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Global epidemiology of Familial Mediterranean fever mutations using population exome sequences
1Kobe University School of Medicine 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
Abstract:
Familial Mediterranean fever (FMF) is an inherited disorder characterized by recurrent episodes of fever accompanied by sterile peritonitis, arthritis, and pleuritis. Many mutations in the MEFV gene have been identified as causing FMF. However, accompanying epidemiological information remains quite scarce except in some Mediterranean countries, and the degree of penetrance has been a subject of controversy. Here, I established a genetic epidemiology of full FMF mutations using two population exome studies. Of 57 mutations associated with FMF, 22 were detected in a total of 9007 individuals from two exome sequences. Exome-based epidemiology revealed the carrier rates of FMF in 28 populations in 19 countries by individual mutation and showed strong population specificity for the MEFV mutations. Unexpectedly high carrier rates suggested that some mutations are benign variants with no pathological significance and highlighted the need for caution in analyzing MEFV mutations. Similar approach could be used to uncover the incomplete or no penetrance of mutations in most inherited disorders.
Insights
Familial Mediterranean fever (FMF) genetic epidemiology reveals population-specific MEFV mutation carrier rates. High rates suggest some mutations may be benign, necessitating careful analysis for inherited disorders.
Area of Science:
- Genetics
- Epidemiology
- Molecular Biology
Background:
- Familial Mediterranean fever (FMF) is an inherited autoinflammatory disorder.
- Recurrent episodes of fever, sterile peritonitis, arthritis, and pleuritis characterize FMF.
- While MEFV gene mutations cause FMF, epidemiological data and penetrance are not well-established globally.
Purpose of the Study:
- To establish the genetic epidemiology of Familial Mediterranean fever (FMF) mutations.
- To determine carrier rates and population specificity of MEFV mutations.
- To investigate the significance of high carrier rates and potential benign variants.
Main Methods:
- Utilized two large-scale population exome studies.
- Analyzed 57 known FMF-associated mutations.
- Determined carrier rates for MEFV mutations across 28 populations in 19 countries.
Main Results:
- Detected 22 of 57 FMF mutations in 9007 individuals.
- Revealed significant population specificity for MEFV mutation frequencies.
- Observed unexpectedly high carrier rates for certain mutations.
Conclusions:
- High carrier rates suggest some MEFV mutations may be benign variants.
- Caution is needed when interpreting MEFV mutations for FMF diagnosis.
- This approach can help elucidate penetrance in other inherited disorders.
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