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Common Familial Mediterranean Fever gene mutations in a Turkish cohort
Munis Dundar1, Elif Funda Emirogullari, Aslihan Kiraz
1Department of Medical Genetics, Erciyes University Medicine Faculty Kayseri, 38039 Kayseri, Turkey. dundar@erciyes.edu.tr
Abstract:
Familial Mediterranean Fever (FMF) is an autosomal recessive autoinflammatory disorder with the responsible gene of MEFV which primarily affects Jewish, Armenian, Turkish and Arab populations. The FMF gene (MEFV) has recently been cloned to chromosome 16 p, which encodes pyrin. In the present study, we enrolled 2,067 unrelated patients with the suspicion of FMF in Middle Anatolia between the years 2006-2009 and identified the 12 MEFV mutations. DNA was amplified by PCR and subjected to reverse hybridization for the detection of MEFV gene mutations. Among the 2,067 patients, 866 (41.9%) were males and 1,201 (58.1%) were females. The mutations were homozygous in 176 (16.85%) patients, compound heterozygous in 314 (30.1%) patients, heterozygous in 546 (52.25%) patients and the other forms of mutations were found in 8 patients (0.76%). No mutation was detected in 1,023 (49.5%) patients. The most frequent mutations were M694V, M680I (G/C), E148Q and V726A. We could not find any significant differences between the two common mutations according to the gender. The high incidence of MEFV gene mutations in the Turkish population indicated that newborn screening may be discussed in the future. Because of the ethnic origin of Anatolia, larger serial analyses are necessary to investigate the rate and coexistence of these mutations.
Insights
Familial Mediterranean Fever (FMF) is a genetic disorder. This study identified 12 MEFV gene mutations in 2,067 patients from Middle Anatolia, with M694V being the most frequent.
Area of Science:
- Genetics
- Autoinflammatory Diseases
- Molecular Biology
Background:
- Familial Mediterranean Fever (FMF) is an autosomal recessive autoinflammatory disorder.
- The MEFV gene, encoding pyrin, is responsible for FMF and primarily affects specific ethnic groups.
Purpose of the Study:
- To identify MEFV gene mutations in patients suspected of FMF in Middle Anatolia.
- To analyze the frequency and distribution of MEFV mutations in this population.
Main Methods:
- Enrolled 2,067 unrelated patients with suspected FMF.
- Utilized Polymerase Chain Reaction (PCR) and reverse hybridization for MEFV mutation detection.
- Analyzed mutation types including homozygous, compound heterozygous, and heterozygous.
Main Results:
- Identified 12 MEFV mutations in 1,044 (50.5%) patients.
- No mutation was detected in 1,023 (49.5%) patients.
- The most frequent mutations were M694V, M680I (G/C), E148Q, and V726A.
Conclusions:
- High incidence of MEFV gene mutations in the Turkish population suggests potential for newborn screening.
- Further large-scale analyses are needed to investigate mutation rates and coexistence due to Anatolia's ethnic diversity.
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