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Prenatal Diagnosis of Cystic Fibrosis

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Genetic Disorders and the Fetus
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Abstract

Cystic fibrosis (CF) is one of the most common recessively inherited genetic diseases in Caucasian populations. It was first formally described as a distinct disorder in 1938 (Andersen, 1938), and has subsequently been the subject of intensive clinical and laboratory investigations. Despite the barrage of experimental work on the disorder, the primary protein lesion in CF remains unknown. The medical literature is awash with reports on significant biochemical and physiological abnormalities in CF homozygotes, but few of these have turned out to be consistently reproducible and none has yet led to a consensus on an area of metabolism that might be the source of an aberrant protein or enzyme. A possible exception to this statement is recent work by Quinton and colleagues (Quinton, 1983; Bijman and Quinton, 1984) identifying a chloride ion transport abnormality in epithelial cells dissected from the ducts of isolated sweat glands. Though these observations are physiological rather than biochemical, they have begun to make sense of the pathology of CF and may soon lead to identification of a primary protein abnormality.

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References

  • Aitken, D. A., and Hoogeveen, A., 1980, Alkaline phosphatase activity of normal and cystic fibrosis fibroblasts, J. Med. Genet. 17:187.

    PubMed  CAS  Google Scholar 

  • Aitken, D. A., Yaqoob, B., and Ferguson-Smith, M. A., 1985, Microvillar enzyme analysis in amniotic fluid and the prenatal diagnosis of cystic fibrosis, Prenat. Diagn. 5:119.

    PubMed  CAS  Google Scholar 

  • Andersen, D. H., 1938, Cystic fibrosis of pancreas and its relation to celiac disease: Clinical and pathological study, Am. J. Dis. Child. 56:344.

    Google Scholar 

  • Antonowicz, I., Chang, S. K., and Grand, R. J., 1974, Development and distribution of lysosomal enzymes and disaccharidases in human fetal intestine, Gastroenterology 67:51.

    PubMed  CAS  Google Scholar 

  • Antonowicz, I., Milunsky, A., Lebenthal, E., et al., 1977, Disaccharidase and lysosomal enzyme activities in amniotic fluid, intestinal mucosa, and meconium, Biol. Neonate 32:280.

    PubMed  CAS  Google Scholar 

  • Baker, S., and Dann, L. G., 1983, Peptidases in amniotic fluid: Low values in cystic fibrosis, Lancet 1:716.

    PubMed  CAS  Google Scholar 

  • Ben-Yoseph, Y., Rembelski, P., and Nadler, H. L., 1984, Correction of gamma-glutamyltranspeptidase deficiency in amniotic fluid of some cystic fibrosis fetuses by mixing with non-deficient fluids, Pediatr. Res. 18:1340.

    PubMed  CAS  Google Scholar 

  • Bijman, J., and Quinton, P. M., 1984, Apparent absence of cystic fibrosis sweat factor on ion-selective and transport properties of the perfused human sweat duct, Pediatr. Res. 18:1292.

    PubMed  CAS  Google Scholar 

  • Borgstrom, A., Sveger, T., Kullander, S., et al., 1984, Determination and characterisation of immunoreactive trypsin in amniotic fluid from normal and cystic fibrosis fetuses, Pediatr. Res. 18:957.

    PubMed  CAS  Google Scholar 

  • Boué, A., and Brock, D. J. H., 1985, Prenatal diagnosis of cystic fibrosis, Lancet 2:47.

    PubMed  Google Scholar 

  • Branchini, B. R., Salituro, G. M., Rosenstein, B. J., et al., 1982, 4-Methylumbelliferylguanidinobenzoate reactive plasma “protease” in cystic fibrosis is albumin, Lancet 1:618.

    PubMed  CAS  Google Scholar 

  • Branchini, B. R., Salituro, G. M., and Rosenstein, B. J., 1983, Identification of the major 4-methylum-belliferyl p-guanidinobenzoate-hydrolyzing plasma protein in cystic fibrosis: Implications for intrauterine and heterozygote detection, Pediatr. Res. 17:850.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., 1983, Amniotic fluid alkaline phosphatase isoenzymes in early prenatal diagnosis of cystic fibrosis, Lancet 2:941.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., 1984, Amniotic fluid alkaline phosphatase isoenzymes in early prenatal diagnosis of cystic fibrosis, Lancet 1:102.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., 1985, A comparative study of microvillar enzyme activities in the prenatal diagnosis of cystic fibrosis, Prenat. Diagn. 5:129.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., and Barron, L., 1986, Biochemical analysis of meconium in fetuses presumed to have cystic fibrosis, Prenat. Diagn. (in press).

