Skip to main content
Log in

Search for mutations in pancreatic sufficient cystic fibrosis Italian patients: detection of 90% of molecular defects and identification of three novel mutations

  • Original Investigation
  • Published:
Human Genetics Aims and scope Submit manuscript

Abstract

A cohort of 31 cystic fibrosis patients showing pancreatic sufficiency and bearing an unidentified mutation on at least one chromosome was analyzed through denaturing gradient gel electrophoresis of the whole coding region of the cystic fibrosis transmembrane conductance regulator gene, including intron-exon boundaries. Three new and 19 previously described mutations were detected. The combination of these with known mutations detected by other methods, allowed the characterization of mutations on 56/62 (90.3%) chromosomes. Among those identified, 17 can be considered responsible for pancreatic sufficiency, since they were found in patients carrying a severe mutation on the other chromosome. Among these presumed mild mutations, eight were detected more than once, R352Q being the most frequent in this sample (4.83%). Intragenic microsatellite analysis revealed that the six chromosomes still bearing unidentified mutations are associated with five different haplotypes. This may indicate that these chromosomes bear different mutations, rarely occurring among cystic fibrosis patients, further underlying the molecular heterogeneity of the genetic defects present in patients having pancreatic sufficiency.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Anderson MP, Rich DP, Gregory RJ, Smith AE, Welsh MJ (1991) Generation of cAMP-activated chloride current by expression of CFTR. Science 251:670–682

    Google Scholar 

  • Audrezet MP, Mercier B, Guillermit H, Quere I, Verlingue C, Rault G, Ferec C (1993) Identification of 12 novel mutations in the CFTR gene. Hum Mol Gen 2:51–54

    Google Scholar 

  • Augarten A, Kerem B-S, Yahav Y, Noiman S, Rivlin Y, Tal A, Blau H, Ben-Tur L, Szeinberg A, Kerem E, Gazit E (1993) Mild cystic fibrosis and normal or borderline sweat test in patients with the 3849+10kbC→T mutation. Lancet 342:25–26

    Google Scholar 

  • Ballabio A, Gibbs RA, Caskey CT (1990) PCR test for cystic fibrosis deletion. Nature 343:220

    Google Scholar 

  • Beaudet AL, Feldman GL, Kobayashi K, Lemma WK, Fernbach SD, Knowles MR, Boucher RC, O'Brien WE (1991) Mutation analysis for cystic fibrosis in a North American population. In: Tsui L-C, Romeo G, Greger R, Gorini S (eds) The identification of the CF (cystic fibrosis) gene recent progress and new research strategies. Plenum Press, New York, London, pp 53–54

    Google Scholar 

  • Boat TF, Welsh MJ, Beaudet AL (1989) Cystic fibrosis. In: Scriver CR, Beaudet AL, Sly WS, Valle D (eds) The metabolic basis of inherited disease, 6th edn. McGraw-Hill, New York, pp 2649–2680

    Google Scholar 

  • Cheadle JP, Al-Jader LN, Meredith AL (1993) Direct sequencing of the complete CFTR gene: the molecular characterization of 99.5% of CF chromosomes in Wales. Hum Mol Genet 2:317–319

    Google Scholar 

  • Chrispin AR, Norman AP (1974) The systematic evaluation of the chest radiograph in cystic fibrosis. Pediatr Radiol 2:101–106

    Google Scholar 

  • Claustres M, Maguelone L, Desgeorges M, Giansily M, Culard JF, Razakatsara G, Gerrard B, Demaille J (1993) Analysis of the 27 exons and flanking regions of the cystic fibrosis gene: 40 different mutations account for 91.2% of the mutant alleles in southern France. Hum Mol Genet 2:1209–1213

    Google Scholar 

  • Corey M, Durie P, Moore D, Forstner G, Levison H (1989) Familial concordance of pancreatic function in cystic fibrosis. J Pediatr 115:274–277

    Google Scholar 

  • Cremonesi L, Seia M, Magnani C, Ferrari M (1991) Rapid detection of the 1717–1 G→A mutation in CFTR gene by PCR-mediated site-directed mutagenesis. Clin Chem 37:1447

    Google Scholar 

  • Cremonesi L, Ferrari M, Belloni E, Magnani C, Seia M, Ronchetto P, Rady M, Russo MP, Romeo G, Devoto M (1992) Four new mutations of the CFTR gene (541delC, R347H, R352Q, E585X) detected by DGGE analysis in Italian CF patients, associated with different clinical phenotypes. Hum Mutat 1:314–319

    Google Scholar 

  • Cutting GR, Kash LM, Rosenstein BJ, Zielenski J, Tsui L-C, Antonarakis SE, Kazazian HH (1990) A cluster of cystic fibrosis mutations in the first nucleotide-binding fold of the cystic fibrosis conductance regulator protein. Nature 346:366–369

    Google Scholar 

  • Davis P, Hubbard V, Di Sant'Agnese P (1980) Low sweat electrolytes in a patient with cystic fibrosis. Am J Med 69:643–646

