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Cystic fibrosis

life science Maturity 11-13 Next article →

Cystic fibrosis (CF) is a rare and serious genetic disorder.

autorecessive
autorecessive

It primarily affects the lungs and the digestive system. However, it can also impact the liver, kidneys, and intestines. The hallmark of this condition is the accumulation of thick, sticky mucus in various organs. This mucus can block tubes and passages throughout the body. This blockage leads to many different health challenges. Understanding CF requires looking at how our cells manage salt and water.

At the center of this disorder is the CFTR protein. This stands for cystic fibrosis transmembrane conductance regulator.

CFTR Protein Panels
CFTR Protein Panels

In a healthy body, this protein acts as a channel in cell membranes. It helps move chloride, a component of salt, out of the cells. This movement of salt helps draw water out to keep mucus thin and slippery. In people with CF, mutations in the CFTR gene cause the protein to malfunction.

CFTR gene on chromosome 7
CFTR gene on chromosome 7

When the protein does not work, chloride and water do not move correctly. As a result, secretions that should be thin become thick and sticky. This change in consistency is what causes the primary symptoms of the disease.

The respiratory system is often the most severely affected area. Thick mucus clogs the airways and makes breathing difficult. This mucus also makes it hard for the lungs to clear out germs. Bacteria like Pseudomonas aeruginosa and Staphylococcus aureus can settle in the lungs.

Cystic Fibrosis Respiratory Infections by Age
Cystic Fibrosis Respiratory Infections by Age

These infections cause inflammation and can lead to permanent lung damage. Over time, patients may develop bronchiectasis, which is damage to the large airways. In severe cases, people may experience wheezing, coughing up blood, or even respiratory failure. Some patients may eventually require a lung transplant to survive.

Digestive issues are also very common in those with CF. The thick mucus can block the ducts in the pancreas. The pancreas is responsible for sending digestive enzymes into the duodenum, part of the small intestine. When these enzymes are blocked, the body cannot break down food properly.

Blausen 0286 CysticFibrosis
Blausen 0286 CysticFibrosis

This leads to malabsorption, where the body fails to take in nutrients. Many patients suffer from poor growth or fatty stools. They may also struggle to absorb fat-soluble vitamins like A, D, E, and K. In some cases, damage to the pancreas can lead to cystic fibrosis-related diabetes.

The liver can also be impacted by these thick secretions. Bile is a fluid produced by the liver to help with digestion. If the bile ducts become blocked, it can cause liver damage or scarring, known as cirrhosis. This is the third most common cause of death related to CF. Some people also experience issues with their intestines. For example, about 15% to 20% of newborns with CF experience meconium ileus, which is a blockage in the small intestine. Others may deal with constipation or more serious intestinal obstructions.

Medical history shows that we have understood CF for a long time. Descriptions of the condition exist as far back as 1595. However, it was first recognized as a specific disease in 1938 by Dorothy Andersen.

Dorothy Hansine Andersen
Dorothy Hansine Andersen

Today, doctors use specific tools to diagnose the condition. They use sweat tests to measure sodium concentrations, as CF sweat is abnormally salty. They also use genetic testing to find mutations in the CFTR gene. In many parts of the world, infants are screened for CF right at birth.

Statistics show how the disease varies across different populations. CF is most common in people of Northern European ancestry. In this group, about 1 in 3,000 newborns is affected. Around 1 in 25 people in this group are carriers of the gene. It is much less common in people from Africa or Asia. While there is currently no cure, medical treatments have improved significantly. In the past, the median survival age was around 40.7 years. However, recent improvements mean the estimated median survival age is now approximately 65 years in the US, UK, and Canada.

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🖼️ Images & Media (8)
En.Wikipedia-VideoWiki-Cystic fibrosis.webm
File:Blausen 0286 CysticFibrosis.png
Blausen 0286 CysticFibrosis.png
File:Cystic Fibrosis Respiratory Infections by Age.svg
Cystic Fibrosis Respiratory Infections by Age.svg
File:autorecessive.svg
autorecessive.svg
File:CFTR Protein Panels.svg
CFTR Protein Panels.svg
File:CFTR gene on chromosome 7.svg
CFTR gene on chromosome 7.svg
File:Icsi.JPG
Icsi.JPG
File:Dorothy Hansine Andersen.jpg
Dorothy Hansine Andersen.jpg
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