    Google Scholar 

  • Brock, D. J. H., and Hayward, C., 1979, Methylumbelliferylguanidinobenzoate reactive proteases and prenatal diagnosis of cystic fibrosis, Lancet 1:1245.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., and Hayward, C., 1982, Amniotic fluid arginine esterases as markers for cystic fibrosis, Lancet 1:619.

    Google Scholar 

  • Brock, D. J. H., and Hayward, C., 1983, Prenatal diagnosis of cystic fibrosis by methylum-belliferylguanidinobenzoate protease titration in amniotic fluid, Prenat. Diagn. 3:1.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., Hayward, C., and Gosden, C., 1983, Amniotic fluid GGTP in prenatal diagnosis of cystic fibrosis: A word of warning, Lancet 1:1099.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., Hayward, C., Gosden, C., et al., 1984a, Immunoreactive trypsin and prenatal diagnosis of cystic fibrosis, Br. J. Obstet. Gynaecol. 91:449.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., Barron, L., Bedgood, D., et al., 1984b, Prenatal diagnosis of cystic fibrosis using a monoclonal antibody specific for intestinal alkaline phosphatase, Prenat. Diagn. 4:421.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., Bedgood, D., and Hayward, C., 1984c, Prenatal diagnosis of cystic fibrosis by assay of amniotic fluid microvillar enzymes, Hum. Genet. 65:248.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., Bedgood, D., Hayward, C., et al., 1984d, Amniotic fluid microvillar enzyme activities in the early detection of fetal abnormalities, Prenat. Diagn. 4:261.

    PubMed  CAS  Google Scholar 

  • Brock, D. J. H., Bedgood, D., Barron, L., et al., 1985, Prospective prenatal diagnosis of cystic fibrosis, Lancet 1:1175.

    PubMed  CAS  Google Scholar 

  • Brunecky, Z., 1972, The incidence and genetics of cystic fibrosis, J. Med. Genet. 9:33.

    PubMed  CAS  Google Scholar 

  • Carbarns, N. J. B., Gosden, C., and Brock, D. J. H., 1983, Microvillar peptidase activity in amniotic fluid: Possible use in the prenatal diagnosis of cystic fibrosis, Lancet 1:329.

    PubMed  CAS  Google Scholar 

  • Carey, W. F., and Hosli, P., 1979, Inhibition of Tamm-Horsfall glycoprotein induction of alkaline phosphatase in cystic fibrosis fibroblasts by medium conditioned by normal cells, Aust. J. Exp. Biol. Med. Sci. 57:225.

    PubMed  CAS  Google Scholar 

  • Claass, A. H. W., van Diggelen, O. P., Hauri, H. P., et al., 1985, Characteristics of maltase activity in amniotic fluid, Clin. Chim. Acta 145:275.

    PubMed  CAS  Google Scholar 

  • Cohen, L. F., Di Santragnese, P. A., and Friedlander, J., 1980, Cystic fibrosis and pregnancy: A national survey, Lancet 2:842.

    PubMed  CAS  Google Scholar 

  • Conneally, P. M., Merritt, A. D., and Yu, P. L., 1973, Cystic fibrosis: Population genetics, Tex. Rep. Biol. Med. 31:4.

    Google Scholar 

  • Crossley, R. J., Berryman, C. C., and Elliott, R. B., 1977, Cystic fibrosis screening in the newborn, Lancet 2:1093.

    PubMed  CAS  Google Scholar 

  • Crossley, J. R., Elliott, R. B., and Smith, P. A., 1979, Dried-blood spot screening for cystic fibrosis in the newborn, Lancet 1:472.

    PubMed  CAS  Google Scholar 

  • Danes, B. S., 1973, Association of cystic fibrosis factor to metachromasia of the cultured cystic fibrosis fibroblast, Lancet 2:765.

    PubMed  CAS  Google Scholar 

  • Danes, B. S., Beck, B., and Flensborg, E. W., 1975, Cystic fibrosis heterozygote detection: A family study, Clin. Genet. 8:85.

    PubMed  CAS  Google Scholar 

  • Danes, B. S., Hodson, M. E., and Batten, J., 1977, Cystic fibrosis: Evidence for a genetic compound from a family study in cell culture, Clin. Genet. 11:83.

