Unified Modeling of Familial Mediterranean Fever and Cryopyrin Associated Periodic Syndromes
Yasemin Bozkurt1, Alper Demir1, Burak Erman1
1Computational and Quantitative Biology Lab, Koc University, 34450 Istanbul, Turkey.
Abstract:
Familial mediterranean fever (FMF) and Cryopyrin associated periodic syndromes (CAPS) are two prototypical hereditary autoinflammatory diseases, characterized by recurrent episodes of fever and inflammation as a result of mutations in MEFV and NLRP3 genes encoding Pyrin and Cryopyrin proteins, respectively. Pyrin and Cryopyrin play key roles in the multiprotein inflammasome complex assembly, which regulates activity of an enzyme, Caspase 1, and its target cytokine, IL-1β. Overproduction of IL-1β by Caspase 1 is the main cause of episodic fever and inflammatory findings in FMF and CAPS. We present a unifying dynamical model for FMF and CAPS in the form of coupled nonlinear ordinary differential equations. The model is composed of two subsystems, which capture the interactions and dynamics of the key molecular players and the insults on the immune system. One of the subsystems, which contains a coupled positive-negative feedback motif, captures the dynamics of inflammation formation and regulation. We perform a comprehensive bifurcation analysis of the model and show that it exhibits three modes, capturing the Healthy, FMF, and CAPS cases. The mutations in Pyrin and Cryopyrin are reflected in the values of three parameters in the model. We present extensive simulation results for the model that match clinical observations.
Insights
This study introduces a unifying dynamical model for Familial Mediterranean Fever (FMF) and Cryopyrin-Associated Periodic Syndromes (CAPS), revealing three distinct disease modes based on genetic mutations.
Area of Science:
- Immunology
- Systems Biology
- Computational Biology
Background:
- Familial Mediterranean Fever (FMF) and Cryopyrin-Associated Periodic Syndromes (CAPS) are hereditary autoinflammatory diseases.
- Both are characterized by recurrent fever and inflammation due to mutations in MEFV and NLRP3 genes, affecting Pyrin and Cryopyrin proteins.
- Overproduction of IL-1β, regulated by Caspase 1 and the inflammasome complex, drives the inflammatory episodes in FMF and CAPS.
Purpose of the Study:
- To develop a unifying dynamical model for FMF and CAPS.
- To capture the interactions and dynamics of key molecular players and immune system insults.
- To analyze how genetic mutations in Pyrin and Cryopyrin influence disease states.
Main Methods:
- Developed a model using coupled nonlinear ordinary differential equations.
- Incorporated two subsystems to represent molecular interactions and immune system dynamics.
- Performed bifurcation analysis to identify distinct disease modes.
Main Results:
- The model successfully distinguishes between healthy, FMF, and CAPS states.
- Mutations in Pyrin and Cryopyrin correspond to specific parameter values within the model.
- Simulation results align with observed clinical manifestations of FMF and CAPS.
Conclusions:
- The developed dynamical model provides a unified framework for understanding FMF and CAPS.
- The model accurately reflects the impact of genetic mutations on disease phenotype.
- This approach offers insights into the pathogenesis of these autoinflammatory conditions.
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