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Association of forced expiratory flow of 50&#37; &#40;FEF<span class="elsevierStyleInf">50&#37;</span>&#41; of FVC with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;046&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;184&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>37&#59; mean of 17&#46;38<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>24&#46;18&#59; median of 16 &#40;ranging from &#8722;20 to 89&#41;&#46; 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mean of 1&#46;47<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>17&#46;22&#59; median of 0 &#40;ranging from &#8722;20 to 29&#41;&#46; &#40;CT<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>44&#59; mean of 15&#46;84<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>25&#46;04&#59; median of 10&#46;5 &#40;ranging from &#8722;28 to 89&#41;&#46; &#40;E&#41; Association of FEF<span class="elsevierStyleInf">50&#37;</span> with rs2227306&#44; over-dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;033&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;083&#41;&#46; &#40;CC<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#59; mean of 6&#46;06<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>20&#46;27&#59; median of 4 &#40;ranging from &#8722;20 to 55&#41;&#46; &#40;CT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#59; mean of 19&#46;96<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>26&#46;43&#59; median of 19 &#40;ranging from &#8722;28 to 89&#41;&#46; &#40;F&#41; Association of forced expiratory flow of 75&#37; &#40;FEF<span class="elsevierStyleInf">75&#37;</span>&#41; of FVC with rs4073&#44; co-dominant model regardless of identified mutations in the <span class="elsevierStyleItalic">CFTR</span> gene &#40;<span class="elsevierStyleItalic">CFTR-A</span> group&#41; &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;044&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; 1<span class="elsevierStyleHsp" style=""></span>&#8800;<span class="elsevierStyleHsp" style=""></span>3&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 29&#46;93<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>39&#46;98&#59; median of 30 &#40;ranging from &#8722;47 to 142&#41;&#46; &#40;AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>42&#59; mean of 24&#46;81<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>53&#46;57&#59; median of 14 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 9&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>36&#46;95&#59; median of 2&#46;5 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;G&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;096&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>38&#59; mean of 33<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>55&#46;23&#59; median of 16 &#40;ranging from &#8722;27 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#59; mean of 5&#46;43<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>35&#46;93&#59; median of 2 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;H&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;034&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>70&#59; mean of 26&#46;86<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>48&#46;34&#59; median of 18 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 9&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>36&#46;95&#59; median of 2&#46;5 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;I&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; recessive model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;04&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 29&#46;93<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>39&#46;98&#59; median of 30 &#40;ranging from &#8722;47 to 142&#41;&#46; &#40;AT<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>70&#59; mean of 18&#46;54<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>47&#46;95&#59; median of 10 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;J&#41; Association of FEF between 25&#37; and 75&#37; &#40;FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#41; of FVC with rs4073&#44; co-dominant model and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;012&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#41;&#46; TT<span class="elsevierStyleHsp" style=""></span>&#8800;<span class="elsevierStyleHsp" style=""></span>AA and AT&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#59; mean of 25&#46;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;14&#59; median of 30 &#40;ranging from &#8722;21 to 57&#41;&#46; &#40;AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#59; mean of 18&#46;38<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>29&#46;04&#59; median of 14 &#40;ranging from &#8722;33 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#59; mean of 2&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;74&#59; median of 0 &#40;ranging from &#8722;51 to 65&#41;&#46; &#40;K&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;007&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>ATT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>38&#59; mean of 20&#46;13<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;64&#59; median of 18&#46;5 &#40;ranging from &#8722;33 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#59; mean of 2&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;74&#59; median of 0 &#40;ranging from &#8722;51 to 65&#41;&#46; &#40;L&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;029&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;1&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>82&#59; mean of 15&#46;48<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;2&#59; median of 15 &#40;ranging from &#8722;40 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#59; mean of 5&#46;94<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;33&#59; median of 0 &#40;ranging from &#8722;51 to 76&#41;&#46; &#40;M&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; recessive model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;047&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;063&#41;&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#59; mean of 25&#46;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;14&#59; median of 30 &#40;ranging from &#8722;21 to 57&#41;&#46; &#40;AT<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#59; mean of 11&#46;56<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;89&#59; median of 8 &#40;ranging from &#8722;51 to 117&#41;&#46; The dot corresponds to median values and the bar corresponds to the 95&#37; confidence interval&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The response to inhaled bronchodilators &#40;BD&#41; in cystic fibrosis &#40;CF&#41; &#40;OMIM&#58; n&#46; 219700&#41; is quite variable and depends on the cystic fibrosis transmembrane regulator &#40;<span class="elsevierStyleItalic">CFTR</span>&#41; genotype&#44; pulmonary symptoms&#44; and mainly&#44; on variants in the modifier genes&#44; such as the beta-2-adrenergic receptor &#40;<span class="elsevierStyleItalic">ADRB2</span>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">1</span></a> So far&#44; only a few studies have investigated such response&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Mutations in the <span class="elsevierStyleItalic">CFTR</span> gene cause CF&#44; due to deficiency&#44; dysfunction&#44; or absence of the CFTR protein&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">2</span></a> CF is characterized by a continuous cycle of chronic airway inflammation&#44; which can be exacerbated by interleukin-8 &#40;IL-8&#41;&#44; a key pro-inflammatory mediator&#46; IL-8 is responsible for initiating and increasing the inflammatory response in the presence of specific pathogens&#44; causing activation and migration of neutrophils from peripheral blood to tissues&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">3</span></a> Chronic airway inflammation is the final common pathway of lung injury&#46; It is responsible for increased vascular permeability&#44; contributing to interstitial&#44; alveolar&#44; and airway edema&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The treatment of CF lung disease includes anti-inflammatory drugs&#44; inhaled corticosteroids&#44; antibiotics&#44; mucolytic&#44; hypertonic saline&#44; and physiotherapy&#46; Among the possible therapies&#44; there is little evidence supporting the role of BD in CF&#46;<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">4&#44;5</span></a> However&#44; BD is often prescribed for a longer period due to wheezing and dyspnea episodes in CF&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">6</span></a> BD reduces the liberation of mediators&#44; which are responsible for recruiting and activating inflammatory cells&#44; activating cholinergic neurotransmission and improving vascular permeability&#46; It also increases mucociliary clearance&#44; leading to reduced lung inflammation&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">7</span></a> The response to BD depends&#44; in part&#44; on the CFTR protein&#44; which interacts with the ADRB2 protein to promote broncodilatation&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a> Spirometry is the primary method to assess lung function&#44; severity and progression of the disease&#44; as well as response to BD&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Intense neutrophil inflammation and low bronchial hyperresponsiveness are commonly observed characteristics in CF&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">9</span></a> Moreover&#44; the response of genetic variants to BD is little known&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">1</span></a> The role of IL-8 in the neutrophilic component of CF lung disease can be pointed out&#46; Genes that might be associated with the severity of CF and possibly with the response to BD have been reported in the present study and in the literature&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">1&#44;10&#8211;12</span></a> The <span class="elsevierStyleItalic">IL-8</span> gene should be highlighted&#44; as it has a direct influence on lung inflammation and can be effective in the response to BD&#46; Therefore&#44; this study compared the rs4073&#44; rs2227306&#44; and rs2227307 <span class="elsevierStyleItalic">IL-8</span> gene variants with the response to BD in CF patients&#44; using spirometry&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Patients</span><p id="par0025" class="elsevierStylePara elsevierViewall">A cross-sectional study was conducted in 186 CF patients&#44; selected in two university referral centers &#40;Medical School of S&#227;o Jos&#233; do Rio Preto and Universidade Estadual de Campinas&#41; for CF treatment&#44; from 2013 to 2015&#46; The study was approved by the Research Ethics Committee of the Universidade Estadual de Campinas&#44; Brazil &#40;under No&#46; 528&#47;2008&#41;&#46; All participants were informed of the study and signed an informed consent form&#46; For patients under the age of 18&#44; the informed consent form was signed by the parents or guardians&#46; The study followed the recommendations of the Declaration of Helsinki&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The diagnosis of CF was confirmed by the presence of two altered concentrations of sodium and chloride in sweat &#40;chloride level higher than 60<span class="elsevierStyleHsp" style=""></span>mEq&#47;L&#41;&#46; Furthermore&#44; no patient underwent initial immunoreactive trypsinogen &#40;IRT&#41; measurement&#46; In a group of 91 patients&#44; there were two mutations in the <span class="elsevierStyleItalic">CFTR</span> gene belonging to classes I&#44; II&#44; and&#47;or III &#40;associated with greater disease severity&#44; due to the absence or non-functionality of the CFTR protein&#41;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">13</span></a>&#59; 60 patients did not present an identified mutation of the <span class="elsevierStyleItalic">CFTR</span> gene&#44; or had two mutations belonging to classes IV&#44; V&#44; or VI&#59; and 35 patients had a mutation in the <span class="elsevierStyleItalic">CFTR</span> gene belonging to classes I&#44; II&#44; or III&#44; and a non-identified mutation&#44; or belonging to classes IV&#44; V&#44; or VI &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Clinical variables</span><p id="par0035" class="elsevierStylePara elsevierViewall">The following variables were analyzed&#58; clinical scores &#40;Shwachman-Kulczycki&#44; Kanga&#44; and Bhalla&#41;&#59; body mass index &#40;BMI&#41; for patients older than 18 years&#44; using the formula BMI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>weight&#47;&#40;height&#41;<span class="elsevierStyleSup">2</span>&#44; the Anthro program version 3&#46;0&#46;1 &#40;World Health Organization &#91;WHO&#93;&#44; 2006&#41; was used for children under five years of age and the Anthro Plus version 1&#46;0&#46;2 &#40;World Health Organization &#91;WHO&#93;&#44; 2007&#41; was used for patients aged between five and 18 years&#59; patient&#39;s age and age at diagnosis&#59; first clinical symptom &#40;one general symptom&#44; pulmonary and digestive symptoms&#41;&#59; period until the first colonization with <span class="elsevierStyleItalic">Pseudomonas aeruginosa</span>&#59; microorganisms identified in the routine sputum culture &#40;mucoid and non-mucoid <span class="elsevierStyleItalic">P&#46; aeruginosa</span>&#44; <span class="elsevierStyleItalic">Achromobacter xylosoxidans</span>&#44; <span class="elsevierStyleItalic">Burkolderia cepacia</span>&#44; and <span class="elsevierStyleItalic">Staphylococcus aureus</span>&#41;&#59; transcutaneous arterial hemoglobin oxygen-saturation &#40;SaO<span class="elsevierStyleInf">2</span>&#41;&#59; spirometry&#59; and comorbidities &#40;nasal polyps&#44; osteoporosis&#44; meconium ileus&#44; diabetes mellitus&#44; and pancreatic insufficiency&#41;&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Spirometry was performed in patients over seven years of age&#44; using the CPFS&#47;D spirometer &#40;MedGraphics &#8211; Saint Paul&#44; Minnesota&#44; USA&#41;&#46; Data were recorded in the PF BREEZE software version 3&#46;8B for Windows 95&#47;98&#47;NT &#40;American Thoracic Society&#41;&#44; and assessed in percentage predicted values for&#58; forced vital capacity &#40;FVC&#41;&#44; forced expiratory volume in 1<span class="elsevierStyleHsp" style=""></span>s &#40;FEV<span class="elsevierStyleInf">1</span>&#41;&#44; FEV<span class="elsevierStyleInf">1</span>&#47;FVC ratio&#44; forced expiratory flow at 25&#37; of FVC &#40;FEF<span class="elsevierStyleInf">25&#37;</span>&#41;&#44; forced expiratory flow at 50&#37; of FVC &#40;FEF<span class="elsevierStyleInf">50&#37;</span>&#41;&#44; forced expiratory flow at 75&#37; of FVC &#40;FEF<span class="elsevierStyleInf">75&#37;</span>&#41;&#44; forced expiratory flow between 25&#37; and 75&#37; of FVC &#40;FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#41;&#44; maximum forced expiratory flow &#40;FEF<span class="elsevierStyleInf">max</span>&#41;&#44; and expiratory reserve volume &#40;ERV&#41;&#46; Spirometry data were shown in percentage of the predicted value according to the Polgar and Promadhat &#40;1971&#41;&#44; Pereira et al&#46; &#40;2007&#41;&#44; and Duarte et al&#46; &#40;2007&#41; equations&#46;<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">14&#8211;16</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">In all patients undergoing spirometry&#44; the test was performed before and 15<span class="elsevierStyleHsp" style=""></span>min after administration of BD &#40;albuterol &#8211; C<span class="elsevierStyleInf">13</span>H<span class="elsevierStyleInf">21</span>NO<span class="elsevierStyleInf">3</span> &#91;400<span class="elsevierStyleHsp" style=""></span>mg&#93;&#41;&#46; Patients under BD therapy were instructed to interrupt the medication eight hours prior to spirometry&#44; if they were under short-acting BD treatment&#59; and 48<span class="elsevierStyleHsp" style=""></span>hours&#44; if they were under long-acting BD treatment&#46; The post-BD percentage change was used for the statistical analysis&#46; The BD response criteria&#44; defined as an increase of &#62;12&#37; and 200<span class="elsevierStyleHsp" style=""></span>mL of initial FEV<span class="elsevierStyleInf">1</span>&#44; was used as a second model to evaluate the association between the <span class="elsevierStyleItalic">IL-8</span> gene variants and BD response&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">DNA extraction and genotyping</span><p id="par0050" class="elsevierStylePara elsevierViewall">Genomic DNA was extracted from peripheral blood samples using standard phenol-chloroform method and quantified by GE NanoVue&#8482; spectrophotometer &#40;GE Healthcare Biosciences &#8211; Pittsburgh&#44; USA&#41;&#46; In this study&#44; the final sample concentration was set at 50<span class="elsevierStyleHsp" style=""></span>ng&#47;&#956;L&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Mutations of the <span class="elsevierStyleItalic">CFTR</span> gene were analyzed by polymerase chain reaction &#40;PCR&#59; F508del&#41; followed by enzymatic digestion &#40;G542X&#44; R1162X&#44; R553X&#44; G551D&#44; and N1303K&#41;&#46; Other mutations in the <span class="elsevierStyleItalic">CFTR</span> gene were identified by sequencing or with the use of the SALSA Multiplex Ligation-dependent Probe Amplification &#40;MPLA method&#41; Kit P091-C1 CFTR-MRC-Holland S4X&#44; 2183A&#62;G&#44; 1717-G&#62;A&#44; I618T with MegaBace1000<span class="elsevierStyleSup">&#174;</span> &#40;GE Healthcare Biosciences &#8211; Pittsburgh&#44; USA&#41;&#44; and ABI3500 &#40;Applied Biosystems &#8211; Thermo Fisher Scientific &#8211; S&#227;o Paulo&#44; Brazil&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">IL-8</span> gene variants were analyzed by PCR followed by restriction enzyme digestion&#46; For the rs4073 variant&#44; the primers 5&#8242;-CCA TCA TGA TAG CAT CTG TA-3&#8242; and 5&#8242;-CCA CAA TTT GGT GAA TTA TTA A-3&#8242;&#44; and the <span class="elsevierStyleItalic">Ase</span>I restriction enzyme were used&#59; for the rs2227306 variant&#44; primers 5&#8242;-CTC TAA CTC TTT ATA TAG GAA TT-3&#8242; and 5&#8242;-GAT TGA TTT TAT CAA CAG GCA-3&#8242;&#44; as well as the <span class="elsevierStyleItalic">Eco</span>RI restriction enzyme&#59; and for the rs2227307 variant&#44; primers 5&#8242;-TAA AGG TTT GAT CAA TAT AGA-3&#8242; and 5&#8242;-CTT CCT TCT AAT TCCA ATA TG-3&#8242;&#44; as well as the <span class="elsevierStyleItalic">Scr</span>FI restriction enzyme&#46;<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">18&#44;19</span></a> The products of the enzymatic restriction were submitted to electrophoresis on a 12&#37; polyacrylamide gel&#44; or 4&#37; agarose gel&#44;<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">18&#44;19</span></a> and stained with Red<span class="elsevierStyleSup">&#174;</span> gel&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Statistical analysis</span><p id="par0065" class="elsevierStylePara elsevierViewall">Statistical analyses were performed using Statistical Package for the Social Sciences version 22&#46;0 &#40;SPSS Inc&#46; &#8211; Chicago&#44; USA&#41;&#46; The GPower software version 3&#46;1&#46;9&#46;2<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">20</span></a> was used to calculate the sample power&#44; considering the genotype of the analyzed variants and adopting power for value above 80&#37;&#46; The following conditions were applied to calculate the sample power&#58; analysis of variance test&#44; in place of Kruskal&#8211;Wallis test considering that analysis of variance is a stronger test &#40;effect size<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;25&#44; <span class="elsevierStyleItalic">&#945;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; power<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;80&#44; numerator degree of freedom<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44; number of groups<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#44; ideal <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>158&#41;&#59; two-tailed Mann&#8211;Whitney test &#40;effect size<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;5&#44; <span class="elsevierStyleItalic">&#945;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; power<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;80&#44; allocation ratio N2&#47;N1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44; ideal <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>134&#41;&#59; chi-squared test &#40;effect size<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;3&#44; <span class="elsevierStyleItalic">&#945;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; power<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;80&#44; degree of freedom<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44; ideal <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>108&#41;&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">The Mann&#8211;Whitney and Kruskal&#8211;Wallis tests were used for the comparison between different genotypes and groups of <span class="elsevierStyleItalic">IL-8</span> gene variants and the response to BD&#46; In