Benign outcome among positive cystic fibrosis newborn screen children with non-CF-causing variants.

J Cyst Fibros

Environmental Health Investigations Branch, California Department of Public Health, 850 Marina Bay Parkway, P-3, Richmond, CA 94804, USA. Electronic address:

Published: November 2015

Background: The Clinical and Functional Translation of CFTR project (CFTR2) classified some cystic fibrosis transmembrane conductance regulator (CFTR) gene variants as non-cystic fibrosis (CF)-causing. To evaluate this, the clinical status of children carrying these mutations was examined.

Methods: We analyzed CF disease-defining variables over 2-6 years in two groups of California CF screen- positive neonates born from 2007 to 2011: (1) children with two CF-causing variants and (2) children with one CF-causing and one non-CF-causing variant, as defined by CFTR2.

Results: Children carrying non-CF-causing variants had significantly higher birth weight, lower immunoreactive trypsinogen and sweat chloride values, higher first year growth curves, and a lower rate of persistent Pseudomonas aeruginosa colonization compared to children with two CF-causing variants.

Conclusions: The outcomes in children 2-6 years of age with the L997F, G576A, R1162L, V754M, R668C, R31C, and S1235R variants are consistent with the CFTR2 non-CF-causing classification.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4587349PMC
http://dx.doi.org/10.1016/j.jcf.2015.03.006DOI Listing

Publication Analysis

Top Keywords

children cf-causing
12
cystic fibrosis
8
non-cf-causing variants
8
children carrying
8
2-6 years
8
children
7
variants
5
benign outcome
4
outcome positive
4
positive cystic
4

Similar Publications

Article Synopsis
  • - New York State added CFTR gene sequencing to Cystic Fibrosis newborn screening in December 2017 to minimize false positives, leading to a higher identification of infants with inconclusive diagnoses, known as CRMS/CFSPID.
  • - An analysis of 375 screen-positive newborns from 2017 to 2020 revealed that 59.5% were classified as CRMS/CFSPID, with a majority carrying CF-related variants, but all sweat chloride test results remained below the threshold for diagnosis over 1-3 years.
  • - The findings suggest the need for updated clinical guidelines to better manage and support infants with CRMS/CFSPID, as no infants converted to a definitive CF diagnosis during
View Article and Find Full Text PDF

Genome-wide association study of susceptibility to infection in cystic fibrosis.

Eur Respir J

November 2024

Biostatistics Division, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

Background: is a common pathogen that contributes to progressive lung disease in cystic fibrosis (CF). Genetic factors other than CF-causing (CF transmembrane conductance regulator) variations contribute ∼85% of the variation in chronic infection age in CF according to twin studies, but the susceptibility loci remain unknown. Our objective is to advance understanding of the genetic basis of host susceptibility to infection.

View Article and Find Full Text PDF

Rectal organoid morphology analysis (ROMA) as a novel physiological assay for diagnostic classification in cystic fibrosis.

Thorax

August 2024

Department of Development and Regeneration, Woman and Child Unit, CF Research Lab, KU Leuven, Leuven, Belgium

Background: Diagnosing cystic fibrosis (CF) is not always straightforward, in particular when sweat chloride concentration (SCC) is intermediate and <2 CF-causing variants are identified. The physiological CFTR assays proposed in the guidelines, nasal potential difference and intestinal current measurement, are not readily available nor feasible at all ages. Rectal organoid morphology analysis (ROMA) was previously shown to discriminate between organoids from subjects with and without CF based on a distinct phenotypical difference: compared with non-CF organoids, CF organoids have an irregular shape and lack a visible lumen.

View Article and Find Full Text PDF
Article Synopsis
  • Cystic Fibrosis affects the CFTR gene, leading to mucus accumulation and lung issues; Ivacaftor is a drug that helps improve CFTR function and has potential for treating mucus problems in COPD.
  • A study tested new small molecule potentiators on CFTR activity using various cell cultures and models, specifically focusing on the effects of cigarette smoke.
  • Findings indicated that SK-POT1 improved CFTR activity in airway cells exposed to cigarette smoke, suggesting it could be a promising candidate for treating mucostasis in airway diseases.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!