Porphyria Cutanea Tarda, Hepatitis C, Uroporphyrinogen Decarboxylase and Mutations of HFE Gene : A Case-Control Study

Hemochromatosis gene (HFE) mutations and the hepatitis C virus (HCV) are known risk factors for porphyria cutanea tarda (PCT), but interactions with erythrocytic uroporphyrinogen decarboxylase (UROD) have seldom been addressed. In order to examine the links between these factors, we conducted a mult...

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Veröffentlicht in:Dermatology (Basel) 2009-01, Vol.218 (1), p.15-21
Hauptverfasser: CRIBIER, Bernard, CHIAVERINI, Christine, DALI-YOUCEF, Nassim, SCHMITT, Michèle, GRIMA, Michèle, HIRTH, Christine, LACOUR, Jean-Philippe, CHOSIDOW, Olivier
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container_title Dermatology (Basel)
container_volume 218
creator CRIBIER, Bernard
CHIAVERINI, Christine
DALI-YOUCEF, Nassim
SCHMITT, Michèle
GRIMA, Michèle
HIRTH, Christine
LACOUR, Jean-Philippe
CHOSIDOW, Olivier
description Hemochromatosis gene (HFE) mutations and the hepatitis C virus (HCV) are known risk factors for porphyria cutanea tarda (PCT), but interactions with erythrocytic uroporphyrinogen decarboxylase (UROD) have seldom been addressed. In order to examine the links between these factors, we conducted a multicentre prospective case-control study. PCT patients with (n = 32) or without HCV (n = 28) were matched to HCV+ (n = 32) and HCV- controls (n = 28). HFE mutations (C282Y and H63D) were analyzed by PCR. PCT+/HCV+ patients were younger than PCT+/HCV- patients (46.9 vs. 58.2 years, p < 0.001). UROD values were not significantly different in HCV+ and HCV- patients. Both C282Y and H63D were more frequent in PCT+ patients than in controls, but there was no difference in HFE genotype according to HCV seropositivity. Mean UROD was lower in case of HFE mutations in both PCT patients and controls. In French patients, HCV infection is probably the major causal factor of PCT. It is not linked with HFE mutations, although they are significantly associated with PCT. A low erythrocytic UROD might be a predisposing factor. The UROD value was lower in patients with HFE mutations, suggesting a possible interaction between HFE genotype and UROD levels.
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In order to examine the links between these factors, we conducted a multicentre prospective case-control study. PCT patients with (n = 32) or without HCV (n = 28) were matched to HCV+ (n = 32) and HCV- controls (n = 28). HFE mutations (C282Y and H63D) were analyzed by PCR. PCT+/HCV+ patients were younger than PCT+/HCV- patients (46.9 vs. 58.2 years, p &lt; 0.001). UROD values were not significantly different in HCV+ and HCV- patients. Both C282Y and H63D were more frequent in PCT+ patients than in controls, but there was no difference in HFE genotype according to HCV seropositivity. Mean UROD was lower in case of HFE mutations in both PCT patients and controls. In French patients, HCV infection is probably the major causal factor of PCT. It is not linked with HFE mutations, although they are significantly associated with PCT. A low erythrocytic UROD might be a predisposing factor. 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subjects Adult
Aged
Biological and medical sciences
Biomarkers - blood
Case-Control Studies
Dermatology
Errors of metabolism
Female
France
Genotype
Hemochromatosis Protein
Hepatitis C - complications
Hepatitis C - enzymology
Hepatitis C - genetics
Histocompatibility Antigens Class I - blood
Histocompatibility Antigens Class I - genetics
Humans
Male
Medical sciences
Membrane Proteins - blood
Membrane Proteins - genetics
Metabolic diseases
Middle Aged
Mutation
Other metabolic disorders
Pigments (porphyrias, hyperbilirubinemias...)
Porphyria Cutanea Tarda - complications
Porphyria Cutanea Tarda - enzymology
Porphyria Cutanea Tarda - genetics
Prospective Studies
Proteins and glycoproteins
Risk Factors
Skin involvement in other diseases. Miscellaneous. General aspects
Uroporphyrinogen Decarboxylase - blood
title Porphyria Cutanea Tarda, Hepatitis C, Uroporphyrinogen Decarboxylase and Mutations of HFE Gene : A Case-Control Study
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