Anyone with M470V polymorphisms

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Swallowtail66

Guest
I have two M407V (which is a double polymorphism M470 and V470) and a 5T/7T variant.  I am treated at a CF center because I have so many symptoms (thankfully, fairly mild).  However, I am very curious to see if other people have similar genetics and if they, too, have symptoms. 
 
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Swallowtail66

Guest
I have two M407V (which is a double polymorphism M470 and V470) and a 5T/7T variant. I am treated at a CF center because I have so many symptoms (thankfully, fairly mild). However, I am very curious to see if other people have similar genetics and if they, too, have symptoms.
 
S

Swallowtail66

Guest
<BR>I have two M407V (which is a double polymorphism M470 and V470) and a 5T/7T variant. I am treated at a CF center because I have so many symptoms (thankfully, fairly mild). However, I am very curious to see if other people have similar genetics and if they, too, have symptoms.
 

jleigh

New member
Hi...I have DF508/5T-TG12-M470V. I was diagnosed at the age of 31 (10 yrs ago) and also have a milder progression. I do not any pancreatic involvement but have had numerous other digestive issues. I have noticed in the past year or two that my lungs have become a bit worse and had to do my first IV antibiotics in Aug. What bugs do you/have you cultured? My main one is stenotrophomonas maltophilia, which I have been colonized with for about 7 years, but I have cultured numerous other bugs along the way.

Jen 41 w/cf, mom of 4, one with CF diag. at 12...DF508/S1426P
 

jleigh

New member
Hi...I have DF508/5T-TG12-M470V. I was diagnosed at the age of 31 (10 yrs ago) and also have a milder progression. I do not any pancreatic involvement but have had numerous other digestive issues. I have noticed in the past year or two that my lungs have become a bit worse and had to do my first IV antibiotics in Aug. What bugs do you/have you cultured? My main one is stenotrophomonas maltophilia, which I have been colonized with for about 7 years, but I have cultured numerous other bugs along the way.

Jen 41 w/cf, mom of 4, one with CF diag. at 12...DF508/S1426P
 

jleigh

New member
Hi...I have DF508/5T-TG12-M470V. I was diagnosed at the age of 31 (10 yrs ago) and also have a milder progression. I do not any pancreatic involvement but have had numerous other digestive issues. I have noticed in the past year or two that my lungs have become a bit worse and had to do my first IV antibiotics in Aug. What bugs do you/have you cultured? My main one is stenotrophomonas maltophilia, which I have been colonized with for about 7 years, but I have cultured numerous other bugs along the way.
<br />
<br />Jen 41 w/cf, mom of 4, one with CF diag. at 12...DF508/S1426P
 
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Swallowtail66

Guest
The CF center never cultures me.  I guess I should ask.  I just feel crazy for wanting standard care for a CFer.  I guess it is almost like if the don't treat me as carefully, I really am not sick.  I think I have declined quite a bit this last year, but my lung numbers are still good enough.  Not well enough to really enjoy life, but not sick enough to really get taken seriously.  What a mess!
 
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Swallowtail66

Guest
The CF center never cultures me. I guess I should ask. I just feel crazy for wanting standard care for a CFer. I guess it is almost like if the don't treat me as carefully, I really am not sick. I think I have declined quite a bit this last year, but my lung numbers are still good enough. Not well enough to really enjoy life, but not sick enough to really get taken seriously. What a mess!
 
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Swallowtail66

Guest
<BR>The CF center never cultures me. I guess I should ask. I just feel crazy for wanting standard care for a CFer. I guess it is almost like if the don't treat me as carefully, I really am not sick. I think I have declined quite a bit this last year, but my lung numbers are still good enough. Not well enough to really enjoy life, but not sick enough to really get taken seriously. What a mess!
 
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momofmia

Guest
My daughter has been ill since birth. Chronic cough, ear infections, sinus infections, and fever. She has had negative sweat tests, 3 of them, but I've always known something was terribly wrong. 2 years ago we had genetic testing and she was found to have M470v and 7T/7T. All of her docs say this has nothing to do with CF, they just cause chronic sinus infections. So now we have a diagnosis of Bronchiectasis. We just had her vest delivered, along with Pulmozyme and Hypersal via Neb. I am so incredibly frustrated that her docs were not more proactive. I do not believe that these genes have no bearing on her health, and guess what?? STILL NO DIAGNOSIS, so insurance does not want to pay. Did I mention the PICC lines?? Please does anyone else have these symptoms with M470v.. I am so worried, I don't know what to expect.
Thank you.
 
