{"id":1569,"date":"2014-01-18T18:52:09","date_gmt":"2014-01-18T17:52:09","guid":{"rendered":"http:\/\/slanedeti.sk\/cms\/?p=1569"},"modified":"2014-01-18T18:55:11","modified_gmt":"2014-01-18T17:55:11","slug":"vyskyt-cftr-mutacii-v-cechach-porovnanie-s-okolitymi-krajinami","status":"publish","type":"post","link":"https:\/\/slanedeti.sk\/cms\/vyskyt-cftr-mutacii-v-cechach-porovnanie-s-okolitymi-krajinami\/1569","title":{"rendered":"V\u00fdskyt CFTR mut\u00e1cii v \u010cech\u00e1ch a porovnanie s okolit\u00fdmi krajinami"},"content":{"rendered":"<p>V septembrovom vydan\u00ed Journal of Cystic Fibrosis boli publikovan\u00e9 v\u00fdsledky v\u00fdskumu viacer\u00fdch autorov, ktor\u00ed analyzuj\u00fa distrib\u00faciu CFTR mut\u00e1cii v \u010deskej popul\u00e1cii [1]. V\u00fdskum prebiehal najm\u00e4 na Univerzitnej nemocnici v Motole, ale podie\u013eali sa na \u0148om aj vedci zo Slovenska a Nemecka.<\/p>\n<p>Jedn\u00e1 sa o s\u00fahrnn\u00fa \u0161t\u00fadiu, ktor\u00e1 zah\u0155\u0148ala 600 CF pacientov z \u010ceskej republiky (\u010cR), pri\u010dom bolo identifikovan\u00fdch 99,5 % mut\u00e1cii v \u010deskej pacientskej popul\u00e1cii. \u010cesk\u00e1 popul\u00e1cia je zna\u010dne homog\u00e9nna (bez v\u00fdznamnej\u0161ieho vplyvu pris\u0165ahovalectva) a reprezentat\u00edvna pre ostatn\u00e9 stredoeur\u00f3pske popul\u00e1cie. V\u00fdskyt CF je v \u010cR na z\u00e1klade v\u00fdsledkov novorodeneck\u00e9ho skr\u00edningu odhadovan\u00fd na 1:4023 \u017eivo naroden\u00fdch det\u00ed.<\/p>\n<p>Vzorky boli analyzovan\u00e9 pomocou komer\u010dn\u00e9ho genetick\u00e9ho kitu (Elucigene CF-EU2v1), ktor\u00fdm bolo zachyten\u00fdch 90,5 % mut\u00e1cii. Pre vzorky, u ktor\u00fdch nebol kit schopn\u00fd identifikova\u0165 mut\u00e1ciu, bolo pou\u017eit\u00e9 DNA sekvenovanie. Celkovo bolo zisten\u00fdch 91 mut\u00e1cii, pri\u010dom bolo objaven\u00fdch 20 nov\u00fdch mut\u00e1cii, resp. nov\u00fdch variant. Z v\u00fdsledkov je zrejm\u00e9, \u017ee tak ako vo v\u00e4\u010d\u0161ine CF popul\u00e1cii, je dominantnou mut\u00e1ciou F508del a mal\u00fd po\u010det roz\u0161\u00edrenej\u0161\u00edch mut\u00e1cii dop\u013a\u0148a ve\u013ek\u00e9 mno\u017estvo m\u00e1lo roz\u0161\u00edren\u00fdch a\u017e vz\u00e1cnych mut\u00e1cii.<\/p>\n<p>&nbsp;<\/p>\n<p>Na z\u00e1klade anal\u00fdzy bolo ur\u010den\u00e9 nasledovn\u00e9 zast\u00fapenie jednotliv\u00fdch mut\u00e1cii v CF pacientskej popul\u00e1cii v \u010cR (uveden\u00fdch je 30 najroz\u0161\u00edrenej\u0161\u00edch):<br \/>\n<div class=\"su-table su-table-alternate\">\n<table>\n<tbody>\n<tr>\n<td><strong>Poradie<\/strong><\/td>\n<td><strong>Mut\u00e1cia<\/strong><\/td>\n<td><strong>Zast\u00fapenie v %<\/strong><\/td>\n<\/tr>\n<tr>\n<td>1<\/td>\n<td>F508del<\/td>\n<td>67,42<\/td>\n<\/tr>\n<tr>\n<td>2<\/td>\n<td>CFTRdele2,3\/21kb\/<\/td>\n<td>5,75<\/td>\n<\/tr>\n<tr>\n<td>3<\/td>\n<td>G551D<\/td>\n<td>2,92<\/td>\n<\/tr>\n<tr>\n<td>4<\/td>\n<td>N1303K<\/td>\n<td>2,42<\/td>\n<\/tr>\n<tr>\n<td>5<\/td>\n<td>G542X<\/td>\n<td>2<\/td>\n<\/tr>\n<tr>\n<td>6<\/td>\n<td>3849+10kbC&gt;T<\/td>\n<td>1,67<\/td>\n<\/tr>\n<tr>\n<td>7<\/td>\n<td>1898+1G&gt;A<\/td>\n<td>1,42<\/td>\n<\/tr>\n<tr>\n<td>8<\/td>\n<td>R347P<\/td>\n<td>0,92<\/td>\n<\/tr>\n<tr>\n<td>9<\/td>\n<td>2143delT<\/td>\n<td>0,92<\/td>\n<\/tr>\n<tr>\n<td>10<\/td>\n<td>3272-26A&gt;G<\/td>\n<td>0,67<\/td>\n<\/tr>\n<tr>\n<td>11<\/td>\n<td>I336K<\/td>\n<td>0,58<\/td>\n<\/tr>\n<tr>\n<td>12<\/td>\n<td>W1282X<\/td>\n<td>0,58<\/td>\n<\/tr>\n<tr>\n<td>13<\/td>\n<td>R553X<\/td>\n<td>0,5<\/td>\n<\/tr>\n<tr>\n<td>14<\/td>\n<td>2789+5G&gt;A<\/td>\n<td>0,5<\/td>\n<\/tr>\n<tr>\n<td>15<\/td>\n<td>S945L<\/td>\n<td>0,5<\/td>\n<\/tr>\n<tr>\n<td>16<\/td>\n<td>574delA<\/td>\n<td>0,42<\/td>\n<\/tr>\n<tr>\n<td>17<\/td>\n<td>621+1G &gt;T<\/td>\n<td>0,42<\/td>\n<\/tr>\n<tr>\n<td>18<\/td>\n<td>2184insA<\/td>\n<td>0,42<\/td>\n<\/tr>\n<tr>\n<td>19<\/td>\n<td>3141del9<\/td>\n<td>0,42<\/td>\n<\/tr>\n<tr>\n<td>20<\/td>\n<td>Y122X<\/td>\n<td>0,33<\/td>\n<\/tr>\n<tr>\n<td>21<\/td>\n<td>E292K\/R709Q<\/td>\n<td>0,33<\/td>\n<\/tr>\n<tr>\n<td>22<\/td>\n<td>1717-1G&gt;A<\/td>\n<td>0,33<\/td>\n<\/tr>\n<tr>\n<td>23<\/td>\n<td>D1152H<\/td>\n<td>0,33<\/td>\n<\/tr>\n<tr>\n<td>24<\/td>\n<td>R1162X<\/td>\n<td>0,33<\/td>\n<\/tr>\n<tr>\n<td>25<\/td>\n<td>4374+1G&gt;T<\/td>\n<td>0,33<\/td>\n<\/tr>\n<tr>\n<td>26<\/td>\n<td>R334W<\/td>\n<td>0,25<\/td>\n<\/tr>\n<tr>\n<td>27<\/td>\n<td>CFTRdele13,14a<\/td>\n<td>0,25<\/td>\n<\/tr>\n<tr>\n<td>28<\/td>\n<td>3600+2insT<\/td>\n<td>0,25<\/td>\n<\/tr>\n<tr>\n<td>29<\/td>\n<td>CFTRdup19<\/td>\n<td>0,25<\/td>\n<\/tr>\n<tr>\n<td>30<\/td>\n<td>CFTRdele22,23<\/td>\n<td>0,25<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>Nasledovn\u00e1 tabu\u013eka porovn\u00e1va distrib\u00faciu najroz\u0161\u00edrenej\u0161\u00edch mut\u00e1cii s okolit\u00fdmi krajinami:<\/p>\n<div class=\"su-table su-table-alternate\">\n<table>\n<tbody>\n<tr>\n<td><strong>Mut\u00e1cia<\/strong><\/td>\n<td><strong>\u010cR<\/strong><\/td>\n<td><strong>Slovensko<\/strong><\/td>\n<td><strong>Bavorsko<\/strong><\/td>\n<td><strong>Po\u013esko<\/strong><\/td>\n<\/tr>\n<tr>\n<td>F508del<\/td>\n<td>67,42<\/td>\n<td>66,8<\/td>\n<td>74<\/td>\n<td>57<\/td>\n<\/tr>\n<tr>\n<td>CFTRdele2,3\/21kb\/<\/td>\n<td>5,75<\/td>\n<td>2,26<\/td>\n<td>1,2<\/td>\n<td>1,8<\/td>\n<\/tr>\n<tr>\n<td>G551D<\/td>\n<td>2,92<\/td>\n<td>&lt;0,50<\/td>\n<td>6,4<\/td>\n<td>0,5<\/td>\n<\/tr>\n<tr>\n<td>N1303K<\/td>\n<td>2,42<\/td>\n<td>2,03<\/td>\n<td>2,4<\/td>\n<td>1,8<\/td>\n<\/tr>\n<tr>\n<td>G542X<\/td>\n<td>2<\/td>\n<td>4,06<\/td>\n<td>3,2<\/td>\n<td>2,6<\/td>\n<\/tr>\n<tr>\n<td>3849+10kbC&gt;T<\/td>\n<td>1,67<\/td>\n<td>4,28<\/td>\n<td>N\/A<\/td>\n<td>2,7<\/td>\n<\/tr>\n<tr>\n<td>1898+1G&gt;A<\/td>\n<td>1,42<\/td>\n<td>&lt;0,50<\/td>\n<td>N\/A<\/td>\n<td>N\/A<\/td>\n<\/tr>\n<tr>\n<td>R347P<\/td>\n<td>0,92<\/td>\n<td>1,1<\/td>\n<td>0,8<\/td>\n<td>N\/A<\/td>\n<\/tr>\n<tr>\n<td>2143delT<\/td>\n<td>0,92<\/td>\n<td>1,1<\/td>\n<td>N\/A<\/td>\n<td>N\/A<\/td>\n<\/tr>\n<tr>\n<td>3272-26A&gt;G<\/td>\n<td>0,67<\/td>\n<td>&lt;0,50<\/td>\n<td>N\/A<\/td>\n<td>N\/A<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>Porovnanie distrib\u00facie piatich najroz\u0161\u00edrenej\u0161\u00edch mut\u00e1cii:<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1571 aligncenter\" style=\"margin-top: 20px; margin-bottom: 20px;\" alt=\"cftr graf\" src=\"https:\/\/slanedeti.sk\/cms\/wp-content\/uploads\/2014\/01\/cftr_graf.png\" width=\"727\" height=\"442\" srcset=\"https:\/\/slanedeti.sk\/cms\/wp-content\/uploads\/2014\/01\/cftr_graf.png 727w, https:\/\/slanedeti.sk\/cms\/wp-content\/uploads\/2014\/01\/cftr_graf-300x182.png 300w, https:\/\/slanedeti.sk\/cms\/wp-content\/uploads\/2014\/01\/cftr_graf-80x50.png 80w\" sizes=\"auto, (max-width: 727px) 100vw, 727px\" \/><\/p>\n<p>Charakteristika v\u00fdskytu naj\u010dastej\u0161\u00edch mut\u00e1cii:<\/p>\n<p><strong>F508del<\/strong> &#8211; celosvetovo najroz\u0161\u00edrenej\u0161ia CF mut\u00e1cia, dominantn\u00e1 takmer vo v\u0161etk\u00fdch CF popul\u00e1ci\u00e1ch<\/p>\n<p><strong>CFTRdele2,3\/21kb\/<\/strong> &#8211; \u201cslovansk\u00e1\u201c mut\u00e1cia, najroz\u0161\u00edrenej\u0161ia je vo v\u00fdchodnej Eur\u00f3pe<\/p>\n<p><strong>G551D<\/strong> \u2013 \u201ckeltsk\u00e1\u201c mut\u00e1cia, \u010dastej\u0161ie sa vyskytuje v z\u00e1padnej Eur\u00f3pe a n\u00e1sledkom vys\u0165ahovalectva tie\u017e v USA<\/p>\n<p><strong>G542X<\/strong> &#8211; \u201cstredomorsk\u00e1\u201c mut\u00e1cia<\/p>\n<p><em>[1] Krenkova P. et al.; Distribution of CFTR mutations in the Czech population: Positive impact of integrated clinical and laboratory expertise, detection of novel\/de novo alleles and relevance for related\/derived populations; Journal of Cystic Fibrosis; Vol 12 (2013); 532-537<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>V septembrovom vydan&iacute; Journal of Cystic Fibrosis boli publikovan&eacute; v&yacute;sledky v&yacute;skumu viacer&yacute;ch autorov, ktor&iacute; analyzuj&uacute; distrib&uacute;ciu CFTR mut&aacute;cii v &#269;eskej popul&aacute;cii [1]. V&yacute;skum prebiehal najm&auml; na Univerzitnej nemocnici v Motole, ale podie&#318;ali sa na &#328;om aj vedci zo Slovenska a &hellip; <a href=\"https:\/\/slanedeti.sk\/cms\/vyskyt-cftr-mutacii-v-cechach-porovnanie-s-okolitymi-krajinami\/1569\">Continued<\/a><\/p>\n","protected":false},"author":7,"featured_media":1571,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"kt_blocks_editor_width":"","footnotes":""},"categories":[253],"tags":[],"class_list":["post-1569","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-o-cystickej-fibroze"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>V\u00fdskyt CFTR mut\u00e1cii v \u010cech\u00e1ch a porovnanie s okolit\u00fdmi krajinami - Slan\u00e9 deti<\/title>\n<meta name=\"description\" content=\"V\u00fdsledky v\u00fdskumu v\u00fdskytu CFTR mut\u00e1cii v \u010cR a porovnanie s okolit\u00fdmi krajinami.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slanedeti.sk\/cms\/vyskyt-cftr-mutacii-v-cechach-porovnanie-s-okolitymi-krajinami\/1569\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"V\u00fdskyt CFTR mut\u00e1cii v \u010cech\u00e1ch a porovnanie s okolit\u00fdmi krajinami - 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