    PubMed  CAS  Google Scholar 

  • Danks, D. M., Allan, J., and Anderson, C.M., 1965, A genetic study of fibrocystic disease of the pancreas, Am. J. Hum. Genet. 28:323.

    Google Scholar 

  • Danks, D. M., Allan, J., Phelan, P. D., et al., 1983, Mutations at more than one locus may be involved in cystic fibrosis—Evidence based on first-cousin data and direct counting of cases, Am. J. Hum. Genet. 35:838.

    PubMed  CAS  Google Scholar 

  • Danks, D. M., Phelan, P. D., and Chapman, C., 1984, Retraction: No evidence for more than one locus in cystic fibrosis, Am. J. Hum. Genet. 36:1401.

    PubMed  CAS  Google Scholar 

  • Eiberg, H., Mohr, J., Schmiegelow, K., et al., 1985, Linkage relationships of paraoxonase (PoN) with other markers: Indications of PoN-cystic fibrosis synteny, Clin. Genet. 28:265.

    PubMed  CAS  Google Scholar 

  • Gottschalk, B., Dietzsch, H. J., Machill, G., et al., 1983, Results of CF-screening by the meconium albumin test, in: Proceedings of the 12th Annual Working Group for Cystic Fibrosis, Athens, p. 192.

    Google Scholar 

  • Hahnel, P., and Hosli, P., 1979, Alkaline phosphatase induction in cystic fibrosis fibroblasts, Med. J. Aust. 2:490.

    PubMed  CAS  Google Scholar 

  • Hall, B. D., and Simpkiss, M. J., 1968, Inheritance of fibrocystic disease in Wessex, J. Med. Genet. 5:262.

    PubMed  CAS  Google Scholar 

  • Hamerton, J. L., 1971, in: Human Cytogenetics, Vol. 2, p. 276, Academic Press, New York.

    Google Scholar 

  • Harris, A., 1981, Intracellular retention of lysosomal enzymes in cystic fibrosis, Clin. Genet. 20:315.

    PubMed  CAS  Google Scholar 

  • Heeley, A., 1983, Screening for cystic fibrosis, J. Pediatr. 103:836.

    PubMed  CAS  Google Scholar 

  • Hennequet, A., Gilly, R., and Hosli, P., 1977, Mucoviscidosis: Problems of the meconium test: Towards an in utero diagnosis of mucoviscidosis, Concours Med. 99:4535.

    Google Scholar 

  • Hoehn, H., Bryant, E. M., Karp, L. E., et al., 1974, Cultivated cells from diagnostic amniocentesis in second trimester pregnancies, Pediatr. Res. 8:746.

    PubMed  CAS  Google Scholar 

  • Hosli, P., and Vogt, E., 1977, Cystic fibrosis: Leakage of lysosomal enzymes and of alkaline phosphatase into the extracellular space, Biochem. Biophys. Res. Commun. 79:741.

    PubMed  CAS  Google Scholar 

  • Hosli, P., and Vogt, E., 1978, Reliable detection of cystic fibrosis in skin-derived fibroblast cultures, Hum. Genet. 41:169.

    PubMed  CAS  Google Scholar 

  • Hosli, P., and Vogt, E., 1981, Letter to the editors, Clin. Genet. 20:320.

    PubMed  CAS  Google Scholar 

  • Hosli, P., Erickson, R. P., and Vogt, E., 1976, Prospects for prenatal diagnosis of cystic fibrosis: Induction of biochemical abnormalities in fibroblasts from patients with cystic fibrosis by a urinary glycoprotein, Biochem. Biophys. Res. Commun. 73:209.

    PubMed  CAS  Google Scholar 

  • Hosli, P., Hollberg, H., and Vogt, E., 1978, Reliable diagnosis of the major type of cystic fibrosis with fibroblast cultures; a double-blind study, Acta Paediatr. Scand. 67:617.

    PubMed  CAS  Google Scholar 

  • Hosli, P., Kollberg, H., and Vogt, E., 1979, Operational definition of cystic fibrosis, Monogr. Paediatr. 10:90.

    PubMed  CAS  Google Scholar 

  • Jalanko, H., and Aula, P., 1982, Decrease in gamma-glutamyltranspeptidase activity in early amniotic fluid in fetal trisomy 18 syndrome, Br. Med. J. 284:1593.

