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By Ana Moura-Cook
• Cystic Fibrosis is a disease of the
  mucus glands that is inherited and
  affects many body systems, including
  the lungs and the pancreas.
• The disease is caused by mutations in
  the CFTR gene. This gene affects the
  movement of water in tissues, which
  in turn affects whether the mucus will
  be thin or thick.
• People with CF don’t have a good way
  to predict how long they will live as it
  greatly varies; however, mid-30’s is
                                             X-Ray of someone with CF
  the US average.
• The body produces thick and stickier
  mucus, which can block airways and cause
  lung damage.
• The lung damage includes scar tissue
  (fibrosis) and cysts in the lungs.
• Digestive problems also occur because the
  mucus blocks ducts in the pancreas.
• Dr. Fanconi wrote the earliest known paper documenting
  the disease in the 1930’s.
• Shortly thereafter, Dr. Dorothy Anderson coined the name
  for it.
• In the 1980’s the gene that mutated to cause CF was
  discovered.
• In the 1990’s the first drug to target CF was approved
  and used.
• Now, the life expectancy has multiplied by 6, from being
  just 5 yrs in the 1950’s to 30 or more in 2005.
To inherit Cystic
Fibrosis, both of
your parents need
to be carriers of the
mutated gene.
Since having CF is
a recessive allele,
you must be
homozygous
recessive to inherit
CF.
Cystic Fibrosis is most
common in Caucasians.
• 1 person in 2,500-3,500
  of the Caucasian
  population in the US
  inherits CF.
In other ethnicities, it is
much rarer.
• 1 in 17,000 African
  Americans inherit CF.
• 1 in 31,000 Asian
  Americans inherit CF.
• Coughing or wheezing
• Excessive mucus in the lungs
• Frequent lung infections (such as
  pneumonia and bronchitis)
• Shortness of breath
• Salty-tasting skin
• Poor growth even with a big appetite
• Many states have newborn screening for CF now.
• If the newborn screening test comes up positive, it isn’t a diagnose,
  but just a sign to have a follow-up.
• Follow-up test tests salinity of the sweat, as well as special tests with
  blood or saliva. This test does give a diagnose.
• If they aren’t diagnosed by newborn screening, they are diagnosed
  when the children are a little older and have begun to show
  symptoms.
• Before treatments, CF was called the “fatal
  disease of childhood”, because it was rare
  for someone with CF to live into adulthood.
• However, with new treatments now, people
  with CF can live well into adulthood.
• However, when they become older, men
  with CF are almost always infertile,
  because a canal in their reproductive
  system is blocked by the mucus.
The blue shapes indicate the
people in the family that have
cystic fibrosis. The
grandfather, John James, had
cystic fibrosis, and one of his
daughters, Sarah, and one of
his sons, Michael, both got
CF. Of those two, between
them they had 3 children with
CF: Anne, Dina, and John.
The unaffected people in the
family have white symbols
because they didn’t express
the CF.
• Part of the regular treatment schedule that people living with
  CF need to follow is creating strong coughs to help clear
  mucus from airways.
• Also, people need to take nutrition and drug therapies.
• There are many approaches to managing CF. From drugs to
  clear airways, to antibiotics, there is a vast range.
• A new breakthrough medicine is Kalydeco, which allows the
  mutated protein to work at the surface of the cell, therefore
  slightly curing the patient and thinning the mucus.
• Eating right and staying healthy also helps greatly in managing
  CF.
• The Childhood Liver Disease and
  Education Network (chiLDREN) is
  a group that works on improving
  lives and finding cures for many
  diseases, including cystic fibrosis.
• The Cystic Fibrosis Research
  Program is another group that
  works on researching and finding
  solutions for cystic fibrosis.
• There are many clinical trials
  going on constantly from different
  companies and participants who
  have CF are always needed.
Gene therapy is the insertion of normal, functioning
cells into a body that lacks them, and having those
normal cells replace the mutated cells.