case of significant differences between the groups for the Kruskal&#8211;Wallis test&#44; further identification and evaluation of the differences between genotypes were performed with MedCalc<span class="elsevierStyleSup">&#174;</span> software for Windows&#44; version 16&#46;1 &#40;MedCalc<span class="elsevierStyleSup">&#174;</span> Software &#8211; Ostend&#44; Belgium&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">The chi-squared test and Fisher&#39;s exact test were used for the comparison between different genotypes and groups of <span class="elsevierStyleItalic">IL-8</span> gene variants&#44; as well as the response to BD&#44; defined as an increase of &#62;12&#37; and 200<span class="elsevierStyleHsp" style=""></span>mL of initial FEV<span class="elsevierStyleInf">1</span>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">For the identification of mutations in the <span class="elsevierStyleItalic">CFTR</span> gene&#44; patients were analyzed based on two contexts&#58; <span class="elsevierStyleItalic">CFTR</span>-A&#44; all CF patients&#44; regardless of gene mutations &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>186 patients&#41;&#59; and <span class="elsevierStyleItalic">CFTR</span>-B&#44; patients with two mutations belonging to classes I&#44; II&#44; and&#47;or III &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>91 patients&#41;&#46; As for the variants&#44; four analysis models were adopted&#58; &#40;i&#41; co-dominant &#40;Kruskal&#8211;Wallis test&#41;&#59; &#40;ii&#41; recessive &#40;Mann&#8211;Whitney test&#41;&#59; &#40;iii&#41; dominant &#40;Mann&#8211;Whitney test&#41;&#59; &#40;iv&#41; over-dominant &#40;Mann&#8211;Whitney test&#41;&#44; applied in association with clinical variables&#46; For all analyses&#44; the alpha value was set at 0&#46;05&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">For analysis of the Hardy&#8211;Weinberg equilibrium &#40;HWE&#41;&#44; the Online Encyclopedia software for Genetic Epidemiology Studies &#40;OEGE&#41; was used&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">The false discovery rate &#40;FDR&#41; test was applied to correct the multiple test comparison&#46; FDR is an approach to the multiple comparisons problem&#46; Instead of controlling the chance of any false&#44; FDR controls the expected proportion of false positives among supra threshold voxels&#46; A FDR threshold is determined from the observed <span class="elsevierStyleItalic">p</span>-value distribution&#44; and hence is adaptive to the amount of signal in the data&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">21</span></a> The <span class="elsevierStyleItalic">p</span>-value and corrected <span class="elsevierStyleItalic">p</span>-value &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span>&#41; were shown in the manuscript&#46; The linkage disequilibrium analysis was performed in Haploview software version 4&#46;2&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Results</span><p id="par0095" class="elsevierStylePara elsevierViewall">Clinical and laboratory data of CF patients are described in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46; <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a> describes the genotype and allele frequency of <span class="elsevierStyleItalic">IL-8</span> gene variants&#46; <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a> shows the data with <span class="elsevierStyleItalic">p</span>-values and corrected <span class="elsevierStyleItalic">p</span>-values for association of the three <span class="elsevierStyleItalic">IL-8</span> gene variants&#44; considering the four models of analysis proposed and the genotype of the <span class="elsevierStyleItalic">CFTR</span> gene&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">The rs2227307 variant was not associated with response to BD in any of the studied models&#59; in turn&#44; rs2227306 was associated with FEF<span class="elsevierStyleInf">50&#37;</span> for patients with CC genotype &#40;dominant model&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;083&#41; and CT genotype &#40;over-dominant model&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;033&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;083&#41; in the <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D and E&#41;&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Special emphasis should be given to the rs4073 variant&#44; which was associated with the following spirometry variables&#58; FEV<span class="elsevierStyleInf">1</span>&#44; FEV<span class="elsevierStyleInf">1</span>&#47;FVC ratio&#44; FEF<span class="elsevierStyleInf">50&#37;</span> FEF<span class="elsevierStyleInf">75&#37;</span>&#44; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;&#46;</span> The lowest response to BD was observed for the TT genotype &#40;dominant model&#41; and patients of the <span class="elsevierStyleItalic">CFTR</span>-B group to FEV<span class="elsevierStyleInf">1</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#44; FEF<span class="elsevierStyleInf">50&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#44; FEF<span class="elsevierStyleInf">75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>G&#41;&#44; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>K&#41;&#46; The same was observed for the <span class="elsevierStyleItalic">CFTR-A</span> group for FEF<span class="elsevierStyleInf">75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>H&#41; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>L&#41;&#46; In the co-dominant analysis&#44; the TT genotype presented a lower response to BD for FEF<span class="elsevierStyleInf">75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>F&#41; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>J&#41;&#44; respectively&#44; in the <span class="elsevierStyleItalic">CFTR-A</span> and <span class="elsevierStyleItalic">CFTR-B</span> groups&#46; For the marker FEV<span class="elsevierStyleInf">1</span>&#47;FVC&#44; the AT genotype in patients from the <span class="elsevierStyleItalic">CFTR</span>-B group showed lower response to BD &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; Finally&#44; in patients from the <span class="elsevierStyleItalic">CFTR-A</span> and <span class="elsevierStyleItalic">CFTR-B</span> groups the AA genotype &#40;recessive model&#41; for rs4073 showed higher response to BD for FEF<span class="elsevierStyleInf">75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>I&#41; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#44; respectively &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>M&#41;&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">The haplotype distribution for the <span class="elsevierStyleItalic">IL-8</span> gene variants is presented in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">For the comparison between <span class="elsevierStyleItalic">IL-8</span> gene variants and the response to BD&#44; defined as an increase of &#62;12&#37; and 200<span class="elsevierStyleHsp" style=""></span>mL of initial FEV<span class="elsevierStyleInf">1</span>&#44; no positive association was found &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Discussion</span><p id="par0120" class="elsevierStylePara elsevierViewall">The influence of different <span class="elsevierStyleItalic">IL-8</span> gene variants in the clinical severity of CF has been previously demonstrated&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">22</span></a> This study showed the association of different <span class="elsevierStyleItalic">IL-8</span> gene variants and their modulation to BD response&#44; assessing the impact of the drug on pulmonary function&#46; The variability of responses to BD is determined by multiple factors&#44; such as inflammation and pulmonary obstruction&#44;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">23</span></a> bacteria&#44;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">24</span></a> and lung symptoms&#44;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">25</span></a> as well as modifier genes&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">26</span></a> However&#44; no studies so far have investigated the role of IL-8 as a pro-inflammatory mediator of CF and its relationship to BD&#44; and whether the <span class="elsevierStyleItalic">IL-8</span> gene variants may explain the individual response to BD in CF&#46; It is believed that the short-acting and long-acting beta-2-agonists may be beneficial for CF patients with positive bronchial hyperresponsiveness&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">6</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">In progressive lung diseases&#44; different markers have been assessed&#59; the use of BD appears to provide better response to FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#44; when compared with other markers&#44; which indicates involvement of smaller caliber airways in CF&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">27</span></a> In the present study&#44; in agreement with the reference literature&#44; an association was observed between the rs4073 variant and the FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> marker in the dominant &#40;for both <span class="elsevierStyleItalic">CFTR</span>-A and <span class="elsevierStyleItalic">CFTR</span>-B groups&#41;&#44; co-dominant &#40;<span class="elsevierStyleItalic">CFTR</span>-B group&#41;&#44; and recessive models &#40;<span class="elsevierStyleItalic">CFTR</span>-B group&#41;&#46; There was improvement in several other markers of spirometry for rs4073&#44; such as FEV<span class="elsevierStyleInf">1</span>&#44; FEV<span class="elsevierStyleInf">1</span>&#47;FVC&#44; FEF<span class="elsevierStyleInf">50&#37;</span>&#44; and FEF<span class="elsevierStyleInf">75&#37;</span>&#44; which shows impact on breathing patterns of patients&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">The study by Hillian et al&#46; &#40;2008&#41; found an association of rs2227307 and rs4073 <span class="elsevierStyleItalic">IL-8</span> gene variants and severity of pulmonary disease&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a> In that study&#44; patients were divided into two cohorts&#58; &#40;1&#41; homozygous F508del patients&#59; &#40;2&#41; patients with other genotypes of the <span class="elsevierStyleItalic">CFTR</span> gene&#46; In cohort 1&#44; the rs4073&#44; rs2227306&#44; and rs2227543 variants were not associated with lung disease&#44; and an association was observed for rs22227307&#44; regardless of gender&#46; In cohort 2&#44; the rs4073 and rs2227306 variants were associated with lung disease severity in males&#46; Thus&#44; the gender of