    CAS  Google Scholar 

  • Jalanko, H., Ranta, T., Lehtonen, E., et al., 1983, Gamma-glutamyltranspeptidase in human amniotic fluid and in fetal tissues, Clin. Chim. Acta 134:337.

    PubMed  CAS  Google Scholar 

  • Kleijer, W. J., Janse, H. C., van Diggelen, O. P., et al., 1985, Amniotic fluid disaccharidases in the prenatal detection of cystic fibrosis, Prenat. Diagn. 5:135.

    PubMed  CAS  Google Scholar 

  • Knowlton, R. G., Cohen-Haguenauer, O., Van Cong, N., et al., 1985, A polymorphic DNA marker linked to cystic fibrosis is located on chromosome 7, Nature 318:380.

    PubMed  CAS  Google Scholar 

  • Kraemer, R., Maier, H. P., Hammerschlag, P., et al., 1977, Newborn screening in cystic fibrosis. Evaluation of a four-year study in Switzerland, Schweiz. Med. Wochenschr. 107:1105.

    PubMed  CAS  Google Scholar 

  • Kramm, E. R., Crane, M. M., Sirken, M. G., et al., 1962, A cystic fibrosis pilot study in three New England states, Am. J. Public Health 52:204.

    Google Scholar 

  • La Croix, B., Kedinger, M., Simon-Affmann, P., et al., 1984, Early organogenesis of human small intestine: Scanning electron microscopy and brush border enzymology, Gut 25:925.

    Google Scholar 

  • Miwa, K., Oda, T., Susuki, H., et al., 1978, Human fetal organ alkaline phosphatases, Clin. Chim. Acta 85:115.

    Google Scholar 

  • Morin, P. R., Potier, M., Dallaire, L., et al., 1980, Prenatal detection of intestinal obstruction: Deficient amniotic fluid disaccharidases in affected fetuses, Clin. Genet. 18:217.

    PubMed  CAS  Google Scholar 

  • Morin, P. R., Potier, M., Lasalle, R., et al., 1983, Amniotic-fluid disaccharidases in the prenatal detection of cystic fibrosis, Lancet 2:621.

    PubMed  CAS  Google Scholar 

  • Mulivor, R. A., Plotkin, L. L, and Harris, H., 1978a, Differential inhibition of the products of the human alkaline phosphatase loci, Ann. Hum. Genet. 42:1.

    PubMed  CAS  Google Scholar 

  • Mulivor, R. A., Mennuti, M. T., Zachai, E. H., et al., 1978b, Prenatal diagnosis of hypophosphatasia: Genetic, biochemical and clinical studies, Am. J. Hum. Genet. 30:271.

    PubMed  CAS  Google Scholar 

  • Mulivor, R. A., Mennuti, M. T., and Harris, H., 1979, Origin of the alkaline phosphatases in amniotic fluid, Am. J. Obstet. Gynecol. 135:77.

    PubMed  CAS  Google Scholar 

  • Muller, F., Berg, S., Frot, J. C., et al., 1984a, Alkaline phosphatase isoenzyme assays for prenatal diagnosis of cystic fibrosis, Lancet 1:572.

    PubMed  CAS  Google Scholar 

  • Muller, F., Frot, J. C., Aubry, M. C., et al., 1984b, Meconium ileus in cystic fibrosis fetuses, Lancet 2:223.

    PubMed  CAS  Google Scholar 

  • Muller, F., Berg, S., Frot, J. C., et al., 1985a, Prenatal diagnosis of cystic fibrosis, I. Prospective study of 51 pregnancies, Prenat. Diagn. 5:97.

    PubMed  CAS  Google Scholar 

  • Muller, F., Aubrey, M. C., Gasser, B., et al., 1985b, Prenatal diagnosis of cystic fibrosis, II. Meconium ileus in affected fetuses, Prenat. Diagn. 5:109.

    PubMed  CAS  Google Scholar 

  • Nadler, H. L., 1982, Heterozygote Detection and Prenatal Diagnosis Conference Report, Cystic Fibrosis Foundation, Rockville, Maryland.

    Google Scholar 

  • Nadler, H. L., and Walsh, M. M. J., 1980a, Intrauterine detection of cystic fibrosis, Pediatrics 66:690.

    PubMed  CAS  Google Scholar 

  • Nadler, H. L., and Walsh, M. M. J., 1980b, Prenatal detection of cystic fibrosis on amniotic fluid, Lancet 2:96.

