Analysis of CFTR Gene Variants in Idiopathic Bronchiectasis in Serbian Children

Katarina Milosevic1, Aleksandra Nikolic, Aleksandra Divac Rankov

  • 1Department of Pulmonology and Allergology, University Children's Hospital , Belgrade, Serbia .

Insights

Common Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene variants, specifically IVS8-5T and p.Met470Val, are linked to childhood idiopathic bronchiectasis in Serbian children. Further research is needed to confirm these findings in a larger patient cohort.

Area of Science:

  • Genetics
  • Pediatrics
  • Pulmonology

Background:

  • Idiopathic bronchiectasis in children presents a diagnostic challenge, with genetic factors potentially playing a role.
  • The Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene is crucial for ion transport and its dysfunction is linked to various respiratory diseases.

Purpose of the Study:

  • To investigate the association between common Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene variants and the development of non-cystic fibrosis bronchiectasis in Serbian children.
  • To determine the frequency of specific CFTR gene variants in a cohort of children diagnosed with idiopathic bronchiectasis.

Main Methods:

  • Genetic analysis of the CFTR gene was performed on DNA from 48 Serbian children diagnosed with idiopathic bronchiectasis.
  • Methods included polymerase chain reaction (PCR)-Mediated Site-Directed Mutagenesis, Denaturing Gradient Gel Electrophoresis, and DNA sequencing.
  • Allelic frequencies of CFTR variants were compared to the general population.

Main Results:

  • The c.1210-12T[5] (IVS8-5T) allele was significantly more prevalent in patients (10.4%) compared to the general population (5.0%, P=0.0302).
  • Homozygosity for the Met 470 allele was higher in patients (33%) versus controls (20%), with heterozygosity for p.Met470Val being less frequent (31% vs. 50%, P=0.0222).
  • The F508del mutation and R75Q variant were also detected.

Conclusions:

  • Common CFTR variants, specifically IVS8-5T and the p.Met470Val polymorphism (indicated by Met470 homozygosity), appear to be involved in the etiology of idiopathic bronchiectasis in Serbian children.
  • These findings warrant further investigation with larger patient cohorts and comprehensive CFTR gene analysis.

Related Concept Videos

Cystic Fibrosis: Pathogenesis01:23

Cystic Fibrosis: Pathogenesis

Cystic fibrosis (CF), an autosomal recessive disorder, significantly affects the function of exocrine glands. This genetically inherited disease is characterized by the production of thick and sticky mucus, which can severely affect various organs and systems in the body.
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation, but...
Cystic Fibrosis: Management01:24

Cystic Fibrosis: Management

Cystic fibrosis (CF) is an autosomal recessive disorder that predominantly affects individuals of Northern European descent, occurring at a rate of 1 in 3500. It is caused by a genetic mutation in a gene on chromosome 7, most commonly the ΔF508 mutation, that codes for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. This results in thicker mucus secretions and obstruction pathologies in multiple organs, including the lungs and sinuses.
Sinus disease and chronic sinusitis...
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...