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Genetic polymorphisms of paraoxonase1 192 and glutathione peroxidase1 197 enzymes in familial Mediterranean fever.
[familial mediterranean fever]
Familial
Mediterranean
fever
(
FMF
)
is
an
autosomal
recessive
disorder
and
is
the
most
frequent
of
the
periodic
febrile
inflammatory
syndromes
.
The
pathogenesis
of
the
disease
is
not
completely
understood
,
even
though
the
FMF
gene
has
been
identified
.
Oxidative
stress
and
inflammation
may
play
a
role
in
the
pathogenesis
of
FMF
.
We
investigated
gene
polymorphisms
of
the
antioxidative
enzymes
,
glutathione
peroxidase
(
GPX
)
and
paraoxonase
(
PON
)
in
FMF
patients
,
and
possible
associations
with
FMF
pathogenesis
.
Sixty
FMF
patients
during
an
attack-free
period
and
51
healthy
children
as
the
control
group
were
included
in
our
study
.
PON
1
Q
/
R
192
and
GPX
1
Pro
197
Leu
gene
polymorphisms
were
assayed
.
Blood
urea
nitrogen
,
creatinine
and
serum
lipid
profile
were
also
measured
.
PON
1
Q
/
R
192
genotype
distribution
was
52
%
QQ
,
46
%
QR
and
2
%
RR
in
the
FMF
group
and
45
%
QQ
,
45
%
QR
and
10
%
RR
in
the
control
group
(
P
>
0
.
05
)
.
GPX
1
Pro
197
L
eu
genotype
distribution
was
28
%
PP
,
57
%
PL
,
15
%
LL
in
the
FMF
group
and
18
%
PP
,
53
%
PL
,
29
%
LL
in
the
control
group
(
P
>
0
.
05
)
.
Blood
urea
nitrogen
,
serum
creatinine
,
lipid
levels
,
and
the
distribution
of
PON
1
Q
/
R
192
and
GPX
1
Pro
197
L
eu
genotypes
were
similar
in
the
two
groups
.
We
conclude
that
the
PON
1
Q
/
R
192
and
GPX
1
Pro
197
Leu
gene
polymorphisms
are
not
important
risk
factors
in
the
development
of
FMF
.
However
,
larger
studies
are
warranted
to
validate
these
conclusions
.
Diseases
Validation
Diseases presenting
"serum creatinine"
symptom
familial mediterranean fever
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