The increased chromosomal DNA damage in patients with Familial Mediterranean Fever

Aslihan Kiraz1, Hamiyet Eciroglu2,3, Pınar Altin-Celik3

  • 1Department of Medical Genetics, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

Insights

Familial Mediterranean Fever (FMF) patients show increased chromosomal DNA damage, indicated by higher micronuclei and nucleoplasmic bridges. This suggests a potential elevated cancer risk in untreated FMF individuals.

Area of Science:

  • Genetics
  • Immunology
  • Cell Biology

Background:

  • Familial Mediterranean Fever (FMF) is a genetic autoinflammatory disorder.
  • The MEFV gene mutations M694V and R202Q are prevalent in Turkish populations.
  • Assessing DNA damage in FMF patients is crucial for understanding disease mechanisms.

Purpose of the Study:

  • To evaluate chromosomal DNA damage and cell proliferation in untreated FMF patients.
  • To utilize the cytokinesis-block micronucleus cytome (CBMN-cyt) assay for this assessment.
  • To investigate lymphocytes of FMF patients with common MEFV mutations (M694V, R202Q).

Main Methods:

  • The study involved 20 untreated FMF patients (M694V/R202Q mutations) and 20 healthy controls.
  • Peripheral blood lymphocytes were analyzed using the CBMN-cyt assay.
  • Micronuclei (MN), nucleoplasmic bridges (NPBs), nuclear buds (NBUDs), and nuclear division index (NDI) were quantified.

Main Results:

  • FMF patients exhibited significantly higher frequencies of MN and NPBs compared to controls (p < 0.05, p < 0.01).
  • A significantly lower number of metaphases was observed in FMF patients (p < 0.01).
  • No significant differences were found in NBUDs frequencies or NDI values between FMF patients and controls (p > 0.05).

Conclusions:

  • This is the first study to use the CBMN-cyt assay to evaluate FMF patients' lymphocytes.
  • Elevated MN and NPB frequencies may serve as biomarkers for chromosomal DNA damage in FMF.
  • These findings suggest a potential for increased cancer risk in untreated FMF patients.

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