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1.
Chaos ; 33(11)2023 Nov 01.
Article in English | MEDLINE | ID: mdl-37988609

ABSTRACT

Deflation is an efficient numerical technique for identifying new branches of steady state solutions to nonlinear partial differential equations. Here, we demonstrate how to extend deflation to discover new periodic orbits in nonlinear dynamical lattices. We employ our extension to identify discrete breathers, which are generic exponentially localized, time-periodic solutions of such lattices. We compare different approaches to using deflation for periodic orbits, including ones based on Fourier decomposition of the solution, as well as ones based on the solution's energy density profile. We demonstrate the ability of the method to obtain a wide variety of multibreather solutions without prior knowledge about their spatial profile.

2.
Clin Genet ; 89(5): 539-49, 2016 05.
Article in English | MEDLINE | ID: mdl-26671754

ABSTRACT

Clinical heterogeneity in cystic fibrosis (CF) often causes diagnostic uncertainty in infants without symptoms and in older patients with milder phenotypes. We performed a cross-sectional evaluation of a comprehensive set of clinical and laboratory descriptors in a physician-defined cohort (N = 376; Children's Hospital of Wisconsin and the American Family Children's Hospital CF centers in Milwaukee and Madison, WI, USA) to determine the robustness of categorizing CF (N = 300), cystic fibrosis transmembrane conductance regulator (CFTR)-related disorder (N = 19), and CFTR-related (CRMS) metabolic syndrome (N = 57) according to current consensus guidelines. Outcome measures included patient demographics, clinical measures, sweat chloride levels, CFTR genotype, age at diagnosis, airway microbiology, pancreatic function, infection, and nutritional status. The CF cohort had a significantly higher median sweat chloride level (105 mmol/l) than CFTR-related disorder patients (43 mmol/l) and CFTR-related metabolic syndrome patients (35 mmol/l; p ≤ 0.001). Patient groups significantly differed in pancreatic sufficiency, immunoreactive trypsinogen levels, sweat chloride values, genotype, and positive Pseudomonas aeruginosa cultures (p ≤ 0.001). An automated classification algorithm using recursive partitioning demonstrated concordance between physician diagnoses and consensus guidelines. Our analysis suggests that integrating clinical information with sweat chloride levels, CFTR genotype, and pancreatic sufficiency provides a context for continued longitudinal monitoring of patients for personalized and effective treatment.


Subject(s)
Cystic Fibrosis Transmembrane Conductance Regulator/genetics , Cystic Fibrosis/genetics , Genetic Testing/methods , Mutation , Neonatal Screening/methods , Adolescent , Child , Chlorides/metabolism , Cohort Studies , Cross-Sectional Studies , Cystic Fibrosis/classification , Cystic Fibrosis/diagnosis , Female , Genotype , Hospitals, Pediatric , Humans , Infant , Infant, Newborn , Male , Pancreas/physiology , Pancreas/physiopathology , Pseudomonas aeruginosa/isolation & purification , Pseudomonas aeruginosa/physiology , Sweat/chemistry , Sweat/microbiology
3.
East Mediterr Health J ; 22(8): 611-618, 2016 Nov 02.
Article in English | MEDLINE | ID: mdl-27834443

ABSTRACT

This study aimed to estimate the frequency of the SNPs (+45T>G and +276G>T) genotypes and investigate the association between the two SNPs and adiponectin concentration, metabolic parameters and risk of T2DM in the Bahraini population. We genotyped the two ADIPOQ SNPs in 140 unrelated T2DM patients and 66 nondiabetic controls using the polymerase chain reaction-restriction fragment length polymorphism assay. Lipid profile was measured by enzymatic methods. Total serum adiponectin levels were measured by immunoassay. T2DM patients had reduced adiponectin levels compared with controls. +45T>G was more prevalent in patients than controls. The rare G allele of +45T>G occurred more frequently than the common T allele in T2DM patients compared with controls, and was associated with lower serum adiponectin levels. There was no significant difference in allele and genotype frequencies of +276G>T between type T2DM patients and controls. There was no association between both SNPs and metabolic parameters.


