Respiratory channelopathies Flashcards

1
Q

What is the prevalence of cystic fibrosis?

A

1 in 2500 births

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2
Q

What percentage of cystic fibrosis patients have problems with liver?

A

5%

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3
Q

What percentage of cystic fibrosis have problems with the pancreas?

A

65%

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4
Q

What percentage of cystic fibrosis patients have problems with small intestines?

A

10%

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5
Q

When does Meconium Ileus occur?

A

Within 3 days

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6
Q

When does pancreas insufficiency occur?

A

About 1 week

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7
Q

When does distal interstitial obstruction syndrome occur?

A

1-2 weeks

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8
Q

When does respiratory disease occur?

A

1 month

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9
Q

What does CFTR stand for?

A

Cystic fibrosis transmembrane conduction regulatory protein

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10
Q

What is the structure of CFTR?

A

12 transmembrane domains, regulatory domain(PKA phosphorylation), Nucleotide binding domain 1 + 2 –> bind nucleotides like ATP

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11
Q

What can mutations to CFTR impact on?

A

Production of CFTR, Processing, trafficking, regulation, conduction

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12
Q

What is the allelic frequency of F508?

A

90%

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13
Q

What is the lung pathology in CF?

A

Viscous airway mucous, recurrent bacterial infections, inflammation due to infections- tissue degeneration due to hypersensitive immune response

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14
Q

What is the structure of the upper airway epithelial cell?

A

Airway- ENaC, CFTR (out)

Blood- Na/K pump, NKCC1, K channel

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15
Q

What are treatments for Cystic fibrosis?

A

Physiotherapy, bronchdilatory, antibiotics, steroids, mucolytics

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16
Q

What different types of modulators are there?

A

Read-through- force production of full CFTR Correctors- force CFTR to cell membrane if functional
Potentiators- Increase open probability

17
Q

Give an example of a potentiator?

A

VX-770- Ivacaftor

18
Q

What did clinical trials show about Ivacaftor?

A

Huge effect on patient with G55ID mutants- lung function increase over prolonged period, less problems, sweat chloride conc goes down