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momofmia

Guest
My daughter has been ill since birth. Chronic cough, ear infections, sinus infections, and fever. She has had negative sweat tests, 3 of them, but I've always known something was terribly wrong. 2 years ago we had genetic testing and she was found to have M470v and 7T/7T. All of her docs say this has nothing to do with CF, they just cause chronic sinus infections. So now we have a diagnosis of Bronchiectasis. We just had her vest delivered, along with Pulmozyme and Hypersal via Neb. I am so incredibly frustrated that her docs were not more proactive. I do not believe that these genes have no bearing on her health, and guess what?? STILL NO DIAGNOSIS, so insurance does not want to pay. Did I mention the PICC lines?? Please does anyone else have these symptoms with M470v.. I am so worried, I don't know what to expect.
Thank you.
 

Jessiesmom

New member
momofmia,

My daughter is 15 and has been ill from birth. Her genetic tests came back exactly what your daughters are! We have also had negative sweat tests. She has Bronchiectasis and sinus infections, frequent pneumonia and was just put on Creon (digestive enzymes) last month even though she is pancreatic sufficient. She spent a week in the hospital having to do a system clean out then we started enzymes. I must say she isn't complaining of the stomach pains like she used to!

Our pulmo said that he saw research indicating that the polymorphism was disease causing so he labeled her with CF. Then due to insurance we had to switch doctors and our new pulmo is still not totally convinced it is CF - that is could be Primary Cilia Dyskensia - however he treats her for CF until he can prove otherwise. The no diagnosis thing is the worst part because as you have found insurance doesn't want to pay for anything.

We have done picc lines, tried a port but the surgeon made the pocket too big so that got pulled out, did hickman catheters but her body keeps rejecting them. At the beginning of April she actually blew a picc line! So she now tells me when she goes back in she wants another port. I am currently waiting on a call from her pulmo as she has not been feeling well for weeks.

So know there are others of us out there with the same exact polymorphism dealing with the same exact thing you are! It is sooo frustrating to not know what it is but in my heart I believe it is CF and we treat her that way. Thankfully her insurance now doesn't fight it and pays for what she needs.

If you want to talk privately I would be glad to
 

Jessiesmom

New member
momofmia,

My daughter is 15 and has been ill from birth. Her genetic tests came back exactly what your daughters are! We have also had negative sweat tests. She has Bronchiectasis and sinus infections, frequent pneumonia and was just put on Creon (digestive enzymes) last month even though she is pancreatic sufficient. She spent a week in the hospital having to do a system clean out then we started enzymes. I must say she isn't complaining of the stomach pains like she used to!

Our pulmo said that he saw research indicating that the polymorphism was disease causing so he labeled her with CF. Then due to insurance we had to switch doctors and our new pulmo is still not totally convinced it is CF - that is could be Primary Cilia Dyskensia - however he treats her for CF until he can prove otherwise. The no diagnosis thing is the worst part because as you have found insurance doesn't want to pay for anything.

We have done picc lines, tried a port but the surgeon made the pocket too big so that got pulled out, did hickman catheters but her body keeps rejecting them. At the beginning of April she actually blew a picc line! So she now tells me when she goes back in she wants another port. I am currently waiting on a call from her pulmo as she has not been feeling well for weeks.

So know there are others of us out there with the same exact polymorphism dealing with the same exact thing you are! It is sooo frustrating to not know what it is but in my heart I believe it is CF and we treat her that way. Thankfully her insurance now doesn't fight it and pays for what she needs.

If you want to talk privately I would be glad to
 
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momofmia

Guest
Oh my goodness, I'm so sorry to hear that your daughter has been so ill. my daughter was negative for Primary Ciliary Dyskinesia . You mentioned that your daughter has stomach pain; mine also complains frequently of the same. I jst dropped off stool samples today and also we had bloodwork for Lipase and many other tests to check the status of her Pancreas. Is your daughter on HyperSal or Pulmosyn? We have been on HyperSal for three weeks and i believe I am hearing some improvement (in her cough) I would really like to speak with you if you are interested in exchanging information. Please let me know. I live in NJ.
 
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momofmia

Guest
Oh my goodness, I'm so sorry to hear that your daughter has been so ill. my daughter was negative for Primary Ciliary Dyskinesia . You mentioned that your daughter has stomach pain; mine also complains frequently of the same. I jst dropped off stool samples today and also we had bloodwork for Lipase and many other tests to check the status of her Pancreas. Is your daughter on HyperSal or Pulmosyn? We have been on HyperSal for three weeks and i believe I am hearing some improvement (in her cough) I would really like to speak with you if you are interested in exchanging information. Please let me know. I live in NJ.
 
