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Published on: April 11, 2018
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.
Abstract:
This study has investigated a potential role of common Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene variants in the etiology of noncystic fibrosis bronchiectasis in Serbian children. The study has encompassed 48 patients (19 male and 29 female, aged between 5 and 18 years, median age 10.6±3.3), diagnosed with idiopathic bronchiectasis based on high-resolution computed tomography of thorax and pathologic examination of lobectomy materials. The CFTR gene analysis was performed on genomic DNA extracted from peripheral blood samples of patients by polymerase chain reaction (PCR)-Mediated Site-Directed Mutagenesis method, Denaturing Gradient Gel Electrophoresis method, and DNA sequencing. Mutation c.1521_1523delCTT (F508del) was detected with an allelic frequency of 1.0%, and c.224G>A (R75Q) variant. Carriers of c.1210-12T[5] (IVS8-5T) allele were significantly more common than in the general population (10.4% vs. 5.0%, P=0.0302). The frequency of homozygotes for Met 470 allele was higher in patients than in the general population (33% vs. 20%), while heterozygotes for p.Met470Val were less frequent (31% vs. 50%), and this difference was statistically significant (P=0.0222). The results obtained in this study indicate involvement of 2 common CFTR variants, c.1210-12T[5] and c.1408A, in idiopathic bronchiectasis in children, but this observation should be further confirmed by more extensive analysis of the CFTR gene in a larger group of patients.
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