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Published on: May 5, 2023
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.
Abstract:
Familial Mediterranean Fever (FMF) is a hereditary autoinflammatory disorder caused by mutations in the MEFV gene. Carrier rates are known to be particularly high among Sephardic Jews, Turks, Armenians and Arab populations. Our literature survey regarding FMF and MEFV mutations in Georgia revealed a lack of existing studies. We applied multiplex PCR and reverse-hybridization teststrips (FMF StripAssay) to simultaneously analyze twelve common MEFV mutations in DNA samples from dried blood on filter cards, which had been obtained from 202 unselected newborns at various hospitals in Tbilisi, Georgia. We found 30 samples to be heterozygous and one to be compound heterozygous or carrier of a complex allele (two mutations in cis). The carrier rate of MEFV mutations (15.3%) was remarkable. The most frequently observed variants were E148Q (15x), M680I G/C (5x) and M694V (4x). Five other MEFV mutations were found at lower prevalence (V726A, A744S, R761H: 2x each; P369S, F479L: 1x each). Based on these new findings, the awareness for FMF and the availability of appropriate testing should be further promoted in Georgia.
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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