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Generation of Human Nasal Epithelial Cell Spheroids for Individualized Cystic Fibrosis Transmembrane Conductance Regulator Study
Published on: April 11, 2018
Preventing cystic fibrosis in the RSA
H W Hitzeroth1, E M Petersen, J Herbert
1Genetic Services, Department of National Health and Population Development, Pretoria.
Prenatal diagnosis for cystic fibrosis (CF) in South Africa uses microvillar enzyme (MVE) assays and DNA testing. Current services reach only a quarter of the need, highlighting a gap in genetic services for CF families.
Area of Science:
- Medical Genetics
- Reproductive Medicine
- Public Health
Background:
- Prenatal diagnostic testing for cystic fibrosis (CF) has been available in South Africa since 1984 (microvillar enzyme assay) and 1987 (DNA investigation).
- The study reviews the advantages and practical applications of these diagnostic methods.
Purpose of the Study:
- To evaluate the utilization and effectiveness of prenatal diagnostic testing for cystic fibrosis in South Africa.
- To assess the current capacity of genetic services in meeting the demand for CF prenatal diagnosis.
Main Methods:
- Review of data from 1984-1989 on microvillar enzyme (MVE) assays and DNA investigations for prenatal CF diagnosis.
- Analysis of population genetic and demographic data to estimate service needs and coverage.
Main Results:
- Over 71 pregnancies tested in high-risk families, 18 fetuses were diagnosed with CF; 15 of these resulted in termination.
- Microvillar enzyme assays yielded equivocal results in 2 cases, leading to affected births.
- Current prenatal diagnosis and prevention efforts meet approximately 25% of the estimated annual need.
- Only about 60% of projected high-risk families are currently registered for genetic services.
Conclusions:
- Significant gaps exist in the provision and uptake of prenatal diagnostic services for cystic fibrosis in South Africa.
- Increased awareness and targeted information campaigns are crucial to engage more CF families in genetic services.
- The identification of the CF gene in 1989 offers opportunities to expand prevention strategies to include lower-risk and extended families.
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