Overview

CFTR, or Cystic Fibrosis Transmembrane Conductance Regulator, is a protein in our bodies that helps control the movement of salt and water in and out of our cells. This protein is crucial for the normal function of our lungs, pancreas, and other organs. If the CFTR protein isn't working properly, it can lead to diseases like cystic fibrosis. This happens when there's a mutation, or change, in the gene that makes the CFTR protein. Understanding and studying the CFTR protein can help scientists develop treatments for these diseases.

Resumen Breve

Condiciones asociadas con CFTR

CFTR, or Cystic Fibrosis Transmembrane Conductance Regulator, is a protein in our bodies that helps control the movement of salt and water in and out of our cells. This protein is crucial for the normal function of our lungs, pancreas, and other organs. If the CFTR protein isn't working properly, it can lead to diseases like cystic fibrosis. This happens when there's a mutation, or change, in the gene that makes the CFTR protein. Understanding and studying the CFTR protein can help scientists develop treatments for these diseases.

Función del Gen

The CFTR gene is essential in maintaining the body's salt and water balance, primarily through controlling the movement of chloride ions in and out of cells, which is vital for the proper functioning of organs like the lungs and digestive system. It also aids in digestion by participating in the production of digestive juices in the pancreas, which contain enzymes that help break down food for effective nutrient absorption. Additionally, CFTR contributes to the body's defense system by assisting in the production of mucus, a substance that traps and removes harmful particles and bacteria, especially in the respiratory system, while its protein activity is regulated by other proteins and biochemical processes within the cell.

Mutación y Patología

The CFTR gene plays a significant role in the body, influencing various diseases and traits. Most notably, mutations in this gene can lead to cystic fibrosis, a condition that affects the lungs and digestive system. Additionally, the gene can impact male fertility and is associated with a form of pancreatitis.

Diagnósticos

CFTR is usually tested in a genetic test when a newborn's routine screening test indicates high levels of a specific digestive chemical in the blood. This is often followed by a sweat test, as children with CFTR typically have higher salt levels in their sweat. If these tests suggest CFTR, a genetic test is conducted to identify specific mutations in the CFTR gene and confirm the diagnosis.

Efecto de las variaciones en CFTR

Variantes son variaciones comunes en los genes que pueden impactar significativamente en la salud y características de un individuo. Esta sección muestra todos los variantes que se encuentran en CFTR así como sus condiciones asociadas, rasgos y medicamentos.

¿Sabías que las anomalías genéticas son relativamente comunes?

En promedio, cada persona tiene aproximadamente 100 a 400 genes que no son normales (con diferentes genes afectados en diferentes personas). Sin embargo, usualmente, el gen correspondiente en el otro cromosoma dentro del par es normal, lo que ayuda a prevenir cualquier consecuencia negativa potencial. En la población en general, la probabilidad de que alguien tenga dos copias del mismo gen anormal (y por lo tanto, un trastorno genético) es muy baja. Sin embargo, esta probabilidad es mayor para los hijos cuyos padres están estrechamente relacionados por sangre.

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Dr. Wallerstorfer

Condiciones causadas e influenciadas por CFTR

Las anomalías genéticas pueden influir significativamente en la probabilidad de desarrollar ciertas condiciones, ya sea aumentando o disminuyendo el riesgo. Estas mutaciones pueden alterar la función del gen, lo que puede resultar en un mal funcionamiento de la proteína o una falta de producción de la misma. Sin embargo, incluso si una mutación genética aumenta el riesgo, no necesariamente significa que la condición se desarrollará, ya que los factores ambientales y del estilo de vida también juegan un papel.

¿Sabías la diferencia entre mutaciones, variaciones genéticas, variantes y haplotipos?

Las mutaciones son cambios aleatorios en el ADN y las variaciones genéticas son diferencias en el ADN entre las personas. Los variantes son pequeños cambios en solo una parte del ADN mientras que los haplotipos son grupos de estos cambios que generalmente vienen juntos.

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Dr. Wallerstorfer

Rasgos causados e influenciados por CFTR

Las anormalidades en los genes también pueden tener un impacto significativo en los rasgos, o características físicas, de un individuo. Estas mutaciones genéticas pueden afectar la forma en que ciertos rasgos se expresan modificando la función de los genes relacionados. Sin embargo, la manifestación de estos rasgos no está determinada solo por la genética. También está influenciada por una combinación de factores ambientales e interacciones con otros genes. Por lo tanto, aunque una mutación genética puede influir potencialmente en un rasgo, no necesariamente dicta su expresión final.