the patient&#44; genotype of the <span class="elsevierStyleItalic">CFTR</span> gene&#44; and modifier genes may modulate the severity of the lung disease&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a> In this study&#44; the rs2227307 genotype did not have an impact on the variability of the response to BD&#46; This suggests that although this genotype is associated with lung disease in homozygous F508del patients&#44; its response to BD is not relevant&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">The target of BD is the ADRB2 protein&#44; which is expressed in the airway smooth muscle&#46; Variants of <span class="elsevierStyleItalic">ADRB2</span> are associated with response to the medication&#46; Although this protein has been widely studied in asthma&#44; it was very seldom studied in CF&#46; The effectiveness of the response to BD and inhaled corticosteroids to manage airway inflammation in asthma has been confirmed&#44; and depends on the Arg16Gly &#40;rs1042713&#59; c&#46;46A&#62;G&#41; and Glu27Gln &#40;rs1042714&#59; c&#46;79C&#62;G&#41; <span class="elsevierStyleItalic">ADRB2</span> gene variants&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">29</span></a> The Gln27Glu variant confers resistance to the ADRB2 protein in BD response&#46; The 46&#42;G and 79&#42;G alleles are protective against asthma&#44; reducing the risk by 27&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">29</span></a> Both variants of the G allele induce changes in the regulation of the receptor due to increased susceptibility to protein degradation&#46; This study found that the Arg16Gly and Gln27Glu <span class="elsevierStyleItalic">ADRB2</span> gene variants influence the response to BD in CF&#46; In spirometry and in other markers of severity&#44; the Arg16Gly variant showed a positive association&#44; unlike Gln27Glu&#46; The Arg&#47;Arg genotype for the Arg16Gly variant was associated with better values of FEV<span class="elsevierStyleInf">1</span> and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#46; The response to BD in the analyses of haplotype was positive in the absence of Gly16Gly and Glu27Glu genotypes for FEV<span class="elsevierStyleInf">1</span>&#47;FVC ratio&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Variants of <span class="elsevierStyleItalic">ADRB2</span>&#44; diffusing capacity of the lungs for carbon monoxide&#44; alveolar capillary membrane conductance&#44; volume of blood in the alveolar capillary&#44; and SaO<span class="elsevierStyleInf">2</span> were evaluated in the response to BD in 18 patients and 20 healthy controls&#44; before and after the administration of salbutamol &#40;30&#44; 60&#44; and 90<span class="elsevierStyleHsp" style=""></span>min&#41;&#46; Healthy subjects showed no changes in markers assessed for the Glu27Glu variant&#46; However&#44; in CF&#44; this variant influenced the response to BD&#58; the best response was found in the presence of at least one allele 27Glu&#46; There was a difference in pulmonary diffusion and peripheral SaO<span class="elsevierStyleInf">2</span> according to the variation of the <span class="elsevierStyleItalic">ADRB2</span> gene at position 27&#44; and the dosage of the drug should be prescribed according to this variation&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">30</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">Most studies focus on the <span class="elsevierStyleItalic">ADRB2</span> gene variants in the response to BD&#46; However&#44; this study demonstrated that&#44; even indirectly&#44; the <span class="elsevierStyleItalic">IL-8</span> gene variants &#40;and possibly in other genes&#44; which modulate the inflammatory lung response&#41; may potentiate or minimize the effect of BD and also influence the response to the medication&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Regarding the HWE&#44; as previously discussed by this group&#44;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">22</span></a> two variants &#40;rs4073 and rs2227306&#41; were not in balance&#46; It is important to remember that the HWE assumes an ideal population&#44; without the interference of evolutionary factors&#46; However&#44; in genes as those involved in immunity&#44; inflammation&#44; and infection control&#44; the HWE imbalance may appear secondarily associated with the selection mechanisms that favored a particular allele that can bring a more effective response&#46; The disequilibrium does not invalidate the association study since the groups are part of the same population&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">The limitations of the present study include &#40;i&#41; cross-sectional dataset &#40;BD response was evaluated at a single time&#41;&#59; &#40;ii&#41; numerous missing data considering the problems to achieve information in the records&#59; &#40;iii&#41; whether BD response differs based on baseline FEV<span class="elsevierStyleInf">1</span>&#44; mainly in health subjects&#59; &#40;iv&#41; potential confounders to the results&#44; such as disease severity&#44; current therapies&#44; medication adherence&#44; and adequate pulmonary function test effort&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">In conclusion&#44; <span class="elsevierStyleItalic">IL-8</span> gene variants &#40;rs2227306 and specially rs4073&#41; can be associated with the response to BD during spirometry&#46; This drug may be an alternative for the treatment of the disease&#44; mostly among patients with airways of smaller caliber&#46; Studies involving dosage and combinations of drugs should be further conducted&#44; in order determine the best treatment according to CF patient genotype&#44; the <span class="elsevierStyleItalic">CFTR</span> gene&#44; as well as modifier genes&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Funding</span><p id="par0165" class="elsevierStylePara elsevierViewall">FALM&#58; Funda&#231;&#227;o de Amparo &#224; Pesquisa do Estado de S&#227;o Paulo &#40;<span class="elsevierStyleGrantSponsor" id="gs1">FAPESP</span>&#41; for supporting the researches <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2011&#47;12939-4</span>&#44; <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2011&#47;18845-1</span>&#44; <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2015&#47;12183-8</span>&#44; and <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2015&#47;12858-5</span>&#59; <span class="elsevierStyleGrantSponsor" id="gs2">Fundo de Apoio &#224; Pesquisa&#44; ao Ensino e &#224; Extens&#227;o da Universidade Estadual de Campinas</span> for supporting the research <span class="elsevierStyleGrantNumber" refid="gs2">&#35;0648&#47;2015</span>&#59; JDR&#58; FAPESP for supporting the research <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2011&#47;18845-1</span> and <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2015&#47;12183-8</span>&#46; LLF&#58; FAPESP for supporting the research <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2013&#47;19052-0</span>&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicts of interest</span><p id="par0170" class="elsevierStylePara elsevierViewall">The authors declare no conflicts of interest&#46;</p></span></span>"
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            1 => "Disease severity"
            2 => "Interleukin 8"
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            0 => "<span class="elsevierStyleItalic">CFTR</span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Interleukin 8 protein promotes inflammatory responses&#44; even in airways&#46; The presence of interleukin 8 gene variants causes altered inflammatory responses and possibly varied responses to inhaled bronchodilators&#46; Thus&#44; this study analyzed the interleukin 8 variants &#40;rs4073&#44; rs2227306&#44; and rs2227307&#41; and their association with the response to inhaled bronchodilators in cystic fibrosis patients&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analysis of interleukin 8 gene variants was performed by restriction fragment length polymorphism of polymerase chain reaction&#46; The association between spirometry markers and the response to inhaled bronchodilators was evaluated by Mann&#8211;Whitney and Kruskal&#8211;Wallis tests&#46; The analysis included all cystic fibrosis patients&#44; and subsequently patients with two mutations in the cystic fibrosis transmembrane conductance regulator gene belonging to classes I to III&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">This study included 186 cystic fibrosis patients&#46; There was no association of the rs2227307 variant with the response to inhaled bronchodilators&#46; The rs2227306 variant was associated with FEF<span class="elsevierStyleInf">50&#37;</span> in the dominant group and in the group with two identified mutations in the cystic fibrosis transmembrane conductance regulator gene&#46; The rs4073 variant was associated with spirometry markers in four genetic models&#58; co-dominant &#40;FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> and FEF<span class="elsevierStyleInf">75&#37;</span>&#41;&#44; dominant &#40;FEV<span class="elsevierStyleInf">1</span>&#44; FEF<span class="elsevierStyleInf">50&#37;</span>&#44; FEF<span class="elsevierStyleInf">75&#37;</span>&#44; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#41;&#44; recessive &#40;FEF<span class="elsevierStyleInf">75&#37;</span> and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#41;&#44; and over-dominant &#40;FEV<span class="elsevierStyleInf">1</span>&#47;FVC&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">This study highlighted the importance of the rs4073 variant of the interleukin 8 gene&#44; regarding response to inhaled bronchodilators&#44; and of the assessment of mutations in the cystic fibrosis transmembrane conductance regulator gene&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A prote&#237;na interleucina 8 promove respostas inflamat&#243;rias&#44; o que inclui sua atua&#231;&#227;o nas vias a&#233;reas&#46; A presen&#231;a de variantes no gene da interleucina 8 causa respostas inflamat&#243;rias alteradas e possivelmente respostas variadas ao uso de broncodilatadores inalat&#243;rios&#46; Assim&#44; este estudo analisou as variantes da interleucina 8 &#40;rs4073&#44; rs2227306&#44; rs2227307&#41; e sua associa&#231;&#227;o &#224; resposta a broncodilatadores inalat&#243;rios em pacientes com fibrose c&#237;stica&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Foi feita an&#225;lise das variantes gen&#233;ticas da interleucina 8 por <span class="elsevierStyleItalic">restriction fragment length polymorphism</span> da rea&#231;&#227;o em cadeia da polimerase&#46; A associa&#231;&#227;o