A 10-year large-scale cystic fibrosis carrier screening in the Italian population

J Cyst Fibros. 2010 Jan;9(1):29-35. doi: 10.1016/j.jcf.2009.10.003. Epub 2009 Nov 7.

Abstract

Background: Cystic Fibrosis (CF) is one of the most common autosomal recessive genetic disorders, with the majority of patients born to couples unaware of their carrier status. Carrier screenings might help reducing the incidence of CF.

Methods: We used a semi-automated reverse-dot blot assay identifying the 47 most common CFTR gene mutations followed by DGGE/dHPLC analysis.

Results: Results of a 10-year (1996-2006) CF carrier screening on 57,999 individuals with no prior family history of CF are reported. Of these, 25,104 were couples and 7791 singles, with 77.9% from the Italian Veneto region. CFTR mutations were found in 1879 carriers (frequency 1/31), with DeltaF508 being the most common (42.6%). Subjects undergoing medically assisted reproduction (MAR) had significantly (p<0.0001) higher CF carrier frequency (1/22 vs 1/32) compared to non-MAR subjects.

Conclusions: If coupled to counselling programmes, CF carrier screening tests might help reducing the CF incidence.

MeSH terms

  • Adult
  • Cystic Fibrosis Transmembrane Conductance Regulator / genetics*
  • Cystic Fibrosis* / epidemiology
  • Cystic Fibrosis* / genetics
  • Cystic Fibrosis* / prevention & control
  • Female
  • Genetic Carrier Screening / methods*
  • Genetic Counseling
  • Genetic Testing / methods*
  • Heterozygote*
  • Humans
  • Incidence
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Point Mutation
  • Reproductive Techniques, Assisted / statistics & numerical data
  • Young Adult

Substances

  • CFTR protein, human
  • Cystic Fibrosis Transmembrane Conductance Regulator