False Positive Asymptomatic

okok

New member
Hi

First let me say YES it is possible for the lab to confuse f508c with delta f508. In order for this occur ALL of the genetic testing preformed on you, your husband and your daughter would have to have been preformed by the same method. Something to keep in mind (so you don't get your hopes up) is that delf508 is the most common CF mutation so it is more likely delf508. In the following paragraph i try to explain how this error could occur and what you will need to find out in order to figure out if it might have occured.

F508C is a missense mutation where phenylalanine number 508 is converted to a cystiene (in the dna code a T is converted G). Delta f508 is a deletion where the entire codon (3 dna bases) is deleted. If you are concerned that one of your daughter's mutations was mistaken for delta f508 when it was really f508c then you should find out how the genetic test was preformed. Delf508 can easily be detected by using PCR to amplify the portion of the DNA containing the mutation and then seperating the DNA by size on what is called a polyacrylamide gel. If a person has the delf508 deletion (or delta i 507) the DNA will look 3 base pairs smaller on the gel compared to normal DNA. In this case, F508c would not appear to have any mutation at all and would NOT be confused with delf508 since the dna sequence is just changed not deleted. Often though genetic testing is preformed by hybridization of a fluorescent probe to the DNA. In order for a probe to hybridize to the DNA it must match the NORMAL (wt) DNA sequence perfectly. In this case, if a person has either the Delf508 mutation OR the F508C mutation the probe will fail to hybridize to the DNA suggesting that there is a mutation. After detecting a mutation using this method, PCR would have to be preformed in order for the lab to discriminate between delf508 and F508C. DNA sequencing will always differentiate between the two mutations.

Good luck, let us know what you find out.
 

okok

New member
Hi

First let me say YES it is possible for the lab to confuse f508c with delta f508. In order for this occur ALL of the genetic testing preformed on you, your husband and your daughter would have to have been preformed by the same method. Something to keep in mind (so you don't get your hopes up) is that delf508 is the most common CF mutation so it is more likely delf508. In the following paragraph i try to explain how this error could occur and what you will need to find out in order to figure out if it might have occured.

F508C is a missense mutation where phenylalanine number 508 is converted to a cystiene (in the dna code a T is converted G). Delta f508 is a deletion where the entire codon (3 dna bases) is deleted. If you are concerned that one of your daughter's mutations was mistaken for delta f508 when it was really f508c then you should find out how the genetic test was preformed. Delf508 can easily be detected by using PCR to amplify the portion of the DNA containing the mutation and then seperating the DNA by size on what is called a polyacrylamide gel. If a person has the delf508 deletion (or delta i 507) the DNA will look 3 base pairs smaller on the gel compared to normal DNA. In this case, F508c would not appear to have any mutation at all and would NOT be confused with delf508 since the dna sequence is just changed not deleted. Often though genetic testing is preformed by hybridization of a fluorescent probe to the DNA. In order for a probe to hybridize to the DNA it must match the NORMAL (wt) DNA sequence perfectly. In this case, if a person has either the Delf508 mutation OR the F508C mutation the probe will fail to hybridize to the DNA suggesting that there is a mutation. After detecting a mutation using this method, PCR would have to be preformed in order for the lab to discriminate between delf508 and F508C. DNA sequencing will always differentiate between the two mutations.

Good luck, let us know what you find out.
 

okok

New member
I just want to add (for those of you who might not know) that it f508c is a mutation that when paired with delf508 (and even another mutation m470v in the same healthy person) people can and have been reported to be perfectly healthy. Everyone is different so whether or not f508c will ALWAYS produce a healthy outcome can't necessarily be predicted. But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time. Also not everyone with two CF mutations gets a diagnosis of CF. In order to be affected with disease due to the mutations you have to have a huge amount of the protien NOT be functional. I think i have heard that some people are healthy with only 10% CFTR function. This will probably vary somewhat though according to a person's other genetic background.

I guess i am trying to say is that i think it is ok for this person to question her daughter's diagnosis especiallly since cytomeglovirus's (CMV) role in her daughter's symptoms was ignored. CMV causes lung problems, liver problems, spleen problems, small size, etc.