Subject(s)
Adiponectin/blood , Diabetes Mellitus, Type 2/genetics , Polymorphism, Single Nucleotide/genetics , Adiponectin/genetics , Bahrain , Female , Genetic Predisposition to Disease , Humans , Male , Middle Aged , Risk Assessment
4.
J Cyst Fibros ; 23(3): 388-397, 2024 May.
Article in English | MEDLINE | ID: mdl-38388234

ABSTRACT

After three publications defining an updated guidance on the diagnostic criteria for people with cystic fibrosis transmembrane conductance regulator (CFTR)-related disorders (pwCFTR-RDs), establishing its relationship to CFTR-dysfunction and describing the individual disorders, this fourth and last paper in the series addresses some critical challenges facing health care providers and pwCFTR-RD. Topics included are: 1) benefits and obstacles to collect data from pwCFTR-RD are discussed, together with the opportunity to integrate them into established CF-registries; 2) the potential of infants designated CRMS/CFSPID to develop a CFTR-RD and how to communicate this information; 3) a description of the challenges in genetic counseling, with particular regard to phenotypic variability, unknown long-term evolution, CFTR testing and pregnancy termination 4) a proposal for the assessment of potential barriers to the implementation and dissemination of the produced documents to health care professionals involved in the care of pwCFTR-RD and a process to monitor the implementation of the CFTR-RD recommendations; 5) clinical trials investigating the efficacy of CFTR modulators in CFTR-RD and how endpoints and outcomes might be adapted to the heterogeneity of these disorders.


Subject(s)
Cystic Fibrosis Transmembrane Conductance Regulator , Cystic Fibrosis , Standard of Care , Humans , Cystic Fibrosis/therapy , Cystic Fibrosis/genetics , Cystic Fibrosis Transmembrane Conductance Regulator/genetics , Genetic Counseling , Genetic Testing/methods , Infant, Newborn
5.
Br J Cancer ; 107(8): 1423-32, 2012 Oct 09.
Article in English | MEDLINE | ID: mdl-22955849

ABSTRACT

BACKGROUND: Prolyl hydroxylation is a post-translational modification that affects the structure, stability and function of proteins including collagen by catalysing hydroxylation of proline to hydroxyproline through action of collagen prolyl hydroxylases3 (C-P3H) and 4 (C-P4H). Three C-P3Hs (nomenclature was amended according to approval by the HGNC symbols and names at http://www.genenames.org/ and Entrez database at http://www.ncbi.nlm.nih.gov/gene) leucineproline-enriched proteoglycan (leprecan) 1 (Lepre1), leprecan-like 1 (Leprel1), leprecan-like 2 (Leprel2) and two paralogs Cartilage-Related Protein (CRTAP) and leprecan-like 4 (Leprel4) are found in humans. The C-P4Hs are tetrameric proteins comprising a variable α subunit, encoded by the P4HA1, P4HA2 and P4HA3 genes and a constant ß subunit encoded by P4HB. METHODS: We used RT-PCR, qPCR, pyrosequencing, methylation-specific PCR, western blotting and immunohistochemistry to investigate expression and regulation of the C-P3H and C-P4H genes in B lymphomas and normal bone marrow. RESULTS: C-P3H and C-P4H are downregulated in lymphoma. Down-regulation is associated with methylation in the CpG islands and is detected in almost all common types of B-cell lymphoma, but the CpG islands are unmethylated or methylated at lower levels in DNA isolated from normal bone marrow and lymphoblastoid cell lines. Methylation of multiple C-P3H and C-P4H genes is present in some lymphomas, particularly Burkitt's lymphoma. CONCLUSIONS: Methylation of C-P3H and C-P4H is common in B lymphomas and may have utility in differentiating disease subtypes.


