative of diastolic dysfunction, was significantly higher in patients with HFE polymorphisms (P = .036).

Conclusions:

  • HFE polymorphisms do not influence cardiac iron overload in beta-thalassemia major.
  • Pulmonary vein atrial reversal flow velocity may serve as an early marker for diastolic dysfunction in these patients.
  • Further research with larger cohorts is recommended to elucidate the role of HFE polymorphisms.
Abstract

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