About Careers MedBlog Contact us
Medindia LOGIN REGISTER
Advertisement

Genetic Mutations may Allow CF Patients to Live Longer

by Anjali Aryamvally on October 26, 2017 at 2:43 PM
Font : A-A+

Genetic Mutations may Allow CF Patients to Live Longer

Cystic fibrosis is a genetic disorder caused by mutations in the DNA that disrupt the normal movement of chloride across cells. It mainly compromises the lungs' ability to fight infection and breathe efficiently. Cystic fibrosis is the most lethal genetic disease in the Caucasian population with an average lifespan of just 30 to 40 years.

Despite this narrow average lifespan, there is a big range in how severely cystic fibrosis (CF) affects the lungs and other organs depending on an individual's specific genetic variation, and even in how long patients sharing the same, most common genetic mutation are able to survive with CF.

Advertisement


This led researchers at Boston Children's Hospital to wonder if other genetic mutations could be protective against CF's effects. Recent findings published in the American Journal of Respiratory Cell and Molecular Biology suggest that may be the case.

"There are some patients at one end of extreme severity who need a lung transplant very early in life, then others whose clinical presentation seems to stabilize so that they can live into the fifth and sixth decades of life," says Pankaj Agrawal, MBBS, MMSc, principal investigator and medical director of The Manton Center's Gene Discovery Core at Boston Children's, who was the co-first author on the study.
Advertisement

To find out why, Agrawal and researchers at Boston Children's -- including Ruobing Wang, MD, a pulmonologist, and Craig Gerard, MD, PhD, chief of the Division of Respiratory Diseases -- conducted the first-ever longitudinal analysis of genetic modifiers related to CF.

They combed through a population of nearly 600 CF patients registered at the Boston Children's Cystic Fibrosis Center and found five individuals who stood out because of their advanced age -- in their 50s or 60s -- and relatively normal lung function.

"Given the large size of our center's patient population, we were able to find a number of individuals at this rare 'extreme,'" says Wang, who was co-first author on the paper.

A new hypothesis for mitigating cystic fibrosis

To discover the genetic variants, the researchers collected blood from these patients and performed whole exome sequencing on their DNA, analyzing the "coding" section of the genome that is responsible for most disease-related mutations.

Sequencing the genes of these five Boston Children's patients -- a cohort known as "long-term non-progressors"-- the researchers found a set of rare and never-before-discovered genetic variants that might help explain their longevity and stable lung function.

The gene variants are related to so-called epithelial sodium channels (ENaCs), semi-permeable cellular pathways responsible for reabsorbing sodium in the kidney, colon, lung and sweat glands.

"Our hypothesis is that these ENaC mutations help to rehydrate the airways of CF patients, making it less likely for detrimental bacteria to take up residence in the lungs," says Wang.

The discovery brings ENaCs into the limelight as a potential new therapeutic target.

"For example, if we could target ENaCs with a small molecule or an antibody-based drug, we might be able to incur a protective effect against CF's progression," says Agrawal, who is also a physician in the Boston Children's Division of Newborn Medicine.

Based on their findings, the team is now doing further studies to analyze the genetics of patients at the other end of the CF spectrum -- those with extremely severe clinical presentation of symptoms at a young age.



Source: Eurekalert
Advertisement

Advertisement
Advertisement

Recommended Reading

Latest Genetics & Stem Cells News

A Ray of Hope: Adrenal Hyperplasia may Get a Cure Soon
Scientists have developed the first humanized mouse model for a rare hereditary condition.
Placenta Joins the Brain in Determining Genetic Risk of Schizophrenia
A recent study discovered that the placenta, rather than only the brain, is crucial in determining the genetic risk of schizophrenia.
Scientists Discover Gene Responsible for Severe Facial Defects
FOXI3 gene was found to be involved in Goldenhar syndrome, one form of developmental disorder, revealed research.
Beyond the Blueprint: Understanding the Role of Epigenetics
Contrary to previous beliefs, genes may not be fixed and can be influenced by environmental factors and lifestyle choices, according to modern scientific research.
Gene Therapy Shows Promise in Inherited Eye Disease Trials
Gene therapy successfully tested on dogs with inherited eye disease is now poised for clinical use in humans.
View All
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close
×

Genetic Mutations may Allow CF Patients to Live Longer Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests