ANKMJ

Ankyra Medical Journal (AnkMJ), formerly known as the Journal of Translational and Practical Medicine, regularly publishes international quality issues in the field of Medicine in the light of current information.

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Original Article
The relationship between zinc status and inflammatory marker levels in FMF
Aims: This study aimed to evaluate serum zinc concentrations in individuals diagnosed with FMF and to explore whether zinc status may influence the inflammatory episodes characteristic of the disease.
Methods: We retrospectively reviewed the medical records of patients with FMF, who were under the follow-up of our nephrology-rheumatology center between 2018 and 2025.
Results: One hundred twelve FMF patients (M/F=52/60) with a mean age of 11.9±5.1 years were included in this study. 35 (31.3%) of the patients have compound heterozygous mutation and 77 (68.8%) have heterozygous mutation. There was no difference in mean of leucocyte count and zinc level between these mutation groups. The mean pre-treatment sedimentation was signifanctly higher in patients with frequent attacks (p=0.021). However there was no difference between the attack frequency groups in mean of gender age, both of pre and post-treatment CRP, zinc, leucocyte count and post- treatment sedimentation.(p>0.05). There was a positive correlation between mean zinc and mean leucocyte, CRP levels (p=0.019, r=0.334 and p=0.016,r=0.344 respectiely), but not with sedimentation.
Conclusion: Notably, in our current study, while zinc level correlate with inflammatory markers, serum zinc levels demonstrated a significant relationship with them.


1. Minihane AM, Vinoy S, McArdle HJ, et al. Low-grade inflammation, diet composition and health: current research evidence and its translation. Br J Nutr. 2015;114(7):999-1012. doi:10.1017/S0007114515002093
2. de Oliveira Otto MC, Alonso A, Lee DH, et al. Dietary micronutrient intakes are associated with markers of inflammation but not with markers of subclinical atherosclerosis. J Nutr. 2011;141(8):1508-1515. doi:10.3945/jn.111.138115
3. De Paula R, Aneni EC, Costa APR, et al. Low zinc levels is associated with increased inflammatory activity but not with atherosclerosis, arteriosclerosis or endothelial dysfunction among the very elderly. BBA Clin. 2014;2:1-6. doi:10.1016/j.bbacli.2014.07.002
4. Michiels C, Raes M, Toussaint O, Remacle J. Importance of glutathione peroxidase, catalase, and Cu/Zn-SOD for cell survival against oxidative stress. Free Radic Biol Med. 1994;17(3):235-248. doi:10.1016/0891-5849 (94)90079-5
5. Oteiza PI, Mackenzie GG. Zinc, oxidant-triggered cell signaling, and human health. Mol Aspects Med. 2005;26(4-5):245-255. doi:10.1016/j.mam.2005.07.012
6. Yao Q, Furst DE. Autoinflammatory diseases: an update of clinical and genetic aspects. Rheumatology. 2008;47(7):946-951. doi:10.1093/rheumatology/ken118
7. Keles M, Eyerci N, Uyanik A, et al. The frequency of familial Mediterranean fever related amyloidosis in renal waiting list for transplantation. EAJM. 2010;42(1):19-20. doi:10.5152/eajm.2010.06
8. Pras E, Livneh A, Balow Je Jr, et al. Clinical differences between North African and Iraqi Jews with familial Mediterranean fever. Am J Med Genet. 1998;75(2):216-219. doi:10.1002/(sici)1096-8628(19980113)75:2< 216::aid-ajmg20>3.0.co;2-r
9. Kirkali G, Tunca M, Genc S, Jaruga P, Dizdaroglu M. Oxidative DNA damage in polymorphonuclear leukocytes of patients with familial Mediterranean fever. Free Radic Biol Med. 2008;44(3):386-393. doi:10. 1016/j.freeradbiomed.2007.09.020
10. Tuncer S, Kamanli A, Akçil E, Kavas GO, Seçkin B, Atay MB. Trace element and magnesium levels and superoxide dismutase activity in rheumatoid arthritis. Biol Trace Elem Res. 1999;68(2):137-142. doi:10. 1007/BF02784402
11. Yazar M, Sarban S, Kocyigit A, Isikan UE. Synovial fluid and plasma selenium, copper, zinc, and iron concentrations in patients with rheumatoid arthritis and osteoarthritis. Biol Trace Elem Res. 2005; 106(2):123-132. doi:10.1385/BTER:106:2:123
12. Jung S, Kim MK, Choi BY. The relationship between zinc status and inflammatory marker levels in rural Korean adults aged 40 and older. PLoS One. 2015;10(6):e0130016. doi:10.1371/journal.pone.0130016
13. Cousins RJ. Metallothionein--aspects related to copper and zinc metabolism. J Inherit Metab Dis. 1983;6(Suppl 1):15-21. doi:10.1007/BF 01811318
14. Choi BY, Lee BE, Kim JH, et al. Colchicine induced intraneuronal free zinc accumulation and dentate granule cell degeneration. Metallomics. 2014;6(8):1513-20. doi:10.1039/c4mt00067f
Volume 4, Issue 4, 2025
Page : 85-87
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