title: The gene for familial Mediterranean fever, MEFV, is expressed in early leukocyte development and is regulated in response to inflammatory mediators.
abstract: Familial Mediterranean fever (FMF) is a recessive disorder characterized by episodes of fever and neutrophil-mediated serosal inflammation. We recently identified the gene causing FMF, designated MEFV, and found it to be expressed in mature neutrophils, suggesting that it functions as an inflammatory regulator. To facilitate our understanding of the normal function of MEFV, we extended our previous studies. MEFV messenger RNA was detected by reverse transcriptase-polymerase chain reaction in bone marrow leukocytes, with differential expression observed among cells by in situ hybridization. CD34 hematopoietic stem-cell cultures induced toward the granulocytic lineage expressed MEFV at the myelocyte stage, concurrently with lineage commitment. The prepromyelocytic cell line HL60 expressed MEFV only at granulocytic and monocytic differentiation. MEFV was also expressed in the monocytic cell lines U937 and THP-1. Among peripheral blood leukocytes, MEFV expression was detected in neutrophils, eosinophils, and to varying degrees, monocytes. Consistent with the tissue specificity of expression, complete sequencing and analysis of upstream regulatory regions of MEFV revealed homology to myeloid-specific promoters and to more broadly expressed inflammatory promoter elements. In vitro stimulation of monocytes with the proinflammatory agents interferon (IFN) gamma, tumor necrosis factor, and lipopolysaccharide induced MEFV expression, whereas the antiinflammatory cytokines interleukin (IL) 4, IL-10, and transforming growth factor beta inhibited such expression. Induction by IFN-gamma occurred rapidly and was resistant to cycloheximide. IFN-alpha also induced MEFV expression. In granulocytes, MEFV was up-regulated by IFN-gamma and the combination of IFN-alpha and colchicine. These results refine understanding of MEFV by placing the gene in the myelomonocytic-specific proinflammatory pathway and identifying it as an IFN-gamma immediate early gene.
authors.affiliation: Arthritis and Rheumatism Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Instiutes of Health, Bethesda, MD 20892-1820, USA. centolam@arb.niams.nih.gov
authors.forename: M
authors.initials: M
authors.lastname: Centola
authors.forename: G
authors.initials: G
authors.lastname: Wood
authors.forename: D M
authors.initials: DM
authors.lastname: Frucht
authors.forename: J
authors.initials: J
authors.lastname: Galon
authors.forename: M
authors.initials: M
authors.lastname: Aringer
authors.forename: C
authors.initials: C
authors.lastname: Farrell
authors.forename: D W
authors.initials: DW
authors.lastname: Kingma
authors.forename: M E
authors.initials: ME
authors.lastname: Horwitz
authors.forename: E
authors.initials: E
authors.lastname: Mansfield
authors.forename: S M
authors.initials: SM
authors.lastname: Holland
authors.forename: J J
authors.initials: JJ
authors.lastname: O'Shea
authors.forename: H F
authors.initials: HF
authors.lastname: Rosenberg
authors.forename: H L
authors.initials: HL
authors.lastname: Malech
authors.forename: D L
authors.initials: DL
authors.lastname: Kastner
mesh_terms: D002454:Cell Differentiation / Q000235:genetics; D003598:Cytoskeletal Proteins; D010505:Familial Mediterranean Fever / Q000097:blood / Q000235:genetics*; D018507:Gene Expression Regulation, Developmental / Q000187:drug effects*; D006801:Humans; D007249:Inflammation; D018836:Inflammation Mediators / Q000494:pharmacology*; D007962:Leukocytes / Q000378:metabolism* / Q000473:pathology; D014176:Protein Biosynthesis; D011506:Proteins / Q000235:genetics*; D000071198:Pyrin; D020298:U937 Cells
chemical_list: D003598:Cytoskeletal Proteins; D018836:Inflammation Mediators; C000604192:MEFV protein, human; D011506:Proteins; D000071198:Pyrin