Annadal Medical Center Maastricht

Maastricht, Netherlands

Annadal Medical Center Maastricht

Maastricht, Netherlands
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Schneider-Yin X.,Institute of Laboratory Medicine and Swiss Porphyrin Reference Laboratory | Van Tuyll Van Serooskerken A.-M.,Maastricht University | Siegesmund M.,Heinrich Heine University Düsseldorf | Went P.,Institute of Pathology Enge | And 15 more authors.
Journal of Hepatology | Year: 2015

Variegate porphyria (VP) and acute intermittent porphyria (AIP), the two most common types of acute porphyrias (AHPs), result from a partial deficiency of protoporphyrinogen oxidase (PPOX) and hydroxymethylbilane synthase (HMBS), respectively. A rare but serious complication in the AHPs is hepatocellular carcinoma (HCC). However, the underlying pathomechanisms are yet unknown. We performed DNA sequence analysis in cancerous and non-cancerous liver tissue of a VP and an AIP patient, both with HCC. In samples of both cancerous and non-cancerous liver tissues from the patients, we identified the underlying PPOX and HMBS germline mutations, c.1082dupC and p.G111R, respectively. Additionally, we detected a second somatic mutation, only in the cancer tissue i.e., p.L416X in the PPOX gene of the VP patient and p.L220X in the HMBS gene of the AIP patient, both located in trans to the respective germline mutations. Both somatic mutations were not detected in 10 non-porphyria-associated HCCs. Our data demonstrate that in the hepatic cancer tissue of AHP patients, somatic second-hit mutations result in nearly complete inactivation of the enzymes catalyzing major steps in the heme biosynthetic pathway. Both PPOX and HMBS, which might act as tumor suppressors, play a crucial role in the development of HCC in these individuals. © 2014 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.


Frank J.,Heinrich Heine University Düsseldorf | Poblete-Gutierrez P.,Annadal Medical Center Maastricht | Neumann N.J.,Heinrich Heine University Düsseldorf
Journal of Investigative Dermatology | Year: 2013

Photosensitivity is the clinical hallmark of both erythropoietic protoporphyria (EPP) and X-linked dominant protoporphyria (XLDPP). Both disorders result from a hereditary dysfunction in heme biosynthesis. Disease onset is usually in early childhood. However, rare patients with late-onset EPP in association with a myeloproliferative disorder or myelodysplastic syndrome have been reported. In this issue, Livideanu et al. describe the first patient with late-onset XLDPP.

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