To the orginal poster, I really hope you can talk to your doctor and figure out how the genetic testing was preformed so that you could try to figure out if the error occured. If it was done by hybridization (on your entire family) then you should get genetic testing that discriminates between the two mutations so you can confirm it is del f508. It might be helpful for you to print my last post and bring it to your doctor since all the details can be confusing.

again good luck!
 

okok

New member
I just want to add (for those of you who might not know) that it f508c is a mutation that when paired with delf508 (and even another mutation m470v in the same healthy person) people can and have been reported to be perfectly healthy. Everyone is different so whether or not f508c will ALWAYS produce a healthy outcome can't necessarily be predicted. But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time. Also not everyone with two CF mutations gets a diagnosis of CF. In order to be affected with disease due to the mutations you have to have a huge amount of the protien NOT be functional. I think i have heard that some people are healthy with only 10% CFTR function. This will probably vary somewhat though according to a person's other genetic background.

I guess i am trying to say is that i think it is ok for this person to question her daughter's diagnosis especiallly since cytomeglovirus's (CMV) role in her daughter's symptoms was ignored. CMV causes lung problems, liver problems, spleen problems, small size, etc.

To the orginal poster, I really hope you can talk to your doctor and figure out how the genetic testing was preformed so that you could try to figure out if the error occured. If it was done by hybridization (on your entire family) then you should get genetic testing that discriminates between the two mutations so you can confirm it is del f508. It might be helpful for you to print my last post and bring it to your doctor since all the details can be confusing.

again good luck!
 

okok

New member
I just want to add (for those of you who might not know) that it f508c is a mutation that when paired with delf508 (and even another mutation m470v in the same healthy person) people can and have been reported to be perfectly healthy. Everyone is different so whether or not f508c will ALWAYS produce a healthy outcome can't necessarily be predicted. But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time. Also not everyone with two CF mutations gets a diagnosis of CF. In order to be affected with disease due to the mutations you have to have a huge amount of the protien NOT be functional. I think i have heard that some people are healthy with only 10% CFTR function. This will probably vary somewhat though according to a person's other genetic background.

I guess i am trying to say is that i think it is ok for this person to question her daughter's diagnosis especiallly since cytomeglovirus's (CMV) role in her daughter's symptoms was ignored. CMV causes lung problems, liver problems, spleen problems, small size, etc.

To the orginal poster, I really hope you can talk to your doctor and figure out how the genetic testing was preformed so that you could try to figure out if the error occured. If it was done by hybridization (on your entire family) then you should get genetic testing that discriminates between the two mutations so you can confirm it is del f508. It might be helpful for you to print my last post and bring it to your doctor since all the details can be confusing.

again good luck!
 

okok

New member
I just want to add (for those of you who might not know) that it f508c is a mutation that when paired with delf508 (and even another mutation m470v in the same healthy person) people can and have been reported to be perfectly healthy. Everyone is different so whether or not f508c will ALWAYS produce a healthy outcome can't necessarily be predicted. But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time. Also not everyone with two CF mutations gets a diagnosis of CF. In order to be affected with disease due to the mutations you have to have a huge amount of the protien NOT be functional. I think i have heard that some people are healthy with only 10% CFTR function. This will probably vary somewhat though according to a person's other genetic background.

I guess i am trying to say is that i think it is ok for this person to question her daughter's diagnosis especiallly since cytomeglovirus's (CMV) role in her daughter's symptoms was ignored. CMV causes lung problems, liver problems, spleen problems, small size, etc.

To the orginal poster, I really hope you can talk to your doctor and figure out how the genetic testing was preformed so that you could try to figure out if the error occured. If it was done by hybridization (on your entire family) then you should get genetic testing that discriminates between the two mutations so you can confirm it is del f508. It might be helpful for you to print my last post and bring it to your doctor since all the details can be confusing.

again good luck!
 

okok

New member
I just want to add (for those of you who might not know) that it f508c is a mutation that when paired with delf508 (and even another mutation m470v in the same healthy person) people can and have been reported to be perfectly healthy. Everyone is different so whether or not f508c will ALWAYS produce a healthy outcome can't necessarily be predicted. But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time. Also not everyone with two CF mutations gets a diagnosis of CF. In order to be affected with disease due to the mutations you have to have a huge amount of the protien NOT be functional. I think i have heard that some people are healthy with only 10% CFTR function. This will probably vary somewhat though according to a person's other genetic background.

