{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T03:51:04Z","timestamp":1790481064052,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,1,8]],"date-time":"2015-01-08T00:00:00Z","timestamp":1420675200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["81300001"],"award-info":[{"award-number":["81300001"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Program for Changjiang Scholars and Innovative Research Team in University","award":["LRT1006"],"award-info":[{"award-number":["LRT1006"]}]},{"name":"Funding for Peking Union Medical College Hospital Middle-aged and Young Researcher","award":["I449000"],"award-info":[{"award-number":["I449000"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>Cystic fibrosis (<jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content>) is a relatively common autosomal recessive disorder in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aucasians. <jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content> is considered a very rare disease in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>sians, and fewer than 30 <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese <jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content> patients are reported in the literature. We enrolled seven patients of <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>an origin diagnosed with <jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content> at the <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>eking <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>nion <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edical <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ollege Hospital, to characterize gene mutations and phenotypes of <jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analysed the clinical presentation and screened the coding region of the <jats:styled-content style=\"fixed-case\"><jats:italic>CFTR<\/jats:italic><\/jats:styled-content> gene for each patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients were 0\u20136 years old at onset of symptoms and were 10\u201328 years old at the time of diagnosis with <jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content>. None of the seven patients had a family history of <jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content>, and only one patient had parents who were consanguineous. Two patients had gastrointestinal symptoms but stool <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>udan <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> results were normal. Four of the seven <jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content> patients also had allergic bronchopulmonary aspergillosis. The concentration of chloride in patients' sweat ranged from 66\u2009mmol\/l to 154\u2009mmol\/l. In total, we identified 11 different mutations in seven <jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content> patients, including one novel mutation (\u25b3<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>7\u2010<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>11). Only one of these mutations (<jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>553<jats:styled-content style=\"fixed-case\">X<\/jats:styled-content>) is present in the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aucasian <jats:styled-content style=\"fixed-case\">CFTR<\/jats:styled-content> common mutation\u2010screening panel; and none of the 11 mutations are common in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aucasian <jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content> patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content> in China is difficult to diagnose because of a combination of low awareness, atypical clinical symptoms, and a lack of sweat and genetic testing facilities in most hospitals. The mutations identified in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese <jats:styled-content style=\"fixed-case\">CF<\/jats:styled-content> patients are different from the common <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aucasian gene mutations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.12452","type":"journal-article","created":{"date-parts":[[2015,1,8]],"date-time":"2015-01-08T07:47:52Z","timestamp":1420703272000},"page":"312-318","source":"Crossref","is-referenced-by-count":39,"title":["Characterization of gene mutations and phenotypes of cystic fibrosis in <scp>C<\/scp>hinese patients"],"prefix":"10.1111","volume":"20","author":[{"given":"Yaping","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Medical Genetics School of Basic Medicine Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lianqing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Medical Genetics School of Basic Medicine Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinlun","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Peking Union Medical College Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai\u2010Feng","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Peking Union Medical College Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenbing","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Peking Union Medical College Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Peking Union Medical College Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cai","family":"Yue","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Peking Union Medical College Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Peking Union Medical College Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Peking Union Medical College Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Medical Genetics School of Basic Medicine Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,1,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2008.05.005"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.6.1573"},{"key":"e_1_2_7_4_1","first-page":"5","article-title":"The first case of CF in Mainland China identified by DNA analysis","volume":"12","author":"Chen B","year":"1995","journal-title":"Zhonghua Yi Xue Yi Chuan Xue Za Zhi"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10038-005-0309-x"},{"key":"e_1_2_7_6_1","first-page":"829","article-title":"[Clinical manifestations and gene analysis of 2 Chinese children with cystic fibrosis]","volume":"50","author":"Liu JR","year":"2012","journal-title":"Zhonghua Er Ke Za Zhi"},{"key":"e_1_2_7_7_1","first-page":"564","article-title":"Novel cystic fibrosis mutation (2215insG) in two adolescent Taiwanese siblings","volume":"99","author":"Wu CL","year":"2000","journal-title":"J. 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