Subject(s)
Collagen/genetics , Lymphoma, B-Cell/genetics , Procollagen-Proline Dioxygenase/genetics , Cell Line, Tumor , Collagen/metabolism , CpG Islands/genetics , Gene Expression Regulation , Gene Silencing , Humans , Lymphoma, B-Cell/metabolism , Methylation , Procollagen-Proline Dioxygenase/metabolism
6.
Mol Genet Metab ; 105(2): 249-54, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22137130

ABSTRACT

Most newborn screening (NBS) laboratories use second-tier molecular tests for cystic fibrosis (CF) using dried blood spots (DBS). The Centers for Disease Control and Prevention's NBS Quality Assurance Program offers proficiency testing (PT) in DBS for CF transmembrane conductance regulator (CFTR) gene mutation detection. Extensive molecular characterization on 76 CF patients, family members or screen positive newborns was performed for quality assurance. The coding, regulatory regions and portions of all introns were sequenced and large insertions/deletions were characterized as well as two intronic di-nucleotide microsatellites. For CF patient samples, at least two mutations were identified/verified and four specimens contained three likely CF-associated mutations. Thirty-four sequence variations in 152 chromosomes were identified, five of which were not previously reported. Twenty-seven of these variants were used to predict haplotypes from the major haplotype block defined by HapMap data that spans the promoter through intron 19. Chromosomes containing the F508del (p.Phe508del), G542X (p.Gly542X) and N1303K (p.Asn1303Lys) mutations shared a common haplotype subgroup, consistent with a common ancient European founder. Understanding the haplotype background of CF-associated mutations in the U.S. population provides a framework for future phenotype/genotype studies and will assist in determining a likely cis/trans phase of the mutations without need for parent studies.


Subject(s)
Cystic Fibrosis Transmembrane Conductance Regulator/genetics , Cystic Fibrosis/genetics , DNA Mutational Analysis , Haplotypes/genetics , Adolescent , Adult , Cystic Fibrosis/diagnosis , Dried Blood Spot Testing , Female , Genetic Testing , Humans , Linkage Disequilibrium , Male , Microsatellite Repeats , Population , Reference Standards , United States
7.
J Environ Manage ; 103: 51-7, 2012 Jul 30.
Article in English | MEDLINE | ID: mdl-22459070

ABSTRACT

Invasions by alien plants are a significant threat to the biodiversity and functioning of ecosystems and the services they provide. The South African Working for Water program was established to address this problem. It needs to formulate objective and transparent priorities for clearing in the face of multiple and sometimes conflicting demands. This study used the analytic hierarchy process (a multi-criteria decision support technique) to develop and rank criteria for prioritising alien plant control operations in the Western Cape, South Africa. Stakeholder workshops were held to identify a goal and criteria and to conduct pair-wise comparisons to weight the criteria with respect to invasive alien plant control. The combination of stakeholder input (to develop decision models) with data-driven model solutions enabled us to include many alternatives (water catchments), that would otherwise not have been feasible. The most important criteria included the capacity to maintain gains made through control operations, the potential to enhance water resources and conserve biodiversity, and threats from priority invasive alien plant species. We selected spatial datasets and used them to generate weights that could be used to objectively compare alternatives with respect to agreed criteria. The analysis showed that there are many high priority catchments which are not receiving any funding and low priority catchments which are receiving substantial allocations. Clearly, there is a need for realigning priorities, including directing sufficient funds to the highest priority catchments to provide effective control. This approach provided a tractable, consensus-based solution that can be used to direct clearing operations.