Variantes ubicados en CFTR

Un código genético de un gen generalmente tiene muchas diferencias en letras genéticas individuales o pequeñas piezas del ADN.

¿Sabías que los variantes pueden afectar los medicamentos?

Los variantes pueden influir en cómo nuestro cuerpo reacciona a ciertos medicamentos. La presencia de variantes específicos puede aumentar o disminuir la eficiencia y efectividad de un medicamento, impactando en qué tan bien funciona dentro de nuestro sistema. Además, ciertos variantes pueden aumentar o disminuir la toxicidad de un medicamento, afectando así el riesgo de efectos secundarios no deseados. También pueden alterar cómo se metaboliza un medicamento, lo que influye en la dosis adecuada que se debe recibir.

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Dr. Wallerstorfer

Farmacogenética

Los variantes pueden influir significativamente en cómo nuestro cuerpo procesa y reacciona a los medicamentos. La presencia de variantes específicos puede determinar la eficiencia y efectividad de un medicamento, influyendo en su rendimiento dentro de nuestro sistema. Además, ciertos variantes pueden modificar la toxicidad del medicamento, afectando así la probabilidad de efectos secundarios no deseados. También pueden impactar cómo se metaboliza un medicamento, lo que a su vez determina la dosis ideal que se debe recibir. La respuesta de cada individuo a la medicación puede variar, en gran medida dictada por su composición genética. Las variaciones en los genes pueden influir en las funciones de enzimas, transportadores, receptores y otras proteínas que interactúan con los medicamentos. Por ejemplo, ciertas variantes genéticas pueden alterar la función de una enzima, haciendo que metabolice un medicamento demasiado rápido o demasiado lento. Estas variaciones pueden hacer que un tratamiento sea ineficaz o aumentar el riesgo de efectos secundarios.

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IVACAFTOR

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IVACAFTOR

CT

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IVACAFTOR

TT

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No summary available.

más información

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Disminuido

Sin efecto conocido

rs1800111

Medicamento
Genotipo
Nivel de evidencia
Impactos
Resumen

IVACAFTOR

CC

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype C/C have increased Drug Effect to IVACAFTOR.

más información

IVACAFTOR

CG

Breakdown

Drug Effect

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No summary available.

más información

IVACAFTOR

GG

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No summary available.

más información

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Disminuido

Sin efecto conocido

rs11971167

Medicamento
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IVACAFTOR

GG

Breakdown

Drug Effect

Side Effects

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No summary available.

más información

IVACAFTOR

GT

Breakdown

Drug Effect

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Individuals with the genotype G/T have increased Drug Effect to IVACAFTOR.

más información

IVACAFTOR

TT

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype T/T have increased Drug Effect to IVACAFTOR.

más información

Leyenda:

Aumentado

Disminuido

Sin efecto conocido

rs1800100

Medicamento

IVACAFTOR

Genotipo
CC
Nivel de evidencia
Impactos

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

Más información

Medicamento

IVACAFTOR

Genotipo
CT
Nivel de evidencia
Impactos

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

Más información

Medicamento

IVACAFTOR

Genotipo
TT
Nivel de evidencia
Impactos

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

Más información

Leyenda:

Aumentado

Disminuido

Sin efecto conocido

rs1800111

Medicamento

IVACAFTOR

Genotipo
CC
Nivel de evidencia
Impactos

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype C/C have increased Drug Effect to IVACAFTOR.

Más información

Medicamento

IVACAFTOR

Genotipo
CG
Nivel de evidencia
Impactos

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

Más información

Medicamento

IVACAFTOR

Genotipo
GG
Nivel de evidencia
Impactos

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

Más información

Leyenda:

Aumentado

Disminuido

Sin efecto conocido

rs11971167

Medicamento

IVACAFTOR

Genotipo
GG
Nivel de evidencia
Impactos

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

Más información

Medicamento

IVACAFTOR

Genotipo
GT
Nivel de evidencia
Impactos

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/T have increased Drug Effect to IVACAFTOR.

Más información

Medicamento

IVACAFTOR

Genotipo
TT
Nivel de evidencia
Impactos

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype T/T have increased Drug Effect to IVACAFTOR.

Más información

Leyenda:

Aumentado

Disminuido

Sin efecto conocido

Función y Mecanismo del Gen

The CFTR gene plays a crucial role in the body's cells, influencing various processes and pathways. It is involved in the regulation of salt and water balance in the body, aids in the digestion process, and has a role in the body's defense system. The gene's functions are carried out through the production of the CFTR protein, which is located in the cell membrane and acts as a channel for chloride ions. The protein's activity is regulated by other proteins and biochemical processes within the cell.

