Assessment of Circulating Microribonucleic Acids in Patients With Familial Mediterranean Fever

Ferhat Demİr1, Alper Han Çebİ2, Mukaddes Kalyoncu1

  • 1Department of Pediatric Rheumatology, Karadeniz Technical University Medical Faculty, Trabzon, Turkey.

Abstract

Insights

Plasma levels of miRNA-155 and miRNA-204 are altered in familial Mediterranean fever (FMF) patients. These microRNAs (miRNAs) may play a role in FMF pathogenesis, suggesting potential diagnostic or therapeutic targets.

Area of Science:

  • Genetics
  • Molecular Biology
  • Immunology

Background:

  • Familial Mediterranean fever (FMF) is a genetic autoinflammatory disorder.
  • The pathogenesis of FMF involves complex inflammatory pathways.
  • MicroRNAs (miRNAs) are emerging as key regulators in various diseases, including inflammatory conditions.

Purpose of the Study:

  • To investigate plasma microRNA (miRNA) expression in children with familial Mediterranean fever (FMF).
  • To identify specific miRNAs associated with the pathogenesis of FMF.
  • To compare miRNA levels between FMF patients during attack and remission periods and healthy controls.

Main Methods:

  • A case-control study involving 30 FMF patients and 30 healthy children.
  • Quantitative real-time polymerase chain reaction (PCR) was used to measure plasma levels of four candidate miRNAs (miRNA-16, miRNA-155, miRNA-204, miRNA-451).
  • MiRNA levels were analyzed in FMF patients during attack and remission phases, and compared to healthy controls (HCs).

Main Results:

  • Plasma miRNA-204 levels were significantly decreased (6.5-fold) in FMF patients during remission compared to HCs (p<0.001).
  • This reduction in miRNA-204 was more pronounced in patients carrying the M694V mutation.
  • Plasma miRNA-155 levels were also found to be lower in FMF patients during remission (p=0.03).

Conclusions:

  • Significant alterations in plasma miRNA-155 and miRNA-204 expression were observed in FMF patients compared to healthy controls.
  • These findings suggest that miRNA-155 and miRNA-204 may be implicated in the pathogenesis of FMF.
  • Further research is warranted to elucidate the precise role of these miRNAs in FMF and its underlying mechanisms.