Autoinflammatory & rare systemic diseases

Transcriptome analysis of unmedicated heterozygous familial Mediterranean fever patients reveals a type I interferon signature driving increasing Pyrin expression

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

These findings suggest that type I IFN signalling acts as a critical 'second hit', amplifying Pyrin expression in heterozygous individuals and enabling disease manifestation despite a single MEFV mutation.

Study context

Population
Unmedicated Familial Mediterranean fever (FMF) patients and healthy MEFV mutation carriers, peripheral blood mononuclear cells (PBMCs) isolated during asymptomatic, treatment-naïve phases
Participants
10 vs 5
Comparison
Heterozygous FMF patients with classical phenotype vs healthy MEFV mutation carriers and homozygous/compound heterozygous patients
  • FMFn = 10
  • Healthy MEFV mutation carriersn = 5reference
Outcome
Differential transcriptomic profiles (differentially expressed genes) of PBMCs
Methodological detailstranscriptome profiling, immunoblotting
  • Transcriptome profiling
  • Immunoblotting

Main finding

As reported in the abstract

PBMC transcriptome

Differentially expressed genes

147

Original publication

Transcriptome analysis of unmedicated heterozygous familial Mediterranean fever patients reveals a type I interferon signature driving increasing Pyrin expression. Ann Rheum Dis. Published 28 August 2025. doi:10.1016/j.ard.2025.08.001

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