Skip to main content
Top
Published in: Nutrition & Metabolism 1/2011

Open Access 01-12-2011 | Research

Four variants in transferrin and HFE genes as potential markers of iron deficiency anaemia risk: an association study in menstruating women

Authors: Ruth Blanco-Rojo, Carlos Baeza-Richer, Ana M López-Parra, Ana M Pérez-Granados, Anna Brichs, Stefania Bertoncini, Alfonso Buil, Eduardo Arroyo-Pardo, Jose M Soria, M Pilar Vaquero

Published in: Nutrition & Metabolism | Issue 1/2011

Login to get access

Abstract

Background

Iron deficiency anaemia is a worldwide health problem in which environmental, physiologic and genetic factors play important roles. The associations between iron status biomarkers and single nucleotide polymorphisms (SNPs) known to be related to iron metabolism were studied in menstruating women.

Methods

A group of 270 Caucasian menstruating women, a population group at risk of iron deficiency anaemia, participated in the study. Haematological and biochemical parameters were analysed and 10 selected SNPs were genotyped by minisequencing assay. The associations between genetic and biochemical data were analysed by Bayesian Model Averaging (BMA) test and decision trees. Dietary intake of a representative subgroup of these volunteers (n = 141) was assessed, and the relationship between nutrients and iron biomarkers was also determined by linear regression.

Results

Four variants, two in the transferrin gene (rs3811647, rs1799852) and two in the HFE gene (C282Y, H63D), explain 35% of the genetic variation or heritability of serum transferrin in menstruating women. The minor allele of rs3811647 was associated with higher serum transferrin levels and lower transferrin saturation, while the minor alleles of rs1799852 and the C282Y and H63D mutations of HFE were associated with lower serum transferrin levels. No association between nutrient intake and iron biomarkers was found.

Conclusions

In contrast to dietary intake, these four SNPs are strongly associated with serum transferrin. Carriers of the minor allele of rs3811647 present a reduction in iron transport to tissues, which might indicate higher iron deficiency anaemia risk, although the simultaneous presence of the minor allele of rs1799852 and HFE mutations appear to have compensatory effects. Therefore, it is suggested that these genetic variants might potentially be used as markers of iron deficiency anaemia risk.
Appendix
Available only for authorised users
Literature
1.
go back to reference World Health Organization: Worldwide prevalence of anaemia 1993-2005. WHO Global Database on Anaemia. Geneva; 2008. World Health Organization: Worldwide prevalence of anaemia 1993-2005. WHO Global Database on Anaemia. Geneva; 2008.
2.
go back to reference World Health Organization: Assessing the iron status of populations. Geneva; 2007. World Health Organization: Assessing the iron status of populations. Geneva; 2007.
3.
go back to reference Whitfield JB, Treloar S, Zhu G, Powell LW, Martin NG: Relative importance of female-specific and non-female-specific effects on variation in iron stores between women. Br J Haematol 2003, 120: 860-866. 10.1046/j.1365-2141.2003.04224.xCrossRef Whitfield JB, Treloar S, Zhu G, Powell LW, Martin NG: Relative importance of female-specific and non-female-specific effects on variation in iron stores between women. Br J Haematol 2003, 120: 860-866. 10.1046/j.1365-2141.2003.04224.xCrossRef
4.
go back to reference Hentze MW, Muckenthaler MU, Galy B, Camaschella C: Two to tango: regulation of Mammalian iron metabolism. Cell 2010, 142: 24-38. 10.1016/j.cell.2010.06.028CrossRef Hentze MW, Muckenthaler MU, Galy B, Camaschella C: Two to tango: regulation of Mammalian iron metabolism. Cell 2010, 142: 24-38. 10.1016/j.cell.2010.06.028CrossRef
5.
go back to reference Swinkels DW, Janssen MC, Bergmans J, Marx JJ: Hereditary hemochromatosis: genetic complexity and new diagnostic approaches. Clin Chem 2006, 52: 950-968. 10.1373/clinchem.2006.068684CrossRef Swinkels DW, Janssen MC, Bergmans J, Marx JJ: Hereditary hemochromatosis: genetic complexity and new diagnostic approaches. Clin Chem 2006, 52: 950-968. 10.1373/clinchem.2006.068684CrossRef
6.
go back to reference Andrews NC: Forging a field: the golden age of iron biology. Blood 2008, 112: 219-230. 10.1182/blood-2007-12-077388CrossRef Andrews NC: Forging a field: the golden age of iron biology. Blood 2008, 112: 219-230. 10.1182/blood-2007-12-077388CrossRef
7.
go back to reference Beutler E, Gelbart T, Lee P, Trevino R, Fernandez MA, Fairbanks VF: Molecular characterization of a case of atransferrinemia. Blood 2000, 96: 4071-4074. Beutler E, Gelbart T, Lee P, Trevino R, Fernandez MA, Fairbanks VF: Molecular characterization of a case of atransferrinemia. Blood 2000, 96: 4071-4074.
8.
go back to reference Iolascon A, De Falco L, Beaumont C: Molecular basis of inherited microcytic anemia due to defects in iron acquisition or heme synthesis. Haematologica 2009, 94: 395-408. 10.3324/haematol.13619CrossRef Iolascon A, De Falco L, Beaumont C: Molecular basis of inherited microcytic anemia due to defects in iron acquisition or heme synthesis. Haematologica 2009, 94: 395-408. 10.3324/haematol.13619CrossRef
9.
go back to reference Finberg KE, Heeney MM, Campagna DR, Aydinok Y, Pearson HA, Hartman KR, Mayo MM, Samuel SM, Strouse JJ, Markianos K, et al.: Mutations in TMPRSS6 cause iron-refractory iron deficiency anemia (IRIDA). Nat Genet 2008, 40: 569-571. 10.1038/ng.130CrossRef Finberg KE, Heeney MM, Campagna DR, Aydinok Y, Pearson HA, Hartman KR, Mayo MM, Samuel SM, Strouse JJ, Markianos K, et al.: Mutations in TMPRSS6 cause iron-refractory iron deficiency anemia (IRIDA). Nat Genet 2008, 40: 569-571. 10.1038/ng.130CrossRef
