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Rare MEFV variants are not associated with risk to develop multiple sclerosis and severity of disease
Ine Pauwels1, Leentje Cosemans, Steven Boonen
1Department of Neurosciences, Laboratory for Neuroimmunology, Section of Experimental Neurology, KU Leuven, Belgium.
Background:
Recent studies suggest an association between rare variants in Mediterranean fever (MEFV), the gene underlying the auto-inflammatory disorder Familial Mediterranean Fever (FMF), the risk to develop multiple sclerosis (MS) and severity of MS.
Objective:
The objective of this study is to investigate these findings in a Belgian MS population and to test for association with additional clinical parameters such as treatment response.
Methods:
MEFV was sequenced in a cohort of MS patients (N=94) suffering from auto-inflammatory symptoms, systemic side-effects upon interferon-beta (IFN-β) treatment, or patients in whom glatiramer acetate was started as first choice due to severe fatigue. Five rare non-synonymous variants were detected in this cohort and subsequently genotyped in 915 MS patients and 763 healthy controls.
Results:
We observed no association between these alleles and susceptibility to MS (p-value=0.99) or disease severity (p-value=0.78). However, we did observe a correlation between carrying an MEFV variant and the development of systemic side-effects upon IFN-β treatment (p-value=0.022).
Conclusion:
In contrast to recent smaller studies, we did not find an association between carrying a rare variant in the MEFV gene and the risk to develop MS or disease severity. However, carrying rare variants in MEFV was associated with the development of severe systemic side-effects upon IFN-β treatment.
Insights
Rare variants in the Mediterranean fever (MEFV) gene were not linked to multiple sclerosis (MS) risk or severity. However, MEFV variants were associated with developing side effects from interferon-beta (IFN-β) treatment in MS patients.
Area of Science:
- Genetics
- Neurology
- Immunology
Background:
- Familial Mediterranean Fever (FMF) gene variants (MEFV) have been tentatively linked to multiple sclerosis (MS) risk and severity.
- Investigating this association is crucial for understanding MS pathogenesis and potential therapeutic targets.
Purpose of the Study:
- To examine the association between rare MEFV variants and MS susceptibility and severity in a Belgian population.
- To explore the correlation between MEFV variants and clinical parameters, including response to treatment.
Main Methods:
- MEFV gene sequencing in a cohort of 94 MS patients with specific symptoms or treatment histories.
- Genotyping of five identified rare MEFV variants in 915 MS patients and 763 healthy controls.
Main Results:
- No significant association was found between MEFV variants and MS susceptibility (p=0.99) or disease severity (p=0.78).
- A statistically significant correlation (p=0.022) was observed between carrying MEFV variants and developing systemic side effects from interferon-beta (IFN-β) treatment.
Conclusions:
- Contrary to some smaller studies, this research found no link between MEFV variants and MS risk or severity.
- Carrying rare MEFV variants is associated with an increased risk of severe systemic side effects during IFN-β therapy for MS.
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