entre os marcadores da espirometria e a resposta a broncodilatadores inalat&#243;rios foi feita pelos testes de Mann-Whitney e Kruskal-Wallis&#46; A an&#225;lise incluiu todos os pacientes com fibrose c&#237;stica e posteriormente pacientes com duas muta&#231;&#245;es no gene <span class="elsevierStyleItalic">cystic fibrosis transmembrane conductance regulator</span> pertencentes &#224;s Classes I a II&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Este estudo incluiu 186 pacientes com fibrose c&#237;stica&#46; N&#227;o houve associa&#231;&#227;o da variante rs2227307 &#224; resposta a broncodilatadores inalat&#243;rios&#46; A variante rs2227306 foi associada a FEF<span class="elsevierStyleInf">50&#37;</span> no grupo dominante e no grupo com duas muta&#231;&#245;es identificadas no gene <span class="elsevierStyleItalic">cystic fibrosis transmembrane conductance regulator</span>&#46; A variante rs4073 foi associada a marcadores da espirometria em quatro modelos gen&#233;ticos&#58; codominante &#40;FEF<span class="elsevierStyleInf">25-75&#37;</span> e FEF<span class="elsevierStyleInf">75&#37;</span>&#41;&#44; dominante &#40;VEF<span class="elsevierStyleInf">1</span>&#44; FEF<span class="elsevierStyleInf">50&#37;</span>&#44; FEF<span class="elsevierStyleInf">75&#37;</span> e FEF<span class="elsevierStyleInf">25-75&#37;</span>&#41;&#44; recessivo &#40;FEF<span class="elsevierStyleInf">75&#37;</span> e FEF<span class="elsevierStyleInf">25-75&#37;</span>&#41; e overdominante &#40;VEF<span class="elsevierStyleInf">1</span>&#47;CVF&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#245;es</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Este estudo destaca&#44; principalmente&#44; a import&#226;ncia da variante rs4073 do gene da interleucina 8&#44; na resposta a broncodilatadores inalat&#243;rios&#44; concomitantemente ao gen&#243;tipo das muta&#231;&#245;es no gene <span class="elsevierStyleItalic">cystic fibrosis transmembrane conductance regulator</span>&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0030">Please cite this article as&#58; Furlan LL&#44; Ribeiro JD&#44; Bertuzzo CS&#44; Salom&#227;o Junior JB&#44; Souza DR&#44; Marson FA&#46; Variants in the interleukin 8 gene and the response to inhaled bronchodilators in cystic fibrosis&#46; J Pediatr &#40;Rio J&#41;&#46; 2017&#59;93&#58;639&#8211;48&#46;</p>"
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Association of rs4073 and rs2227306 variants of <span class="elsevierStyleItalic">IL-8</span> &#40;interleukin-8&#41; with the response to inhaled bronchodilators in cystic fibrosis patients&#46; &#40;A&#41; Association between forced expiratory volume in 1<span class="elsevierStyleHsp" style=""></span>s &#40;FEV<span class="elsevierStyleInf">1</span>&#41; of forced vital capacity &#40;FVC&#41; and rs4073&#44; dominant model and two identified mutations in the <span class="elsevierStyleItalic">CFTR</span> gene &#40;cystic fibrosis transmembrane regulator&#41; belonging to classes I&#44; II&#44; and&#47;or III &#40;<span class="elsevierStyleItalic">CFTR-B</span> group&#41; &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;028&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;112&#41;&#46; 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&#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#59; mean of 4&#46;95<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>20&#46;8&#59; median of &#8722;2 &#40;ranging from &#8722;19 to 55&#41;&#46; &#40;D&#41; Association of FEF<span class="elsevierStyleInf">50&#37;</span> with rs2227306&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;083&#41;&#46; &#40;CC&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>15&#59; 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&#40;CC<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#59; mean of 6&#46;06<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>20&#46;27&#59; median of 4 &#40;ranging from &#8722;20 to 55&#41;&#46; &#40;CT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#59; mean of 19&#46;96<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>26&#46;43&#59; median of 19 &#40;ranging from &#8722;28 to 89&#41;&#46; &#40;F&#41; Association of forced expiratory flow of 75&#37; &#40;FEF<span class="elsevierStyleInf">75&#37;</span>&#41; of FVC with rs4073&#44; co-dominant model regardless of identified mutations in the <span class="elsevierStyleItalic">CFTR</span> gene &#40;<span class="elsevierStyleItalic">CFTR-A</span> group&#41; &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;044&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; 1<span class="elsevierStyleHsp" style=""></span>&#8800;<span class="elsevierStyleHsp" style=""></span>3&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 29&#46;93<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>39&#46;98&#59; median of 30 &#40;ranging from &#8722;47 to 142&#41;&#46; &#40;AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>42&#59; mean of 24&#46;81<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>53&#46;57&#59; median of 14 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 9&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>36&#46;95&#59; median of 2&#46;5 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;G&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;096&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>38&#59; mean of 33<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>55&#46;23&#59; median of 16 &#40;ranging from &#8722;27 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#59; mean of 5&#46;43<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>35&#46;93&#59; median of 2 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;H&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;034&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>70&#59; mean of 26&#46;86<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>48&#46;34&#59; median of 18 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 9&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>36&#46;95&#59; median of 2&#46;5 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;I&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; recessive model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;04&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 29&#46;93<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>39&#46;98&#59; median of 30 &#40;ranging from &#8722;47 to 142&#41;&#46; &#40;AT<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>70&#59; mean of 18&#46;54<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>47&#46;95&#59; median of 10 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;J&#41; Association of FEF between 25&#37; and 75&#37; &#40;FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#41; of FVC with rs4073&#44; co-dominant model and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;012&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#41;&#46; TT<span class="elsevierStyleHsp" style=""></span>&#8800;<span class="elsevierStyleHsp" style=""></span>AA and AT&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#59; mean of 25&#46;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;14&#59; median of 30 &#40;ranging from &#8722;21 to 57&#41;&#46; &#40;AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#59; mean of 18&#46;38<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>29&#46;04&#59; median of 14 &#40;ranging from &#8722;33 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#59; mean of 2&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;74&#59; median of 0 &#40;ranging from &#8722;51 to 65&#41;&#46; &#40;K&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;007&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>ATT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>38&#59; mean of 20&#46;13<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;64&#59; median of 18&#46;5 &#40;ranging from &#8722;33 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#59; mean of 2&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;74&#59; median of 0 &#40;ranging from &#8722;51 to 65&#41;&#46; &#40;L&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;029&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;1&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>82&#59; mean of 15&#46;48<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;2&#59; median of 15 &#40;ranging from &#8722;40 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#59; mean of 5&#46;94<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;33&#59; median of 0 &#40;ranging from &#8722;51 to 76&#41;&#46; &#40;M&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; recessive model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;047&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;063&#41;&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#59; mean of 25&#46;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;14&#59; median of 30 &#40;ranging from &#8722;21 to 57&#41;&#46; &#40;AT<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#59; mean of 11&#46;56<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;89&#59; median of 8 &#40;ranging from &#8722;51 to 117&#41;&#46; The dot corresponds to median values and the bar corresponds to the 95&#37; confidence interval&#46;</p>"
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          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">n</span>&#44; sample size&#59; <span class="elsevierStyleItalic">CFTR</span>&#44; cystic fibrosis transmembrane regulator&#46;</p>"