    Google Scholar 

  • Dean M, White MB, Amos J, Gerrard B, Stewart C, Khaw K-T, Leppert M (1990) Multiple mutations in highly conserved residues are found in mildly affected cystic fibrosis patients. Cell 61:863–870

    Google Scholar 

  • Durie PR, Gaskin KJ, Corey M, Kopelman H, Weizman Z, Frostner GG (1984) Pancreatic function testing in cystic fibrosis. J Pediatr Gastroenterol Nutr 3 (suppl): S89-S98

    Google Scholar 

  • European Working Group on CF Genetics (1990) Gradient of distribution in Europe of the major CF mutation and of its associated haplotype. Hum Genet 85:436–442

    Google Scholar 

  • Fanen P, Ghanem N, Vidaud M, Besmond C, Martin J, Costes B, Plassa F, Goossens M (1992) Molecular characterization of cystic fibrosis: 16 novel mutations identified by analysis of the whole cystic fibrosis conductance transmembrane regulator (CFTR) coding regions and splice site junctions. Genomics 13:770–776

    Google Scholar 

  • Ferec C, Audrezet MP, Mercier B, Guillermit H, Mouiller P, Quere I, Verlingue C (1992) Detection of over 98% cystic fibrosis mutations in a Celtic population. Nature Genet 1:188–191

    Google Scholar 

  • Friedman KJ, Highsmith WE, Silverman LM (1991) Detecting multiple cystic fibrosis mutations by polymerase chain reaction-mediated site-directed mutagenesis. Clin Chem 37:753–755

    Google Scholar 

  • Gasparini P, Nunes V, Savoia A, Dognini M, Morral N, Gaona A, Bonizzato A, Chillon M, Sangiuolo F, Novelli G, Dallapiccola B, Pignatti PF, Estivill X (1991) The search for South European cystic fibrosis mutations: identification of two new mutations, four variants, and intronic sequences. Genomics 10:193–200

    Google Scholar 

  • Gibson L, Cooke R (1959) A test for concentration of electrolytes in sweat in cystic fibrosis of pancreas utilizing pilocarpine by iontophoresis. Pediatrics 23:545–549

    Google Scholar 

  • Guillermit H, Fanen P, Ferec C (1990) A 3′ splice site consensus sequence mutation in the cystic fibrosis gene. Hum Genet 85:450–453

    Google Scholar 

  • Gyllensten UB, Erlich HA (1988) Generation of single-stranded DNA by the polymerase chain reaction and its application to direct sequencing of the HLA-DQA locus. Proc Natl Acad Sci USA 85:7652–7656

    Google Scholar 

  • Highsmith WE, Strong T, Burch N, Smith T, Silverman LM, Collins FS, Boucher R, Knowles MR (1990) Identification of a splicing error of exon 14b giving rise to a frameshift mutation in a consanguineous family with mild cystic fibrosis. Pediatr Pulmonol 5 [suppl]:11A

  • Highsmith WE, Burch LH, Zhou Z, Olsen JC, Boat TE, Spock A, orvoy JD, Quittell L, Friedman KJ, Silverman LM, Boucher RC, Knowles MR (1994) Cystic fibrosis gene mutations in patients with normal sweat chloride concentrations. N Engl J Med (in press)

  • Kälin A, Dörk T, Tümmler B (1992) A cystic fibrosis allele encoding missense mutations in both nucleotide binding folds of the cystic fibrosis transmembrane conductance regulator. Hum Mutat 1:204–210

    Google Scholar 

  • van der Kamer JH, ten Bokkel Huinik H, Weyers HA (1949) Rapid method for the determination of fat in feces. J Biol Chem 177:347–355

    Google Scholar 

  • Kerem B, Rommens J, Buchanan JA, Markiewicz D, Cox TK, Chakravarti A, Buchwald M, Tsui L-C (1989) Identification of the cystic fibrosis gene: genetic analysis. Science 245:1073–1080

    Google Scholar 

  • Kerem E, Corey M, Kerem B, Rommens J, Markiewicz D, Levison H, Tsui L-C, Durie P (1990 a) The relation between genotype and phenotype in cystic fibrosis analysis of the most common mutation (AF508). N Engl J Med 323:1517–1522

    Google Scholar 

  • Kerem B, Zielenski J, Markiewicz D, Bozon D, Gazit E, Yahaf J, Kennedy D, Riordan J, Collins F, Rommens J, Tsui L-C (1990 b) Identification of mutations in regions corresponding to the 2 putative nucleotide (ATP)-binding folds of the cystic fibrosis gene. Proc Natl Acad Sci USA 87:8447–8451

    Google Scholar 

  • Kristidis P, Bozon D, Corey M, Markiewicz D, Rommens J, Tsui L-C, Durie P (1992) Genetic determination of exocrine pancreatic function in cystic fibrosis. Am J Hum Genet 50:1178–1184

    Google Scholar 

  • Magnani C, Cremonesi L, Belloni E, Ferrari M, Seia M, Russo MP, Devoto M, Ronchetto P, Romeo G (1994) Informativity of intragenic microsatellites for carrier detection and prenatal dignosis of cystic fibrosis in the Italian population. Clin Genet 45:135–139

    Google Scholar 

  • Mercier B, Lissens W, Novelli G, Kalaydjieva L, De Arce M, Kapranov N, Canki Klain N, Lenoir G, Chauveau P, Lenaerts C, Rault G, Cashman S, Sangiuolo S, Audrezet MP, Dallapiccola B, Guillermit H, Bonduelle M, Liebaers I, Quere I, Verlingue C, Ferec C (1993) Identification of eight novel mutations in a collaborative analysis of a part of the second transmembrane domain of the CFTR gene. Genomics 16:296–297

    Google Scholar 

  • Morral N, Nunes V, Casals T, Estivill X (1991) CA/GT microsatellite allele within the cystic fibrosis transmembrane conductance regulator (CFTR) gene are not generated by unequal crossingover. Genomics 10:692–698

    Google Scholar 

  • Osborne L, Knight R, Santis G, Hodson M (1991) A mutation in the second nucleotide binding fold of the cystic fibrosis gene. Am J Hum Genet 48:608–612

    Google Scholar 

  • Petreska L, Koceva S, Gordova-Muratovska A, Nestorov R, Efremov G (1994) Identification of two new mutations (711+3A →G and V1397E) in CF chromosomes of Albanian and Macedonian origin. Hum Mol Genet 3:999–1000

    Google Scholar 

  • Phuapradit P, Narang A, Mendeca P, Harris DA, Baum JD (1981) The steatocrit: a simple method for estimating stool fat content in newborn infants. Arch Dis Child 56:725

    Google Scholar 

  • Polgar G, Promadhat V (1971) In: Sounders WB Co (ed) Pulmonary function testing in children. Philadelphia

  • Riordan JR, Rommens JM, Kerem B, Alon N, Rozmahel R, Grzelczak Z, Zielenski J, Lok S, Plavisk N, Chou J, Drum M, Iannuzzi M, Collins F, Tsui L-C (1989) Identification of the cystic fibrosis gene: cloning and characterization of complementary DNA. Science 245:1066–1073

    CAS  PubMed  Google Scholar 

  • Rommens JM, Iannuzzi MC, Kerem B, Drumm ML, Melmer G, Dean M, Rozmahel R, Cole J, Kennedy D, Hidaka N, Zsiga M, Buchwald M, Riordan J, Tsui L-C, Collins F (1989) Identification of the cystic fibrosis gene: chromosome walking and jumping. Science 245:1059–1065

    Google Scholar 

  • Ronchetto P, Telleira Orriols JJ, Fanen P, Cremonesi L, Ferrari M, Magnani C, Seia M, Goossens M, Romeo G, Devoto M (1992) A nonsense mutation (R1158X) and a splicing mutation (3849+4A→G) in exon 19 of the cystic fibrosis transmembrane conductance regulator gene. Genomics 12:417–418

    Google Scholar 

  • Saba L, Leoni GB, Meloni A, Faà V, Cao A, Rosatelli MC (1993) Two novel mutations in the transmembrane domain of the CFTR gene in subjects of Sardinian descent. Hum Mol Genet 2:1739–1740

    Google Scholar 

  • Shwachman H (1975) Gastrointestinal manifestations of cystic fibrosis. Pediatr Clin North Am 22:787–805

    Google Scholar 

  • Stern RC, Boat TF, Abramowsky CR, Matthews LW, Wood RE, Doersmick CF (1978) Intermediate-range sweat chloride concentration and Pseudomonas bronchitis: a cystic fibrosis variant with presentation of exocrine pancreatic function. J Am Med Assoc 239:2676–2680

    Google Scholar 

  • The Cystic Fibrosis Genotype-Phenotype Consortium (1993) Correlation between genotype and phenotype in patients with cystic fibrosis. N Engl J Med 329:1308–1313

    Google Scholar 

  • Tsui L-C (1992) The spectrum of cystic fibrosis mutations. Trends Genet 8:392–398

    Google Scholar 

  • Vidaud M, Fanen P, Martin J, Ghanem N, Nicolas S, Goossens M (1990) Three point mutations in the CFTR gene in French cystic fibrosis patients: identification by denaturing gradient gel electrophoresis. Hum Genet 85:446–449

    Google Scholar 

  • Zielenski J, Bozon D, Kerem B, Markiewicz D, Durie P, Rommens J, Tsui L-C (1991a) Identification of mutations in exons 1 through 8 of the cystic fibrosis transmembrane conductance regulator (CFTR) gene. Genomics 10:229–235

    Google Scholar 

  • Zielenski J, Markiewicz D, Rininsland F, Rommens JR, Tsui L-C (1991b) A cluster of highly polymorphic dinucleotide repeats in intron 17b of the CFTR gene. Am J Hum Genet 49:1256–1262

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brancolini, V., Cremonesi, L., Belloni, E. et al. Search for mutations in pancreatic sufficient cystic fibrosis Italian patients: detection of 90% of molecular defects and identification of three novel mutations. Hum Genet 96, 312–318 (1995). https://doi.org/10.1007/BF00210414

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00210414

Keywords

Navigation