PMID: 16088579

Gallati S
Genetics of cystic fibrosis.
Semin Respir Crit Care Med. 2003 Dec;24(6):629-38., [PubMed]
Sentences
No. Mutations Sentence Comment
43 ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 16088579:43:854
status: NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Arg117His
X
ABCC7 p.Arg117His 16088579:43:350
status: NEW
view ABCC7 p.Arg117His details
ABCC7 p.Ala455Glu
X
ABCC7 p.Ala455Glu 16088579:43:597
status: NEW
view ABCC7 p.Ala455Glu details
ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 16088579:43:1241
status: NEW
view ABCC7 p.Trp1282* details
ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 16088579:43:891
status: NEW
view ABCC7 p.Arg553* details
ABCC7 p.Arg334Trp
X
ABCC7 p.Arg334Trp 16088579:43:525
status: NEW
view ABCC7 p.Arg334Trp details
ABCC7 p.Arg347Pro
X
ABCC7 p.Arg347Pro 16088579:43:561
status: NEW
view ABCC7 p.Arg347Pro details
ABCC7 p.Asn1303Lys
X
ABCC7 p.Asn1303Lys 16088579:43:1282
status: NEW
view ABCC7 p.Asn1303Lys details
ABCC7 p.Gly542*
X
ABCC7 p.Gly542* 16088579:43:784
status: NEW
view ABCC7 p.Gly542* details
ABCC7 p.Arg1162*
X
ABCC7 p.Arg1162* 16088579:43:1107
status: NEW
view ABCC7 p.Arg1162* details
ABCC7 p.Gly85Glu
X
ABCC7 p.Gly85Glu 16088579:43:312
status: NEW
view ABCC7 p.Gly85Glu details
ABCC7 p.Ser549Asn
X
ABCC7 p.Ser549Asn 16088579:43:823
status: NEW
view ABCC7 p.Ser549Asn details
ABCC7 p.Arg560Thr
X
ABCC7 p.Arg560Thr 16088579:43:926
status: NEW
view ABCC7 p.Arg560Thr details
Mutations (missense, nonsense, frameshift, splice, small and large in-frame deletions or insertions) con- Table 1 Distribution of theWorldwide 24 Most Common Cystic Fibrosis Mutationsa Exon/ Northern Southern North South Austral- Relative Mutation Intron Europe Europe America America asia Africa Asia Frequency G85E E 03 30 14 16 n.a. n.a. 0 7 0.15 R117H E 04 62 3 61 n.a. 7 0 0 0.30 621+1G→T I 04 97 37 154 n.a. 27 0 0 0.72 711+1G→T I 05 15 13 21 n.a. n.a. n.a. 0 0.11 1078delT E 07 53 2 1 n.a. 1 n.a. 0 0.13 R334W E 07 18 21 12 n.a. 2 0 0 0.12 R347P E 07 55 24 26 n.a. 1 0 0 0.24 A455E E 09 35 0 27 n.a. n.a. n.a. 0 0.14 ⌬I507 E 10 57 5 20 2 9 0 0 0.21 ⌬F508 E 10 14,866 4007 6901 342 2309 351 173 66.02 1717-1G→A I 10 160 65 44 n.a. 12 0 3 0.65 G542X E 11 439 259 234 38 56 9 27 2.42 S549N E 11 18 2 5 1 3 1 0 0.07 G551D E 11 356 37 206 1 117 0 0 1.64 R553X E 11 165 44 96 5 11 1 0 0.73 R560T E 11 40 0 24 0 3 0 0 0.15 1898+1G→A I 12 41 10 2 n.a. n.a. n.a. 0 0.12 2184delA E 13 14 7 8 n.a. n.a. n.a. 0 0.07 2789+5G→A I 14b 27 10 17 n.a. n.a. n.a. 0 0.12 R1162X E 19 36 68 19 0 2 0 0 0.28 3659delC E 19 39 1 14 n.a. n.a. n.a. 0 0.12 3849+10kbC→T I 19 23 8 57 n.a. n.a. n.a. 16 0.24 W1282X E 20 120 43 245 n.a. 6 2 120 1.22 N1303K E 21 209 179 130 11 23 8 29 1.34 Chromosomes 21,154 7281 10438 758 3095 515 608 screened Detection rate 80.2 66.7 79.9 52.8 83.7 72.2 61.7 aAccording to the Cystic Fibrosis Genetic Analysis Consortium, http://www.genet.sickkids.on.ca/cftr/. Login to comment
