Table 3. Genetic Alterations and Iron Status in Blood Donors.
Genetic Polymorphism | Iron Pathway Effect |
---|---|
HFE: C282Y, H63D | Hepcidin regulation(increased Fe absorption) |
TF G277S | Transferrin mutation (decreased iron transport and iron deficiency anemia) |
Hypoxia Inducible Factor 1α (HIF-1 α) | Erythropoietin and hepcidin regulation (increased RBC production and iron absorption) |
TMPRSS6 | Hepcidin regulation (decreased iron absorption) |
Genotype Data Rise Study [Data from Mast AE, Lee TH, Schlumpf KS, Wright DJ, Johnson B, Carrick DM, Cable RG, Kiss JE, Glynn SA, Steele WR, Murphy EL, Sacher R, Busch MP, for the NHLBI Retrovirus Epidemiology Donor Study-II (RES-II). The impact of HFE mutations on hemoglobin and iron status in individuals undergoing repeated iron loss through blood donation. Br J Haematol. 2012; 156: 388-401.]:
HFE genotype: Wild Type 1,568 (64.7%)
Heterozygous H63D 573 (23.6%
Heterozygous C282Y 194 (8.0%)
Homozygous H63D 39 (1.6%)
Homozygous C282Y 7 (0.3%)
Double Mutation 41 (1.7%)
Missing 3 (0.1%)
TF G277S Genotype: Wild Type 2,107 (86.9%)
Hetero- or Homozygous 254 (10.5%)
Missing 64 (2.6%)