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Unique spectrum of MEFV mutations in Iranian Jewish FMF patients--clinical and demographic significance.

Unique spectrum of MEFV mutations in Iranian Jewish FMF patients--clinical and demographic significance. Research Abstract Details 

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  • Unique spectrum of MEFV mutations in Iranian Jewish FMF patients--clinical and demographic significance. Abstract Text:

    y shinarY Shinar,i kuchukI Kuchuk,s menasherowS Menasherow,m koletM Kolet,m lidarM Lidar,p langevitzP Langevitz,a livnehA Livneh,y shinarY Shinar,i kuchukI Kuchuk,s menasherowS Menasherow,m koletM Kolet,m lidarM Lidar,p langevitzP Langevitz,a livnehA Livneh,y shinarY Shinar,i kuchukI Kuchuk,s menasherowS Menasherow,m koletM Kolet,m lidarM Lidar,p langevitzP Langevitz,a livnehA Livneh,

    OBJECTIVES: To determine the spectrum of mutations in the Mediterranean fever gene (MEFV) of Iranian Jews with familial Mediterranean fever (FMF) and to analyse their clinical manifestations. METHODS: FMF patients with both parents of Iranian-Jewish (IJ) extraction or with one IJ parent (IJ-other, 10 of each) were characterized for clinical manifestations, and the B30.2 (PRYSPRY) domain of their MEFV was sequenced for mutations. RESULTS: Only one rare mutation, R653H, and one new mutation, G632S were present in the IJ group (in 2/10 patients), whereas the new, and common mutations were present in the IJ-other patients (8/10 patients). The new mutation was traced thrice to an IJ ancestor, and although carried asymptomatically by family members, it was over-represented in the patients (3/28 unrelated IJ alleles) compared non-affected IJ subjects (1/126 alleles, P = 0.03) or with non-Jewish Iranians (0/108 alleles, P = 0.001). The mutation was associated with a distinct phenotype regarding sites involved in the attack (P = 0.001), mild severity, sole expression of febrile episodes (P = 0.01) and a male bias (P = 0.01). In two 3D PRYSPRY models the G632S mutation was localized to a surface loop and close to a putative binding site. CONCLUSIONS: Iranian Jews with FMF have a unique spectrum of mutations including a newly described mutation with a non-typical phenotype.

    Unique spectrum of MEFV mutations in Iranian Jewish FMF patients--clinical and demographic significance. Publishing Authors By Initials

    y shinarY Shinar,i kuchukI Kuchuk,s menasherowS Menasherow,m koletM Kolet,m lidarM Lidar,p langevitzP Langevitz,a livnehA Livneh,y shinarY Shinar,i kuchukI Kuchuk,s menasherowS Menasherow,m koletM Kolet,m lidarM Lidar,p langevitzP Langevitz,a livnehA Livneh,y shinarY Shinar,i kuchukI Kuchuk,s menasherowS Menasherow,m koletM Kolet,m lidarM Lidar,p langevitzP Langevitz,a livnehA Livneh,

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    Unique spectrum of MEFV mutations in Iranian Jewish FMF patients--clinical and demographic significance. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Rheumatology (Oxford, England)

    VOLUME: 46

    Page Numbers: 1718-22

    Journal Abbreviation: Rheumatology (Oxford)

    ISSN: 1462-0324

    DAY: 15

    MONTH: 10

    YEAR: 2007

    Unique spectrum of MEFV mutations in Iranian Jewish FMF patients--clinical and demographic significance. Information

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    LANGUAGE: eng

    NlmUniqueID: 100883501

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    Grant and Affiliation Information for Unique spectrum of MEFV mutations in Iranian Jewish FMF patients--clinical and demographic significance.

    AFFILIATION: Heller Institute, Sheba Medical Center, Tel Hashomer 52621, Israel. yshinar@sheba.health.gov.il

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Rheumatology (Oxford)

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