Evidence map›Paper›PMID 10090880›Full record

ArticleAmerican journal of human genetics1999

Mutation and haplotype studies of familial Mediterranean fever reveal new ancestral relationships and evidence for a high carrier frequency with reduced penetrance in the Ashkenazi Jewish population.

I Aksentijevich, Y Torosyan, J Samuels, M Centola, E Pras, J J Chae, C Oddoux, G Wood, M P Azzaro, G Palumbo and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 293 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. PYRIN mActa pharmacologica Sinica · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. An Update on Familial Mediterranean Fever.International journal of molecular sciences · 2023
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Secondary Amyloidosis Presenting as Ischemic Proctitis.Case reports in gastrointestinal medicine · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. The Pyrin Inflammasome in Health and Disease.Frontiers in immunology · 2019
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 3 countries.

I AksentijevichGenetics Section, Arthritis and Rheumatism Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MD 20892-1820, USA aksentii@exchange.nih.gov
Y Torosyan
J Samuels
M Centola
E Pras
J J Chae
C Oddoux
G Wood
M P Azzaro
G Palumbo
R Giustolisi
M Pras
H Ostrer
D L Kastner
National Institute of Arthritis and Musculoskeletal and Skin Diseases · USUniversity of Catania · ITSheba Medical Center · ILNew York University · USUniversity Medical Center · US

Funding

Genetics Of Familial Mediterranean Fever/ Related ConditZ01AR041083 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI KASTNER, DANIEL L · 1990 to 2008
$3.3M
Genetics Of Familial Mediterranean Fever and Related ConditionsZIAAR041083 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI KASTNER, DANIEL · 2009 to 2010
$2.4M
6 · The paper itself

Abstract

Familial Mediterranean fever (FMF) is a recessive disorder characterized by episodes of fever with serositis or synovitis. The FMF gene (MEFV) was cloned recently, and four missense mutations were identified. Here we present data from non-Ashkenazi Jewish and Arab patients in whom we had not originally found mutations and from a new, more ethnically diverse panel. Among 90 symptomatic mutation-positive individuals, 11 mutations accounted for 79% of carrier chromosomes. Of the two mutations that are novel, one alters the same residue (680) as a previously known mutation, and the other (P369S) is located in exon 3. Consistent with another recent report, the E148Q mutation was observed in patients of several ethnicities and on multiple microsatellite haplotypes, but haplotype data indicate an ancestral relationships between non-Jewish Italian and Ashkenazi Jewish patients with FMF and other affected populations. Among approximately 200 anonymous Ashkenazi Jewish DNA samples, the MEFV carrier frequency was 21%, with E148Q the most common mutation. Several lines of evidence indicate reduced penetrance among Ashkenazi Jews, especially for E148Q, P369S, and K695R. Nevertheless, E148Q helps account for recessive inheritance in an Ashkenazi family previously reported as an unusual case of dominantly inherited FMF. The presence of three frequent MEFV mutations in multiple Mediterranean populations strongly suggests a heterozygote advantage in this geographic region.

Indexed as

HeterozygotePenetranceAmino Acid SubstitutionArabsArmeniaBase SequenceChromosomes, HumanCytoskeletal ProteinsExonsFamilial Mediterranean FeverFemaleGene FrequencyGenes, RecessiveHaplotypesHumansIsraelCytoskeletal ProteinsMEFV protein, humanProteinsPyrin

Identifiers

PMID10090880
PMCPMC1377819
OpenAlexW2091421604

What OpenQuestion holds

Texttitle and abstract
measurements read2
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.