Skip to main content
Log in

Role of genetic testing and liver biopsy in the diagnosis of hemochromatosis

  • Published:
Current Gastroenterology Reports Aims and scope Submit manuscript

Abstract

Hemochromatosis is the most common genetic disease affecting people of northern European ancestry. However, the disease is overdiagnosed in patients who do not have the disease and underdiagnosed in those with the disease. Although liver biopsy has been the standard diagnostic test for hemochromatosis, a new genetic blood test for a missense mutation (C282Y) of the HFE gene on chromosome 6 now provides a powerful noninvasive method of diagnosis. The clinical implications of this new genetic blood test compared with conventional liver biopsy in the diagnosis of hemochromatosis are discussed in this article.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References and Recommended Reading

  1. Feder JN, Gnirke A, Thomas W, et al.: A novel MHC class I-like gene is mutated in patients with hereditary hemochromatosis. Nat Genet 1996, 13:399–408. This is the original paper describing the discovery of the hemochromatosis gene.

    Article  PubMed  CAS  Google Scholar 

  2. Zhou XY, Tomatsu S, Fleming R, et al.: HFE gene knockout produces mouse model of hereditary hemochromatosis. Proc Natl Acad Sci 1998, 95:2492–2497.

    Article  PubMed  CAS  Google Scholar 

  3. Merryweather-Clarke A, Pointon J, Sherman J, Robson K: Global prevalence of putative haemochromatosis mutations. J Med Genet 1997, 34:275–278.

    Article  PubMed  CAS  Google Scholar 

  4. Niederau C, Niederau CM, Lange S, et al.: Screening for hemochromatosis and iron deficiency in employees and primary care patients in Western Germany Ann Intern Med 1998, 128:337–345.

    PubMed  CAS  Google Scholar 

  5. Ludwig J, Hashimoto E, Porayko M, et al.: Hemosiderosis in cirrhosis: a study of 447 native livers. Gastroenterology 1997, 112:882–888.

    Article  PubMed  CAS  Google Scholar 

  6. Bonkovsky H, Banner B, Rothman A: Iron and chronic viral hepatitis. Hepatology 1998, 25:759–768.

    Article  Google Scholar 

  7. Burke W, Thomson E, Khoury M, et al.: Hereditary hemochromatosis: gene discovery and its implications for populationbased screening. JAMA 1998, 280:172–178. This paper provides an overview of the topic since the discovery of the hemochromatosis gene.

    Article  PubMed  CAS  Google Scholar 

  8. Adams PC: Implications of genotyping of spouses to limit investigation of children in genetic hemochromatosis. Clin Genet 1998, 53:176–178.

    Article  PubMed  CAS  Google Scholar 

  9. Carella M, D‘Ambrosio L, Totaro A, et al.: Mutation analysis of the HLA-H gene in Italian hemochromatosis patients Am J Hum Genet 1997, 60:828–8320.

    PubMed  CAS  Google Scholar 

  10. Piperno A, Sampietro M, Pietrangelo A, et al.: Heterogeneity of hemochromatosis in Italy Gastroenterology 1998, 114:996–1002.

    Article  PubMed  CAS  Google Scholar 

  11. Adams PC, Chakrabarti S: Genotypic/phenotypic correlations in genetic hemochromatosis: evolution of diagnostic criteria. Gastroenterology 1998, 114:319–323. In this paper, evidence is provided within hemochromatosis families, of C282Y homozygotes without iron overload.

    Article  PubMed  CAS  Google Scholar 

  12. Crawford D, Jazwinska E, Cullen L, Powell LW: Expression of HLA-linked hemochromatosis in subjects homozygous or heterozygous for the C282Y mutation. Gastroenterology 1998, 114:1003–1008.

    Article  PubMed  CAS  Google Scholar 

  13. Adams PC, Campion ML, Gwandon G, et al.: Clinical and family studies in genetic hemochromatosis: microsatellite and HFE studies in five atypical families. Hepatology 1997, 26:986–990.

    Article  PubMed  CAS  Google Scholar 

  14. Hezode C, Cazeneuve C, Coue O, et al.: Hemochromatosis Cys282Tyr mutation and liver iron overload in patients with chronic active hepatitis C [letter]. Hepatology 1998, 27:306.

    Article  PubMed  CAS  Google Scholar 

  15. Bassett ML, Halliday JW, Powell LW: Value of hepatic iron measurements in early hemochromatosis and determination of the critical iron level associated with fibrosis. Hepatology 1986, 6:24–29.

    Article  PubMed  CAS  Google Scholar 

  16. Adams PC, Bradley C, Henderson AR: Evaluation of the hepatic iron index as a diagnostic criterion in hereditary hemochromatosis. J Lab Clin Med 1997, 130:509–514.

    Article  PubMed  CAS  Google Scholar 

  17. Niederau C, Fischer R, Purschel A, et al.: Long-term survival in patients with hereditary hemochromatosis. Gastroenterology 1996, 110:1107–1119.

    Article  PubMed  CAS  Google Scholar 

  18. Guyader D, Jacquelinet C, Moirand R, et al.: Noninvasive prediction of fibrosis in C282Y homozygous hemochromatosis. Gastroenterology 1998, 115:929–936. In this study, the role of liver biopsy is reevaluated based on the findings in 362 C282Y homozygotes from Canada and France.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Adams, P.C. Role of genetic testing and liver biopsy in the diagnosis of hemochromatosis. Curr Gastroenterol Rep 1, 27–29 (1999). https://doi.org/10.1007/s11894-999-0083-6

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11894-999-0083-6

Keywords

Navigation