Frequency of CFTR variants in southern Brazil and indication for modulators therapy in patients with cystic fibrosis



Título del documento: Frequency of CFTR variants in southern Brazil and indication for modulators therapy in patients with cystic fibrosis
Revista: Genetics and molecular biology
Base de datos: PERIÓDICA
Número de sistema: 000459210
ISSN: 1415-4757
Autors: 1
1
2
2
Institucions: 1Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul. Brasil
2Pontificia Universidade Catolica do Rio Grande do Sul, Escola de Medicina, Porto Alegre, Rio Grande do Sul. Brasil
Any:
Volum: 45
Número: 1
País: Brasil
Idioma: Inglés
Tipo de documento: Nota breve o noticia
Enfoque: Descriptivo
Resumen en inglés This is a descriptive cross-sectional study that aims to determine the distribution of the CFTR causing variant in a group of patients at a cystic fibrosis (CF) center in southern Brazil, as well as to describe causing variants that are treatable with mutation-specific drugs. Ninety-two patients from a CF reference center were assessed in this research, all of them with a clinical diagnosis of CF and both alleles identified with pathogenic variants. The most prevalent causing variants were F508del, R1162X, G542X, and N1303K. As for patients with a mutation-specific drug indication, 69.6 % were candidates for the use of Elexacaftor/Tezacaftor/Ivacaftor (Trikafta®), 44.6 % for the use of Tezacaftor/Ivacaftor (Symdeko®), and 35.9 % for the use of Lumacaftor/Ivacaftor (Orkambi®). For the use of Ivacaftor (Kalydeco®), only two patients (2.2 %) were candidates following the Brazilian agency approval. According to the FDA, 10 patients would be candidates for Ivacaftor (10.9 %). Causing variants of classes I and II, which are related to a major severity of the illness, were identified in 135 of 184 alleles (73.3 %). In this study, more than 2/3 of the patients were candidates for the use of CFTR modulators therapy
Disciplines Biología,
Medicina
Paraules clau: Genética,
Diagnóstico,
Terapéutica y rehabilitación,
CFTR,
Fibrosis quística,
Brasil
Keyword: Genetics,
Diagnosis,
Therapeutics and rehabilitation,
Cystic fibrosis,
CFTR,
Brazil
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