Table 1.
Characteristics of Hereditary Hemochromatosis.
Gene | Mutation | Inheritance | Hepcidin levels | Pathophysiology | |
---|---|---|---|---|---|
Type I | HFE | C282Y (6p21), H63D | AR | Low | Increased iron absorption |
Type II –Juvenile hemochromatosis | HJV; hepcidin | 1q21; 19q13 | AR | Low | Increased iron absorption |
Type III | TFR2 | 7q22 | AR | Low | Increased iron absorption |
Type IV* | FPN1 | 2q32 | AD | High | Increased iron absorption |
*Mutation results in 2 similar forms of disease: either a hemochromatosis-like illness with increased iron in hepatocytes due to hepcidin resistance (gain-of-function mutation) or reduced macrophage iron export with normal transferrin saturation called “classic ferroportin disease” (loss-of-function mutation).