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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
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated