ABCMdb

PMID: 12133923

Corbetta C, Seia M, Bassotti A, Ambrosioni A, Giunta A, Padoan R
Screening for cystic fibrosis in newborn infants: results of a pilot programme based on a two tier protocol (IRT/DNA/IRT) in the Italian population.
J Med Screen. 2002;9(2):60-3., [PubMed]

Sentences

No. Mutations Sentence Comment

266 ABCC7 p.Gly551Asp ABCC7 p.Arg117His ABCC7 p.Ala455Glu ABCC7 p.Trp1282* ABCC7 p.Arg553* ABCC7 p.Arg334Trp ABCC7 p.Arg347Pro ABCC7 p.Arg347His ABCC7 p.Asn1303Lys ABCC7 p.Gly542* ABCC7 p.Arg1162* ABCC7 p.Gln493* ABCC7 p.Val520Phe ABCC7 p.Ser549Arg ABCC7 p.Gly85Glu ABCC7 p.Ser549Asn ABCC7 p.Tyr122* ABCC7 p.Arg560Thr Mutations identified by the assay are G85E, 621+1G→T, R117H, Y122X, 711+1G→T, 1078delT, R347P, R347H, R334W, A455E, 1898+1G→A, 2183-AA→G, 2789+5G→A, delF508, I507del, Q493X, V520F, 1717-1G→A, G542X, G551D, R553X, R560T, S549R, S549N, 3849+10kbC→T, 3849+4A→G, R1162X, 3659delC, W1282X, 3905insT, and N1303K. Login to comment 280 ABCC7 p.Arg334Trp ABCC7 p.Asn1303Lys ABCC7 p.Gly542* Genotypes are shown in table 1: 18% of our patients were delF508 homozygotes, 15% were homozygotes for other CFTR alleles (N1303K, 2183AA→G, 1717-1G→A, R334W, G542X), 21% were compound heterozygotes, and a further 43% were heterozygotes. Login to comment 285 ABCC7 p.Arg117His ABCC7 p.Trp1282* ABCC7 p.Arg347His ABCC7 p.Asn1303Lys ABCC7 p.Gly542* ABCC7 p.Arg1162* The CFTR mutations identified and their frequencies among carriers were as follows: delF508 (72 chromosomes, 64.2%), N1303K (12, 10.7%), R117H (9, 8%), G542X (7, 6.25%), R347H, R1162X, 2789+5G→A (2 alleles each, 1.8%), 1898+1G→A, 1717-1G→A, W1282X, 2183-AA→G, 621+1G→T, and 3849+10kbC→T (1, 0.9%). Login to comment 286 ABCC7 p.Arg117His In this group we found a greater number of R117H carriers than expected. Login to comment 301 ABCC7 p.Gly85Glu We think that the difference in prevalence over the two periods has been because of the greater chance of recognising subjects with only one identified CFTR mutation, who can then be forwarded for a sweat test, owing to the wider DNA strategy (one case with a recall IRT under the cut off value had a genotype G85E/unknown), and because of the new definition of the upper normal value for the chloride sweat test in our laboratory (30 mmol/l). Login to comment 302 ABCC7 p.Asp1152His ABCC7 p.Asp579Gly ABCC7 p.Asp110Asn The last led to a CF diagnosis in infants with sweat chloride values between 30 and 60 mmol/l, who underwent gene scanning (three infants with genotypes delF508/D1152H, delF508/D110N, delF508/D579G). Login to comment 306 ABCC7 p.Asp110Glu The first had only one CFTR mutated allele (711+3A→G), the second, a girl of Tunisian origin, was homozygous for a novel mutation (D110E).22 The observed carrier frequency was 1:13 hypertrypsinaemic newborn infants, whereas in the previous period 1:24 hypertrypsinaemic infants were detected as delF508 carriers. Login to comment 310 ABCC7 p.Trp1282* ABCC7 p.Arg334Trp ABCC7 p.Arg334Trp ABCC7 p.Asn1303Lys ABCC7 p.Asn1303Lys ABCC7 p.Asn1303Lys ABCC7 p.Gly542* ABCC7 p.Gly542* ABCC7 p.Gly542* ABCC7 p.Arg1162* ABCC7 p.Gly85Glu Since 1998, in our CF centre, an expanded DNA CFTR gene analysis and repeat sweat test after 6-12 months of life have been performed in hypertrypsinaemic Table 1 Genotypes of 33 patients with CF identified in the 15 month period Two CFTR mutations identified (18 patients) by PCR/OLA: ∆F508/∆F508 6 N1303K/N1303K 2 ∆F508/N1303K 3 R334W/R334W 1 ∆F508/G542X 2 G542X/G542X 1 ∆F508/3659delC 1 2183AA→G/ 2183AA→G 1 ∆F508/R1162X 1 One CFTR mutation identified (13 patients) by PCR/OLA: ∆F508/D1152H* 1 ∆F508/Y1032C* 1 ∆F508/R1066H* 1 ∆F508/UN 6 ∆F508/R1066C* 1 W1282X/L1077P* 1 ∆F508/D579G* 1 G85E/UN 1 No CFTR mutation identified (two patients) by PCR/OLA: 711+3A→G*/UN 1 D110E*/D110E* 1 *CFTR alleles identified by analysis by denaturing gradient gel electrophoresis and sequencing. Login to comment 312 ABCC7 p.Arg117His These patients are then followed up at the CF centre, and receive a global approach to exclude or confirm CF diagnosis and correct genetic counselling.25 An unexpectedly high frequency of carriers for the R117H allele was found: we think that several people with this allele plus a second CFTR mutation leading to very mild disease or to a borderline or negative sweat test in the first months of life26 may still be undetected. Login to comment