CF Flashcards
What are the most common mutation classes?
Class1-4 are most common. Class two by far the most common (50% homozygous)
Class 1 mutation
premature stop codon (12%)
class 2 mutation
delta f508; misfolding and subsequent destruction
class 3 mutation
Protein doesnt open
class 4 mutation
decreased ion movement
class 5 and 6 mutation
low abundance, increased turnover
can genotype predict phenotype severity?
In all organs but the lungs which are much more environmentally impacted
Does infection or inflammation come first
infection
What is the leading CF pathophys hypothesis
Low volume hypothesis. Increased Na movement so periciliary fluid layer loses H2O. Cloride moves paracellularly
what are the most common infecting organisms in CF
Pseudomonas and staph aureus
What are part of the CF treatment regimen
DNAase, hypertonic saline, mannitol, pancreatic enzymes, beta2 agonists, antibiotics, anti-inflammatories, others.
What does Gentamicin do?
allows reading thru stop codon.