50 ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 16088579:50:1712
status: NEW
view ABCC7 p.Trp1282* details
ABCC7 p.Arg347His
X
ABCC7 p.Arg347His 16088579:50:704
status: NEW
view ABCC7 p.Arg347His details
ABCC7 p.Ser1251Asn
X
ABCC7 p.Ser1251Asn 16088579:50:1564
status: NEW
view ABCC7 p.Ser1251Asn details
ABCC7 p.Ile148Thr
X
ABCC7 p.Ile148Thr 16088579:50:441
status: NEW
view ABCC7 p.Ile148Thr details
ABCC7 p.Tyr122*
X
ABCC7 p.Tyr122* 16088579:50:395
status: NEW
view ABCC7 p.Tyr122* details
ABCC7 p.Thr338Ile
X
ABCC7 p.Thr338Ile 16088579:50:615
status: NEW
view ABCC7 p.Thr338Ile details
ABCC7 p.Ser549Ile
X
ABCC7 p.Ser549Ile 16088579:50:815
status: NEW
view ABCC7 p.Ser549Ile details
ABCC7 p.Met1101Lys
X
ABCC7 p.Met1101Lys 16088579:50:1447
status: NEW
view ABCC7 p.Met1101Lys details
ABCC7 p.Arg1070Gln
X
ABCC7 p.Arg1070Gln 16088579:50:1357
status: NEW
view ABCC7 p.Arg1070Gln details
ABCC7 p.Ser1235Arg
X
ABCC7 p.Ser1235Arg 16088579:50:1522
status: NEW
view ABCC7 p.Ser1235Arg details
ABCC7 p.Arg1066Cys
X
ABCC7 p.Arg1066Cys 16088579:50:1319
status: NEW
view ABCC7 p.Arg1066Cys details
ABCC7 p.Tyr1092*
X
ABCC7 p.Tyr1092* 16088579:50:1395
status: NEW
view ABCC7 p.Tyr1092* details
ABCC7 p.Ser1255*
X
ABCC7 p.Ser1255* 16088579:50:1606
status: NEW
view ABCC7 p.Ser1255* details
ABCC7 p.Gln552*
X
ABCC7 p.Gln552* 16088579:50:846
status: NEW
view ABCC7 p.Gln552* details
ABCC7 p.Arg1283Met
X
ABCC7 p.Arg1283Met 16088579:50:1756
status: NEW
view ABCC7 p.Arg1283Met details
ABCC7 p.Gly91Arg
X
ABCC7 p.Gly91Arg 16088579:50:275
status: NEW
view ABCC7 p.Gly91Arg details
ABCC7 p.Glu60*
X
ABCC7 p.Glu60* 16088579:50:242
status: NEW
view ABCC7 p.Glu60* details
ABCC7 p.Thr360Lys
X
ABCC7 p.Thr360Lys 16088579:50:665
status: NEW
view ABCC7 p.Thr360Lys details
ABCC7 p.Gln359Lys
X
ABCC7 p.Gln359Lys 16088579:50:659
status: NEW
view ABCC7 p.Gln359Lys details
ABCC7 p.Ala559Thr
X
ABCC7 p.Ala559Thr 16088579:50:893
status: NEW
view ABCC7 p.Ala559Thr details
In effect, virtually no func- Table 2 Unusually Common Cystic Fibrosis Mutations in Specific Populationsa Total Exon/ Number Number Frequency Mutation Intron Ethnic Origin Observed Screened (%) 296+12T→C intron 02 Pakistani 02 24 8.33 E60X exon 03 Belgian 06 394 1.52 G91R exon 03 French 04 266 1.50 394delTT exon 03 Scandinavian 78 1588 4.91 457TAT→G exon 04 Austrian 04 334 1.20 Y122X exon 04 Réunion Island 14 29 48.27 I148T exon 04 French Canadian 06 66 9.09 711+5G→A intron 05 Italian (North East) 06 225 2.67 1078delT exon 07 Celtic 27 475 5.68 1161delC exon 07 Pakistani 02 24 8.33 T338I exon 07 Italian, Sardinian 04 86 4.65 Q359K/T360K exon 07 Georgian Jews 07 8 87.50 R347H exon 07 Turkish 04 134 2.98 1609delCA exon 10 Spanish 03 96 3.12 1677delTA exon 10 Bulgarian 05 222 2.25 S549I exon 11 Arabs 