   Pros of Gene Therapy          Cons of Gene Therapy
• Could drastically change     • Ethical questions and
  the world of diseases,         questions of moral values
  including those that have    • Chance that the body
  to do with genetic             rejects the cells
  mutations, such as CF.
• Could be a cure to
  hundreds of diseases.
• The Cystic Fibrosis Foundation (www.cff.org)
• CysticLife.com
• Reaching Out Foundation
  (www.reachingoutfoundation.org)

In Massachusetts:
• MassGeneral Hospital
  (http://www.massgeneral.org/children/services/treatmentp
  rograms.aspx?id=1598)
• Also, CFF organizes walks and more locally for raising
  money and awareness of CF.
Visit websites listed in my bibliography, especially cff.org
  The Cystic Fibrosis Foundation is a comprehensive
  resource that provides information and support, locally
  and nationally. It is a great resource for anyone with CF.
• http://ghr.nlm.nih.gov/condition/cystic-fibrosis
• http://marchofdimes.com/baby/birthdefects_cysticfibrosis.html
• www.cff.org
• http://rarediseases.info.nih.gov/GARD/Condition/6233/Cystic_fibrosis.aspx/Panel
  2#Resources
• http://www.aboutcysticfibrosis.com/cystic-fibrosis-history.htm

Images
• http://www.kincanada.ca/kinsmen-pages/en/content/17/Cystic-Fibrosis-Canada
• http://www.slh.wisc.edu/genetics/genetics-and-family-history.dot
• http://www.learningradiology.com/archives03/COW%20058-
  Cystic%20fibrosis/cysticfibrosiscorrect.htm
• http://www.discern-genetics.org/discern_quality_criteria.php?q=1&g=5
• http://cysticfibro.org/children-cystic-fibrosis/
• http://cysticfibrosislifeexpectancy.net/can-cystic-fibrosis-be-cured/
• http://www.bioquicknews.com/node/652
• http://www.carinsurancecomparison.com/scientist-car-insurance-rates/
• http://jinesis.wordpress.com/2010/05/01/death-at-25-blogging-the-end-of-a-life/

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Cystic fibrosis[1]

