Prevalence of Common HFE and SERPINA1 Mutations in Patients with Hepatocellular Carcinoma in a Moroccan Population

Autor: Latifa El Kihal, Rajae Afifi, Mohammed Hassar, Pascal Pineau, M. Benazzouz, Sayeh Ezzikouri, Abdellah Essaid El Feydi, Abdelaziz Chafik, Soumaya Benjelloun
Přispěvatelé: Institut Pasteur du Maroc, Réseau International des Instituts Pasteur (RIIP), CHU Ibn-Sina [Rabat] (CHUIS), Laboratoire d'Anthropogénétique et Biostatistique [El Jadida, Maroc], Faculté des Sciences [El Jadida. Maroc], Université Chouaib Doukkali (UCD)-Université Chouaib Doukkali (UCD), Organisation Nucléaire et Oncogenèse, Institut Pasteur [Paris]-Institut National de la Santé et de la Recherche Médicale (INSERM), We thank the Direction des Programmes Transversaux de Recherches of the Institut Pasteur, Paris for their financial support (PTR n° 130)., The authors would like to acknowledge all patients for their participation in this study, We are particularly grateful to Benoit Robert and Michele Joliy for their advice and encouragement. We also thank Nathalie Jolly and Christine Sadorge for their skillful expertise in Medical Research Protocol elaboration, Institut Pasteur [Paris] (IP)-Institut National de la Santé et de la Recherche Médicale (INSERM)
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Male
Pathology
Hepatocellular carcinoma
MESH: Membrane Proteins / genetics
medicine.disease_cause
Gastroenterology
Loss of heterozygosity
0302 clinical medicine
Prevalence
MESH: Liver Neoplasms / genetics
MESH: Hemochromatosis Protein
MESH: Heterozygote
MESH: Aged
0303 health sciences
Mutation
education.field_of_study
MESH: Middle Aged
Homozygote
Liver Neoplasms
General Medicine
Middle Aged
Arabs
3. Good health
MESH: Mutation
Missense

Morocco
030220 oncology & carcinogenesis
Hereditary hemochromatosis
Female
MESH: Histocompatibility Antigens Class I / genetics
MESH: Alleles
MESH: Homozygote
Heterozygote
medicine.medical_specialty
congenital
hereditary
and neonatal diseases and abnormalities

MESH: Carcinoma
Hepatocellular / epidemiology

Carcinoma
Hepatocellular

Population
Mutation
Missense

[SDV.CAN]Life Sciences [q-bio]/Cancer
Z mutation
03 medical and health sciences
Internal medicine
medicine
Humans
Genetic Predisposition to Disease
In patient
MESH: Genetic Predisposition to Disease / genetics
Allele
Hemochromatosis Protein
education
Allele frequency
Alleles
MESH: Prevalence
Aged
Retrospective Studies
030304 developmental biology
HFE mutations
MESH: Humans
business.industry
Histocompatibility Antigens Class I
MESH: alpha 1-Antitrypsin / genetics
MESH: Carcinoma
Hepatocellular / genetics

Membrane Proteins
nutritional and metabolic diseases
MESH: Retrospective Studies
[SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology
medicine.disease
S mutation
MESH: Male
[SDV.GEN.GH]Life Sciences [q-bio]/Genetics/Human genetics
alpha 1-Antitrypsin
MESH: Liver Neoplasms / epidemiology
MESH: Morocco
MESH: Arabs
business
MESH: Female
Zdroj: Archives of Medical Research
Archives of Medical Research, Elsevier, 2008, 39 (2), pp.236-241. ⟨10.1016/j.arcmed.2007.09.006⟩
Archives of Medical Research, 2008, 39 (2), pp.236-241. ⟨10.1016/j.arcmed.2007.09.006⟩
ISSN: 0188-4409
DOI: 10.1016/j.arcmed.2007.09.006⟩
Popis: International audience; Background: Hereditary hemochromatosis and SERPINA1 mutation were reported to affect liver functions. Our objective was to estimate the prevalence of HFE and SERPINA1 (formerly known as alpha1-antitrypsin, AAT) mutations and assess their influence on hepatocellular carcinoma development.Methods: This study included 222 controls and 96 cases with hepatocellular carcinoma. PCR-RFLP was used to characterize S and Z alleles in SERPINA1, as well as C282Y/H63D alleles of HFE.Results: In healthy subjects and hepatocellular carcinoma patients as well, no homozygotes for the C282Y mutation were found. In controls, heterozygosity and homozygosity for the H63D mutation were 27 and 0.9%, respectively. Among patients, homozygosity for the H63D mutation was 3.1%, whereas heterozygosity for C282Y and H63D was 2.1 and 35.4%, respectively. Interestingly, albeit it does not reach significance (p=0.062), H63D was more prevalent in hepatocellular carcinoma patients than in controls (38.5 vs. 27.9%, respectively). The association was stronger when considering only male patients with hepatocellular carcinoma (47.1 vs. 23.6, p=0.001). Allele frequencies of S and Z in controls were 0.45% (95% CI=0.2-1.07) and 0.22% (95% CI=0.2-0.6), respectively, and 1 for S and 0% for Z in HCC. No significant difference was found between cases and controls.Conclusions: We provide a novel appraisal of HFE and SERPINA1 mutations prevalence in the Moroccan population. Results are consistent with the worldwide spread of the H63D and S mutation and the north European restriction of the C282Y and Z. Our results show that H63D carriage is increased among hepatocellular carcinoma patients, suggesting that it may confer an increased susceptibility to hepatocellular carcinoma even in a heterozygous state. On the contrary, HFE C282Y and SERPINA1 mutations do not contribute to hepatocellular carcinoma development.
Databáze: OpenAIRE