10.
go back to reference Sarria B, Navas-Carretero S, Lopez-Parra AM, Perez-Granados AM, Arroyo-Pardo E, Roe MA, Teucher B, Vaquero MP, Fairweather-Tait SJ: The G277S transferrin mutation does not affect iron absorption in iron deficient women. Eur J Nutr 2007, 46: 57-60. 10.1007/s00394-006-0631-xCrossRef Sarria B, Navas-Carretero S, Lopez-Parra AM, Perez-Granados AM, Arroyo-Pardo E, Roe MA, Teucher B, Vaquero MP, Fairweather-Tait SJ: The G277S transferrin mutation does not affect iron absorption in iron deficient women. Eur J Nutr 2007, 46: 57-60. 10.1007/s00394-006-0631-xCrossRef
11.
go back to reference Aisen P: The G277S mutation in transferrin does not disturb function. Br J Haematol 2003, 121: 674-675. 10.1046/j.1365-2141.2003.04347.xCrossRef Aisen P: The G277S mutation in transferrin does not disturb function. Br J Haematol 2003, 121: 674-675. 10.1046/j.1365-2141.2003.04347.xCrossRef
12.
go back to reference Delanghe J, Verstraelen H, Pynaert I, Debels L, Taes Y, Verhasselt B, De Henauw S, Temmerman M: Human transferrin G277S mutation and iron deficiency in pregnancy. Br J Haematol 2006, 132: 249-250. 10.1111/j.1365-2141.2005.05871.xCrossRef Delanghe J, Verstraelen H, Pynaert I, Debels L, Taes Y, Verhasselt B, De Henauw S, Temmerman M: Human transferrin G277S mutation and iron deficiency in pregnancy. Br J Haematol 2006, 132: 249-250. 10.1111/j.1365-2141.2005.05871.xCrossRef
13.
go back to reference Sarria B, López-Parra AM, Navas-Carretero S, Pérez-Granados AM, Baeza C, Arroyo-Pardo E, Vaquero MP: Hepcidin, transferrin (exon 7), and hemochromatosis genotyping suggests that haplotype block analysis is the best strategy for predicting iron deficiency phenotype in women. Nutrition Research 2007, 27: 672-678. 10.1016/j.nutres.2007.08.006CrossRef Sarria B, López-Parra AM, Navas-Carretero S, Pérez-Granados AM, Baeza C, Arroyo-Pardo E, Vaquero MP: Hepcidin, transferrin (exon 7), and hemochromatosis genotyping suggests that haplotype block analysis is the best strategy for predicting iron deficiency phenotype in women. Nutrition Research 2007, 27: 672-678. 10.1016/j.nutres.2007.08.006CrossRef
14.
go back to reference Soranzo N, Spector TD, Mangino M, Kuhnel B, Rendon A, Teumer A, Willenborg C, Wright B, Chen L, Li M, et al.: A genome-wide meta-analysis identifies 22 loci associated with eight hematological parameters in the HaemGen consortium. Nat Genet 2009, 41: 1182-1190. 10.1038/ng.467CrossRef Soranzo N, Spector TD, Mangino M, Kuhnel B, Rendon A, Teumer A, Willenborg C, Wright B, Chen L, Li M, et al.: A genome-wide meta-analysis identifies 22 loci associated with eight hematological parameters in the HaemGen consortium. Nat Genet 2009, 41: 1182-1190. 10.1038/ng.467CrossRef
15.
go back to reference Ganesh SK, Zakai NA, van Rooij FJ, Soranzo N, Smith AV, Nalls MA, Chen MH, Kottgen A, Glazer NL, Dehghan A, et al.: Multiple loci influence erythrocyte phenotypes in the CHARGE Consortium. Nat Genet 2009, 41: 1191-1198. 10.1038/ng.466CrossRef Ganesh SK, Zakai NA, van Rooij FJ, Soranzo N, Smith AV, Nalls MA, Chen MH, Kottgen A, Glazer NL, Dehghan A, et al.: Multiple loci influence erythrocyte phenotypes in the CHARGE Consortium. Nat Genet 2009, 41: 1191-1198. 10.1038/ng.466CrossRef
16.
go back to reference Chambers JC, Zhang W, Li Y, Sehmi J, Wass MN, Zabaneh D, Hoggart C, Bayele H, McCarthy MI, Peltonen L, et al.: Genome-wide association study identifies variants in TMPRSS6 associated with hemoglobin levels. Nat Genet 2009, 41: 1170-1172. 10.1038/ng.462CrossRef Chambers JC, Zhang W, Li Y, Sehmi J, Wass MN, Zabaneh D, Hoggart C, Bayele H, McCarthy MI, Peltonen L, et al.: Genome-wide association study identifies variants in TMPRSS6 associated with hemoglobin levels. Nat Genet 2009, 41: 1170-1172. 10.1038/ng.462CrossRef
