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P67L: a cystic fibrosis allele with mild effects found at high frequency in the Scottish population.
Authors:A Gilfillan  J P Warner  J M Kirk  T Marshall  A Greening  L P Ho  T Hargreave  B Stack  D McIntyre  R Davidson  J C Dean  W Middleton  and D J Brock
Institution:Human Genetics Unit, University of Edinburgh, Western General Hospital, UK.
Abstract:Only three mutant cystic fibrosis (CF) alleles have to date been established as conferring a dominant mild effect on affected subjects who are compound heterozygotes. We now add a fourth, P67L, which occurs on about 1.4% of Scottish CF chromosomes. Among 13 patients (12 unrelated) with this allele, the average age at diagnosis was 22.5 +/- 11.3 years. None of the cases had consistently raised sweat chloride concentrations, the average value being 57 +/- 9 mmol/l; 77% of the patients were pancreatic sufficient. When compared to three other established mild CF alleles, R117H, A455E, and 3849 + 10kb C-T, a compound heterozygote for P67L has minimal disease and clinical suspicions are unlikely to be confirmed other than by DNA typing.
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