Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
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Original Article

Volume 18, Number 6, December 2025, pages 276-285


HFE-C282Y/C282Y Hemochromatosis Patients Have Lower Serum Transferrin and Strong Negative Correlations Between Iron, Ferritin, and Transferrin Saturation Versus Transferrin Compared With HFE-wt/wt Wild-Type Subjects

Figures

Figure 1.
Figure 1. The inverse correlation between serum iron and serum transferrin levels in patient M10. Correlation coefficient rs = -0.68, P = 0.0001.
Figure 2.
Figure 2. The inverse correlation between log10 serum ferritin and transferrin levels in patient F5. Correlation coefficient rs = -0.75, P < 0.0001.
Figure 3.
Figure 3. The inverse correlation between serum transferrin and transferrin saturation levels in patient M1. Correlation coefficient rs = -0.69, P < 0.0001.

Tables

Table 1. Correlations Between Serum Iron Status Markers in Apparently Healthy Adults With HFE-wt/wt Genotype
 
Iron vs. ferritinIron vs. transferrinFerritin vs. transferrinIron vs. TSATFerritin vs. TSATTransferrin vs. TSATTransferrin, µmol/L
Participants were 45 - 75-year-old men and women, non-blood donors, enrolled in the MONICA study. Spearman’s rank correlation coefficient (rs) was used. Serum transferrin values are presented as arithmetic mean ± standard deviation. aComparison of correlations: P = 0.1; Student’s t-test unpaired values, two-tailed: bP = 0.0004; cP = 0.03; dP < 0.0001. TSAT: transferrin saturation.
All men (n = 441)rs = 0.21, P < 0.0001rs = 0.07, P = 0.8rs = -0.08, P = 0.9rs = 0.89, P < 0.0001rs = 0.23, P < 0.0001rs = -0.35, P < 0.000132.0 ± 4.8
Ferritin 30 - 300 µg/L (n = 405)rs = 0.15, P = 0.004rs = 0.07, P = 0.8rs = -0.09, P = 0.9rs = 0.90, P < 0.0001rs = 0.23, P < 0.0001rs = -0.37, P < 0.000131.8 ± 4.7b, c
Ferritin > 300 µg/L (n = 32)rs = 0.18, P = 0.7rs = 0.12, P = 0.8rs = 0.07, P = 0.9rs = 0.80, P < 0.0001rs = 0.15, P = 0.8rs = -0.08, P = 0.729.9 ± 5.2c
All women (n = 517)rs = 0.07, P = 0.9rs = -0.05, P = 0.8rs = -0.17a, P = 0.0001rs = 0.91, P < 0.0001rs = 0.14, P = 0.002rs = -0.43, P < 0.000131.3 ± 5.0
Ferritin 30 - 300 µg/L (n = 377)rs = 0.05, P = 0.9rs = 0.02, P = 0.8rs = -0.05, P = 0.9rs = 0.90, P < 0.0001rs = -0.01, P = 0.9rs = -0.39, P < 0.000130.7 ± 4.6b, d
Ferritin < 30 µg/L (n = 134)rs = 0.21, P = 0.07rs = -0.23, P = 0.047rs = -0.32a, P = 0.005rs = 0.95, P < 0.0001rs = 0.26, P = 0.02rs = -0.49, P < 0.000133.0 ± 5.4d

 

Table 2. Correlations Between Serum Iron Status Markers in Men With HFE-C282Y/C282Y Hemochromatosis
 