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Genotype&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">n</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Group of patients&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">&#8211;&#47;&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">55&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">29&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="6" align="left" valign="middle">Patients without known mutation in the <span class="elsevierStyleItalic">CFTR</span> gene&#44; or with one or two classes IV&#44; V or VI <span class="elsevierStyleItalic">CFTR</span> mutations</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">V562I&#47;&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">I507V&#47;&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">D110H&#47;V232H&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G576A&#47;R668C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">p&#46;Glu528G&#62;A&#47;TG11-5T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="10" align="left" valign="middle">Patients with one classes I&#44; II or III <span class="elsevierStyleItalic">CFTR</span> mutation&#44; and one non-identified mutation or IV&#44; V or VI <span class="elsevierStyleItalic">CFTR</span> mutation</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;3272-26A&#62;G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;P205S&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;P205S&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;R334W&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">3120&#43;1G&#62;A&#47;L206W&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">622-2A&#62;G&#47;711&#43;1G&#62;T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">R1162X&#47;-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;I618T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;F508del&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">49&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">26&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="22" align="left" valign="middle">Patients with two classes I&#44; II&#44; and&#47;or III <span class="elsevierStyleItalic">CFTR</span> mutations<br>&#40;<span class="elsevierStyleItalic">CFTR-B</span> group&#41;</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;G542X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;N1303K&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;R1162X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;R553X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;1584-18672pbA&#62;G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;c&#46;1717-1G&#62;A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">3120&#43;1G&#62;A&#47;R1066C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;2183AA&#62;G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;2184insA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;6B to 16 exon duplication&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;G85E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;S549R &#40;T&#62;G&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;S4X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;2183AA&#62;G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;R1162X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">A561E&#47;A561E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;R1066C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">R1070Q&#59; S466X&#47;G542X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;1812-1G&#62;A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">2183AA&#62;G&#47;2183AA&#62;G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">3120&#43;1G&#62;A&#47;3120&#43;1G&#62;A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">All patients assessed in this study have been included &#40;<span class="elsevierStyleItalic">CFTR-A</span> group&#41;&#46;</p>"
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          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Distribution of cystic fibrosis patients for the <span class="elsevierStyleItalic">CFTR</span> genotype and classes of identified mutations&#46;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></p>"
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          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">SaO<span class="elsevierStyleInf">2</span>&#44; transcutaneous arterial hemoglobin oxygen-saturation&#59; FVC&#44; forced vital capacity&#59; FEV<span class="elsevierStyleInf">1</span>&#44; forced expiratory volume in 1<span class="elsevierStyleHsp" style=""></span>s of FVC&#59; FEF<span class="elsevierStyleInf">25&#37;</span>&#44; forced expiratory flow at 25&#37; of FVC&#59; FEF<span class="elsevierStyleInf">50&#37;</span>&#44; forced expiratory flow at 50&#37; of FVC&#59; FEF<span class="elsevierStyleInf">75&#37;</span>&#44; forced expiratory flow at 75&#37; of FVC&#59; FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#44; average forced expiratory flow between 25&#37; and 75&#37; of FVC&#59; FEF<span class="elsevierStyleInf">max</span>&#44; maximum forced expiratory flow&#59; ERV&#44; expiratory reserve volume&#46; Spirometry data are shown in percentage of the predicted value&#46; All evaluated patients are described&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Variables&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Distribution<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Gender &#40;male&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">92&#47;186 &#40;49&#46;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Ethnicity &#40;White&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">169&#47;180 &#40;93&#46;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Age &#40;months&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">169&#59; 201&#46;41<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>171&#46;98&#59; 143 &#40;7 to 932&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Onset of symptoms &#40;months&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">159&#59; 38&#46;23<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>114&#46;03&#59; 3 &#40;0 to 720&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Diagnosis &#40;months&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">171&#59; 87&#46;90<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>158&#46;39&#59; 20 &#40;0 to 833&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Onset of digestive symptoms &#40;months&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">140&#59; 41&#46;2<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>112&#46;61&#59; 3 &#40;0 to 720&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Onset of pulmonary symptoms &#40;months&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">156&#59; 46&#46;33<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>123&#46;64&#59; 6 &#40;0 to 720&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Body mass index &#40;Kg&#47;m</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">178&#59; 17&#46;28<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>4&#46;08&#59; 16&#46;28 &#40;6&#46;5 to 35&#46;67&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Nasal polyposis &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">28&#47;162 &#40;17&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Diabetes mellitus &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">32&#47;164 &#40;19&#46;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Osteoporosis &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25&#47;162 &#40;15&#46;4&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Pancreatic insufficiency &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">130&#47;162 &#40;80&#46;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Meconium ileus &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&#47;162 &#40;14&#46;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">1st Pseudomonas aeruginosa</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">121&#59; 103&#46;03<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>171&#46;74&#59; 31 &#40;0 to 872&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Mucoid P&#46; aeruginosa &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">74&#47;173 &#40;42&#46;8&#37;&#41;<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Non-mucoid P&#46; aeruginosa &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#47;173 &#40;57&#46;2&#37;&#41;<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Achromobacter xylosoxidans &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#47;174 &#40;9&#46;8&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Burkolderia cepacia &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25&#47;174 &#40;14&#46;4&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Staphylococcus aureus &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">131&#47;174 &#40;75&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">SaO</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">2</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">159&#59; 94&#46;87<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>4&#46;28&#59; 96 &#40;66 to 99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Bhalla score</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">113&#59; 8&#46;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#46;77&#59; 8 &#40;0 to 25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Kanga score</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">118&#59; 18&#46;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#46;82&#59; 17&#46;5 &#40;10 to 40&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Shwachman-Kulczycki score</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">143&#59; 65&#46;97<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>16&#46;78&#59; 65 &#40;20 to 95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FVC</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">142&#59; 72&#46;13<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;86&#59; 77 &#40;19 to 126&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEV</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">1</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">141&#59; 60&#46;99<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>25&#46;75&#59; 63 &#40;17 to 116&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEV</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">1</span></span><span class="elsevierStyleItalic">&#47;FVC</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">144&#59; 79&#46;08<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#46;99&#59; 81 &#40;39 to 113&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEF</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">25&#37;</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">119&#59; 61&#46;28<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>31&#46;71&#59; 60 &#40;7 to 138&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEF</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">50&#37;</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">119&#59; 46&#46;2<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>31&#46;25&#59; 40 &#40;3 to 126&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEF</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">75&#37;</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">116&#59; 36&#46;32<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>28&#46;77&#59; 27&#46;5 &#40;4 to 142&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEF</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">25&#8211;75&#37;</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">140&#59; 47&#46;16<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>32&#46;51&#59; 39 &#40;5 to 