02 40 5.00 Q552X exon 11 Italian (North East) 03 225 1.33 A559T exon 11 African-American 02 79 2.53 1811+1.2kbA→G intron 11 Spanish 22 1068 2.06 1898+5G→T intron 12 Chinese 03 10 30.00 1949del84 exon 13 Spanish 02 136 1.47 2143delT exon 13 Russian 04 118 3.39 2183AA→G exon 13 Italian (North East) 21 225 9.33 2184insA exon 13 Russian 03 118 2.54 3120+1G→A intron 16 African-American 14 112 12.50 3272-26A→G intron 17a Portugese, French 06 386 1.55 R1066C exon 17b Portugese 05 105 4.76 R1070Q exon 17b Bulgarian 04 166 2.41 Y1092X exon 17b French Canadian, 11 725 1.52 French M1101K exon 17b Hutterite 22 32 68.75 3821delT exon 19 Russian 03 118 2.54 S1235R exon 19 French (South) 04 340 1.18 S1251N exon 20 Dutch, Belgian 11 792 1.39 S1255X exon 20 African-American 02 79 2.53 3905insT exon 20 Swiss 45 982 4.58 Amish, Arcadian 13 86 15.12 W1282X Exon 20 Jewish-Ashkenazi 50 95 52.63 R1283M exon 20 Welsh 03 183 1.64 aAccording to the Cystic Fibrosis Genetic Analysis Consortium, http://www.genet.sickkids.on.ca/cftr/. Login to comment
57 ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 16088579:57:55
status: NEW
view ABCC7 p.Gly551Asp details
Alterations within NBF1, such as the missense mutation G551D, may additionally prevent the regulation of other channels associated with CFTR.19 Class IV: Decreased Conductance The fourth class of mutations involves amino acids located within the membrane-spanning domain, which is implicated in forming the pore of the channel and results in a CFTR channel with defective conductive properties. Login to comment
58 ABCC7 p.Arg117His
X
ABCC7 p.Arg117His 16088579:58:23
status: NEW
view ABCC7 p.Arg117His details
ABCC7 p.Arg334Trp
X
ABCC7 p.Arg334Trp 16088579:58:30
status: NEW
view ABCC7 p.Arg334Trp details
ABCC7 p.Arg347Pro
X
ABCC7 p.Arg347Pro 16088579:58:41
status: NEW
view ABCC7 p.Arg347Pro details
The missense mutations R117H, R334W, and R347P were shown to form a chloride channel with a normal phosphorylation and ATP-dependent regulation, but with reduced single-channel currents.20 Alleles in this class are typically associated with a milder clinical phenotype. Login to comment
59 ABCC7 p.Ala455Glu
X
ABCC7 p.Ala455Glu 16088579:59:238
status: NEW
view ABCC7 p.Ala455Glu details
ClassV: Reduced Synthesis and/orTrafficking Various mutations are associated with reduced biosynthesis of fully active CFTR due to partially aberrant splicing (3849+10kbC→T, T5),21,22 promotor mutations or inefficient trafficking (A455E).23 These mutations result in reduced amounts of functional gene products and thus in milder CF phenotypes. Login to comment
60 ABCC7 p.Gln1412*
X
ABCC7 p.Gln1412* 16088579:60:70
status: NEW
view ABCC7 p.Gln1412* details
ClassVI: Decreased Stability Nonsense and frameshift mutations (e.g., Q1412X, 4326delTC, 4279insA) causing a 70to 100-bp truncation of the C-terminus of the CFTR lead to a marked instability of an otherwise fully processed and functional variant,24 and as a consequence to a severe CF presentation. Login to comment
