2009
DOI: 10.1038/gene.2009.59
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A population genetics study of the Familial Mediterranean Fever gene: evidence of balancing selection under an overdominance regime

Abstract: Familial Mediterranean Fever (FMF) is a recessively inherited systemic autoinflammatory disease caused by mutations in the MEFV gene. The frequency of different disease alleles is extremely high in multiple populations from the Mediterranean region, suggesting heterozygote advantage. Here, we characterize the sequence variation and haplotype structure of the MEFV 3 0 gene region (from exon 5 to the 3 0 UTR) in seven human populations. In non-African populations, we observed high levels of nucleotide variation,… Show more

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Cited by 21 publications
(24 citation statements)
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“…Remarkably, all genes in that category with signatures of balancing selection in both Europeans and Africans are included in the IL1 or TNF family (Figure 1). Moreover MEFV also shows an excess of intermediate variants in one of the neutrality tests in Europeans, and signatures of balancing selection have been previously reported [12,13]. The complement proteins also show a significant enrichment for genes under balancing selection in Africans (Fisher's exact test P = 0.01).…”
Section: Resultssupporting
confidence: 52%
“…Remarkably, all genes in that category with signatures of balancing selection in both Europeans and Africans are included in the IL1 or TNF family (Figure 1). Moreover MEFV also shows an excess of intermediate variants in one of the neutrality tests in Europeans, and signatures of balancing selection have been previously reported [12,13]. The complement proteins also show a significant enrichment for genes under balancing selection in Africans (Fisher's exact test P = 0.01).…”
Section: Resultssupporting
confidence: 52%
“…The existence of a unique, common polymorphism (A1696G) and significant shift in genotype frequencies (rs3775073 and rs3821985) are additional indicators [5]. There is also significantly reduced heterozygosity in TLR6 in the Ugandan population, further reflecting selective pressure [19]. The novel TLR6 SNP in the South African population (T34A) is also quite common.…”
Section: Discussionmentioning
confidence: 99%
“…Aside from the classical example of the S ‐gene involved in sickle‐cell disease and malaria resistance, overdominance has been suggested to be implicated in the evolution of immune‐related genes such as MEFV , the gene responsible for familial Mediterranean fever in humans (Fumagalli et al . ) and MHC genes (Kekalainen et al . ), especially in cases of multipathogen infections (Oliver et al .…”
Section: Mechanisms Underlying Local Polymorphismmentioning
confidence: 99%