Familial Mediterranean fever in Georgia

K Pagava1, B Rauscher1, I A Korinteli1

  • 1Tbilisi State Medical University, Georgia; ViennaLab Diagnostics, Vienna, Austria; Institute of Clinical Chemistry and Laboratory Medicine, LKH Steyr, Austria.

Georgian Medical News
|June 19, 2014
PubMed

Insights

Familial Mediterranean Fever (FMF) carrier rates in Georgia were found to be remarkably high at 15.3% among newborns. This study highlights the need for increased FMF awareness and genetic testing availability in the region.

Area of Science:

  • Genetics
  • Autoinflammatory Disorders
  • Population Health

Background:

  • Familial Mediterranean Fever (FMF) is a genetic autoinflammatory disease.
  • Mutations in the MEFV gene cause FMF.
  • High FMF carrier rates are documented in Sephardic Jews, Turks, Armenians, and Arab populations.

Purpose of the Study:

  • To investigate the prevalence of MEFV mutations in Georgia, where studies were lacking.
  • To establish baseline carrier rates for FMF in the Georgian population.

Main Methods:

  • DNA samples from 202 unselected newborns in Tbilisi, Georgia were analyzed.
  • Multiplex PCR and FMF StripAssay were used to detect twelve common MEFV mutations.
  • Analysis was performed on DNA from dried blood spots on filter cards.

Main Results:

  • A significant MEFV mutation carrier rate of 15.3% was identified.
  • Thirty samples were heterozygous, and one was compound heterozygous or carried a complex allele.
  • The most prevalent mutations were E148Q (15x), M680I G/C (5x), and M694V (4x).

Conclusions:

  • The carrier rate of MEFV mutations in Georgia is notably high.
  • Increased awareness and accessibility of FMF genetic testing are recommended for Georgia.
  • These findings contribute to understanding FMF epidemiology in Caucasian populations.

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