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Published on: October 27, 2023
Common Mediterranean fever (MEFV) gene mutations associated with ankylosing spondylitis in Turkish population
Serbulent Yigit1, Ahmet Inanir, Nevin Karakus
1Department of Medical Biology, Faculty of Medicine, Gaziosmanpasa University, Tokat, Turkey.
Abstract:
Ankylosing spondylitis (AS) is a common inflammatory rheumatic disease. Mediterranean fever (MEFV) gene, which has already been identified as being responsible for familial Mediterranean fever (FMF), is also a suspicious gene for AS because of the clinical association of these two diseases. The aim of this study was to explore the frequency and clinical significance of MEFV gene mutations (M694V, M680I, V726A, E148Q and P369S) in a cohort of Turkish patients with AS. Genomic DNAs of 103 AS patients and 120 controls were isolated and genotyped using polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP) methods. There was a statistically significant difference of the MEFV gene mutation carrier rates between AS patients and healthy controls (p=0.004, OR: 2.5, 95% CI: 1.32-4.76). This association was also observed in allele frequencies (p=0.005, OR: 2.3, 95% CI: 1.27-4.2). A relatively higher frequency was observed for M694V mutation in AS patients than controls (10.7% versus 4.2% , p=0.060). There were no significant differences between MEFV mutation carriers and non-carriers with respect to the clinical and demographic characteristics. The results of this study suggest that MEFV gene mutations are positively associated with a predisposition to develop AS.
Insights
Mutations in the Mediterranean fever (MEFV) gene are linked to an increased risk of developing ankylosing spondylitis (AS). This study found a significant association between MEFV gene mutations and AS predisposition in Turkish patients.
Area of Science:
- Genetics
- Rheumatology
- Molecular Biology
Background:
- Ankylosing spondylitis (AS) is a prevalent inflammatory rheumatic condition.
- The Mediterranean fever (MEFV) gene, known for familial Mediterranean fever (FMF), is investigated for its potential role in AS due to observed clinical similarities.
- Understanding genetic predispositions is crucial for AS research.
Purpose of the Study:
- To determine the frequency of specific MEFV gene mutations (M694V, M680I, V726A, E148Q, P369S) in Turkish AS patients.
- To explore the clinical significance of these MEFV mutations in the AS cohort.
- To assess the association between MEFV gene mutations and AS susceptibility.
Main Methods:
- Genomic DNA extraction from 103 AS patients and 120 healthy controls.
- Genotyping of MEFV gene mutations using polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP).
- Statistical analysis to compare mutation carrier rates and allele frequencies between patient and control groups.
Main Results:
- A statistically significant higher carrier rate of MEFV gene mutations was found in AS patients compared to controls (p=0.004, OR: 2.5).
- Allele frequencies of MEFV mutations were also significantly different between AS patients and controls (p=0.005, OR: 2.3).
- The M694V mutation showed a trend towards higher frequency in AS patients (10.7% vs 4.2%, p=0.060). No significant clinical or demographic differences were noted between MEFV mutation carriers and non-carriers.
Conclusions:
- MEFV gene mutations are positively associated with an increased predisposition to developing ankylosing spondylitis.
- The findings suggest a genetic link between MEFV gene variations and AS susceptibility.
- Further research is warranted to elucidate the specific mechanisms underlying this association.
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