Subject(s)
Ecosystem , Plants , Conservation of Natural Resources , South Africa
8.
Phys Rev E ; 105(5-2): 055106, 2022 May.
Article in English | MEDLINE | ID: mdl-35706187

ABSTRACT

We perform a bifurcation analysis of the steady states of Rayleigh-Bénard convection with no-slip boundary conditions in two dimensions using a numerical method called deflated continuation. By combining this method with an initialization strategy based on the eigenmodes of the conducting state, we are able to discover multiple solutions to this nonlinear problem, including disconnected branches of the bifurcation diagram, without the need for any prior knowledge of the solutions. One of the disconnected branches we find contains an S-shaped curve with hysteresis, which is the origin of a flow pattern that may be related to the dynamics of flow reversals in the turbulent regime. Linear stability analysis is also performed to analyze the steady and unsteady regimes of the solutions in the parameter space and to characterise the type of instabilities.

9.
Trends Cell Biol ; 2(6): 159-63, 1992 Jun.
Article in English | MEDLINE | ID: mdl-14731984

ABSTRACT

Thirty exponential cell divisions after fertilization would produce the number of cells in a baby mouse, but would not make a mouse. Sophisticated controls govern the cell cycle during development. These controls appear to play a central role in sculpting biological form. Rapid advances in our understanding of the machinery that drives the cell cycle provide a foundation for investigation of the molecular nature of cell cycle control in development. In this article, I emphasize that the design of the cell cycle machinery provides numerous inputs for regulation. I hope that the emphasis I have chosen will avert a tendency towards a narrow perception of cell cycle control.

10.
Trends Cell Biol ; 11(12): 512-9, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11719058

ABSTRACT

The past decade of cell cycle investigations has identified many roads not taken. The kinase that drives mitosis can be modulated by cyclins, by activating phosphorylation, by inhibitory phosphorylation and by binding of inhibitors, but one of these regulatory options controls the transition from G2 phase to mitosis in most circumstances. A switch-like mechanism integrates signals of cellular status and commits the cell to mitosis by abruptly removing inhibitory phosphate from preformed cyclin:Cdk1 complexes. The pathways that flip this switch alter the balance of modifying reactions to favor dephosphorylation, thereby generating a flood of mitotic kinase.


Subject(s)
CDC2 Protein Kinase/metabolism , Cyclin-Dependent Kinases/metabolism , Cyclins/metabolism , G2 Phase/physiology , Mitosis/physiology , Animals , Humans , Phosphorylation
11.
J Cell Biol ; 139(1): 13-21, 1997 Oct 06.
Article in English | MEDLINE | ID: mdl-9314525

ABSTRACT

Minichromosome maintenance (MCM) proteins are essential DNA replication factors conserved among eukaryotes. MCMs cycle between chromatin bound and dissociated states during each cell cycle. Their absence on chromatin is thought to contribute to the inability of a G2 nucleus to replicate DNA. Passage through mitosis restores the ability of MCMs to bind chromatin and the ability to replicate DNA. In Drosophila early embryonic cell cycles, which lack a G1 phase, MCMs reassociate with condensed chromosomes toward the end of mitosis. To explore the coupling between mitosis and MCM-chromatin interaction, we tested whether this reassociation requires mitotic degradation of cyclins. Arrest of mitosis by induced expression of nondegradable forms of cyclins A and/or B showed that reassociation of MCMs to chromatin requires cyclin A destruction but not cyclin B destruction. In contrast to the earlier mitoses, mitosis 16 (M16) is followed by G1, and MCMs do not reassociate with chromatin at the end of M16. dacapo mutant embryos lack an inhibitor of cyclin E, do not enter G1 quiescence after M16, and show mitotic reassociation of MCM proteins. We propose that cyclin E, inhibited by Dacapo in M16, promotes chromosome binding of MCMs. We suggest that cyclins have both positive and negative roles in controlling MCM-chromatin association.


