© 2004 BMJ Publishing Group Ltd
ELECTRONIC LETTER
Genetic evidence for CFTR dysfunction in Japanese: background for chronic pancreatitis
1 Department of Human Nutrition, Nagoya University, Nagoya, Japan
2 Department of Internal Medicine, Nagoya University, Nagoya, Japan
3 Sakashita Hospital, Gifu, Japan
4 Chybu Health Care Center, Nagoya, Japan
Correspondence to:
Correspondence to:
Dr S Naruse
Department of Internal Medicine, Graduate School of Medicine, Nagoya University, 65 Tsurumaicho, Showa-ku, Nagoya 466-8550, Japan; snaruse@med.nagoya-u.ac.jp
Accepted 14 November 2003
Keywords: cystic fibrosis transmembrane conductance regulator (CFTR); mutations; polymorphism; chronic pancreatitis
Abbreviations: CBAVD, congenital bilateral absence of the vas deferens; CF, cystic fibrosis; CFTR, cystic fibrosis transmembrane conductance regulator
| The first 150 words of the full text of this article appear below. |
The cystic fibrosis transmembrane conductance regulator (CFTR) is a cAMP regulated Cl channel that is expressed in many epithelial tissues.1 In the pancreas CFTR plays a key role in the apical HCO3 transport in duct cells.25 Loss of its function due to mutations in the CFTR gene causes cystic fibrosis (CF) of the pancreas with exocrine insufficiency, chronic airway disease, and abnormally elevated sweat chloride concentration. Over 1000 mutations and 200 polymorphic loci in CFTR have now been identified.6 These mutations and polymorphisms confer quite variable phenotypes from classic CF to atypical CF with less severe pulmonary lesions, pancreatic sufficiency, and normal or borderline sweat chloride concentration.7,8 It is now well recognised that the spectrum of CFTR related disease is much broader than previously thought.9 Some individuals may exhibit an apparently single clinical feature or a monosymptomatic disease, such as chronic sinusitis, congenital bilateral absence of the vas deferens (CBAVD),
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