PMID- 15642540 OWN - NLM STAT- MEDLINE DCOM- 20050607 LR - 20161124 IS - 1388-9842 (Print) IS - 1388-9842 (Linking) VI - 7 IP - 1 DP - 2005 Jan TI - Hereditary hemochromatosis gene (HFE) mutations C282Y, H63D and S65C in patients with idiopathic dilated cardiomyopathy. PG - 103-8 AB - BACKGROUND: Hereditary hemochromatosis (HH), a common autosomal recessive disease, leads to excessive iron accumulation in some organs, including the heart. It is therefore not surprising that cardiomyopathy is one of the most severe complications of HH. The HFE gene defects have been thought to contribute to idiopathic dilated cardiomyopathy (IDCM) in some patients, even though the results of genotype analyses have so far been contradictory. Hence we set out here to evaluate the prevalence and potential role of HFE mutations in patients with IDCM. METHODS: A total of 91 IDCM patients and 102 controls were subjected to HFE mutation analyses, in which C282Y, H63D and S65C mutations were determined for each patient. We also analyzed the impact of the C282Y and H63D mutations on the left ventricular end-diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF) and New York Heart Association (NYHA) functional classes. RESULTS: The prevalences of heterozygosity for the C282Y, H63D and S65C mutations in the IDCM patients were 13.2%, 22.0% and 2.2%, respectively. LVEDD was significantly higher (P=0.037) in those with the C282Y mutation at the end of the follow-up period than in those with no mutation. CONCLUSIONS: Our data showed no significant deviations in C282Y, H63D and S65C mutation frequencies between the IDCM patients and controls, suggesting that these mutations do not increase the risk of IDCM. Heterozygosity for the C282Y mutation may nevertheless be a modifying factor contributing to LV dilatation and remodeling. FAU - Hannuksela, Jokke AU - Hannuksela J AD - Department of Clinical Chemistry, University of Oulu, P.O. Box 5000, Oulu, Finland. jokkeha@paju.oulu.fi FAU - Leppilampi, Mari AU - Leppilampi M FAU - Peuhkurinen, Keijo AU - Peuhkurinen K FAU - Karkkainen, Satu AU - Karkkainen S FAU - Saastamoinen, Eija AU - Saastamoinen E FAU - Helio, Tiina AU - Helio T FAU - Kaartinen, Maija AU - Kaartinen M FAU - Nieminen, Markku S AU - Nieminen MS FAU - Nieminen, Pentti AU - Nieminen P FAU - Parkkila, Seppo AU - Parkkila S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Eur J Heart Fail JT - European journal of heart failure JID - 100887595 RN - 0 (HFE protein, human) RN - 0 (Hemochromatosis Protein) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Membrane Proteins) SB - IM MH - Adult MH - Cardiomyopathy, Dilated/diagnosis/*genetics/physiopathology MH - Case-Control Studies MH - DNA Mutational Analysis MH - Genotype MH - Hemochromatosis/complications/genetics MH - Hemochromatosis Protein MH - Histocompatibility Antigens Class I/*genetics MH - Humans MH - Membrane Proteins/*genetics MH - Middle Aged MH - Mutation/*genetics MH - Phenotype MH - Severity of Illness Index MH - Stroke Volume EDAT- 2005/01/12 09:00 MHDA- 2005/06/09 09:00 CRDT- 2005/01/12 09:00 PHST- 2003/12/08 00:00 [received] PHST- 2004/01/06 00:00 [revised] PHST- 2004/03/20 00:00 [accepted] PHST- 2005/01/12 09:00 [pubmed] PHST- 2005/06/09 09:00 [medline] PHST- 2005/01/12 09:00 [entrez] AID - S1388984204001072 [pii] AID - 10.1016/j.ejheart.2004.03.007 [doi] PST - ppublish SO - Eur J Heart Fail. 2005 Jan;7(1):103-8. doi: 10.1016/j.ejheart.2004.03.007.