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鼻息肉患者中最常见的囊性纤维化跨膜传导调节因子(CFTR)突变分析。

Analysis of most common CFTR mutations in patients affected by nasal polyps.

作者信息

Kostuch Marzena, Klatka Janusz, Semczuk Andrzej, Wojcierowski Jacek, Kulczycki Lucas, Oleszczuk Jan

机构信息

Department of Obstetrics and Perinatology, Lublin University School of Medicine, Poland.

出版信息

Eur Arch Otorhinolaryngol. 2005 Dec;262(12):982-6. doi: 10.1007/s00405-005-0927-0. Epub 2005 Jun 17.

DOI:10.1007/s00405-005-0927-0
PMID:16075239
Abstract

Nasal polyps, a chronic inflammatory disease occurring in the nose and para-nasal sinuses, result from several different causes, including cystic fibrosis (CF). Forty-four patients affected by nasal polyps were admitted to the Department of Otolaryngology, Lublin University School of Medicine, Lublin, Poland, and screened for the most-commonly identified CFTR mutations [DeltaF508, G542X, N1303 K, 1717-1 (G to A), W1282X, G551D, R553X and DeltaI507] by applying the INNO-LIPA CF2 test strips. None of the patients had symptoms that allowed for the diagnosis of CF, including the negative sweat test. We detected 5 of 44 (11.4%) carriers of the CFTR mutations. All patients positive for this test were heterozygous carriers of DeltaF508. In the control group, only 1 of 70 (1.4%) cases showed DeltaF508 heterozygosity. The frequency of DeltaF508 mutation herein reported was significantly higher than in the control group (P = 0.0312) and in the general Polish population as well (P = 0.0059). Our data suggest that a heterozygous manifestation of the DeltaF508 may exist in a selected group of patients affected by nasal polyps, who have no other clinical features of CF.

摘要

鼻息肉是一种发生在鼻腔和鼻窦的慢性炎症性疾病,由多种不同原因引起,包括囊性纤维化(CF)。44例鼻息肉患者被收治于波兰卢布林医科大学耳鼻喉科,并通过应用INNO-LIPA CF2测试条对最常见的CFTR突变[DeltaF508、G542X、N1303K、1717-1(G→A)、W1282X、G551D、R553X和DeltaI507]进行筛查。所有患者均无提示CF诊断的症状,包括汗液试验阴性。我们在44例患者中检测到5例(11.4%)CFTR突变携带者。所有该检测呈阳性的患者均为DeltaF508杂合子携带者。在对照组中,70例中仅有1例(1.4%)显示DeltaF508杂合性。本文报道的DeltaF508突变频率显著高于对照组(P = 0.0312)以及波兰普通人群(P = 0.0059)。我们的数据表明,DeltaF508的杂合表现可能存在于一组无其他CF临床特征的鼻息肉患者中。

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本文引用的文献

1
Clinical characteristics and genotype analysis of patients with cystic fibrosis and nasal polyposis.囊性纤维化合并鼻息肉患者的临床特征及基因型分析
Clin Otolaryngol Allied Sci. 2003 Apr;28(2):125-32. doi: 10.1046/j.1365-2273.2003.00677.x.
2
Nasal polyps: still more questions than answers.鼻息肉:问题仍多于答案。
J Laryngol Otol. 2003 Jan;117(1):1-9. doi: 10.1258/002221503321046577.
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Nasal polyposis: an update: editorial review.鼻息肉病:最新进展:编辑评论
Curr Opin Allergy Clin Immunol. 2003 Feb;3(1):1-6. doi: 10.1097/00130832-200302000-00001.
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A clinical perspective of cystic fibrosis and new genetic findings: relationship of CFTR mutations to genotype-phenotype manifestations.囊性纤维化的临床视角与新的遗传学发现:CFTR 突变与基因型 - 表型表现的关系
Am J Med Genet A. 2003 Jan 30;116A(3):262-7. doi: 10.1002/ajmg.a.10886.
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CFTR gene mutations in patients suffering from acute pancreatitis.
Med Sci Monit. 2002 Sep;8(9):BR369-72.
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Molecular genetic evidence of an association between nasal polyposis and the Peutz-Jeghers syndrome.鼻息肉病与黑斑息肉综合征之间关联的分子遗传学证据。
Ann Intern Med. 2002 Jun 4;136(11):855-6. doi: 10.7326/0003-4819-136-11-200206040-00020.
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The molecular biology of nasal polyposis.鼻息肉病的分子生物学
Curr Allergy Asthma Rep. 2001 May;1(3):262-7. doi: 10.1007/s11882-001-0017-3.
8
Nasal polyps in cystic fibrosis: clinical endoscopic study with nasal lavage fluid analysis.囊性纤维化中的鼻息肉:鼻灌洗液分析的临床内镜研究
Chest. 2002 Jan;121(1):40-7. doi: 10.1378/chest.121.1.40.
9
Mutation in the gene responsible for cystic fibrosis and predisposition to chronic rhinosinusitis in the general population.在普通人群中,负责囊性纤维化的基因发生突变,且易患慢性鼻-鼻窦炎。
JAMA. 2000 Oct 11;284(14):1814-9. doi: 10.1001/jama.284.14.1814.
10
HLA patterns in patients with nasal polyposis.
Eur Arch Otorhinolaryngol. 2000;257(3):137-9. doi: 10.1007/s004050050210.