17.
go back to reference Benyamin B, Ferreira MA, Willemsen G, Gordon S, Middelberg RP, McEvoy BP, Hottenga JJ, Henders AK, Campbell MJ, Wallace L, et al.: Common variants in TMPRSS6 are associated with iron status and erythrocyte volume. Nat Genet 2009, 41: 1173-1175. 10.1038/ng.456CrossRef Benyamin B, Ferreira MA, Willemsen G, Gordon S, Middelberg RP, McEvoy BP, Hottenga JJ, Henders AK, Campbell MJ, Wallace L, et al.: Common variants in TMPRSS6 are associated with iron status and erythrocyte volume. Nat Genet 2009, 41: 1173-1175. 10.1038/ng.456CrossRef
18.
go back to reference Benyamin B, McRae AF, Zhu G, Gordon S, Henders AK, Palotie A, Peltonen L, Martin NG, Montgomery GW, Whitfield JB, Visscher PM: Variants in TF and HFE explain approximately 40% of genetic variation in serum-transferrin levels. Am J Hum Genet 2009, 84: 60-65. 10.1016/j.ajhg.2008.11.011CrossRef Benyamin B, McRae AF, Zhu G, Gordon S, Henders AK, Palotie A, Peltonen L, Martin NG, Montgomery GW, Whitfield JB, Visscher PM: Variants in TF and HFE explain approximately 40% of genetic variation in serum-transferrin levels. Am J Hum Genet 2009, 84: 60-65. 10.1016/j.ajhg.2008.11.011CrossRef
19.
go back to reference Remacha AF, Souto JC, Soria JM, Buil A, Sarda MP, Lathrop M, Blangero J, Almasy L, Fontcuberta J: Genomewide linkage analysis of soluble transferrin receptor plasma levels. Ann Hematol 2006, 85: 25-28. 10.1007/s00277-005-1092-7CrossRef Remacha AF, Souto JC, Soria JM, Buil A, Sarda MP, Lathrop M, Blangero J, Almasy L, Fontcuberta J: Genomewide linkage analysis of soluble transferrin receptor plasma levels. Ann Hematol 2006, 85: 25-28. 10.1007/s00277-005-1092-7CrossRef
20.
go back to reference de Groot CP, van Staveren WA, Dirren H, Hautvast JG: Summary and conclusions of the report on the second data collection period and longitudinal analyses of the SENECA Study. Eur J Clin Nutr 1996,50(Suppl 2):S123-124. de Groot CP, van Staveren WA, Dirren H, Hautvast JG: Summary and conclusions of the report on the second data collection period and longitudinal analyses of the SENECA Study. Eur J Clin Nutr 1996,50(Suppl 2):S123-124.
21.
go back to reference Navas-Carretero S, Perez-Granados AM, Schoppen S, Vaquero MP: An oily fish diet increases insulin sensitivity compared to a red meat diet in young iron-deficient women. Br J Nutr 2009, 102: 546-553. 10.1017/S0007114509220794CrossRef Navas-Carretero S, Perez-Granados AM, Schoppen S, Vaquero MP: An oily fish diet increases insulin sensitivity compared to a red meat diet in young iron-deficient women. Br J Nutr 2009, 102: 546-553. 10.1017/S0007114509220794CrossRef
23.
go back to reference Worwood M: HFE Mutations as risk factors in disease. Best Pract Res Clin Haematol 2002, 15: 295-314.CrossRef Worwood M: HFE Mutations as risk factors in disease. Best Pract Res Clin Haematol 2002, 15: 295-314.CrossRef
24.
go back to reference Bertoncini S, Blanco-Rojo R, Baeza C, Arroyo-Pardo E, Vaquero MP, Lopez-Parra AM: A novel SNaPshot assay to detect genetic mutations related to iron metabolism. Genet Test Mol Biomarkers 2011, 15: 173-179. 10.1089/gtmb.2010.0140CrossRef Bertoncini S, Blanco-Rojo R, Baeza C, Arroyo-Pardo E, Vaquero MP, Lopez-Parra AM: A novel SNaPshot assay to detect genetic mutations related to iron metabolism. Genet Test Mol Biomarkers 2011, 15: 173-179. 10.1089/gtmb.2010.0140CrossRef
25.
