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La expresión del transportador metálico duodenal (DMT-1, NRAMP-2) en pacientes con hemocromatosis hereditaria
H Zoller1, A Pietrangelo, W Vogel
1Department of Internal Medicine, University Hospital, Innsbruck, Austria.
Lancet (London, England)
|June 26, 1999
Resumen
Los pacientes con hemocromatosis hereditaria muestran un aumento de NRAMP-2 duodenal (un transportador de metales) mRNA. Esto puede explicar la absorción excesiva de hierro observada en este trastorno de sobrecarga de hierro.
Área de la Ciencia:
- Gastroenterología y Gastroenterología.
- Genética La genética.
- Biología Molecular Biología Molecular
Sus antecedentes:
- La hemocromatosis hereditaria implica un aumento inapropiado de la absorción de hierro, pero el mecanismo exacto sigue sin estar claro.
- La absorción de hierro está regulada principalmente por el transportador de metales duodenal 1 (DMT-1), también conocido como NRAMP-2.
- Este estudio investiga la expresión de NRAMP-2 en pacientes con hemocromatosis hereditaria.
Objetivo del estudio:
- Para determinar los niveles de expresión de NRAMP-2 en la mucosa duodenal de pacientes con hemocromatosis hereditaria.
- Para explorar la relación entre la expresión de NRAMP-2 y la sobrecarga de hierro en estos pacientes.
Principales métodos:
- Se obtuvieron muestras de biopsia duodenal de 20 pacientes con hemocromatosis hereditaria (C282Y homocigota) y 10 controles.
- La expresión de NRAMP-2 se cuantificó utilizando el Northern blotting y la PCR competitiva.
- Se analizaron las secuencias de ARNm NRAMP-2 en un subconjunto de pacientes y controles.
Principales resultados:
- Las manchas del norte indicaron un aumento de las concentraciones de ARNm NRAMP-2 duodenal en los pacientes.
- La PCR competitiva confirmó concentraciones significativamente más altas de ADNc de NRAMP-2 en pacientes en comparación con los controles (p<0,001).
- No se identificaron mutaciones en el ARNm NRAMP-2, y la expresión se correlacionó con la ferritina sérica en los controles, pero no en los pacientes.
Conclusiones:
- Se observa una expresión elevada del ARNm NRAMP-2 en la mucosa duodenal de pacientes con hemocromatosis hereditaria.
- Esta mayor expresión puede contribuir a una mayor absorción de hierro en el duodeno, lo que lleva a una sobrecarga de hierro en la hemocromatosis hereditaria.
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