Cystic Fibrosis Flashcards

1
Q

Describe what the 9 variants studied in the LaRusch paper have in common with one another.

A

R74Q, R75Q, R117H, R170H, L9675, L997F, D1152H, S1235R, D1270N

While they do not cause cystic fibrosis, they do cause inflammation and scarring of the pancreas (chronic pancreatitis)
-They secrete chloride but not bicarbonate which is important in the pancreas, sinuses, and male reproductive tract

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2
Q

How do the 9 variants differ from other previously studied variants with regard to CFTR structure and function?

A

-They secrete chloride but not bicarbonate which is important in the pancreas, sinuses, and male reproductive tract

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3
Q

Describe the laboratory techniques used to characterize the isolated variants?

A

Cell culture and plasmids
Immunoblotting
Electrophysiolgy
Structural modeling

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4
Q

Describe the normal functions of CFTR.

A

dynamically regulated anion channel; Intracellular WNK1-SPAK activation causes CFTR to change permeability from chloride preferring to bicarbonate-preferring channel; important for absorbing and secreting fluids

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5
Q

How do mutations in the various functions lead to variation in diseased state?

A

Mutations at hinge regions

Change in channel width

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6
Q

What does CFTR stand for?

A

Cystic fibrosis transmembrane conductance regulator

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7
Q

What does the CFTR do?

A

functions as a channel that regulates the transport of ions and the movement of water across the epithelial barrier

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8
Q

What forms the basis for the clinical manifestations of cystic fibrosis?

A

mutations in CFTR

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9
Q

What do mutations in the CFTR affect?

A

epithelial innate immune function in the lung

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10
Q

When the epithelial innate immune function is affected in the lung what results?

A

exaggerated and ineffective airway inflammation that fails to eradicate pulmonary pathogens

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11
Q

In addition to not transporting ions, the mutated CFTR does not transfer ______ to counteract neutrophil-associated oxidative stress.

A

antioxidants

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12
Q

How is CFTR regulated?

A

cAMP

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13
Q

The bacterial infection in the lung is usually caused by what two bacteria?

A

S. aureus

Pseudomonas aeruginosa

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