67 ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 16088579:67:303
status: NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 16088579:67:392
status: NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 16088579:67:697
status: NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 16088579:67:746
status: NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 16088579:67:958
status: NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 16088579:67:1175
status: NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Arg117His
X
ABCC7 p.Arg117His 16088579:67:496
status: NEW
view ABCC7 p.Arg117His details
ABCC7 p.Arg117His
X
ABCC7 p.Arg117His 16088579:67:811
status: NEW
view ABCC7 p.Arg117His details
ABCC7 p.Arg117His
X
ABCC7 p.Arg117His 16088579:67:965
status: NEW
view ABCC7 p.Arg117His details
ABCC7 p.Arg117His
X
ABCC7 p.Arg117His 16088579:67:1316
status: NEW
view ABCC7 p.Arg117His details
ABCC7 p.Ala455Glu
X
ABCC7 p.Ala455Glu 16088579:67:644
status: NEW
view ABCC7 p.Ala455Glu details
ABCC7 p.Ala455Glu
X
ABCC7 p.Ala455Glu 16088579:67:987
status: NEW
view ABCC7 p.Ala455Glu details
ABCC7 p.Ala455Glu
X
ABCC7 p.Ala455Glu 16088579:67:1378
status: NEW
view ABCC7 p.Ala455Glu details
ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 16088579:67:317
status: NEW
view ABCC7 p.Trp1282* details
ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 16088579:67:406
status: NEW
view ABCC7 p.Trp1282* details
ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 16088579:67:761
status: NEW
view ABCC7 p.Trp1282* details
ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 16088579:67:883
status: NEW
view ABCC7 p.Trp1282* details
ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 16088579:67:1267
status: NEW
view ABCC7 p.Trp1282* details
ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 16088579:67:310
status: NEW
view ABCC7 p.Arg553* details
ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 16088579:67:399
status: NEW
view ABCC7 p.Arg553* details
ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 16088579:67:787
status: NEW
view ABCC7 p.Arg553* details
ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 16088579:67:951
status: NEW
view ABCC7 p.Arg553* details
ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 16088579:67:1182
status: NEW
view ABCC7 p.Arg553* details
ABCC7 p.Arg334Trp
X
ABCC7 p.Arg334Trp 16088579:67:520
status: NEW
view ABCC7 p.Arg334Trp details
ABCC7 p.Arg334Trp
X
ABCC7 p.Arg334Trp 16088579:67:847
status: NEW
view ABCC7 p.Arg334Trp details
ABCC7 p.Arg334Trp
X
ABCC7 p.Arg334Trp 16088579:67:980
status: NEW
view ABCC7 p.Arg334Trp details
ABCC7 p.Arg334Trp
X
ABCC7 p.Arg334Trp 16088579:67:1371
status: NEW
view ABCC7 p.Arg334Trp details
