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Lower exhaled nitric oxide in infants with Cystic Fibrosis compared to healthy controls
Authors:Insa Korten  Margot Liechti  Florian Singer  Gaudenz Hafen  Isabelle Rochat  Pinelopi Anagnostopoulou  Dominik Müller-Suter  Jakob Usemann  Alexander Moeller  Urs Frey  Philipp Latzin  Carmen Casaulta
Affiliation:1. Paediatric Respiratory Medicine, Department of Pediatrics, Inselspital, Bern University Hospital, University of Bern, Switzerland;2. Graduate School for Cellular and Biomedical Sciences, University of Bern, Switzerland;3. University Children''s Hospital (UKBB), Basel, Switzerland;4. Division of Respiratory Medicine, University Children''s Hospital Zurich, Switzerland;5. Department of Paediatrics, Respiratory Unit, Lausanne University Hospital, Lausanne, Switzerland;6. Division of Respiratory Medicine, Children''s Hospital Aarau, Switzerland
Abstract:Exhaled nitric oxide (FENO) is a well-known, non-invasive airway biomarker. In patients with Cystic Fibrosis (CF) FENO is decreased. To understand if reduced FENO is primary related to Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) dysfunction or an epiphenomenon of chronic inflammation, we measured FENO in 34 infants with CF prior to clinical symptoms and in 68 healthy controls. FENO was lower in CF compared to controls (p = 0.0006) and the effect was more pronounced in CF infants without residual CFTR function (p < 0.0001). This suggests that FENO is reduced in CF early in life, possibly associated with underlying CFTR dysfunction.
Keywords:for the SCILD and BILD study group
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