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  • Familial Mediterranean Fever

    FAMILIAL MEDITERRANEAN FEVER

    Health & Medicine Week
    June 9, 2008

    Research in the area of familial mediterranean fever reported from
    T.K. Davtyan and colleagues

    "Familial Mediterranean fever (FMF) is a relapsing autoinflammatory
    disorder, caused by various mutations in the MEFV gene, which encodes
    a protein called pyrin, expressed in neutrophils and activated
    monocytes. Induction of monocyte endotoxin tolerance is observed in
    FMF patients during attack, whereas monocytes from patients in the
    attack-free period failed to induce lipopolysaccharide tolerance and
    exhibited heightened sensitivity to bacterial endotoxin," scientists
    in Yerevan, Armenia report (see also Familial Mediterranean Fever).

    "In this study, we demonstrated that impaired lipopolysaccharide
    tolerance induction in attack-free FMF patients correlates with
    both increased lipopolysaccharide-induced proinflammatory cytokine
    synthesis polarization and a different time-course pattern of
    lipopolysaccharide-induced changes on monocytic surface expression
    of CD14 and CD11b coreceptors. We found that this pattern is
    characterized either by delayed turnover of CD14 or increased surface
    retention of CD11b receptors on monocytes during stimulation with
    lipopolysaccharide," wrote T.K. Davtyan and colleagues.

    The researchers concluded: "In addition, enhancement of
    lipopolysaccharide-induced apoptosis of neutrophils was observed in
    FMF patients, and was confirmed based on the fact that neutrophils from
    FMF patients previously unexposed to Salmonella enteritidis exhibited
    heightened susceptibility to the lipopolysaccharide of this pathogen
    similar to that of patients infected with this species."

    Davtyan and colleagues published their study in Fems Immunology and
    Medical Microbiology (Heightened endotoxin susceptibility of monocytes
    and neutrophils during familial Mediterranean fever. Fems Immunology
    and Medical Microbiology, 2008;52(3):370-378).

    For more information, contact T.K. Davtyan, CJSC Armenicum, Armenicum
    Research Center, Laboratory Immunology & Virology, 37 Nalbandyan Str,
    Yerevan 0001, Armenia.

    Publisher contact information for the journal Fems Immunology and
    Medical Microbiology is: Blackwell Publishing, 9600 Garsington Rd.,
    Oxford OX4 2DQ, Oxon, England.

    Keywords: Armenia, Yerevan, Apoptosis, Familial Mediterranean Fever,
    Immunology, Rheumatology.
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