Modeling cystic fibrosis disease progression in patients with the rare CFTR mutation P67L
| Autor: | Frederic Chappe, Sheenagh J K George, Valerie Paquette, Isobel E.R. MacKenzie, Valerie Chappe, Frances Gosse |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Canada medicine.medical_specialty Cystic Fibrosis Cystic Fibrosis Transmembrane Conductance Regulator Nutritional Status Compound heterozygosity Severity of Illness Index Gastroenterology Cystic fibrosis 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans In patient Registries 030212 general & internal medicine Child ΔF508 business.industry Disease progression Age Factors Infant Heterozygote advantage Bacterial Infections medicine.disease Respiratory Function Tests Hospitalization 030228 respiratory system Mutation Pediatrics Perinatology and Child Health Mutation (genetic algorithm) Immunology Disease Progression Female business Body mass index |
| Zdroj: | Journal of Cystic Fibrosis. 16:335-341 |
| ISSN: | 1569-1993 |
| Popis: | Background The progression of cystic fibrosis (CF) in patients with the rare mutation P67L was examined to determine if it induced a milder form of CF compared to the common severe ΔF508 mutation. Methods Parameters of lung function, level of bacterial infection, nutritional status and hospitalization were used to represent CF progression. Age at diagnosis and pancreatic status were used to assess CF presentation. Analysis of data from the CF Canada Registry collected over a 15-year period included 266 ΔF508/ΔF508 homozygote patients from CF clinics in Atlantic Canada and 26 compound heterozygote patients with the rare P67L mutation from clinics across Canada. Results Late age at diagnosis, high incidence of pancreatic sufficiency, maintained Body Mass Index (BMI) with age, delayed life-threatening bacterial infection, and fewer days in hospital were observed for P67L heterozygote patients included in this study. Although the decline of lung function did not differ from ΔF508 homozygotes, the fact that a greater proportion of P67L heterozygotes live to an older age suggests that lung function is not the primary factor determining CF progression for P67L heterozygote patients. Conclusion The P67L mutation is associated with a mild disease, even when combined with the severe ΔF508 mutation. |
| Databáze: | OpenAIRE |
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