Familial Mediterranean fever (FMF) mutations occur frequently in the Greek-Cypriot population of Cyprus
C Constantinou Deltas1, Richard Mean, Elena Rossou
1Department of Molecular Genetics C, Cyprus Institute of Neurology and Genetics, Department of Biological Sciences, University of Cyprus, Nicosia, Cyprus. DeltasCo@mdrtc.cing.ac.cy
Abstract:
Familial Mediterranean Fever (FMF) is an autosomal recessive disease of high prevalence within Mediterranean countries and particularly common in four ethnic populations: Arabs, non-Ashkenazi Jews, Armenians, and Turks. The responsible gene MEFV has been assigned to chromosome 16p13.3. Our aim was to establish the frequencies of the most common mutations in Greek-Cypriots. We found that 1 in 25 is a carrier of one of three mutations. V726A, M694V, and F479L. In 68 Grek-Cypriot FMF chromosomes analyzed, we found V726A (25%), F479L (20.6%), M694V (17.6%), and others (36.8%). Mutation F479L, relatively common in this population, is very rare elsewhere. Our study indicates that FMF is not a rare condition in Cyprus and that, because of the significant morbidity associated with this disorder, which is often diagnosed only after unnecessary surgeries, a newborn screening program to detect affected in this population may be warranted.
Insights
Familial Mediterranean Fever (FMF) affects 1 in 25 Greek-Cypriots, with common mutations V726A, M694V, and F479L identified. This suggests FMF is prevalent in Cyprus, warranting consideration for newborn screening.
Area of Science:
- Genetics
- Epidemiology
- Medical Science
Background:
- Familial Mediterranean Fever (FMF) is a prevalent autosomal recessive autoinflammatory disorder.
- FMF disproportionately affects populations from Mediterranean regions, including Arabs, non-Ashkenazi Jews, Armenians, and Turks.
- The MEFV gene, located on chromosome 16p13.3, is responsible for FMF.
Purpose of the Study:
- To determine the carrier frequencies of common MEFV gene mutations in the Greek-Cypriot population.
- To identify the prevalence of specific FMF-associated mutations within Greek-Cypriots.
- To assess the public health implications of FMF in Cyprus.
Main Methods:
- Analysis of 68 Greek-Cypriot FMF chromosomes.
- Identification and quantification of MEFV gene mutations, including V726A, M694V, and F479L.
Main Results:
- Approximately 1 in 25 Greek-Cypriots are carriers for one of the three common FMF mutations.
- The most frequent mutations found were V726A (25%), F479L (20.6%), and M694V (17.6%).
- The F479L mutation, while rare globally, shows significant prevalence in this population.
Conclusions:
- Familial Mediterranean Fever is not a rare condition among Greek-Cypriots.
- The high carrier rate and potential morbidity underscore the need for increased awareness and diagnostic strategies.
- A newborn screening program for FMF in Cyprus may be beneficial to prevent delayed diagnosis and unnecessary interventions.
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