go back to reference Whitfield JB, Cullen LM, Jazwinska EC, Powell LW, Heath AC, Zhu G, Duffy DL, Martin NG: Effects of HFE C282Y and H63D polymorphisms and polygenic background on iron stores in a large community sample of twins. Am J Hum Genet 2000, 66: 1246-1258. 10.1086/302862CrossRef Whitfield JB, Cullen LM, Jazwinska EC, Powell LW, Heath AC, Zhu G, Duffy DL, Martin NG: Effects of HFE C282Y and H63D polymorphisms and polygenic background on iron stores in a large community sample of twins. Am J Hum Genet 2000, 66: 1246-1258. 10.1086/302862CrossRef
26.
go back to reference Institute of Medicine: Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington DC; 2001. Institute of Medicine: Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington DC; 2001.
27.
go back to reference Navas-Carretero S, Perez-Granados AM, Schoppen S, Sarria B, Carbajal A, Vaquero MP: Iron status biomarkers in iron deficient women consuming oily fish versus red meat diet. J Physiol Biochem 2009, 65: 165-174. 10.1007/BF03179067CrossRef Navas-Carretero S, Perez-Granados AM, Schoppen S, Sarria B, Carbajal A, Vaquero MP: Iron status biomarkers in iron deficient women consuming oily fish versus red meat diet. J Physiol Biochem 2009, 65: 165-174. 10.1007/BF03179067CrossRef
28.
go back to reference Blanco-Rojo R, Perez-Granados AM, Toxqui L, Gonzalez-Vizcayno C, Delgado MA, Vaquero MP: Efficacy of a microencapsulated iron pyrophosphate-fortified fruit juice: a randomised, double-blind, placebo-controlled study in Spanish iron-deficient women. Br J Nutr 2011, 105: 1652-1659. 10.1017/S0007114510005490CrossRef Blanco-Rojo R, Perez-Granados AM, Toxqui L, Gonzalez-Vizcayno C, Delgado MA, Vaquero MP: Efficacy of a microencapsulated iron pyrophosphate-fortified fruit juice: a randomised, double-blind, placebo-controlled study in Spanish iron-deficient women. Br J Nutr 2011, 105: 1652-1659. 10.1017/S0007114510005490CrossRef
29.
go back to reference Toxqui L, De Piero A, Courtois V, Bastida S, Sanchez-Muniz FJ, Vaquero MP: Iron deficiency and overload. Implications in oxidative stress and cardiovascular health. Nutr Hosp 2010, 25: 350-365. Toxqui L, De Piero A, Courtois V, Bastida S, Sanchez-Muniz FJ, Vaquero MP: Iron deficiency and overload. Implications in oxidative stress and cardiovascular health. Nutr Hosp 2010, 25: 350-365.
30.
go back to reference McLaren CE, Garner CP, Constantine CC, McLachlan S, Vulpe CD, Snively BM, Gordeuk VR, Nickerson DA, Cook JD, Leiendecker-Foster C, et al.: Genome-wide association study identifies genetic Loci associated with iron deficiency. PLoS One 2011, 6: e17390. 10.1371/journal.pone.0017390CrossRef McLaren CE, Garner CP, Constantine CC, McLachlan S, Vulpe CD, Snively BM, Gordeuk VR, Nickerson DA, Cook JD, Leiendecker-Foster C, et al.: Genome-wide association study identifies genetic Loci associated with iron deficiency. PLoS One 2011, 6: e17390. 10.1371/journal.pone.0017390CrossRef
31.
go back to reference Zakin MM, Baron B, Guillou F: Regulation of the tissue-specific expression of transferrin gene. Dev Neurosci 2002, 24: 222-226. 10.1159/000065690CrossRef Zakin MM, Baron B, Guillou F: Regulation of the tissue-specific expression of transferrin gene. Dev Neurosci 2002, 24: 222-226. 10.1159/000065690CrossRef
32.
go back to reference Beutler E, Felitti V, Gelbart T, Waalen J: Haematological effects of the C282Y HFE mutation in homozygous and heterozygous states among subjects of northern and southern European ancestry. Br J Haematol 2003, 120: 887-893. 10.1046/j.1365-2141.2003.04215.xCrossRef Beutler E, Felitti V, Gelbart T, Waalen J: Haematological effects of the C282Y HFE mutation in homozygous and heterozygous states among subjects of northern and southern European ancestry. Br J Haematol 2003, 120: 887-893. 10.1046/j.1365-2141.2003.04215.xCrossRef
33.