Subject(s)
Cell Cycle Proteins/genetics , Chromosomes/physiology , Drosophila Proteins , Mitosis/genetics , Nuclear Proteins/genetics , Animals , Cell Cycle Proteins/metabolism , Cell Cycle Proteins/physiology , Chromosomes/genetics , Chromosomes/metabolism , Cyclins/metabolism , Drosophila , Insect Proteins/genetics , Insect Proteins/metabolism , Mitosis/physiology , Nuclear Proteins/metabolism , Nuclear Proteins/physiology
12.
J Cell Biol ; 140(3): 451-60, 1998 Feb 09.
Article in English | MEDLINE | ID: mdl-9456309

ABSTRACT

Minichromosome maintenance (MCM) proteins are essential eukaryotic DNA replication factors. The binding of MCMs to chromatin oscillates in conjunction with progress through the mitotic cell cycle. This oscillation is thought to play an important role in coupling DNA replication to mitosis and limiting chromosome duplication to once per cell cycle. The coupling of DNA replication to mitosis is absent in Drosophila endoreplication cycles (endocycles), during which discrete rounds of chromosome duplication occur without intervening mitoses. We examined the behavior of MCM proteins in endoreplicating larval salivary glands, to determine whether oscillation of MCM-chromosome localization occurs in conjunction with passage through an endocycle S phase. We found that MCMs in polytene nuclei exist in two states: associated with or dissociated from chromosomes. We demonstrate that cyclin E can drive chromosome association of DmMCM2 and that DNA synthesis erases this association. We conclude that mitosis is not required for oscillations in chromosome binding of MCMs and propose that cycles of MCM-chromosome association normally occur in endocycles. These results are discussed in a model in which the cycle of MCM-chromosome associations is uncoupled from mitosis because of the distinctive program of cyclin expression in endocycles.


Subject(s)
Chromosomes/metabolism , DNA Replication , Drosophila/metabolism , Insect Proteins/metabolism , Animals , Aphidicolin/pharmacology , Cyclin E/biosynthesis , DNA/biosynthesis , Drosophila/cytology , Drosophila/embryology , Insect Proteins/analysis , Larva/metabolism , Mitosis , S Phase , Salivary Glands/cytology , Salivary Glands/metabolism
13.
J Cell Biol ; 147(7): 1371-8, 1999 Dec 27.
Article in English | MEDLINE | ID: mdl-10613895

ABSTRACT

Centrosome duplication is marked by discrete changes in centriole structure that occur in lockstep with cell cycle transitions. We show that mitotic regulators govern steps in centriole replication in Drosophila embryos. Cdc25(string), the expression of which initiates mitosis, is required for completion of daughter centriole assembly. Cdc20(fizzy), which is required for the metaphase-anaphase transition, is required for timely disengagement of mother and daughter centrioles. Stabilization of mitotic cyclins, which prevents exit from mitosis, blocks assembly of new daughter centrioles. Common regulation of the nuclear and centrosome cycles by mitotic regulators may ensure precise duplication of the centrosome.


Subject(s)
Centrosome/physiology , Drosophila Proteins , Mitosis/physiology , Protein Tyrosine Phosphatases , Saccharomyces cerevisiae Proteins , Amino Acid Sequence , Animals , Cdc20 Proteins , Cell Cycle Proteins/genetics , Cell Cycle Proteins/physiology , Centrioles/genetics , Centrioles/physiology , Cyclins/physiology , Drosophila , Molecular Sequence Data , Phosphoprotein Phosphatases/physiology , cdc25 Phosphatases/physiology
14.
Science ; 179(4070): 297-8, 1973 Jan 19.
Article in English | MEDLINE | ID: mdl-4683129

ABSTRACT

Rabbit fetuses 23 to 24 days of gestation were injected with either 9-fluoroprednisolone acetate or saline. Three days later the lungs of steroid-treated animals showed a significant increase in lecithin concentration and cholinephosphotransferase activity. In addition, lung slices from these animals incorporated more [(14)C]choline into lecithin. The rise in enzyme activity and [(14)C]choline incorporation was blocked by prior treatment of fetuses with cycloheximide but not by treatment with actinomycin D. It is proposed that the corticosteroids induce de novo synthesis of the lung enzyme, which in turn leads to increased synthesis of lecithin through the choline incorporation pathway. Furthermore, it appears that the site of regulation involves translation of messenger RNA.