ABCC7 p.Asn1303Lys
X
ABCC7 p.Asn1303Lys 16088579:67:325
status: NEW
view ABCC7 p.Asn1303Lys details
ABCC7 p.Asn1303Lys
X
ABCC7 p.Asn1303Lys 16088579:67:414
status: NEW
view ABCC7 p.Asn1303Lys details
ABCC7 p.Asn1303Lys
X
ABCC7 p.Asn1303Lys 16088579:67:753
status: NEW
view ABCC7 p.Asn1303Lys details
ABCC7 p.Asn1303Lys
X
ABCC7 p.Asn1303Lys 16088579:67:891
status: NEW
view ABCC7 p.Asn1303Lys details
ABCC7 p.Asn1303Lys
X
ABCC7 p.Asn1303Lys 16088579:67:1285
status: NEW
view ABCC7 p.Asn1303Lys details
ABCC7 p.Gly542*
X
ABCC7 p.Gly542* 16088579:67:278
status: NEW
view ABCC7 p.Gly542* details
ABCC7 p.Gly542*
X
ABCC7 p.Gly542* 16088579:67:367
status: NEW
view ABCC7 p.Gly542* details
ABCC7 p.Gly542*
X
ABCC7 p.Gly542* 16088579:67:690
status: NEW
view ABCC7 p.Gly542* details
ABCC7 p.Gly542*
X
ABCC7 p.Gly542* 16088579:67:739
status: NEW
view ABCC7 p.Gly542* details
ABCC7 p.Gly542*
X
ABCC7 p.Gly542* 16088579:67:876
status: NEW
view ABCC7 p.Gly542* details
ABCC7 p.Gly542*
X
ABCC7 p.Gly542* 16088579:67:1168
status: NEW
view ABCC7 p.Gly542* details
ABCC7 p.Arg1162*
X
ABCC7 p.Arg1162* 16088579:67:595
status: NEW
view ABCC7 p.Arg1162* details
ABCC7 p.Arg1162*
X
ABCC7 p.Arg1162* 16088579:67:818
status: NEW
view ABCC7 p.Arg1162* details
ABCC7 p.Arg1162*
X
ABCC7 p.Arg1162* 16088579:67:972
status: NEW
view ABCC7 p.Arg1162* details
ABCC7 p.Arg1162*
X
ABCC7 p.Arg1162* 16088579:67:1249
status: NEW
view ABCC7 p.Arg1162* details
ABCC7 p.Ser1251Asn
X
ABCC7 p.Ser1251Asn 16088579:67:422
status: NEW
view ABCC7 p.Ser1251Asn details
ABCC7 p.Ser1251Asn
X
ABCC7 p.Ser1251Asn 16088579:67:1052
status: NEW
view ABCC7 p.Ser1251Asn details
ABCC7 p.Gln493*
X
ABCC7 p.Gln493* 16088579:67:1136
status: NEW
view ABCC7 p.Gln493* details
ABCC7 p.Val520Phe
X
ABCC7 p.Val520Phe 16088579:67:1143
status: NEW
view ABCC7 p.Val520Phe details
ABCC7 p.Ser549Arg
X
ABCC7 p.Ser549Arg 16088579:67:1196
status: NEW
view ABCC7 p.Ser549Arg details
ABCC7 p.Gly85Glu
X
ABCC7 p.Gly85Glu 16088579:67:473
status: NEW
view ABCC7 p.Gly85Glu details
ABCC7 p.Gly85Glu
X
ABCC7 p.Gly85Glu 16088579:67:1293
status: NEW
view ABCC7 p.Gly85Glu details
ABCC7 p.Ser549Asn
X
ABCC7 p.Ser549Asn 16088579:67:1203
status: NEW
view ABCC7 p.Ser549Asn details
ABCC7 p.Tyr122*
X
ABCC7 p.Tyr122* 16088579:67:1323
status: NEW
view ABCC7 p.Tyr122* details
ABCC7 p.Arg560Thr
X
ABCC7 p.Arg560Thr 16088579:67:430
status: NEW
view ABCC7 p.Arg560Thr details
ABCC7 p.Arg560Thr
X
ABCC7 p.Arg560Thr 16088579:67:1189
status: NEW
view ABCC7 p.Arg560Thr details
ABCC7 p.Gln552*
X
ABCC7 p.Gln552* 16088579:67:447
status: NEW
view ABCC7 p.Gln552* details
ABCC7 p.Phe508Cys
X
ABCC7 p.Phe508Cys 16088579:67:1115
status: NEW
view ABCC7 p.Phe508Cys details
ABCC7 p.Glu60*
X
ABCC7 p.Glu60* 16088579:67:527
status: NEW
view ABCC7 p.Glu60* details
ABCC7 p.Glu60*
X
ABCC7 p.Glu60* 16088579:67:1060
status: NEW
view ABCC7 p.Glu60* details
