the absence of inflammation. TGF-b1 mediates many cellular Genetic hemochromatosis (GH) is associated with excess functions, including growth stimulation and inhibition, iron deposition in hepatocytes, which results in progressive apoptosis, increased extracellular matrix protein synthesis, hepatic injury. The pathogenesis of hepatic injury in GH is and decreased extracellular matrix degradation. [8][9][10][11][12] The colopoorly understood. In this study, we found enhanced oxidacalization of increased hepatic collagen a1(I) mRNA with tive stress in patients with GH, as evidenced by hepatic malon-TGF-b1 immunostaining suggests that TGF-b1 may also be dialdehyde (MDA)-protein adducts and by increased oxidaimportant in hepatic fibrogenesis associated with iron overtively modified serum proteins. MDA-lysine epitopes and load. The molecular mechanisms of TGF-b1 induction in oxidatively modified serum proteins, as well as immunogloburesponse to excess iron and enhanced lipid peroxidation in lin G autoantibodies against MDA-lysine epitopes, were inthe animal model of hemochromatosis are not known. creased in untreated GH patients and to a lesser extent in Iron directly or through the induction of cytokines, such GH heterozygotes compared with normal individuals. These as TGF-b1, could also play an important role in the developmarkers of ongoing oxidative stress decreased with phlebotment of liver injury 13-15 because excess iron removal in preomy treatment in GH patients. In addition, TGF-b1 colocalcirrhotic patients with GH prevents the development of fibroized with hepatic iron and MDA protein adducts in hepatosis and hepatocellular carcinoma formation. 16 However, it is cytes and sinusoidal cells of hepatic acinar zone 1 and not known whether excess hepatic iron in patients with GH normalized after iron removal. Our data suggest that iron is also associated with increased lipid peroxidation and TGFoverload increases both lipid peroxidation and TGF-b1 exb1 expression. In this study we analyzed whether hepatic pression, which together could promote hepatic injury and iron overload induces lipid peroxidation and TGF-b1 expresfibrogenesis. (HEPATOLOGY 1997;26:605-610.) sion in patients with GH.
Genetic hemochromatosis (GH) is associated with excess
PATIENTS AND METHODSiron deposition in hepatocytes, which results in hepatic injury. 1,2 The mechanisms responsible for the development of hydrazine to form a hydrazone complex, which was measured specof California, San Diego, CA; and 2 The Joint Liver Program, University of Queensland trophotometrically as described. 17 The hydrazone derivative has a