  • Regulation of Salt and Water Balance: Helps maintain the balance of salt and water in the body by controlling the movement of chloride ions, a type of salt, in and out of cells. This process is crucial for the proper functioning of the body's organs, particularly the lungs and the digestive system.

  • Aid in Digestion: Plays a role in digestion by being involved in the production of digestive juices in the pancreas. These juices contain enzymes that help break down food, allowing the body to absorb nutrients effectively.

  • Role in Body's Defense System: Contributes to the body's defense system by helping in the production of mucus, a substance that traps and removes harmful particles and bacteria from the body. This function is particularly important in the respiratory system, where mucus helps keep the airways clear.

  • Protein Activity Regulation: The activity of the CFTR protein is regulated by other proteins and biochemical processes within the cell. This ensures that the protein functions correctly, allowing chloride ions to move freely across the cell membrane.

Expresión Génica

The CFTR gene is like a blueprint that our bodies use to make a protein that controls the movement of salt and water in and out of our cells. This process is crucial for the production of thin, freely flowing mucus in various parts of the body. However, if there's a mistake in this blueprint, the protein may not work properly or might not be produced at all. This can lead to thicker, stickier mucus, which can cause problems in the lungs, pancreas, and other organs. The expression of the CFTR gene, therefore, plays a vital role in maintaining the balance of fluids in our body's tissues.

Promotores e Inhibidores

Promoters and inhibitors play a crucial role in the functioning of CFTR, a protein that helps our bodies maintain a balance of salt and water. Promoters, like genistein and forskolin, boost the activity of CFTR, helping our cells to keep this balance. On the other hand, inhibitors, such as GlyH-101 and CFTR(inh)-172, slow down CFTR's activity. This can lead to problems, especially in people with certain genetic conditions. Understanding these promoters and inhibitors can help scientists develop treatments for these conditions.

Estructura de Proteínas

The proteins produced by CFTR are complex structures with five main parts, or domains. Two of these domains, known as the transmembrane domains, act like gatekeepers, controlling the movement of particles in and out of cells. The two nucleotide-binding domains act like tiny engines, using energy to open and close the gate. The fifth domain, called the regulatory domain, acts like a switch, controlling when the gate opens and closes. Together, these domains allow the CFTR proteins to regulate the balance of salt and water in our bodies.

Interacciones de Proteínas

The proteins produced by CFTR, a gene in our bodies, work like a team with other proteins. They interact to regulate the balance of salt and water on our body's surfaces, such as the lining of the lungs and pancreas. This interaction is crucial for the normal function of our organs. If something goes wrong with the CFTR proteins, it can lead to diseases like cystic fibrosis. Therefore, understanding how these proteins interact is key to developing treatments for such conditions.

¿Sabías que las proteínas y los genes pueden tener el mismo nombre?

The ABCC7 gene, like CFTR, belongs to the ATP-binding cassette (ABC) transporter superfamily, which helps move substances across cell membranes. Similarly, the SLC26A9 gene also shares a connection with CFTR, as it aids in chloride transport, a key function of CFTR. Both genes, when mutated, can lead to health issues, much like the CFTR gene. For instance, mutations in ABCC7 can cause a disorder called Dubin-Johnson syndrome, while SLC26A9 mutations can contribute to pancreatitis. Thus, these genes are similar to CFTR in their function, family, and potential health implications when mutated.

Interacción genética

The CFTR gene, which is responsible for cystic fibrosis when mutated, does not work in isolation. It interacts with several other genes in the body, which can influence the severity and symptoms of the disease. These interactions can be complex and vary from person to person. Here are some key gene interactions involving CFTR:

  • SLC26A9: This gene codes for a chloride channel, similar to CFTR. When CFTR is not functioning properly, it can partially compensate for its loss, reducing the severity of cystic fibrosis symptoms.

  • SLC9A3: This gene helps regulate the balance of ions in the body. If it is also mutated, it can exacerbate the symptoms of cystic fibrosis.

  • DNAH11: This gene is involved in the movement of cilia, tiny hair-like structures in the lungs. Mutations in it can worsen lung disease in people with cystic fibrosis.

  • TGF-beta1: This gene regulates inflammation in the body. Variations in it can influence the severity of lung disease in cystic fibrosis patients.

pages/gene/symbol.did-you-know-that-proteins

En la mayoría de los casos, un gen codifica para una proteína específica, lo que significa que la función principal de un gen es proporcionar instrucciones para producir una proteína. Debido a esta relación íntima, los científicos a menudo usan el mismo nombre tanto para el gen como para la proteína que codifica.

doctor_quote

Dr. Wallerstorfer

Diagnósticos

CFTR is typically diagnosed in newborns through a routine screening test, which checks for high levels of a certain digestive chemical in the blood. If the levels are high, a sweat test is performed to measure the amount of salt in the child's sweat, which is usually higher in those with CFTR. In some cases, a genetic test may also be conducted to confirm the diagnosis. This test identifies specific mutations in the CFTR gene. Early diagnosis allows for prompt treatment, improving the quality of life for those affected.