Subject(s)
Fetus/metabolism , Lung/metabolism , Phosphatidylcholines/biosynthesis , Phosphotransferases/metabolism , Prednisolone/pharmacology , Animals , Carbon Isotopes , Choline/metabolism , Cycloheximide/pharmacology , Dactinomycin/pharmacology , Enzyme Induction , Female , Fetus/drug effects , Fetus/enzymology , Gestational Age , In Vitro Techniques , Lung/drug effects , Lung/enzymology , Methionine/metabolism , Pregnancy , Rabbits
15.
Science ; 227(4694): 1586-9, 1985 Mar 29.
Article in English | MEDLINE | ID: mdl-17795350

ABSTRACT

Useful compounds, whether produced by chemical synthesis or biological synthesis, often need to be purified from complex mixtures. Biochemists and chemists thus recognize the need for efficient new preparative purification techniques for product recovery. Such fractionation techniques must have high capacity and high resolution. In a novel group of separation methods suited to the preparative fractionation of proteins, antibiotics, and other classes of compounds, the chromatographic flow of a solute down the column is opposed by solute electrophoresis in the opposite direction. Useful separation is achieved when these two counteracting forces drive the solute to a unique equilibrium position within the separation chamber. The properties of chromatographic matrices, for example, gel-permeation matrices of various porosities, provide a means of establishing the unique equilibrium points. Extraordinary resolution and capacity are attainable by these methods.

16.
Science ; 246(4930): 635-40, 1989 Nov 03.
Article in English | MEDLINE | ID: mdl-2683080

ABSTRACT

Several evolutionarily conserved proteins constitute a universal mitotic trigger that is precisely controlled during the orderly cell divisions of embryogenesis. As development progresses, the mechanisms controlling this trigger change. Early divisions are executed by maternally synthesized gene products, and in Xenopus they are timed by the accumulation and periodic degradation of cyclin, a trigger component. Later, the zygotic genome assumes control, and in Drosophila, zygotic transcription is required for production of another trigger protein, the product of string. After this transition to zygotic control, pulses of string transcription define the timing of highly patterned embryonic cell divisions and cyclin accumulation is not rate limiting.


Subject(s)
Cell Division , Drosophila/growth & development , Embryo, Nonmammalian/physiology , Xenopus/growth & development , Animals , Drosophila/embryology , Gene Expression , Mitosis
17.
Science ; 287(5461): 2204-15, 2000 Mar 24.
Article in English | MEDLINE | ID: mdl-10731134

ABSTRACT

A comparative analysis of the genomes of Drosophila melanogaster, Caenorhabditis elegans, and Saccharomyces cerevisiae-and the proteins they are predicted to encode-was undertaken in the context of cellular, developmental, and evolutionary processes. The nonredundant protein sets of flies and worms are similar in size and are only twice that of yeast, but different gene families are expanded in each genome, and the multidomain proteins and signaling pathways of the fly and worm are far more complex than those of yeast. The fly has orthologs to 177 of the 289 human disease genes examined and provides the foundation for rapid analysis of some of the basic processes involved in human disease.


Subject(s)
Caenorhabditis elegans/genetics , Drosophila melanogaster/genetics , Genome , Proteome , Saccharomyces cerevisiae/genetics , Animals , Apoptosis/genetics , Biological Evolution , Caenorhabditis elegans/chemistry , Caenorhabditis elegans/physiology , Cell Adhesion/genetics , Cell Cycle/genetics , Drosophila melanogaster/chemistry , Drosophila melanogaster/physiology , Fungal Proteins/chemistry , Fungal Proteins/genetics , Genes, Duplicate , Genetic Diseases, Inborn/genetics , Genetics, Medical , Helminth Proteins/chemistry , Helminth Proteins/genetics , Humans , Immunity/genetics , Insect Proteins/chemistry , Insect Proteins/genetics , Multigene Family , Neoplasms/genetics , Protein Structure, Tertiary , Saccharomyces cerevisiae/chemistry , Saccharomyces cerevisiae/physiology , Signal Transduction/genetics
18.
Curr Opin Genet Dev ; 7(1): 17-22, 1997 Feb.
Article in English | MEDLINE | ID: mdl-9024630

