Chap 1 Cystic fibrosis
What Is Cystic Fibrosis?
Cystic fibrosis is a progressive, genetic disease that causes persistent lung infections and limits the
ability to breathe over time.
In people with CF, mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene
cause the CFTR protein to become dysfunctional. When the protein is not working correctly, it’s
unable to help move chloride -- a component of salt -- to the cell surface. Without the chloride to
attract water to the cell surface, the mucus in various organs becomes thick and sticky.
In the lungs, the mucus clogs the airways and traps germs, like bacteria, leading
to infections, inflammation, respiratory failure, and other complications. For this reason, minimizing
contact with germs is a top concern for people with CF.
In the pancreas, the buildup of mucus prevents the release of digestive enzymes that help the body
absorb food and key nutrients, resulting in malnutrition and poor growth. In the liver, the thick mucus
can block the bile duct, causing liver disease. In men, CF can affect their ability to have children.
Symptoms of CF
People with CF can have a variety of symptoms, including:
Very salty-tasting skin
Persistent coughing, at times with phlegm
Frequent lung infections including pneumonia or bronchitis
Wheezing or shortness of breath
Poor growth or weight gain in spite of a good appetite
Frequent greasy, bulky stools or difficulty with bowel movements
Male infertility
The CF Foundation accredits more than 130 care centres that are staffed by dedicated
healthcare professionals who provide expert CF care and specialized disease management.
Treatments
Each day, people with CF complete a combination of the following therapies:
Airway clearance to help loosen and get rid of the thick mucus that can build up in the
lungs.
Inhaled medicines to open the airways or thin the mucus. These are liquid medicines
that are made into a mist or aerosol and then inhaled through a nebulizer and
include antibiotics to fight lung infections and therapies to help keep the airways clear.
Pancreatic enzyme supplement capsules to improve the absorption of vital nutrients.
These supplements are taken with every meal and most snacks. People with CF also
usually take multivitamins.
An individualized fitness plan to help improve energy, lung function, and overall
health
CFTR modulators to target the underlying defect in the CFTR protein. Because
different mutations cause different defects in the protein, the medications that have
been developed so far are effective only in people with specific mutations.
The CF Foundation supports research to discover and develop new CF treatments and
maintains a pipeline of potential therapies that target the disease from every angle.
Today, the Foundation is focused on developing lifesaving new therapies for larger numbers
of people with CF -- including those with rare and nonsense mutations -- and pursuing daring,
new opportunities to one day develop a lifelong cure.