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Mitochondrial DNA copy number alterations in familial mediterranean fever patients
Objectives And Background:
Familial Mediterranean Fever (FMF) is characterized by recurrent fever episodes as a result of inflammation of serous membranes. Changes in the number of different mtDNA copy number variations, detected in FMF patients, who developed amyloidosis, might be an important parameter in the understanding of the pathophysiology of the disease.
Methods:
Changes in the mtDNA copy number between 50 patients with FMF, who had M694V homozygote mutation and amyloidosis, and 50 healthy controls, who had not any MEFV mutation or FMF clinical finding, were examined. The 22 MEFV mutations were analyzed by Pyromark Q24 system. Quantitative analysis was performed on RT-PCR. The level of mtDNA was calculated using the delta Ct (ΔCt) of average Ct of mtDNA and nDNA (ΔCt = Ct mtDNA-Ct nDNA) in the same well as an exponent of 2 (2ΔCt).
Results:
A significant decrease in the amount of mtDNA was detected in FMF patients with M694V homozygous mutation carriers, who developed amyloidosis compared to the control group (p < 0.001).
Conclusion:
In this study, mitochondrial dysfunction, which has been identified through changes in the mitochondrial genome in many diseases, was identified by showing that the copy number variations of mtDNA in leukocytes also decreased for FMF disease (Tab. 3, Fig. 1, Ref. 21).
Insights
Mitochondrial DNA (mtDNA) copy number significantly decreased in Familial Mediterranean Fever (FMF) patients with M694V homozygous mutation and amyloidosis. This finding highlights mitochondrial dysfunction in FMF pathophysiology.
Area of Science:
- Genetics
- Molecular Biology
- Immunology
Background:
- Familial Mediterranean Fever (FMF) is an autoinflammatory disorder characterized by recurrent fever and serositis.
- Amyloidosis is a serious complication of FMF, leading to organ damage.
- Mitochondrial DNA (mtDNA) copy number variations have been implicated in various diseases.
Purpose of the Study:
- To investigate the role of mtDNA copy number variations in FMF patients with M694V homozygous mutation and amyloidosis.
- To explore the potential of mtDNA copy number as a biomarker for FMF pathophysiology.
Main Methods:
- Quantitative real-time PCR (RT-PCR) was used to analyze mtDNA copy number in 50 FMF patients (M694V homozygous mutation, amyloidosis) and 50 healthy controls.
- MEFV mutations were analyzed using the Pyromark Q24 system.
- mtDNA levels were calculated using the delta Ct (ΔCt) method.
Main Results:
- A statistically significant reduction in mtDNA copy number was observed in FMF patients compared to healthy controls (p < 0.001).
- This decrease was specifically noted in FMF patients carrying the M694V homozygous mutation and experiencing amyloidosis.
Conclusions:
- The study identified decreased mtDNA copy number in leukocytes of FMF patients, indicating mitochondrial dysfunction.
- These findings contribute to understanding the molecular mechanisms underlying FMF and its complications like amyloidosis.
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