Men C282Y/C282YIron vs. ferritinIron vs. transferrinFerritin vs. transferrinIron vs. TSATFerritin vs. TSATTransferrin vs. TSATTransferrin, µmol/L
Spearman’s rank correlation coefficient (rs) between serum iron status markers was used. Serum transferrin values are presented as arithmetic mean ± standard deviation. aComparison with corresponding rs for the all-men control group (Table 1) (I = induction treatment; M = maintenance treatment; nr = not relevant). bComparison with corresponding transferrin values for the all-men control group (Table 1). cM8 differ by showing positive correlations between iron and ferritin vs. transferrin. TSAT: transferrin saturation; yrs: years; n: number of consecutive blood samples; I: induction treatment; M: maintenance treatment.
M1, 73 yrs, M (n = 39)rs = 0.54rs = -0.60rs = -0.47rs = 0.98rs = 0.51rs = -0.6927.6 ± 1.8
P = 0.0004P = 0.0001P < 0.0001P < 0.0001P = 0.001P < 0.0001P < 0.0001b
P = 0.01aP = 0.001aP = 0.003aP = 1.0aP = 0.03aP = 0.003a
M2, 44 yrs, I (n = 26)rs = 0.03rs = -0.50rs = 0.01rs = 0.93rs = 0.02rs = -0.7524.9 ± 2.9
P = 0.9P = 0.001P = 0.6P < 0.0001P = 0.9P < 0.0001P < 0.0001b
nraP = 0.013anraP = 1.0anraP = 0.002a
M3, 69 yrs, I (n = 14)rs = 0.92rs = -0.64rs = -0.71rs = 0.92rs = 0.91rs = -0.8223.2 ± 1.9
P < 0.0001P = 0.02P = 0.006P < 0.0001P < 0.0001P = 0.0006P < 0.0001b
P = 1.0aP = 0.003aP < 0.004aP = 0.3aP = 1.0aP = 0.005a
M4, 69 yrs, I (n = 15)rs = 0.47rs = -0.17rs = -0.63rs = 0.83rs = 0.21rs = -0.2023.1 ± 1.9
P = 0.08P = 0.5P = 0.01P = 0.0001P = 0.5P = 0.5P < 0.0001b
P = 0.2anraP = 0.01aP = 0.2anranra
M5, 77 yrs, M (n = 26)rs = 0.28rs = -0.30rs = -0.59rs = 0.93rs = 0.46rs = -0.5730.3 ± 2.7
P = 0.2P = 0.1P = 0.002P < 0.0001P = 0.02P = 0.003P = 0.022b
nranraP = 0.03aP = 0.1aP = 0.1aP = 0.09a
M6, 77 yrs, I (n = 30)rs = 0.78rs = -0.41rs = -0.61rs = 0.94rs = 0.84rs = -0.6726.3 ± 2.0
P < 0.0001P = 0.02P = 0.0004P < 0.0001P < 0.0001P < 0.0001P < 0.0001b
P = 1.0aP = 0.005aP < 0.001aP = 0.05aP = 0.2aP = 0.03a
M7, 61 yrs, I (n = 11)rs = 0.77rs = -0.16rs = -0.58rs = 0.43rs = 0.82rs = -0.9224.2 ± 3.0
P = 0.04P = 0.02P = 0.2P = 0.3P = 0.02P = 0.004P < 0.0001b
P = 0.01aP = 0.3aP = 0.05anraP = 0.005aP = 0.001a
M8c, 73 yrs, M (n = 24)rs = 0.38rs = 0.28rs = 0.24rs = 0.90rs = 0.47rs = 0.0424.5 ± 1.7
P = 0.07P = 0.2P = 0.2P = 0.005P = 0.03P = 0.8P < 0.0001b
nranranraP = 0.4aP = 0.1anra
M9, 63 yrs, I (n = 13)rs = 0.53rs = -0.36rs = -0.66rs = 0.68rs = 0.69rs = -0.6221.6 ± 1.0
P = 0.06P = 0.2P = 0.01P < 0.0001P = 0.009P = 0.003P < 0.0001b
P = 0.1anraP = 0.01aP = 0.03aP = 0.03aP = 0.1a
M10, 63 yrs, M (n = 30)rs = 0.51rs = -0.68rs = -0.39rs = 0.93rs = 0.49rs = -0.7927.4 ± 1.8
P = 0.004P = 0.0001P = 0.03P < 0.0001P = 0.008P < 0.0001P < 0.0001b
P = 0.04aP = 0.02aP = 0.04aP = 0.1aP = 0.06aP = 0.001a
M11, 63 yrs, I (n = 15)rs = 0.59rs = -0.38rs = -0.85rs = 0.68rs = 0.88rs = -0.8331.2 ± 1.7
P = 0.02P = 0.2P = 0.0001P = 0.005P < 0.0001P = 0.0001P = 0.3b
P = 0.06aP = 0.05aP = 0.01aP = 0.02aP = 0.03aP = 0.002a

 

Table 3. Correlations Between Serum Iron Status Markers in Women With HFE-C282Y/C282Y Hemochromatosis
 
