J. Mulley et al., GENE LOCALIZATION FOR AN AUTOSOMAL-DOMINANT FAMILIAL PERIODIC FEVER TO 12P13, American journal of human genetics, 62(4), 1998, pp. 884-889
We report gene localization in a family with a benign autosomal domina
nt familial periodic fever (FPF) syndrome characterized by recurrent f
ever associated with abdominal pain. The clinical features are similar
to the disorder previously described as familial Hibernian fever, and
they differ from familial Mediterranean fever (FMF) in that FPF episo
des usually do not respond to colchicine and FPF is not associated wit
h amyloidosis. Frequent recombination with the marker D16S2622, <1 Mb
from FMF, at 16p13.3, excluded allelism between these clinically simil
ar conditions. Subsequently, a semiautomated genome search detected li
nkage of FMF to a cluster of markers at 12p13, with a multipoint LOD s
core of 6.14 at D12S356. If penetrance of 90% is assumed, the FPF gene
maps to a 19-cM interval between D12S314 and D12S364; however, if com
plete penetrance is assumed, then FPF maps to a 9-cM region between D1
2S314 and D12S1695. This interval includes the dentatorubropallidoluys
ian atrophy locus, which, with FPF, gave a maximum two-point LOD score
of 3.7 at a recombination fraction of 0. This is the first of the per
iodic-fever genes, other than FMF, to be mapped. Positional candidate
genes may now be selected for mutation analysis to determine the molec
ular basis for FPF. Together with the recent identification of the def
ective gene in FMF, identification of a gene for FPF might provide new
insights into the regulation of inflammatory responses.