    PubMed  CAS  Google Scholar 

  • Nadler, H. L., Rao, G. J. S., and Taussig, L. M., 1978, Cystic fibrosis, in: The Metabolic Bases of Inherited Disease, 4th ed. (J. B. Stanbury, J. B. Wyngaarden, and D. S. Fredrickson, eds.), p. 1683, McGraw-Hill, New York.

    Google Scholar 

  • Nevin, G. B., Nevin, N. C., and Redmond, A. O., 1979, Cystic fibrosis in Northern Ireland, J. Med. Genet. 16:122

    PubMed  CAS  Google Scholar 

  • Pocknee, R. C., and Abramovich, D. R., 1982, Origin and levels of trypsin in amniotic fluid throughout pregnancy, Br. J. Obstet. Gynaecol. 89:142.

    PubMed  CAS  Google Scholar 

  • Potier, M. L., Dallaire, L., and Melancon, S. B., 1977, Prenatal detection of intestinal obstruction by disaccharidase assay in amniotic fluid, Lancet 2:982.

    PubMed  CAS  Google Scholar 

  • Potier, M., Melancon, S. B., and Dallaire, L., 1978, Developmental patterns of intestinal disaccharidases in human amniotic fluid, Am. J. Obstet. Gynecol. 131:73.

    PubMed  CAS  Google Scholar 

  • Potier, M., Morin, P. R., Melancon, S. B., et al., 1984, Differential stabilities of fetal intestinal disaccharidases determine their relative amounts released into amniotic fluid, Biol. Neonate 45:257.

    PubMed  CAS  Google Scholar 

  • Prosser, R., 1976, Screening for cystic fibrosis in the newborn, in: Proceedings of the Seventh International Cystic Fibrosis Congress, Paris, p. 151.

    Google Scholar 

  • Quinton, P. M., 1983, Chloride impermeability in cystic fibrosis, Nature 301:421.

    PubMed  CAS  Google Scholar 

  • Rao, G. J. S., Walsh-Piatt, M., and Nadler, H. L., 1978, Reaction of 4-methylumbelliferylguanidinoben-zoate with proteases in plasma of patients with cystic fibrosis, Enzyme 23:314.

    PubMed  CAS  Google Scholar 

  • Righetti, A. B. B., Migliavacca, M., Prampolini, L., et al., 1976, Extensive neonatal screening for cystic fibrosis with different techniques, in: Proceedings of the 7th International Cystic Fibrosis Conference, Paris, p. 53.

    Google Scholar 

  • Romeo, G., 1984, Cystic fibrosis: A single locus disease, in: Cystic Fibrosis: Horizons (D. Lawson, ed.), p. 155, Wiley, New York.

    Google Scholar 

  • Ryley, H. C., Neale, L. M., Brogan, T. D., et al., 1979, Screening for cystic fibrosis in the newborn by meconium analysis, Arch. Dis. Child. 54:92.

    PubMed  CAS  Google Scholar 

  • Scambler, P. J., Wainwright, B. J., Farrall, M., et al., 1985, Linkage of COLIA2 collagen gene to cystic fibrosis and its clinical implications, Lancet 2:1241.

    PubMed  CAS  Google Scholar 

  • Schwartz, M., 1982, A serine protease activity of human serum albumin towards 4-methylum-belliferylguanidinobenzoate (MUGB) and diisopropyl fluorophosphate (DFP): Implications for the use of MUGB reactivity in amniotic fluid in prenatal diagnosis of cystic fibrosis, Clin. Chim. Acta 124:213.

    PubMed  CAS  Google Scholar 

  • Schwartz, M., and Brandt, N. J., 1981, False-negative results with methylumbelliferylguanidinobenzoate reactive proteases in cystic fibrosis pregnancies, Lancet 2:1226.

    PubMed  CAS  Google Scholar 

  • Schwartz, M., and Brandt, N. J., 1985, Disaccharidase deficiency in amniotic fluid from cases of cystic fibrosis, Prenat. Diagn. 5:145.

    PubMed  CAS  Google Scholar 

  • Selander, P., 1962, The frequency of cystic fibrosis in Sweden, Acta Paediatr. Scand. 51:65.

    CAS  Google Scholar 

  • Sips, J. H., Claass, A. H. W., van Dongen, H. M., et al., 1985, Sucrase-isomaltase and cystic fibrosis, J. Inherited Metab. Dis. 8:163.

