MILD CYSTIC-FIBROSIS AND NORMAL OR BORDERLINE SWEAT TEST IN PATIENTS WITH THE 3849-]T MUTATION(10 KB C)

Different mutations in the cystic fibrosis (CF) gene appear to contrib ute to heterogeneity of the CF phenotype. We investigated 15 patients with CF who have the 3849+10 kb C-->T mutation. All were Ashkenazi Jew s. Their clinical features were compared with those of CF patients wit h the DELTAF508/DELTAF508, W1282X/W1282X, W1282X/DELTAF508 mutations, which are known to be associated with a severe disease. Patients with the 3849+10 kb mutation were older, had been diagnosed as having CF at a more advanced age, and were in a better nutritional state. Sweat ch loride values were normal (below 60 mmol/L) in 5 3849+10 kb patients ( 33%). 4 of these patients and 6 others (total 66%) had normal pancreat ic function. However, age-adjusted pulmonary function did not differ b etween the two groups. None of the patients with 3849+10 kb C-->T had had meconium ileus or had liver disease or diabetes mellitus. We concl ude that this mutation is associated with a mild type of CF.