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        Genomics Precision Diagnostic > Gastroenterology > Gastroenterology Hereditary Hemochromatosis

        Hereditary Hemochromatosis

        Hereditary hemochromatosis is a condition that results from the body storing an excess of iron. The excess iron is stored in different body organs causing iron overload.
        Overview
        Indication
        Clinical Utility
        Genes & Diseases
        Methodology
        References

        Overview

        • Hereditary hemochromatosis is a condition that results from the body storing an excess of iron. The excess iron is stored in different body organs causing iron overload. This is harmful because the body can only excrete a certain amount of iron, the iron that is not excreted remains in the body and becomes toxic. 

        • The organs involved are the liver, heart, pancreas, pituitary, joints, and the skin. There are different types of hemochromatosis that can affect individuals of different ages, all types are inherited in an autosomal recessive manner. 

        • The Igenomix Hereditary Hemochromatosis Precision Panel can be used to make a directed and accurate differential diagnosis of iron overload, ultimately leading to a better management and prognosis of the disease. It provides a comprehensive analysis of the genes involved in this disease using next-generation sequencing (NGS) to fully understand the spectrum of relevant genes involved.  

        Indication

        The Igenomix Hereditary Hemochromatosis Precision Panel is indicated for those patients with a clinical suspicion or diagnosis of hemochromatosis presenting with the following manifestations: 

        • Fatigue  
        • Joint and abdominal pain  
        • Weight loss  
        • Lack of sex drive  

        Clinical Utility

        The clinical utility of this panel is: 

        • The genetic and molecular confirmation for an accurate clinical diagnosis of a symptomatic patient.  
        • Early initiation of treatment with a multidisciplinary team for early chelation therapy, phlebotomy, surgical intervention and/or dietary considerations and preventive measures. 
        • Risk assessment of asymptomatic family members according to the mode of inheritance. 

        Genes & Diseases

        GENE 

        OMIM DISEASES 

        INHERITANCE* 

        % GENE COVERAGE (20X) 

        HGMD** 

        BMP2 

        20p12.3 Microdeletion Syndrome, Brachydactyly Type A2, Hemochromatosis, Short Stature, Facial Dysmorphism and Skeletal Anomalies With or Without Cardiac Anomalies 

        AD,AR 

        99.48% 

        12 of 12 

        FTH1 

        Hemochromatosis Type 5 

        AD 

        100% 

        2 of 2 

        HAMP 

        Hemochromatosis Type 2B 

        AR 

        100% 

        16 of 17 

        HFE 

        Alzheimer Disease, Hemochromatosis Type 1, Pophyria Cutanea Tarda, Porphyria 

        AD,AR 

        100% 

        55 of 57 

        HJV 

        Hemochromatosis Type 2A 

        AR 

        100% 

        NA of NA 

        SLC40A1 

        Hemochromatosis Type 4 

        AD 

        99.80% 

        62 of 64 

        TFR2 

        Hemochromatosis Type 3 

        AR 

        99.79% 

        54 of 54 

        *Inheritance: AD: Autosomal Dominant; AR: Autosomal Recessive; X: X linked; XLR: X linked Recessive; Mi: Mitochondrial; Mu: Multifactorial.  

        **Number of clinically relevant mutations according to HGMD 

        Methodology

        References

        See scientific referrals

        Katsarou, M. S., Papasavva, M., Latsi, R., & Drakoulis, N. (2019). Hemochromatosis: Hereditary hemochromatosis and HFE gene. Vitamins and hormones, 110, 201–222. https://doi.org/10.1016/bs.vh.2019.01.010 

        Pietrangelo A (2006). Hereditary hemochromatosis. Biochimica et biophysica acta, 1763(7), 700–710. https://doi.org/10.1016/j.bbamcr.2006.05.013 

        Gerhard, G. S., Paynton, B. V., & DiStefano, J. K. (2018). Identification of Genes for Hereditary Hemochromatosis. Methods in molecular biology (Clifton, N.J.), 1706, 353–365. https://doi.org/10.1007/978-1-4939-7471-9_19 

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