Women C282Y/C282YIron vs. ferritinIron vs. transferrinFerritin vs. transferrinIron vs. TSATFerritin vs. TSATTransferrin vs. TSATTransferrin, µmol/L
Spearman’s rank correlation coefficient (rs) was used. Serum transferrin values are presented as arithmetic mean ± standard deviation. aComparison with corresponding rs for the all-women control group (Table 1) (I = induction treatment; M = maintenance treatment; nr = not relevant). bComparison with corresponding transferrin values for the all-women control group (Table 1). cF6 and F8 differ by showing positive correlations between iron and/or ferritin vs. transferrin. TSAT: transferrin saturation; yrs: years; n: number of consecutive blood samples.
F1, 53 yrs, I + M (n = 38)rs = 0.47rs = -0.35rs = -0.64rs = 0.93rs = 0.63rs = -0.5922.7 ± 1.5
P = 0.0003P = 0.032P < 0.0001P <0.0001P < 0.0001P = 0.0001P < 0.0001b
P = 0.004aP = 0.014aP = 0.001aP = 0.3aP = 1.0aP = 0.1a
F2, 53 yrs, M (n = 13)rs = 0.85rs = -0.15rs = -0.31rs = 0.92rs = 0.86rs = -0.3723.1 ± 1.5
P = 0.0002P = 0.6P = 0.3P < 0.0001P = 0.0002P = 0.2P < 0.0001b
P = 0.001anranraP = 0.4aP = 0.01anra
F3, 34 yrs, M (n = 10)rs = 0.09rs = 0.39rs = -0.37rs = 0.92rs = 0.06rs = -0.3725.7 ± 1.8
P = 0.8P = 0.3P = 0.3P = 0.0002P = 0.9P = 0.3P = 0.0005b
nranranraP = 0.4anranra
F4, 34 yrs, M (n = 10)rs = 0.22rs = -0.09rs = -0.13rs = 0.97rs = 0.19rs = -0.3119.8 ± 0.4
P = 0.5P = 0.8P = 0.7P < 0.0001P = 0.6P = 0.4P < 0.0001b
nranranraP = 0.07anranra
F5, 59 yrs, I (n = 30)rs = 0.36rs = -0.21rs = -0.75rs = 0.89rs = 0.61rs = -0.5123.8 ± 2.6
P = 0.05P = 0.3P < 0.0001P < 0.0001P = 0.0003P = 0.004P < 0.0001b
P = 0.0nrP = 0.001aP = 0.3aP = 0.002aP = 0.3a
F6c, 48 yrs, M (n = 15)rs = 0.83rs = 0.06rs = 0.29rs = 0.77rs = 0.76rs = -0.1125.3 ± 1.1
P = 0.0001P = 0.6P = 0.4P = 0.0009P = 0.0001P = 0.7P < 0.0001b
P = 0.001anranraP = 0.04aP = 0.002anra
F7, 70 yrs, I (n = 12)rs = 0.52rs = -0.01rs = -0.31rs = 0.94rs = 0.56rs = -0.3128.7 ± 1.5
P = 0.08P = 0.9P = 0.3P < 0.0001P = 0.06P = 0.3P < 0.0001b
P = 0.001anranraP = 0.3aP = 0.07anra
F8c, 63 yrs, M (n = 30)rs = 0.40rs = 0.13rs = 0.43rs = 0.85rs = 0.18rs = -0.3323.9 ± 1.6
P = 0.03P = 0.5P = 0.02P < 0.0001P = 0.3P = 0.08P < 0.0001b
P = 0.06anraP = 0.0001aP = 0.09aP = 0.4aP = 0.9a
F9, 54 yrs, M (n = 29)rs = 0.34rs = -0.20rs = 0.49rs = 0.85rs = 0.18rs = -0.4823.2 ± 1.2
P = 0.07P = 0.3P = 0.008P < 0.0001P = 0.04P = 0.009P < 0.0001b
P = 0.008anraP = 0.004P = 0.09aP = 0.4aP = 0.4a
F10, 77 yrs, M (n = 30)rs = 0.42rs = -0.42rs = -0.10rs = 0.87rs = 0.36rs = -0.5726.6 ± 2.1
P = 0.02P = 0.02P = 0.6P < 0.0001P = 0.05P = 0.0009P < 0.0001b
P = 0.008aP = 0.08nraP = 0.2aP = 0.1aP = 0.2a