Primary Sclerosing Cholangitis Clinical Trial
Official title:
Cystic Fibrosis Transmembrane Conductance Regulator Function as Measured by Nasal Potential Difference Measurements in Patients With Primary Sclerosing Cholangitis
Primary Sclerosing Cholangitis (PSC) is a chronic disorder of the liver causing jaundice and liver damage. When Cystic Fibrosis affects the liver, the damaged liver looks like the liver in PSC. This study is designed to answer the question whether isolated PSC may be a form of CF only in the liver
Cystic Fibrosis (CF) is a progressive autosomal recessive disorder caused by defects in the
cystic fibrosis transmembrane conductance regulator gene (CFTR). CFTR mutations cause loss
or impairment of CFTR-mediated ion transport across epithelial cell membranes. CF affects
many organs including the respiratory tract, pancreas, intestine, liver and the male
reproductive tract. Liver disease occurs less frequently than pulmonary disease. CFTR is
expressed in the bile duct epithelial cells and is responsible for the hydration of biliary
secretions.
CF was until recently, thought to be a multi-organ disease. However, there are now
recognized non-classical presentations of CF involving a few organs only and now there is
well established data on single -organ involvement including Congenital Absence of the Vas
Deferens and recurrent pancreatitis.
CF and PSC have several features in common. They both affect intrahepatic bile ducts by
inspisated biliary secretions, chronic inflammation and fibrosis. Is PSC the "single-organ
presentation" of CF? Patients with PSC will undergo testing of the CF protein channel by
nasal potential testing. This test is performed by insering a thin plastic tube 2 to 3 cms
into the nostril and chloride transport can be measured. This test may shows that the
patient has an abnormality in the CF protein channel.
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Time Perspective: Prospective
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