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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.
Objective:
We aimed to investigate the effect of human hemochromatosis protein (HFE) polymorphisms on cardiac iron overload in patients with beta-thalassemia major.
Methods:
Our study included 33 patients diagnosed with beta-thalassemia major who were treated with regular transfusions and chelation therapy. M-mode, tissue Doppler, and pulsed wave Doppler echocardiography were performed on all patients. T2* magnetic resonance imaging (MRI) scans were also performed. The HFE polymorphisms (H63D, C282Y, S65C, Q283P, E168Q, E168X, W169X, P160delC, Q127H, H63H, V59M, and V53M) were studied using polymerase chain reaction.
Results:
The H63D polymorphism was detected in six patients with beta-thalassemia major. Five patients were heterozygous for the H63D polymorphism, while one was homozygous. There were no other polymorphisms. There was no relationship between the HFE polymorphisms and either the serum ferritin levels or the T2-weighted MRI values (P > .05). Moreover, conventional echo and tissue Doppler echo findings were not correlated with the HFE polymorphisms. Pulmonary vein atrial reversal flow velocity, which is a manifestation of diastolic dysfunction measured with pulse wave echo, was higher in the patients with HFE polymorphisms (P = .036).
Conclusions:
The HFE polymorphisms had no effect on cardiac iron overload. However, pulmonary vein atrial reversal flow velocity measurements can provide important information for detecting diastolic dysfunction during cardiac follow-up of patients with HFE polymorphisms. Studies with more patients are needed to provide more information regarding this matter.
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Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
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