ABSTRACT

Cyclin-dependent kinases play essential roles in driving the cell cycle. Much progress has been made in Drosophila over the past year in identifying the specific requirements for individual cyclins in particular cell cycle events. These studies encompass many aspects of the cell cycle, from the addition of a G1 phase to the cell cycle during embryogenesis to the role of cyclin degradation in progression through anaphase.


Subject(s)
Cell Cycle/physiology , Cyclin-Dependent Kinases/metabolism , Drosophila/cytology , Animals
19.
Curr Opin Genet Dev ; 4(4): 529-34, 1994 Aug.
Article in English | MEDLINE | ID: mdl-7950320

ABSTRACT

Cell fates are instructed by signals emitted from specialized cell populations called organizers. The study of epidermal patterning in Drosophila is contributing novel insights concerning the establishment and action of such organizers. Juxtaposed rows of cells express either the wingless or hedgehog signaling molecules and thereby act as organizers of segment pattern. These signals mediate a mutually re-enforcing interaction between the two rows of cells to sustain organizer function. In a distinct and subsequent phase, wingless and hedgehog act to specify the fates of cells.


Subject(s)
Drosophila Proteins , Drosophila/embryology , Epidermis/embryology , Gene Expression Regulation, Developmental , Genes, Insect , Insect Hormones/metabolism , Signal Transduction/genetics , Animals , Cell Polarity/genetics , Drosophila/genetics , Embryo, Nonmammalian/physiology , Embryonic Induction/genetics , Hedgehog Proteins , Larva/physiology , Morphogenesis/genetics , Proteins/metabolism , Proto-Oncogene Proteins/metabolism , Wnt1 Protein
20.
J Cyst Fibros ; 7(3): 179-96, 2008 May.
Article in English | MEDLINE | ID: mdl-18456578

ABSTRACT

It is often challenging for the clinician interested in cystic fibrosis (CF) to interpret molecular genetic results, and to integrate them in the diagnostic process. The limitations of genotyping technology, the choice of mutations to be tested, and the clinical context in which the test is administered can all influence how genetic information is interpreted. This paper describes the conclusions of a consensus conference to address the use and interpretation of CF mutation analysis in clinical settings. Although the diagnosis of CF is usually straightforward, care needs to be exercised in the use and interpretation of genetic tests: genotype information is not the final arbiter of a clinical diagnosis of CF or CF transmembrane conductance regulator (CFTR) protein related disorders. The diagnosis of these conditions is primarily based on the clinical presentation, and is supported by evaluation of CFTR function (sweat testing, nasal potential difference) and genetic analysis. None of these features are sufficient on their own to make a diagnosis of CF or CFTR-related disorders. Broad genotype/phenotype associations are useful in epidemiological studies, but CFTR genotype does not accurately predict individual outcome. The use of CFTR genotype for prediction of prognosis in people with CF at the time of their diagnosis is not recommended. The importance of communication between clinicians and medical genetic laboratories is emphasized. The results of testing and their implications should be reported in a manner understandable to the clinicians caring for CF patients.


Subject(s)
Cystic Fibrosis Transmembrane Conductance Regulator/genetics , Cystic Fibrosis/genetics , DNA Mutational Analysis , Humans , Nutritional Status/genetics , Polymorphism, Genetic , Prognosis , Protein Splicing , Quality Control , Respiratory Function Tests , Terminology as Topic
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