SUMMARY Purified tissue ferritins isolated from Bantu subjects with gross haemosiderosis, from a patient with idiopathic haemochromatosis ( HC) treated by phlebotomy, and from rats with experimental iron overload were studied in order to determine the significance of the abnormality previously demonstrated in tissue isoferritins in patients with IHC. The isoferritin profile of the tissues from the Bantu subjects and the iron-loaded rats showed a similar abnormality to that previously found in patients with untreated IHC-that is, an abnormally uniform distribution of iron-containing isoferritins with an increase in the more basic isoferritins and an apparent absence of the more acidic ones. In contrast, tissues from the patient with treated IHC, who was iron depleted at the time of death, showed the normal organ-specific isoferritin distribution. These findings strongly suggest that the abnormal distribution of tissue isoferritins in IHC is an acquired phenomenon and unlikely to be related to an underlying genetic defect in ferritin or iron metabolism.Ferritin is the major iron storage protein in mammalian tissues and is found, or may be induced by iron administration, in most organs (Granick, 1951;Munro and Drysdale, 1970). Many tissue ferritins have been resolved into multiple isoferritins by the technique of isoelectric focusing Urushizaki et al., 1971;Drysdale, 1974;Powell et al., 1975). These isoferritins do not represent differences in aggregation or iron content of the protein but intrinsically different apoferritin shells 1974). Each tissue appears to have a characteristic isoferritin composition (Drysdale, 1974;Powell et al., 1975). This organ-specific isoferritin profile has recently been shown to be markedly abnormal in patients with untreated primary idiopathic haemochromatosis . The present study was designed to determine whether the abnormality in tissue isoferritins in idiopathic haemochromatosis is directly related to the genetic defect in iron metabolism or the result of long-standing iron overload.
Methods
HUMAN TISSUESNecropsy tissues were obtained from a normal adult male accident victim and also from a patient with classical familial idiopathic haemochromatosis whose case history and family history have been documented previously (Powell, 1965). This patient Received for publication 18 September 1975. had been treated by repeated phlebotomy for 11 years and was in a state of marginal iron deficiency at the time of his death at the age of 74 years. Histological examination showed no stainable iron in any of the tissues examined. Tissues from two Bantu patients with gross haemosiderosis were kindly provided by Professor R. Charlton of Johannesburg.
ANIMAL STUDIESTen male Sprague Dawley rats weighing 250 to 300 g were each given 1 g/kg body weight of iron as irondextran by intramuscular injection over a period of two weeks. The rats were maintained on a normal diet tor three months and then killed by exsanguination from the dorsal aorta under ether anaesthesia. The carcasses were then perfuse...