Clinical and Genetic Features in Patients with Cystic Fibrosis in Southwestern Iran

Shirin Farjadian; Mozhgan Moghtaderi; Sara Kashef; Soheila Alyasin; Khadijehsadat Najib; Forough Saki

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

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Clinical and Genetic Features in Patients with Cystic Fibrosis in Southwestern Iran

Author(s):

Shirin Farjadian^1,*,

Mozhgan Moghtaderi²,

Sara Kashef³,

Soheila Alyasin⁴,

Khadijehsadat Najib⁵,

Forough Saki⁶

IJ Pediatrics:Vol. 23, issue 2; 212-215

Published online:Jan 17, 2013

Article type:Brief Report

Received:Oct 23, 2012

Accepted:Dec 16, 2012

How to Cite:Shirin FarjadianMozhgan MoghtaderiSara KashefSoheila AlyasinKhadijehsadat NajibForough Sakiet al.Clinical and Genetic Features in Patients with Cystic Fibrosis in Southwestern Iran.Iran J Pediatr.23(2):212-215.

Abstract

Objective: Cystic fibrosis (CF) is a common autosomal recessive genetic disease caused by a mutation in the CF transmembrane conductance regulatory (CFTR) gene. This study attempted to identify the most common CFTR mutations and any correlations between certain mutations and the clinical presentation of the disease in CF patients in southwestern Iran.
Methods: Twenty nine common CFTR gene mutations were examined in 45 CF patients.
Findings: Chronic cough, intestinal obstruction, dehydration, heat exhaustion and steatorrhea were the most common early clinical symptoms among our patients. The most common mutation was âF508, with an allele frequency of 21%. The homozygous âF508 mutation was observed in eight patients (18%), and three patients (7%) were âF508 carriers. The 2183AA>G mutation was observed in four patients, one of whom was also a âF508 carrier. The R1162X mutation was detected in two patients. The G542X, R334W and N1303K mutations were detected each in one patient, the first of whom was also a âF508 carrier.
Conclusion: Out of 45 patients, 27 (60%) had none of the CFTR gene mutations we tested for. The most frequent mutations in southwestern Iranian patients with CF should be identified by sequencing the entire CFTR gene in order to optimize the design of a diagnostic kit for common regional mutations.

Keywords

Cystic Fibrosis

CFTR Gene Mutations

Clinical Presentation

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