Skip to main content

Pathophysiology of Cystic Fibrosis

  • Chapter
  • First Online:
Handbook of Cystic Fibrosis

Abstract

Cystic fibrosis transmembrane conductance regulator (CFTR) is a transmembrane protein that belongs to the family of adenosine triphosphate (ATP) binding cassette proteins. It is expressed in multiple tissues throughout the body, where it plays a key role in the regulation of ion transport across cell membranes in mucosal surfaces [1]. CFTR conducts chloride (Cl) and bicarbonate (HCO3-), and it also appears to reduce sodium (Na) transport through inhibition of the epithelial sodium channel (ENaC). In the absence of CFTR function the loss of ion transport has different effects on different tissues. In the sweat duct, CFTR serves to resorb NaCl from sweat, and in its absence there is excessive salt loss through sweat. In organs such as the pancreas and the liver, loss of ion transport results in viscous mucus secretions and ductal obstruction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Donaldson SH, Boucher RC. Sodium channels and cystic fibrosis. Chest. 2007;132:1631–6.

    Article  CAS  PubMed  Google Scholar 

  2. Boucher RC. Airway surface dehydration in cystic fibrosis: pathogenesis and therapy. Annu Rev Med. 2007;58:157–70.

    Article  CAS  PubMed  Google Scholar 

  3. Stoltz DA, Meyerholz DK, Welsh MJ. Origins of cystic fibrosis lung disease. N Engl J Med. 2015;372:351–62.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Riordan JR, Rommens JM, Kerem B, et al. Identification of the cystic fibrosis gene: cloning and characterization of complementary DNA. Science. 1989;245:1066–73.

    Article  CAS  PubMed  Google Scholar 

  5. Paranjape SM, Mogayzel Jr PJ. Cystic fibrosis. Pediatr Rev. 2014;35:194–205.

    Article  PubMed  Google Scholar 

  6. Boyle MP, De Boeck K. A new era in the treatment of cystic fibrosis: correction of the underlying CFTR defect. Lancet Respir Med. 2013;1:158–63.

    Article  PubMed  Google Scholar 

  7. Gravina LP, Crespo C, Giugno H, et al. Mannose-binding lectin gene as a modifier of the cystic fibrosis phenotype in Argentinean pediatric patients. J Cyst Fibros. 2015;14:78–83.

    Article  CAS  PubMed  Google Scholar 

  8. Drumm ML, Konstan MW, Schluchter MD, et al. Genetic modifiers of lung disease in cystic fibrosis. N Engl J Med. 2005;353:1443–53.

    Article  CAS  PubMed  Google Scholar 

  9. Wright FA, Strug LJ, Doshi VK, et al. Genome-wide association and linkage identify modifier loci of lung disease severity in cystic fibrosis at 11p13 and 20q13.2. Nat Genet. 2011;43:539–46.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Emond MJ, Louie T, Emerson J, et al. Exome sequencing of extreme phenotypes identifies DCTN4 as a modifier of chronic Pseudomonas aeruginosa infection in cystic fibrosis. Nat Genet. 2012;44:886–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Filbrun, A.G., Lahiri, T., Ren, C.L. (2016). Pathophysiology of Cystic Fibrosis. In: Handbook of Cystic Fibrosis. Adis, Cham. https://doi.org/10.1007/978-3-319-32504-0_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-32504-0_2

  • Published:

  • Publisher Name: Adis, Cham

  • Print ISBN: 978-3-319-32502-6

  • Online ISBN: 978-3-319-32504-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics