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Cystic Fibrosis (CF)
What is CF?
   Cystic Fibrosis is a hereditary disease that
    causes people to produce very thick
    mucus in their respiratory and digestive
    tracks. No cure has been found for CF yet
    but it does appear that CF is caused by a
    flaw in the membrane proteins of a cell.
Symptoms
   CF has many symptoms. Symptoms will often
    stand out at birth or infancy. Symptoms are
     Frequent   or acute lung infections
     Very salty-tasting skin
     Little growth and development despite a good and
      healthy appetite
     Coughing and wheezing
     Shortness of breath
     A persistent cough, often coughing up mucus.
Diagnosis
 Near 70% of CF patients are diagnosed by
  the age of 2. To find CF, there are a
  variety of different test.
 Some tests are the sweat test, genetic
  testing, and newborn screening tests.
The Sweat Test.        Diagnosis (Continued)
                                   Genetic/Blood Testing
•The sweat test is a simple test done by
simply collecting the patients sweat.       •Because CF is hereditary it can be
                                            found in a patient’s DNA.
•A lab technician applies a chemical that
causes perspiration onto the patients       •People can be either carriers of CF,
dermis and then adds a faint electrical     affected by it, or be non-carriers that
charge that will produce sweat.             aren’t affected by it.
•If there is a large content of sodium in             C                      c
the sweat it does suggest CF might be
there if other symptoms are also evident                                  *More
                                                     CC          Cc       than 10
                                            C    Non-affectedNon-affected million
Newborn Screening
                                                 Non-carrier.  Carrier    American
•A newborn’s pancreas is tested to see                                                        -s would
                                                                                              fall under
if it produces a large amount of                                                              the Cc
immunoreactive trypsinogen.                          Cc          Cc                           category.
                                            c    Non-affected Affected
•If larger than normal amounts are                 Carrier    Carrier
found it does suggest that CF might be
there.
                                            C (gene that blocks CF)   c (gene that doesn’t block CF
Causes
   CF has many different causes. But, they all deal with a genetic
    mutation on the 7th human chromosome.
   What happens is the cystic fibrosis transmembrane conductance
    regulator (CFTR) gene has a mutation along the chromosome. The
    CFTR gene produces a protein called the CFTR protein that helps
    regulate the flow of salt and water in and out of the cell.
   The most common mutation is called the ΔF508. This causes a
    deletion of three nucleotides along the gene. The gene then
    produces a bad protein that is missing three amino acids at the 508 th
    link of the amino acid chain in the protein.
   The bad CFTR protein deteriorates before it can reach the
    membrane.
   This results in an improper balance of salt and water inside or out of
    the protein causing abnormally thick mucus to form.
Effects
   CF takes large effects on individuals. A main problem is with the
    respiratory system. Because of such thick mucus, bacteria can grow
    extremely rapidly in the lungs and other parts of the respiratory
    system causing infections and it becomes too thick for the cilia to
    move out of the system.
   In addition, another major problem is within the digestive system.
    The thick mucus coats the pancreas to the
    point where it cannot release digestive
    enzymes into food to help break it down and
    get the nutrients into the body. This can
    cause a very slow and small amount of
    growth and weight increase in a person;
    which at times, can be quite dangerous to
    the individual.

        A proper CFTR protein.
Treatment
   CF treatments are now being backed up
    by organizations such as the Cystic
    Fibrosis Foundation and the American
    Lung Association. Because of this, new
    research is helping people fight against
    the disease.
Treatment- Diet.
 A healthy, high-calorie diet can improve
  the growth of someone who has CF if they
  take digestive enzymes to go with it.
 Eating plenty of fruits can provide one with
  natural antioxidants which will help reduce
  infection in lungs.
Treatment- Drug Therapy

   Many new drugs have been developed in
    research labs to combat CF symptoms.
   Many pills help add chemicals to CFTR proteins
    that can help them work properly so they can
    produce thinner mucus.
   This can reduce the effects of CF.
   Antibiotics also help fight and break cycles of
    infection in the lungs.
Prognosis
   CF can be very hard to live with for its patients. Plus, the average
    life expectancy of someone with CF is only about into their late 30’s.
   To help increase a CF patient’s life span, it is recommended that
    they are physically active and are improving their cardiovascular
    fitness.
   Because mucus is an ideal spot for infections, people with CF
    should try to avoid coming into contact with coughing people, sick
    people, or touching their mouth or nose after having touched
    something like a door knob or railing.
Bibliography
   Fibrosis Foundation, Diagnostics, Sweat Test. Cystic Fibrosis      Foundation, 22
    Mar. 2011. Web. 22 Oct. 2012.
    <http://www.cff.org/AboutCF/Testing/SweatTest/>.
   N/A, N/A. "CFTR (gene)." Wikipedia. Wikimedia Foundation, 04       Sept. 2012. Web.
    22 Oct. 2012. <http://en.wikipedia.org/wiki/CFTR_(gene)>.
   F, Edward, Dr. "Global Healing Center." Health Products &          Information.
    Global Healing Center, 24 Sept. 2008. Web. 23            Oct. 2012.
    <http://www.globalhealingcenter.com/natural- health/health-benefits-of-
    antioxidants/>.

    About UNLV." Cystic Fibrosis Walk. Ed. University of Nevada, Las Vegas.
    University of Nevada, Las Vegas, 2012. Web. 23 Oct. 2012.
    <http://go.unlv.edu/event/cystic-fibrosis-walk-quotgreat- stridesquot?delta=0>.
   Koboldt, Daniel C. "MassGenomics." Massgenomics. Wordpress, 2012. Web. 23 Oct.
           2012. <http://massgenomics.org/2011/02/a-promising-new-drug-for-cystic-
           fibrosis.html>.

