Genetic basis of the disease
1) What is the genetic basis of the disease?
2) What is the molecular basis of the disease? (what is abnormal at the cellular, biochemical, or molecular level?)
3) What are the physiologic implications of the disease? (what is abnormal about the physiology of people with this disease?)
4) What are the treatment options?
Sample Solution
Genetic basis of cystic fibrosis
Cystic fibrosis (CF) is a genetic disease caused by mutations in the CF transmembrane conductance regulator (CFTR) gene. The CFTR gene provides instructions for making a protein that helps to regulate the movement of salt and water across cell membranes. Mutations in the CFTR gene can lead to a variety of problems, including:
- Thick, sticky mucus in the lungs, pancreas, and other organs
- Difficulty breathing
- Digestive problems
- Malnutrition
- Stunted growth
Full Answer Section
CF is an autosomal recessive disease, which means that both parents must carry a copy of the mutated gene for a child to be affected. If both parents carry a copy of the mutated gene, there is a 25% chance that each child will be affected with CF, a 50% chance that each child will be a carrier of the mutated gene, and a 25% chance that each child will not be affected or a carrier. 2) Molecular basis of cystic fibrosis The CFTR protein is a chloride channel, which means that it helps to transport chloride ions across cell membranes. Chloride ions are important for regulating the movement of water and other electrolytes across cell membranes. Mutations in the CFTR gene can lead to a variety of problems with the CFTR protein, including:- Reduced production of the CFTR protein
- Abnormal folding of the CFTR protein
- Reduced function of the CFTR protein
- Increased breakdown of the CFTR protein
- Thick, sticky mucus in the lungs, pancreas, and other organs
- Difficulty breathing
- Digestive problems
- Malnutrition
- Stunted growth
- Respiratory problems: The thick, sticky mucus in the lungs can lead to a variety of respiratory problems, such as shortness of breath, wheezing, and chronic bronchitis.
- Digestive problems: The thick, sticky mucus in the pancreas can block the ducts that carry digestive enzymes to the intestines. This can lead to digestive problems such as malnutrition and stunted growth.
- Other problems: CF can also lead to a variety of other problems, such as infertility, diabetes, and liver disease.
- Medications: There are a number of medications that can help to manage the symptoms of CF, such as bronchodilators, mucus thinners, and antibiotics.
- Pulmonary therapy: Pulmonary therapy can help to loosen and remove mucus from the lungs. This can be done through a variety of methods, such as chest physical therapy, postural drainage, and inhalation therapy.
- Nutritional support: People with CF often need nutritional support to ensure that they are getting enough calories and nutrients. This may involve taking supplements or using a feeding tube.
- Lung transplant: In some cases, a lung transplant may be the best option for people with severe CF.