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Updates on the role of epigenetics in familial mediterranean fever (FMF)
Ahlam Chaaban1, Zeina Salman1, Louna Karam1
1Department of Natural Sciences, School of Arts and Sciences, Lebanese American University (LAU), Beirut, Lebanon.
Abstract:
Familial Mediterranean Fever (FMF) is an autosomal recessive autoinflammatory disease caused by mutations in the MEFV (MEditerranean FeVer) gene that affects people originating from the Mediterranean Sea. The high variability in severity and clinical manifestations observed not only between ethnic groups but also between and within families is mainly related to MEFV allelic heterogeneity and to some modifying genes. In addition to the genetic factors underlying FMF, the environment plays a significant role in the development and manifestation of this disease through various epigenetic mechanisms, including DNA methylation, histone modification, and noncoding RNAs. Indeed, epigenetic events have been identified as an important pathophysiological determinant of FMF and co-factors shaping the clinical picture and outcome of the disease. Therefore, it is essential to better understand the contribution of epigenetic factors to autoinflammatory diseases, namely, FMF, to improve disease prognosis and potentially develop effective targeted therapies. In this review, we highlight the latest updates on the role of epigenetics in FMF.
Insights
Familial Mediterranean Fever (FMF) is an autoinflammatory disease influenced by genetics and environment. Epigenetic factors like DNA methylation significantly impact FMF
Area of Science:
- Genetics and Epigenetics
- Autoinflammatory Diseases
- Molecular Medicine
Background:
- Familial Mediterranean Fever (FMF) is an autosomal recessive autoinflammatory disorder.
- FMF is caused by mutations in the MEFV gene, primarily affecting Mediterranean populations.
- Clinical variability in FMF is linked to MEFV gene variations and other genetic modifiers.
Purpose of the Study:
- To review the latest research on the role of epigenetics in Familial Mediterranean Fever (FMF).
- To understand how environmental factors and epigenetic mechanisms influence FMF.
- To highlight the importance of epigenetics in FMF pathogenesis and clinical outcomes.
Main Methods:
- Literature review of recent studies on FMF and epigenetics.
- Analysis of epigenetic mechanisms including DNA methylation, histone modification, and noncoding RNAs in FMF.
- Synthesis of current knowledge on genetic and environmental contributions to FMF.
Main Results:
- Environmental factors significantly contribute to FMF development and manifestation via epigenetic pathways.
- Epigenetic events are key determinants in FMF pathophysiology.
- Epigenetic mechanisms shape the clinical picture and prognosis of FMF.
Conclusions:
- Epigenetic factors play a crucial role in the pathogenesis of FMF.
- Understanding epigenetic contributions is essential for improving FMF prognosis.
- Targeted epigenetic therapies may offer new treatment avenues for FMF.
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