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Cystic fibrosis (cf)

  • 2. What is CF?  Cystic Fibrosis is a hereditary disease that causes people to produce very thick mucus in their respiratory and digestive tracks. No cure has been found for CF yet but it does appear that CF is caused by a flaw in the membrane proteins of a cell.
  • 3. Symptoms  CF has many symptoms. Symptoms will often stand out at birth or infancy. Symptoms are  Frequent or acute lung infections  Very salty-tasting skin  Little growth and development despite a good and healthy appetite  Coughing and wheezing  Shortness of breath  A persistent cough, often coughing up mucus.
  • 4. Diagnosis  Near 70% of CF patients are diagnosed by the age of 2. To find CF, there are a variety of different test.  Some tests are the sweat test, genetic testing, and newborn screening tests.
  • 5. The Sweat Test. Diagnosis (Continued) Genetic/Blood Testing •The sweat test is a simple test done by simply collecting the patients sweat. •Because CF is hereditary it can be found in a patient’s DNA. •A lab technician applies a chemical that causes perspiration onto the patients •People can be either carriers of CF, dermis and then adds a faint electrical affected by it, or be non-carriers that charge that will produce sweat. aren’t affected by it. •If there is a large content of sodium in C c the sweat it does suggest CF might be there if other symptoms are also evident *More CC Cc than 10 C Non-affectedNon-affected million Newborn Screening Non-carrier. Carrier American •A newborn’s pancreas is tested to see -s would fall under if it produces a large amount of the Cc immunoreactive trypsinogen. Cc Cc category. c Non-affected Affected •If larger than normal amounts are Carrier Carrier found it does suggest that CF might be there. C (gene that blocks CF) c (gene that doesn’t block CF
  • 6. Causes  CF has many different causes. But, they all deal with a genetic mutation on the 7th human chromosome.  What happens is the cystic fibrosis transmembrane conductance regulator (CFTR) gene has a mutation along the chromosome. The CFTR gene produces a protein called the CFTR protein that helps regulate the flow of salt and water in and out of the cell.  The most common mutation is called the ΔF508. This causes a deletion of three nucleotides along the gene. The gene then produces a bad protein that is missing three amino acids at the 508 th link of the amino acid chain in the protein.  The bad CFTR protein deteriorates before it can reach the membrane.  This results in an improper balance of salt and water inside or out of the protein causing abnormally thick mucus to form.
  • 7. Effects  CF takes large effects on individuals. A main problem is with the respiratory system. Because of such thick mucus, bacteria can grow extremely rapidly in the lungs and other parts of the respiratory system causing infections and it becomes too thick for the cilia to move out of the system.  In addition, another major problem is within the digestive system. The thick mucus coats the pancreas to the point where it cannot release digestive enzymes into food to help break it down and get the nutrients into the body. This can cause a very slow and small amount of growth and weight increase in a person; which at times, can be quite dangerous to the individual. A proper CFTR protein.
  • 8. Treatment  CF treatments are now being backed up by organizations such as the Cystic Fibrosis Foundation and the American Lung Association. Because of this, new research is helping people fight against the disease.
  • 9. Treatment- Diet.  A healthy, high-calorie diet can improve the growth of someone who has CF if they take digestive enzymes to go with it.  Eating plenty of fruits can provide one with natural antioxidants which will help reduce infection in lungs.
  • 10. Treatment- Drug Therapy  Many new drugs have been developed in research labs to combat CF symptoms.  Many pills help add chemicals to CFTR proteins that can help them work properly so they can produce thinner mucus.  This can reduce the effects of CF.  Antibiotics also help fight and break cycles of infection in the lungs.
  • 11. Prognosis  CF can be very hard to live with for its patients. Plus, the average life expectancy of someone with CF is only about into their late 30’s.  To help increase a CF patient’s life span, it is recommended that they are physically active and are improving their cardiovascular fitness.  Because mucus is an ideal spot for infections, people with CF should try to avoid coming into contact with coughing people, sick people, or touching their mouth or nose after having touched something like a door knob or railing.
  • 12. Bibliography  Fibrosis Foundation, Diagnostics, Sweat Test. Cystic Fibrosis Foundation, 22 Mar. 2011. Web. 22 Oct. 2012. <http://www.cff.org/AboutCF/Testing/SweatTest/>.  N/A, N/A. "CFTR (gene)." Wikipedia. Wikimedia Foundation, 04 Sept. 2012. Web. 22 Oct. 2012. <http://en.wikipedia.org/wiki/CFTR_(gene)>.  F, Edward, Dr. "Global Healing Center." Health Products & Information. Global Healing Center, 24 Sept. 2008. Web. 23 Oct. 2012. <http://www.globalhealingcenter.com/natural- health/health-benefits-of- antioxidants/>.  About UNLV." Cystic Fibrosis Walk. Ed. University of Nevada, Las Vegas. University of Nevada, Las Vegas, 2012. Web. 23 Oct. 2012. <http://go.unlv.edu/event/cystic-fibrosis-walk-quotgreat- stridesquot?delta=0>.  Koboldt, Daniel C. "MassGenomics." Massgenomics. Wordpress, 2012. Web. 23 Oct. 2012. <http://massgenomics.org/2011/02/a-promising-new-drug-for-cystic- fibrosis.html>.