go back to reference Datz C, Haas T, Rinner H, Sandhofer F, Patsch W, Paulweber B: Heterozygosity for the C282Y mutation in the hemochromatosis gene is associated with increased serum iron, transferrin saturation, and hemoglobin in young women: a protective role against iron deficiency? Clin Chem 1998, 44: 2429-2432. Datz C, Haas T, Rinner H, Sandhofer F, Patsch W, Paulweber B: Heterozygosity for the C282Y mutation in the hemochromatosis gene is associated with increased serum iron, transferrin saturation, and hemoglobin in young women: a protective role against iron deficiency? Clin Chem 1998, 44: 2429-2432.
34.
go back to reference Rossi E, Olynyk JK, Cullen DJ, Papadopoulos G, Bulsara M, Summerville L, Powell LW: Compound heterozygous hemochromatosis genotype predicts increased iron and erythrocyte indices in women. Clin Chem 2000, 46: 162-166. Rossi E, Olynyk JK, Cullen DJ, Papadopoulos G, Bulsara M, Summerville L, Powell LW: Compound heterozygous hemochromatosis genotype predicts increased iron and erythrocyte indices in women. Clin Chem 2000, 46: 162-166.
35.
36.
go back to reference Gao J, Chen J, Kramer M, Tsukamoto H, Zhang AS, Enns CA: Interaction of the hereditary hemochromatosis protein HFE with transferrin receptor 2 is required for transferrin-induced hepcidin expression. Cell Metab 2009, 9: 217-227. 10.1016/j.cmet.2009.01.010CrossRef Gao J, Chen J, Kramer M, Tsukamoto H, Zhang AS, Enns CA: Interaction of the hereditary hemochromatosis protein HFE with transferrin receptor 2 is required for transferrin-induced hepcidin expression. Cell Metab 2009, 9: 217-227. 10.1016/j.cmet.2009.01.010CrossRef
37.
go back to reference Darshan D, Frazer DM, Anderson GJ: Molecular basis of iron-loading disorders. Expert Rev Mol Med 2010, 12: e36.CrossRef Darshan D, Frazer DM, Anderson GJ: Molecular basis of iron-loading disorders. Expert Rev Mol Med 2010, 12: e36.CrossRef
38.
go back to reference Constantine CC, Anderson GJ, Vulpe CD, McLaren CE, Bahlo M, Yeap HL, Gertig DM, Osborne NJ, Bertalli NA, Beckman KB, et al.: A novel association between a SNP in CYBRD1 and serum ferritin levels in a cohort study of HFE hereditary haemochromatosis. Br J Haematol 2009, 147: 140-149. 10.1111/j.1365-2141.2009.07843.xCrossRef Constantine CC, Anderson GJ, Vulpe CD, McLaren CE, Bahlo M, Yeap HL, Gertig DM, Osborne NJ, Bertalli NA, Beckman KB, et al.: A novel association between a SNP in CYBRD1 and serum ferritin levels in a cohort study of HFE hereditary haemochromatosis. Br J Haematol 2009, 147: 140-149. 10.1111/j.1365-2141.2009.07843.xCrossRef
39.
go back to reference Blanco-Rojo R, Pérez-Granados AM, López-Parra AM, Baeza C, Bertoncini S, Arroyo-Pardo E, Vaquero MP: Variants in transferrin gene affect iron metabolism and response to an iron supplemented food in menstruating women. J Nutrigenet Nutrigenomics 2010, 3: 72. Blanco-Rojo R, Pérez-Granados AM, López-Parra AM, Baeza C, Bertoncini S, Arroyo-Pardo E, Vaquero MP: Variants in transferrin gene affect iron metabolism and response to an iron supplemented food in menstruating women. J Nutrigenet Nutrigenomics 2010, 3: 72.
Metadata
Title
Four variants in transferrin and HFE genes as potential markers of iron deficiency anaemia risk: an association study in menstruating women
Authors
Ruth Blanco-Rojo
Carlos Baeza-Richer
Ana M López-Parra
Ana M Pérez-Granados
Anna Brichs
Stefania Bertoncini
Alfonso Buil
Eduardo Arroyo-Pardo
Jose M Soria
M Pilar Vaquero
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Nutrition & Metabolism / Issue 1/2011
Electronic ISSN: 1743-7075
DOI
https://doi.org/10.1186/1743-7075-8-69

Other articles of this Issue 1/2011

Nutrition & Metabolism 1/2011 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine