Cystic fibrosis is a genetic disorder caused by a recessive gene that affects the movement of salt in the body. This causes thick, sticky mucus to build up in the lungs, pancreas and intestines. It is the most common life-threatening inherited disease. People with cystic fibrosis require daily physiotherapy and treatments to help manage symptoms and prolong their life expectancy, which averages around 31 years of age.
2. What is Cystic Fibrosis?
Genetic Disorder
Caused by a recessive gene
Acquired at conception and present at birth
Most common life-threatening inherited
disease
Over two million people in the UK are carriers
- around 1 in 25 of the population.
3. Cause
Recessive gene on chromosome 7 that
controls the movement of salt in the body.
This causes a lack of water in secretions
which then become very sticky and thick.
4. Cystic Fibrosis – a genetic disease
In cystic fibrosis the normal allele is dominant, so we call
it F, and the cystic fibrosis allele is recessive, so we call it
f:
FF Ff ff
Unaffected Carrier CF suffer
person
5. Inheritance
Example – Two carrier parents:
Parents: X X
Gametes:
Offspring:
6. Inheritance
Example - One carrier & One non sufferer
Parents: X X
Gametes:
Offspring:
7. Risk
Males and females are at equal risk
Sufferers are often infertile so the likelihood
of a sufferer having children is rare, but if
they did :
With a non sufferer their off spring will all be
carriers
With a carrier 50 % would be sufferers and 50%
would be carriers
8. Statistics
8,000 people in UK suffer from CF
1 in 25 are carriers
3 people die each week
5 babies born a week
Life expectancy is around 31
9. Physical effects
Thick mucus affects lungs, pancreas and
intestines
Pancreas does not produce enough enzymes
Deterioration of respiratory system
Frequent illness
Lack of energy
11. Progression
CF does not change with age but the effects may
become more severe
Deterioration in respiratory system
Clubbing of fingers and toes
Pneumonia & chest infections
Nasal polyps
Collapsed Lung
Bowel obstruction
Diabetes
Difficulty gaining weight
Sterility (males)
Difficulty conceiving (females)
12. Treatments / Support
Daily chest physiotherapy
Daily exercise
Diet rich in protein and high in calories
Enzyme supplements.
Vitamin and Mineral supplements.
Antibiotics
Steroids
Lung transplant
codes for a protein that carries salt and water across cell membranes
Die of CF related illnesses
leading to poor food absorption = poor weight gain Chest infections, coughing, breathing difficulties
Respiratory system = often the cause of death Clubbed fingers and toes = due to lack of oxygen Pneumonia and chest infections = sticky mucus = ideal for bacteria Nasal polyps = fleshy swellings in the lining of the nose caused by inflammation of mucous membranes, Difficulty gaining weight = also pancreatitis, pancreas doesn’t produce enzymes that break down fat = faeces contain an excess of fat and are oily and smelly Diabetes = pancreas is damaged infertility in men, because the tube that carries sperm, the vas deferens, may become blocked fertility problems in women, because cystic fibrosis may cause nutritional problems and underweight women are more likely to have irregular menstrual cycles
Vigorous massage to loosen the mucus Diet = try to increase muscle mass replacement enzymes such as pancreatin. These supply the missing pancreatic enzymes and allow proper digestion. Antibiotics = counter lung infections Steroids = build weight Transplants in severe cases
CVS = tissue sample from placenta Amniocentesis = from amniotic sac. Both = termination? Where to give birth? Heel prick = 5 days after birth, blood spot screening, low thyroid function and phenylketonuria. Sweat tests = if heel prick is positive = high salt levels Lung x rays if older