Table 1

Potential environmental modifiers of iron loading in hemochromatosis

ModifierPopulation studiedEffectReference no.
Gastric acid suppression C282Y homozygotes Use of proton pump inhibitor reduced venesection requirement 17  
Dietary tannins Volunteer C282Y homozygotes Regular tea drinking reduced radiolabeled iron absorption. No statistically significant effect on venesection requirement. 18  
Dietary iron intake Female C282Y homozygotes Positive correlation between heme iron intake and serum ferritin only in postmenopausal women 19  
Voluntary blood donation C282Y homozygotes No difference in venesection requirements between prior blood donors and nondonors 20  
Alcohol consumption Mouse model Down-regulates hepcidin expression leading to increased expression of iron transport molecules 21  
ModifierPopulation studiedEffectReference no.
Gastric acid suppression C282Y homozygotes Use of proton pump inhibitor reduced venesection requirement 17  
Dietary tannins Volunteer C282Y homozygotes Regular tea drinking reduced radiolabeled iron absorption. No statistically significant effect on venesection requirement. 18  
Dietary iron intake Female C282Y homozygotes Positive correlation between heme iron intake and serum ferritin only in postmenopausal women 19  
Voluntary blood donation C282Y homozygotes No difference in venesection requirements between prior blood donors and nondonors 20  
Alcohol consumption Mouse model Down-regulates hepcidin expression leading to increased expression of iron transport molecules 21  
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