Rapidly progressive Creutzfeldt-Jakob disease in patients with Familial Mediterranean Fever

S A Appel1, J Chapman, E Kahana

  • 1Department of Neurology, The Sagol Neuroscience Center at the Chaim Sheba Medical Center affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Hashomer, Israel.

Abstract

Insights

Familial Mediterranean fever (FMF) may shorten the disease duration in Creutzfeldt-Jakob disease (CJD) patients. This suggests pro-inflammatory factors play a role in CJD progression.

Area of Science:

  • Neuroscience
  • Genetics
  • Immunology

Background:

  • Familial Creutzfeldt-Jakob disease (fCJD) clusters in Libyan Jews, a population also with high prevalence of Familial Mediterranean Fever (FMF).
  • Investigating the potential impact of FMF, a pro-inflammatory condition, on the clinical course of CJD.

Observation:

  • A study included 372 CJD patients (236 fCJD, 136 sporadic CJD).
  • Three patients presented with co-morbid FMF and CJD.
  • Genotyping for FMF mutations was performed on 50 CJD patients.

Findings:

  • CJD patients with FMF exhibited an earlier age of onset and significantly shorter disease duration compared to those without FMF.
  • Heterozygote carriers of the FMF mutation did not show significant differences in disease onset or duration.

Implications:

  • The findings suggest that pro-inflammatory conditions like FMF may influence the progression of Creutzfeldt-Jakob disease.
  • This highlights the potential role of inflammation in neurodegenerative disease pathways.

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