Viviendo con

Variations in the CFTR gene can lead to a range of health issues, most notably, cystic fibrosis, a condition that affects the lungs and digestive system. These variations can cause the body to produce thick, sticky mucus that can clog the lungs and obstruct the pancreas. Individuals carrying these variations may experience persistent coughing, frequent lung infections, and difficulty in absorbing nutrients from food. Moreover, they may also face fertility issues, particularly in men. The severity of these symptoms can vary widely among individuals, largely depending on the specific CFTR variation they carry.

¿Sabías que las pruebas genéticas son asequibles?

Las pruebas genéticas, una vez consideradas un lujo debido a su alto costo, se han vuelto significativamente más asequibles. Este cambio ha sido posible gracias a los avances en la tecnología y el aumento de la competencia en el mercado. Ahora, cualquier persona curiosa sobre su composición genética y posibles riesgos para la salud puede acceder a esta información a un precio asequible. Este desarrollo proporciona una visión sin precedentes de la genética individual.

doctor_quote

Dr. Wallerstorfer

Cuándo realizar la prueba CFTR

A test for CFTR, a gene associated with a specific health condition, is typically conducted under two main circumstances. Firstly, it is done when an individual exhibits symptoms suggestive of the condition, such as persistent lung infections or digestive problems. Secondly, it is performed as a part of newborn screening programs or when there is a known family history of the condition.

¿Sabías las mutaciones comunes?

Mutations in the CFTR gene are relatively common, especially among people of Northern European descent. About 1 in 25 people in this population carry a mutation in this gene, most commonly leading to cystic fibrosis. However, having a single mutation does not typically cause any health problems; issues arise when a person inherits two copies of the mutated gene.

doctor_quote

Dr. Wallerstorfer

Genes probados junto con CFTR

In the realm of genetic testing, certain genes are often examined in conjunction with the CFTR gene. This is due to their shared involvement in similar biological processes or diseases. The following genes are typically tested alongside CFTR to provide a more comprehensive understanding of an individual's genetic makeup and potential health risks.

  • SLC26A9: This gene codes for a protein involved in chloride transport, a process also regulated by the CFTR gene. Testing it along with CFTR can provide insights into conditions related to abnormal chloride transport, such as certain types of cystic fibrosis.

  • SCNN1B and SCNN1G: These genes code for sodium channels, which are crucial for maintaining fluid balance in the body. They are often tested with CFTR to understand conditions that disrupt fluid balance, such as pseudohypoaldosteronism type 1 (PHA1).

  • SERPINA1: This gene produces a protein called alpha-1 antitrypsin, which protects the lungs from damage. Testing it alongside CFTR can help identify individuals at risk for lung diseases, including certain forms of emphysema.

Cada uno de estos genes puede contribuir al perfil de riesgo general de un individuo para desarrollar cáncer de mama y de ovario, y comprender estos riesgos puede ser crucial en el manejo de la salud de uno. Es importante consultar a un profesional de la salud para discutir cualquier preocupación relacionada con las pruebas genéticas y el riesgo de cáncer.

¿Sabías que la farmacogenómica es una cosa?

Las pruebas genéticas pueden ofrecer información sobre cómo su cuerpo metaboliza medicamentos específicos, lo que lleva a planes de tratamiento más personalizados y efectivos. Las pruebas genéticas diseñadas para este propósito se conocen como pruebas farmacogenómicas. La farmacogenómica es el estudio de cómo los genes influyen en la respuesta de un individuo a los medicamentos.

doctor_quote

Dr. Wallerstorfer

Historia

The CFTR gene was first identified in 1989, marking a significant milestone in the field of genetics. This discovery was the result of years of research into the cause of cystic fibrosis, a common genetic disorder. The gene was found to be responsible for the production of a protein that helps control the movement of salt and water in and out of your body's cells. Mutations in the CFTR gene can disrupt this balance, leading to the symptoms of cystic fibrosis. Since its discovery, over 2,000 different mutations of the CFTR gene have been identified. This has led to a better understanding of the disease and has paved the way for the development of targeted treatments. In recent years, therapies that correct the function of the mutated CFTR protein have shown promise, offering hope for improved quality of life for those with cystic fibrosis.

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