SSCP analysis is one of the most popular methods for the detection of sequence variants in polymerase chain reaction (PCR) amplified DNA fragments.29 The princi- Table 3 Cystic Fibrosis Mutations Detected by Commercial Kits INNO-LiPA Mutations CF2 ⌬F508, ⌬I507, G542X, 1717-1G→A, G551D, R553X, W1282X, N1303K CFTR12 ⌬F508, ⌬I507, G542X, 1717-1G→A, G551D, R553X, W1282X, N1303K, S1251N, R560T, 3905insT, Q552X CFTR17+Tn 394delTT, G85E, 621+1G→T, R117H, 1078delT, R347P, R334W, E60X, 2183AA→G, 2184delA, 711+5G→A, 2789+5G→A, R1162X, 3659delC, 3849+10kbC→T, 2143delT, A455E, (5T/7T/9T) Elucigene CF4 ⌬F508, G542X, G551D, 621+1G→T CF12 ⌬F508, G542X, G551D, N1303K, W1282X, 1717-1G→A, R553X, 621+1G→T, R117H, R1162X, 3849+10kbC→T, R334W CF20 1717-1G→A, G542X, W1282X, N1303K, ⌬F508, 3849+10kbC→T, 621+1G→T, R553X, G551D, R117H, R1162X, R334W, A455E, 2183AA→G, 3659delC, 1078delT, ⌬I507, R345P, S1251N, E60X CF Poly-T 5T/7T/9T OLA CF OLA assay ⌬F508, F508C, ⌬I507, Q493X, V520F, 1717-1G→A, G542X, G551D, R553X, R560T, S549R, S549N, 3849+10kbC→T, 3849+4A→G, R1162X, 3659delC, W1282X, 3905insT, N1303K, G85E, 621+1G→T, R117H, Y122X, 711+1G→T, 1078delT, R347P, R347H, R334W, A455E, 1898+1G→A, 2183AA→G, 2789+5G→A b Figure 2 Mutation screening of exon 19 of the cystic fibrosis transmembrane conductance regulator (CFTR) gene using polymerase chain reaction (PCR) followed by single-strand conformation polymorphism/heteroduplex (SSCP/HD) analysis on a silver-stained polyacrylamide gel. Login to comment
68 ABCC7 p.Arg1162*
X
ABCC7 p.Arg1162* 16088579:68:266
status: NEW
view ABCC7 p.Arg1162* details
ABCC7 p.Ser1235Arg
X
ABCC7 p.Ser1235Arg 16088579:68:397
status: NEW
view ABCC7 p.Ser1235Arg details
ss, single strands; ds, double strands; C, control samples; lanes 1, 3, 6: CF patients without any sequence variants within exon 19; lane 2: CF patient homozygous for the intronic polymorphism nt3600-65 A/A; lane 4: CF patient heterozygous for the nonsense mutation R1162X; lane 5: CF patient heterozygous for the polymorphism nt3690 A/G; lane 7: CF patient heterozygous for the missense mutation S1235R. Login to comment
84 ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 16088579:84:601
status: NEW
view ABCC7 p.Arg553* details
Studies focusing on the pulmonary status as a function of the ⌬F508 allele reported a wide range of effects from detectable impact of CFTR genotype43,48 to none or statistically insignificant.49-51 Other studies using more refined assessment of CFTR mutations have shown statistically significant correlations between CFTR genotypes and pulmonary status,52,53 whereas still others have failed to detect significant association.54-56 From our own studies we can conclude that the frameshift 3905insT is associated with a severe pulmonary disease, whereas patients carrying the nonsense mutation R553X present with milder symptoms. Login to comment