    PubMed  CAS  Google Scholar 

  • Steinberg, A. G., and Brown, D. C., 1960, On the incidence of cystic fibrosis of the pancreas, Am. J. Hum. Genet. 12:416.

    PubMed  CAS  Google Scholar 

  • Talamo, R. C., Rosenstein, B. J., and Berninger, R. W., 1983, Cystic fibrosis. in: The Metabolic Basis of Inherited Disease, 5th ed. (J. B. Stanbury, J. V. Wyngaarden, D. S. Fredrickson, et al., eds), p. 1889, McGraw-Hill, New York.

    Google Scholar 

  • Travert, G., and Duhamel, J. F., 1984, Neonatal screening for CF using IRT assay in dried blood spots, in: Cystic Fibrosis: Horizons (D. Lawson, ed.), p. 209, Wiley, New York.

    Google Scholar 

  • Tümmler, B., Seger, E., and Riordan, J. R., 1982, Systematic study of the hydrolysis of 4-methylum-belliferylguanidinobenzoate in plasma from patients with cystic fibrosis and controls, Clin. Chim. Acta 125:219.

    PubMed  Google Scholar 

  • Van Diggelen, O. P., Janse, H. C., and Kleijer, W. J., 1983, Disaccharidases in amniotic fluid as a possible prenatal marker of cystic fibrosis, Lancet 1:817.

    PubMed  Google Scholar 

  • Wainwright, B. J., Scambler, P. J., Schmidtke, J., et al., 1985, Localisation of cystic fibrosis to human chromosome 7cen–q22, Nature 318:384.

    PubMed  CAS  Google Scholar 

  • Walsh, M. M., and Nadler, H. L., 1979, Methylumbelliferylguanidinobenzoate reactive proteases in amniotic fluid: Possible marker for cystic fibrosis, Lancet 1:622.

    PubMed  CAS  Google Scholar 

  • Walsh, M. M. J., and Nadler, H. L., 1980. Methylumbelliferylguanidinobenzoate-reactive proteases in human amniotic fluid: Promising marker for the intrauterine diagnosis of cystic fibrosis, Am. J. Obstet. Gynecol. 137:978.

    PubMed  CAS  Google Scholar 

  • Walsh, M. M. J., Rao, G. J. S., and Nadler, H. L., 1980, Reaction of 4-methylumbelliferylguanidinoben-zoate with proteases in human amniotic fluid, Pediatr. Res. 14:353.

    PubMed  CAS  Google Scholar 

  • Walsh-Piatt, M., Rao, G. J. S., and Nadler, H. L., 1978, Reaction of 4-methylumbelliferylguanidinoben-zoate with cultivated human skin fibroblasts derived from patients with cystic fibrosis, Pediatr. Res. 12:874.

    Google Scholar 

  • Walsh-Piatt, M., Rao, G. J. S., and Nadler, H. L., 1979, Protease deficiency in plasma of patients with cystic fibrosis, Enzyme 24:224.

    Google Scholar 

  • White, R., Woodward, S., Leppert, M., et al., 1985, A closely linked genetic marker for cystic fibrosis, Nature 318:382.

    PubMed  CAS  Google Scholar 

  • Wijcik, L., Buchwald, M., and Riordan, J. R., 1979, Induction of alkaline phosphatase in cultured human fibroblasts: Comparison of normal cells and those from patients with cystic fibrosis, Biochem. Biophys. Acta 585:374.

    PubMed  CAS  Google Scholar 

  • Wilcken, B., Towns, S. J., and Mellis, C. M., 1983, Diagnostic delay in cystic fibrosis: Lessons from newborn screening, Arch. Dis. Child. 58:863.

    PubMed  CAS  Google Scholar 

  • Winter, R. M., 1984, Multiple alleles in cystic fibrosis?, Am. J. Hum. Genet. 36:1398.

    PubMed  CAS  Google Scholar 

  • Wright, S. W., and Morton, N. E., 1968, Genetic studies of cystic fibrosis in Hawaii, Am. J. Hum. Genet. 20:157.

    PubMed  CAS  Google Scholar 

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© 1986 Aubrey Milunsky

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Brock, D.J.H. (1986). Prenatal Diagnosis of Cystic Fibrosis. In: Milunsky, A. (eds) Genetic Disorders and the Fetus. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5155-9_13

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