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sanfloraine

Guest
My 24 months old has the M470V mutation. Negative sweat test but he is PI, he takes Zenpep with all his meals, and has been officially diagnosed with CRMS. We have been warned he could develop diabetes some day.

We are satisfied with his pancreas care (not at CF clinic) but not his lungs care. He has asthma, he takes Flovent and Albuterol, he is often congested and had one sinusitis at 15 months. He also had over 15 ear infections in 18 months.

Currently not followed for his lungs, we are trying to have him prevently followed at the local CF clinic but they don't take us very seriously right now... Appointment in July with a CF GI doctor, we'll push for preventive lung care, hope he will listen...
 
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sanfloraine

Guest
My 24 months old has the M470V mutation. Negative sweat test but he is PI, he takes Zenpep with all his meals, and has been officially diagnosed with CRMS. We have been warned he could develop diabetes some day.

We are satisfied with his pancreas care (not at CF clinic) but not his lungs care. He has asthma, he takes Flovent and Albuterol, he is often congested and had one sinusitis at 15 months. He also had over 15 ear infections in 18 months.

Currently not followed for his lungs, we are trying to have him prevently followed at the local CF clinic but they don't take us very seriously right now... Appointment in July with a CF GI doctor, we'll push for preventive lung care, hope he will listen...
 

LittleLab4CF

Super Moderator
We should develop an anecdotal CFTR mutation database. In one way or another I can relate to each response. I am heterozygous S1235r and have M470V 7T/7T polymorphism. It is ambiguous, even after talking with the geneticist who performed the test whether my '70- was heterozygous or homozygous. My test was performred in 2000 and right now have no reason to repeat the test. I was diagnosed clinically diagnosed, at the age of 50, with CF prior to genetic testing. Even at 50 my sweat test was positive and my pancreatic function test was a North American record. The wording of my genetic test are precious. I just love that word "Atypical", like iit's like a veiled insult purposely obfuscating the joke. At the time of my test, 30% of CFTR mutations were unknown and others Weeks M470V, no CF symptoms are known to be caused by this anomaly. Maybe you haven't looked, we all might ask? Like most in this forum, I define ear and sinus infections as the brief time between the next infection. My official genetic status according to the S1235R, I am a carrier. M470V polymorphism by definition is mono ... or as we hear so often, two copies of the M470V. I stopped being hospitalized with my many bouts of pneumonia in 6th grade. We knew the drill and though tetracycline was about as hot as they get. Oxygen was the only thing we needed to complete home respiratory care. My CF specialist looks at my now 62 year old frame, runs me through the standard lung function, patiently listens to my complaints, looking nervously at his watch. On the plus side of his humoring me when he knows his next patient is waiting on a double lung transplant. Momofmia summed up so much so well for all of us. Genetically I am a CF carrier, therefore I exhibit no symptoms. All of us are proof to the contrary. Are the researchers blindfolded each touching a piece of the elephant, confidently describing this beast? Ya think?

As to M470V or my single copy s1235r, what I don't know is which if either is killing me. My pancreas has been overlooked for the first 50 years of my life. Very little remains but the pain from pancreatic autodigestion is epic. I don't know if my renal cysts and dozen plus really big jack type kidney stones have anything to do with CF, but if passing an 8mm kidney stone without sedation is to be compared to pancreatic autodigestion, I give the stone a 6 to leave room for the 10 of pancreatitis. Some M470V folks had more GI misery than others. From as young as I remember it started with vomiting a fatty meal right after eating it, sometimes a little sooner. By 12 I had ulcers, diarrhea, major constipation, stomach aches in the 8 for pain catagory which usually was followed by house call and a shot that knocked me out. I have been pancreatic insufficient all my life with a childhood gall bladder curse. My stool went from white to tarry black. As an adult, some expensive tests have traced a lifetime of malnutrition. My lungs are xray opaque my osteoporotic bones aren't.

I have just layed out more than anyone really wants to know. There is method here, for all of you who could have gone on, I would like to see a more comprehensive list. Maybe some with M470V who didn't respond may see something familiar and respond.

A final obvious note, like all of you, I am not dead and with a median lifespan of 37, my CF is less aggressive.
 
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Swallowtail66

Guest
I had to see a geneticist to support the treatment for the symptoms. With the diagnosis from him, the insurance pays the bills. You could try to see one and see about a diagnosis that way.
 
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Swallowtail66

Guest
I had to see a geneticist to support the treatment for the symptoms. With the diagnosis from him, the insurance pays the bills. You could try to see one and see about a diagnosis that way.
 
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