[From hereditary recurrent fevers to autoinflammatory syndromes: the contribution of genetics]

Marc Delpech1

  • 1Laboratoire de biochimie et génétique moléculaire, APHP Hôpital Cochin, 123 bd de Port Royal, 75014 Paris. marc.delpech@inserm.fr

Insights

Hereditary recurrent fevers are rare genetic disorders. Genetic discoveries now enable molecular diagnosis and targeted therapies for these conditions, improving patient outcomes.

Area of Science:

  • Genetics
  • Immunology
  • Rheumatology

Context:

  • Hereditary recurrent fevers are rare genetic disorders.
  • Traditionally classified into four main types.
  • Clinical diagnosis can be challenging.

Purpose:

  • To review the classification and diagnosis of hereditary recurrent fevers.
  • To highlight the impact of genetic discoveries.
  • To discuss current and future therapeutic strategies.

Summary:

  • Rare genetic fevers include familial Mediterranean fever, Muckle-Wells syndrome, Hibernian fever, and hyper IgD with recurrent fever.
  • Genetic discoveries have refined classification and enabled molecular diagnosis.
  • Early diagnosis is crucial to prevent fatal AA amyloidosis.

Impact:

  • Molecular diagnostics improve accuracy and speed of identification.
  • Understanding genetic mechanisms drives development of novel treatments.
  • New therapies are under investigation in clinical trials.

Related Concept Videos

Autoimmune Disorders01:29

Autoimmune Disorders

Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune system...
Pedigree Analysis01:35

Pedigree Analysis

Overview
Graves' Disease I: Introduction01:28

Graves' Disease I: Introduction

Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence in...
Inflammatory Bowel Disease III: Crohn's Disease01:25

Inflammatory Bowel Disease III: Crohn's Disease

Crohn’s disease is a chronic, relapsing form of inflammatory bowel disease characterized by segmental, transmural inflammation that can affect any part of the gastrointestinal tract. Its pathogenesis arises from a combination of genetic susceptibility, environmental exposures, epithelial barrier dysfunction, and immune dysregulation. Together, these factors lead to an exaggerated immune response against components of the gut microbiome.Genetic and Environmental InfluencesMultiple genetic...
Human Genetics01:28

Human Genetics

Human genetics provides a profound framework for understanding the interplay between genetic predispositions and human psychology. At the heart of this discipline lies the study of how genes influence physical traits, behaviors, and susceptibility to diseases. Each person carries a unique genetic code that subtly or significantly shapes their psychological and behavioral landscape.
The complex relationship between genetics and psychology is observable through common biological components such...
Cancer Prevention02:59

Cancer Prevention

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...