SOCHORCOVA, Lucie, Katarina HLUSICKOVA KAPRALOVA, Jana FIALOVÁ KUČEROVÁ, Dagmar POSPISILOVA, Daniela PROCHAZKOVA, Ondrej JAHODA, Simona KUREKOVA, Barbora KRALOVA, Martina DIVOKA, Jana NAVRATILOVA, Jirina MANAKOVA, Eva KRIEGOVA, Karel INDRAK, Edgar FABER, Vladimir DIVOKY and Monika HORVATHOVA. Elevated erythroferrone distinguishes erythrocytosis with inherited defects in oxygen-sensing pathway from primary familial and congenital polycythaemia. British journal of haematology. Hoboken: Wiley-Blackwell, 2023, vol. 202, No 3, p. 674-685. ISSN 0007-1048. Available from: https://dx.doi.org/10.1111/bjh.18891.
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Basic information
Original name Elevated erythroferrone distinguishes erythrocytosis with inherited defects in oxygen-sensing pathway from primary familial and congenital polycythaemia
Authors SOCHORCOVA, Lucie (203 Czech Republic), Katarina HLUSICKOVA KAPRALOVA (203 Czech Republic), Jana FIALOVÁ KUČEROVÁ (203 Czech Republic, belonging to the institution), Dagmar POSPISILOVA (203 Czech Republic), Daniela PROCHAZKOVA (203 Czech Republic), Ondrej JAHODA (203 Czech Republic), Simona KUREKOVA (203 Czech Republic), Barbora KRALOVA (203 Czech Republic), Martina DIVOKA (203 Czech Republic), Jana NAVRATILOVA (203 Czech Republic), Jirina MANAKOVA (203 Czech Republic), Eva KRIEGOVA (203 Czech Republic), Karel INDRAK (203 Czech Republic), Edgar FABER (203 Czech Republic), Vladimir DIVOKY (203 Czech Republic) and Monika HORVATHOVA (203 Czech Republic).
Edition British journal of haematology, Hoboken, Wiley-Blackwell, 2023, 0007-1048.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30205 Hematology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 6.500 in 2022
RIV identification code RIV/00216224:14110/23:00133658
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1111/bjh.18891
UT WoS 000996117400001
Keywords in English EPOR; erythrocytosis; erythroferrone; hepcidin; VHL
Tags 14110518, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 27/2/2024 13:00.
Abstract
Congenital erythrocytoses represent a heterogenous group of rare defects of erythropoiesis characterized by elevated erythrocyte mass. We performed molecular-genetic analysis of 21 Czech patients with congenital erythrocytosis and assessed the mutual link between chronic erythrocyte overproduction and iron homoeostasis. Causative mutations in erythropoietin receptor (EPOR), hypoxia-inducible factor 2 alpha (HIF2A) or Von Hippel-Lindau (VHL) genes were detected in nine patients, including a novel p.A421Cfs*4 EPOR and a homozygous intronic c.340+770T>C VHL mutation. The association and possible cooperation of five identified missense germline EPOR or Janus kinase 2 (JAK2) variants with other genetic/non-genetic factors in erythrocytosis manifestation may involve variants of Piezo-type mechanosensitive ion channel component 1 (PIEZO1) or Ten-eleven translocation 2 (TET2), but this requires further research. In two families, hepcidin levels appeared to prevent or promote phenotypic expression of the disease. No major contribution of heterozygous haemochromatosis gene (HFE) mutations to the erythrocytic phenotype or hepcidin levels was observed in our cohort. VHL- and HIF2A-mutant erythrocytosis showed increased erythroferrone and suppressed hepcidin, whereas no overproduction of erythroferrone was detected in other patients regardless of molecular defect, age or therapy. Understanding the interplay between iron metabolism and erythropoiesis in different subgroups of congenital erythrocytosis may improve current treatment options.
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