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Cystic Fibrosis is a genetic disease with variable severity, and a predisposition for lung infection. Usually severity is determined by the class of CF mutations, but even among patients with the same severity of mutations there is a variation of the severity of CF.
Haptoglobin has several types (phenotypes), one of them was found to be related to infectious complications.
In this study the investigators aim to find a correlation between Haptoglobin phenotypes in patients with CF and frequency of infectious complications.
To this end the investigators will collect serum from CF patients, and determine their Haptoglobin protein phenotype. The investigators will correlate Haptoglobin phenotype to retrospectively gathered data on infectious complications.
Cystic Fibrosis is a genetic disease with variable severity, and a predisposition for lung infection. The severity of the disease is determined by genetic factors (type of mutation), environmental factors (exposure to bacteria) and behavioral (adherence with therapy). Even among patients with the same severity of mutations there is a variation of the severity of CF.
Haptoglobin is a protein responsible for collecting Iron from senescent Red Blood Cells. There are two genes of Haptoglobin, numbered 1 and 2, and combinations between the two genes create three forms of proteins: 1-1, 1-2, and 2-2. The 1-1 Phenotype was found to be associated with a predisposition to infection.
In this study the investigators aim to find a correlation between Haptoglobin phenotypes in patients with CF and frequency of infectious complications.
To this end the investigators will collect serum from CF patients, and determine their Haptoglobin protein phenotype by gel- electrophoresis. The investigators will correlate Haptoglobin phenotype to retrospectively gathered data on infectious complications.
FEV1- Forced Expiratory Volume in 1 second.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cystic Fibrosis Patients | Patients with Cystic Fibrosis with two known severe (class I and class II) mutations |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| no intervention | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| FEV1 | Lung function as determined by spirometry FEV1 (% expected), normalized by age | best in last 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of antibiotic courses per year of follow up | number of courses of antibiotics the patient received in the last year | one year |
| Number of days with antibiotics per year of follow up | number of days the patient received antibiotics |
| Measure | Description | Time Frame |
|---|---|---|
| Haptoglobin phenotype | Haptoglobin phenotype in serum will be determined by gel electrophoresis | one visit |
Inclusion Criteria:
Patients diagnosed with CF according to diagnostic criteria , between the ages of 0 and 50, who are themselves, or their parents or guardians, able to give informed consent.
Two known severe (class I , II and III) mutations
Exclusion Criteria:
none
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Patients diagnosed with CF
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| Name | Affiliation | Role |
|---|---|---|
| Michal Shteinberg, MD | Pulmonology Institute and CF Center, Carmel Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Carmel Medical Center | Haifa | Israel | 3436209 | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26370551 | Result | Shteinberg M, Rivlin J, Gur M, Konopnicki M, Stein N, Tunney MM, Elborn JS, Downey DG, Johnston E, Shalom H, Levy A. Lack of Association Between Haptoglobin Phenotype and Cystic Fibrosis Outcomes. Lung. 2015 Dec;193(6):1017-21. doi: 10.1007/s00408-015-9801-z. Epub 2015 Sep 14. |
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| ID | Term |
|---|---|
| D003550 | Cystic Fibrosis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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Peripheral blood serum
| one year |
| Number Hospitalizations per year | events of hospitalization | one year |
| Colonization with bacteria | colonization of the following bacteria: Pseudomonas aeruginosa (mucoid and non mucoid), Staph aureus (MSSA and MRSA), Hemophilus influenza, Burkholderia Cepacia complex | one year |
| Presence of CF related diabetes | presence of CF related diabetes and HbA1C for diabetic patients. | five years |
| D030342 |
| Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007232 | Infant, Newborn, Diseases |