  • 2. • Cystic Fibrosis is a disease of the mucus glands that is inherited and affects many body systems, including the lungs and the pancreas. • The disease is caused by mutations in the CFTR gene. This gene affects the movement of water in tissues, which in turn affects whether the mucus will be thin or thick. • People with CF don’t have a good way to predict how long they will live as it greatly varies; however, mid-30’s is X-Ray of someone with CF the US average.
  • 3. • The body produces thick and stickier mucus, which can block airways and cause lung damage. • The lung damage includes scar tissue (fibrosis) and cysts in the lungs. • Digestive problems also occur because the mucus blocks ducts in the pancreas.
  • 4. • Dr. Fanconi wrote the earliest known paper documenting the disease in the 1930’s. • Shortly thereafter, Dr. Dorothy Anderson coined the name for it. • In the 1980’s the gene that mutated to cause CF was discovered. • In the 1990’s the first drug to target CF was approved and used. • Now, the life expectancy has multiplied by 6, from being just 5 yrs in the 1950’s to 30 or more in 2005.
  • 5. To inherit Cystic Fibrosis, both of your parents need to be carriers of the mutated gene. Since having CF is a recessive allele, you must be homozygous recessive to inherit CF.
  • 6. Cystic Fibrosis is most common in Caucasians. • 1 person in 2,500-3,500 of the Caucasian population in the US inherits CF. In other ethnicities, it is much rarer. • 1 in 17,000 African Americans inherit CF. • 1 in 31,000 Asian Americans inherit CF.
  • 7. • Coughing or wheezing • Excessive mucus in the lungs • Frequent lung infections (such as pneumonia and bronchitis) • Shortness of breath • Salty-tasting skin • Poor growth even with a big appetite
  • 8. • Many states have newborn screening for CF now. • If the newborn screening test comes up positive, it isn’t a diagnose, but just a sign to have a follow-up. • Follow-up test tests salinity of the sweat, as well as special tests with blood or saliva. This test does give a diagnose. • If they aren’t diagnosed by newborn screening, they are diagnosed when the children are a little older and have begun to show symptoms.
  • 9. • Before treatments, CF was called the “fatal disease of childhood”, because it was rare for someone with CF to live into adulthood. • However, with new treatments now, people with CF can live well into adulthood. • However, when they become older, men with CF are almost always infertile, because a canal in their reproductive system is blocked by the mucus.
  • 10. The blue shapes indicate the people in the family that have cystic fibrosis. The grandfather, John James, had cystic fibrosis, and one of his daughters, Sarah, and one of his sons, Michael, both got CF. Of those two, between them they had 3 children with CF: Anne, Dina, and John. The unaffected people in the family have white symbols because they didn’t express the CF.
  • 11. • Part of the regular treatment schedule that people living with CF need to follow is creating strong coughs to help clear mucus from airways. • Also, people need to take nutrition and drug therapies. • There are many approaches to managing CF. From drugs to clear airways, to antibiotics, there is a vast range. • A new breakthrough medicine is Kalydeco, which allows the mutated protein to work at the surface of the cell, therefore slightly curing the patient and thinning the mucus. • Eating right and staying healthy also helps greatly in managing CF.
  • 12. • The Childhood Liver Disease and Education Network (chiLDREN) is a group that works on improving lives and finding cures for many diseases, including cystic fibrosis. • The Cystic Fibrosis Research Program is another group that works on researching and finding solutions for cystic fibrosis. • There are many clinical trials going on constantly from different companies and participants who have CF are always needed.
  • 13. Gene therapy is the insertion of normal, functioning cells into a body that lacks them, and having those normal cells replace the mutated cells. Pros of Gene Therapy Cons of Gene Therapy • Could drastically change • Ethical questions and the world of diseases, questions of moral values including those that have • Chance that the body to do with genetic rejects the cells mutations, such as CF. • Could be a cure to hundreds of diseases.
  • 14. • The Cystic Fibrosis Foundation (www.cff.org) • CysticLife.com • Reaching Out Foundation (www.reachingoutfoundation.org) In Massachusetts: • MassGeneral Hospital (http://www.massgeneral.org/children/services/treatmentp rograms.aspx?id=1598) • Also, CFF organizes walks and more locally for raising money and awareness of CF.
  • 15. Visit websites listed in my bibliography, especially cff.org The Cystic Fibrosis Foundation is a comprehensive resource that provides information and support, locally and nationally. It is a great resource for anyone with CF.
  • 16. • http://ghr.nlm.nih.gov/condition/cystic-fibrosis • http://marchofdimes.com/baby/birthdefects_cysticfibrosis.html • www.cff.org • http://rarediseases.info.nih.gov/GARD/Condition/6233/Cystic_fibrosis.aspx/Panel 2#Resources • http://www.aboutcysticfibrosis.com/cystic-fibrosis-history.htm Images • http://www.kincanada.ca/kinsmen-pages/en/content/17/Cystic-Fibrosis-Canada • http://www.slh.wisc.edu/genetics/genetics-and-family-history.dot • http://www.learningradiology.com/archives03/COW%20058- Cystic%20fibrosis/cysticfibrosiscorrect.htm • http://www.discern-genetics.org/discern_quality_criteria.php?q=1&g=5 • http://cysticfibro.org/children-cystic-fibrosis/ • http://cysticfibrosislifeexpectancy.net/can-cystic-fibrosis-be-cured/ • http://www.bioquicknews.com/node/652 • http://www.carinsurancecomparison.com/scientist-car-insurance-rates/ • http://jinesis.wordpress.com/2010/05/01/death-at-25-blogging-the-end-of-a-life/