I guess i am trying to say is that i think it is ok for this person to question her daughter's diagnosis especiallly since cytomeglovirus's (CMV) role in her daughter's symptoms was ignored. CMV causes lung problems, liver problems, spleen problems, small size, etc.

To the orginal poster, I really hope you can talk to your doctor and figure out how the genetic testing was preformed so that you could try to figure out if the error occured. If it was done by hybridization (on your entire family) then you should get genetic testing that discriminates between the two mutations so you can confirm it is del f508. It might be helpful for you to print my last post and bring it to your doctor since all the details can be confusing.

again good luck!
 

okok

New member
I just want to add (for those of you who might not know) that it f508c is a mutation that when paired with delf508 (and even another mutation m470v in the same healthy person) people can and have been reported to be perfectly healthy. Everyone is different so whether or not f508c will ALWAYS produce a healthy outcome can't necessarily be predicted. But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time. Also not everyone with two CF mutations gets a diagnosis of CF. In order to be affected with disease due to the mutations you have to have a huge amount of the protien NOT be functional. I think i have heard that some people are healthy with only 10% CFTR function. This will probably vary somewhat though according to a person's other genetic background.

I guess i am trying to say is that i think it is ok for this person to question her daughter's diagnosis especiallly since cytomeglovirus's (CMV) role in her daughter's symptoms was ignored. CMV causes lung problems, liver problems, spleen problems, small size, etc.

To the orginal poster, I really hope you can talk to your doctor and figure out how the genetic testing was preformed so that you could try to figure out if the error occured. If it was done by hybridization (on your entire family) then you should get genetic testing that discriminates between the two mutations so you can confirm it is del f508. It might be helpful for you to print my last post and bring it to your doctor since all the details can be confusing.

again good luck!
 

AnD

New member
Very informative post! <img src="i/expressions/face-icon-small-smile.gif" border="0"> I had no idea about all that...not surprisingly...lol
 

AnD

New member
Very informative post! <img src="i/expressions/face-icon-small-smile.gif" border="0"> I had no idea about all that...not surprisingly...lol
 

AnD

New member
Very informative post! <img src="i/expressions/face-icon-small-smile.gif" border="0"> I had no idea about all that...not surprisingly...lol
 

AnD

New member
Very informative post! <img src="i/expressions/face-icon-small-smile.gif" border="0"> I had no idea about all that...not surprisingly...lol
 

AnD

New member
Very informative post! <img src="i/expressions/face-icon-small-smile.gif" border="0"> I had no idea about all that...not surprisingly...lol
 

AnD

New member
Very informative post! <img src="i/expressions/face-icon-small-smile.gif" border="0"> I had no idea about all that...not surprisingly...lol
 

NoExcuses

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>okok</b></i>

But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time.


</end quote></div>


I think it's incredibly irresponsible to make predictions like that.

There are so many things that go into good health/ poor health, that basing your claim soley on genotype is outrageously irresponsible.
 

NoExcuses

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>okok</b></i>

But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time.


</end quote></div>


I think it's incredibly irresponsible to make predictions like that.

There are so many things that go into good health/ poor health, that basing your claim soley on genotype is outrageously irresponsible.
 

NoExcuses

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>okok</b></i>

But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time.


</end quote></div>


I think it's incredibly irresponsible to make predictions like that.

There are so many things that go into good health/ poor health, that basing your claim soley on genotype is outrageously irresponsible.
 

NoExcuses

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>okok</b></i>

But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time.


</end quote></div>


I think it's incredibly irresponsible to make predictions like that.

There are so many things that go into good health/ poor health, that basing your claim soley on genotype is outrageously irresponsible.
 

NoExcuses

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>okok</b></i>

But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time.


</end quote>


I think it's incredibly irresponsible to make predictions like that.

There are so many things that go into good health/ poor health, that basing your claim soley on genotype is outrageously irresponsible.
 

NoExcuses

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>okok</b></i>

But if her daughter does have one copy of f508c instead of delf508 it could mean that she will be healthy for a long time.


</end quote>


I think it's incredibly irresponsible to make predictions like that.

There are so many things that go into good health/ poor health, that basing your claim soley on genotype is outrageously irresponsible.
 
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