150&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEF</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">Max</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">114&#59; 75&#46;54<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>25&#46;59&#59; 73&#46;5 &#40;25 to 137&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">ERV</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">112&#59; 80&#46;96<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>52&#46;39&#59; 69 &#40;3 to 248&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Response to inhaled bronchodilator</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FVC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">117&#59; 1&#46;74<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#46;19&#59; 1 &#40;&#8722;17 to 32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEV<span class="elsevierStyleInf">1</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">117&#59; 3&#46;51<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#46;0&#59; 3 &#40;&#8722;12 to 48&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEV<span class="elsevierStyleInf">1</span>&#47;FVC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">111&#59; 2&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>7&#46;43&#59; 2 &#40;&#8722;19 to 32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEF<span class="elsevierStyleInf">25&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#59; 9&#46;99<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>24&#46;41&#59; 5 &#40;&#8722;45 to 110&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEF<span class="elsevierStyleInf">50&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#59; 13&#46;08<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>26&#46;06&#59; 9 &#40;&#8722;41 to 114&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEF<span class="elsevierStyleInf">75&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#59; 20&#46;93<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>46&#46;47&#59; 16 &#40;&#8722;64 to 235&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#59; 12&#46;28<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;77&#59; 9&#46;5 &#40;&#8722;51 to 117&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEF<span class="elsevierStyleInf">Max</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">116&#59; 2&#46;63<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#46;48&#59; 3 &#40;&#8722;42 to 69&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>ERV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">100&#59; 23&#46;04<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>101&#46;08&#59; 0 &#40;&#8722;90 to 670&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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            0 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">The data with categorical distribution are presented as follows&#58; <span class="elsevierStyleItalic">n</span> of variable&#47;<span class="elsevierStyleItalic">n</span> total &#40;percentage&#41;&#59; data with numeric distribution are presented as follows&#58; sample size&#59; mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#59; median &#40;minimum to maximum&#41;&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0015"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Missing values for first <span class="elsevierStyleItalic">P&#46; aeruginosa</span> correspond to cystic fibrosis patients that never presented a <span class="elsevierStyleItalic">P&#46; aeruginosa</span> positive culture&#46;</p>"
            ]
            2 => array:3 [
              "identificador" => "tblfn0020"
              "etiqueta" => "c"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">One cystic fibrosis patient showed a positive culture for <span class="elsevierStyleItalic">P&#46; aeruginosa</span>&#44; with negative values for <span class="elsevierStyleItalic">P&#46; aeruginosa</span> antigen specific IgG and the patient was excluded for the frequency estimation&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Descriptive analysis of clinical and laboratory markers of cystic fibrosis patients&#46;</p>"
        ]
      ]
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        "etiqueta" => "Table 3"
        "tipo" => "MULTIMEDIATABLA"
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        "tabla" => array:3 [
          "leyenda" => "<p id="spar1045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">IL-8</span>&#44; interleukin 8&#59; &#37;&#44; percentage&#59; <span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span>&#44; chi-square&#59; af&#44; absolute frequency&#46;</p>"
          "tablatextoimagen" => array:2 [
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              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Variants&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Genotype&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Number &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Allele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Number &#40;af&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span>-Value<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " rowspan="4" align="left" valign="top">rs4073</td><td class="td" title="table-entry  " align="left" valign="top">AA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">54 &#40;29&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">187 &#40;0&#46;51&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle">3&#46;94</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle"><span class="elsevierStyleBold">&#60;0&#46;05</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">79 &#40;42&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">183 &#40;0&#46;49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">52 &#40;28&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">370&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">185&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="7" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " rowspan="4" align="left" valign="top">rs2227306</td><td class="td" title="table-entry  " align="left" valign="top">CC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">70 &#40;38&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">211 &#40;0&#46;57&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle">8&#46;21</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle"><span class="elsevierStyleBold">&#60;0&#46;05</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">CT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">71 &#40;38&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">157 &#40;0&#46;43&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">43 &#40;23&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">368&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">184&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="7" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " rowspan="4" align="left" valign="top">rs2227307</td><td class="td" title="table-entry  " align="left" valign="top">GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">31 &#40;17&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">139 &#40;0&#46;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle">1&#46;48</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle">&#62;0&#46;05</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">77 &#40;43&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">217 &#40;0&#46;61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">70 &#40;39&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">356&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">178&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1581574.png"
              ]
            ]
            1 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">rs4073&#47;rs2227306&#47;rs2227307&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Frequency&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Percentage &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CC GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CC GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CC TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CT GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA TT GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA TT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA TT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT CC GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT CC TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT CT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT CT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT TT GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT TT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT TT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CC GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CC GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CC TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CT GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT TT GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT TT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT TT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">177&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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        "texto" => "<p id="par0175" class="elsevierStylePara elsevierViewall">To Luciana Montes Rezende&#44; Luciana Cardoso Bonadia&#44; and Stephanie Villa-Nova for their technical support during DNA extraction and identification of mutations of the <span class="elsevierStyleItalic">CFTR</span> gene&#46; To Marcela Augusta de Souza Pinhel&#44; Michele Lima Greg&#243;rio&#44; Rafael Fernandes Ferreira&#44; Graciele Domitila Tenani&#44; and Heloisa Cristina Caldas for their technical support during standardization of <span class="elsevierStyleItalic">IL</span>-8 genotyping&#46; To Maria &#194;ngela Gon&#231;alves de Oliveira Ribeiro for conducting pulmonary function tests &#40;LAFIP&#47;Ciped&#47;Unicamp&#41;&#46; To Rafaella Maionchi Pereira Martins for her technical support to determine clinical scores&#46; To Maria de F&#225;tima Corr&#234;a Pimenta Servidoni for promoting a link between both Universities&#46;</p>"
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Original article
Variants in the interleukin 8 gene and the response to inhaled bronchodilators in cystic fibrosis
Variantes no gene da interleucina 8 e a resposta a broncodilatadores inalatórios na fibrose cística
Larissa Lazzarini Furlana, José Dirceu Ribeirob, Carmen Sílvia Bertuzzoc, João Batista Salomão Juniord,e, Dorotéia Rossi Silva Souzaf, Fernando Augusto Lima Marsonb,c,
Corresponding author
fernandolimamarson@hotmail.com

Corresponding author.
a Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
b Universidade Estadual de Campinas (Unicamp), Faculdade de Ciências Médicas, Departamento de Pediatria, Campinas, SP, Brazil
c Universidade Estadual de Campinas (Unicamp), Faculdade de Ciências Médicas, Departamento de Genética Médica, Campinas, SP, Brazil
d Faculdade de Medicina de São José do Rio Preto, Hospital Universitário, Departamento de Pediatria, São José do Rio Preto, SP, Brazil
e Faculdade de Medicina de São José do Rio Preto, Hospital Universitário, Departamento de Pneumologia Pediátrica, São José do Rio Preto, SP, Brazil
f Faculdade de Medicina de São José do Rio Preto, Centro de Pesquisa de Bioquímica e Biologia Molecular, Departamento de Biologia Molecular, São José do Rio Preto, SP, Brazil
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median of 14 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 9&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>36&#46;95&#59; median of 2&#46;5 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;G&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;096&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>38&#59; mean of 33<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>55&#46;23&#59; median of 16 &#40;ranging from &#8722;27 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#59; mean of 5&#46;43<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>35&#46;93&#59; median of 2 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;H&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;034&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>70&#59; mean of 26&#46;86<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>48&#46;34&#59; median of 18 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 9&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>36&#46;95&#59; median of 2&#46;5 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;I&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; recessive model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;04&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 29&#46;93<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>39&#46;98&#59; median of 30 &#40;ranging from &#8722;47 to 142&#41;&#46; &#40;AT<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>70&#59; mean of 18&#46;54<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>47&#46;95&#59; median of 10 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;J&#41; Association of FEF between 25&#37; and 75&#37; &#40;FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#41; of FVC with rs4073&#44; co-dominant model and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;012&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#41;&#46; TT<span class="elsevierStyleHsp" style=""></span>&#8800;<span class="elsevierStyleHsp" style=""></span>AA and AT&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#59; mean of 25&#46;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;14&#59; median of 30 &#40;ranging from &#8722;21 to 57&#41;&#46; &#40;AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#59; mean of 18&#46;38<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>29&#46;04&#59; median of 14 &#40;ranging from &#8722;33 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#59; mean of 2&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;74&#59; median of 0 &#40;ranging from &#8722;51 to 65&#41;&#46; &#40;K&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;007&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>ATT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>38&#59; mean of 20&#46;13<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;64&#59; median of 18&#46;5 &#40;ranging from &#8722;33 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#59; mean of 2&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;74&#59; median of 0 &#40;ranging from &#8722;51 to 65&#41;&#46; &#40;L&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;029&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;1&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>82&#59; mean of 15&#46;48<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;2&#59; median of 15 &#40;ranging from &#8722;40 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#59; mean of 5&#46;94<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;33&#59; median of 0 &#40;ranging from &#8722;51 to 76&#41;&#46; &#40;M&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; recessive model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;047&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;063&#41;&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#59; mean of 25&#46;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;14&#59; median of 30 &#40;ranging from &#8722;21 to 57&#41;&#46; &#40;AT<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#59; mean of 11&#46;56<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;89&#59; median of 8 &#40;ranging from &#8722;51 to 117&#41;&#46; The dot corresponds to median values and the bar corresponds to the 95&#37; confidence interval&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The response to inhaled bronchodilators &#40;BD&#41; in cystic fibrosis &#40;CF&#41; &#40;OMIM&#58; n&#46; 219700&#41; is quite variable and depends on the cystic fibrosis transmembrane regulator &#40;<span class="elsevierStyleItalic">CFTR</span>&#41; genotype&#44; pulmonary symptoms&#44; and mainly&#44; on variants in the modifier genes&#44; such as the beta-2-adrenergic receptor &#40;<span class="elsevierStyleItalic">ADRB2</span>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">1</span></a> So far&#44; only a few studies have investigated such response&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Mutations in the <span class="elsevierStyleItalic">CFTR</span> gene cause CF&#44; due to deficiency&#44; dysfunction&#44; or absence of the CFTR protein&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">2</span></a> CF is characterized by a continuous cycle of chronic airway inflammation&#44; which can be exacerbated by interleukin-8 &#40;IL-8&#41;&#44; a key pro-inflammatory mediator&#46; IL-8 is responsible for initiating and increasing the inflammatory response in the presence of specific pathogens&#44; causing activation and migration of neutrophils from peripheral blood to tissues&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">3</span></a> Chronic airway inflammation is the final common pathway of lung injury&#46; It is responsible for increased vascular permeability&#44; contributing to interstitial&#44; alveolar&#44; and airway edema&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The treatment of CF lung disease includes anti-inflammatory drugs&#44; inhaled corticosteroids&#44; antibiotics&#44; mucolytic&#44; hypertonic saline&#44; and physiotherapy&#46; Among the possible therapies&#44; there is little evidence supporting the role of BD in CF&#46;<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">4&#44;5</span></a> However&#44; BD is often prescribed for a longer period due to wheezing and dyspnea episodes in CF&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">6</span></a> BD reduces the liberation of mediators&#44; which are responsible for recruiting and activating inflammatory cells&#44; activating cholinergic neurotransmission and improving vascular permeability&#46; It also increases mucociliary clearance&#44; leading to reduced lung inflammation&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">7</span></a> The response to BD depends&#44; in part&#44; on the CFTR protein&#44; which interacts with the ADRB2 protein to promote broncodilatation&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a> Spirometry is the primary method to assess lung function&#44; severity and progression of the disease&#44; as well as response to BD&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Intense neutrophil inflammation and low bronchial hyperresponsiveness are commonly observed characteristics in CF&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">9</span></a> Moreover&#44; the response of genetic variants to BD is little known&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">1</span></a> The role of IL-8 in the neutrophilic component of CF lung disease can be pointed out&#46; Genes that might be associated with the severity of CF and possibly with the response to BD have been reported in the present study and in the literature&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">1&#44;10&#8211;12</span></a> The <span class="elsevierStyleItalic">IL-8</span> gene should be highlighted&#44; as it has a direct influence on lung inflammation and can be effective in the response to BD&#46; Therefore&#44; this study compared the rs4073&#44; rs2227306&#44; and rs2227307 <span class="elsevierStyleItalic">IL-8</span> gene variants with the response to BD in CF patients&#44; using spirometry&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Patients</span><p id="par0025" class="elsevierStylePara elsevierViewall">A cross-sectional study was conducted in 186 CF patients&#44; selected in two university referral centers &#40;Medical School of S&#227;o Jos&#233; do Rio Preto and Universidade Estadual de Campinas&#41; for CF treatment&#44; from 2013 to 2015&#46; The study was approved by the Research Ethics Committee of the Universidade Estadual de Campinas&#44; Brazil &#40;under No&#46; 528&#47;2008&#41;&#46; All participants were informed of the study and signed an informed consent form&#46; For patients under the age of 18&#44; the informed consent form was signed by the parents or guardians&#46; The study followed the recommendations of the Declaration of Helsinki&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The diagnosis of CF was confirmed by the presence of two altered concentrations of sodium and chloride in sweat &#40;chloride level higher than 60<span class="elsevierStyleHsp" style=""></span>mEq&#47;L&#41;&#46; Furthermore&#44; no patient underwent initial immunoreactive trypsinogen &#40;IRT&#41; measurement&#46; In a group of 91 patients&#44; there were two mutations in the <span class="elsevierStyleItalic">CFTR</span> gene belonging to classes I&#44; II&#44; and&#47;or III &#40;associated with greater disease severity&#44; due to the absence or non-functionality of the CFTR protein&#41;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">13</span></a>&#59; 60 patients did not present an identified mutation of the <span class="elsevierStyleItalic">CFTR</span> gene&#44; or had two mutations belonging to classes IV&#44; V&#44; or VI&#59; and 35 patients had a mutation in the <span class="elsevierStyleItalic">CFTR</span> gene belonging to classes I&#44; II&#44; or III&#44; and a non-identified mutation&#44; or belonging to classes IV&#44; V&#44; or VI &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Clinical variables</span><p id="par0035" class="elsevierStylePara elsevierViewall">The following variables were analyzed&#58; clinical scores &#40;Shwachman-Kulczycki&#44; Kanga&#44; and Bhalla&#41;&#59; body mass index &#40;BMI&#41; for patients older than 18 years&#44; using the formula BMI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>weight&#47;&#40;height&#41;<span class="elsevierStyleSup">2</span>&#44; the Anthro program version 3&#46;0&#46;1 &#40;World Health Organization &#91;WHO&#93;&#44; 2006&#41; was used for children under five years of age and the Anthro Plus version 1&#46;0&#46;2 &#40;World Health Organization &#91;WHO&#93;&#44; 2007&#41; was used for patients aged between five and 18 years&#59; patient&#39;s age and age at diagnosis&#59; first clinical symptom &#40;one general symptom&#44; pulmonary and digestive symptoms&#41;&#59; period until the first colonization with <span class="elsevierStyleItalic">Pseudomonas aeruginosa</span>&#59; microorganisms identified in the routine sputum culture &#40;mucoid and non-mucoid <span class="elsevierStyleItalic">P&#46; aeruginosa</span>&#44; <span class="elsevierStyleItalic">Achromobacter xylosoxidans</span>&#44; <span class="elsevierStyleItalic">Burkolderia cepacia</span>&#44; and <span class="elsevierStyleItalic">Staphylococcus aureus</span>&#41;&#59; transcutaneous arterial hemoglobin oxygen-saturation &#40;SaO<span class="elsevierStyleInf">2</span>&#41;&#59; spirometry&#59; and comorbidities &#40;nasal polyps&#44; osteoporosis&#44; meconium ileus&#44; diabetes mellitus&#44; and pancreatic insufficiency&#41;&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Spirometry was performed in patients over seven years of age&#44; using the CPFS&#47;D spirometer &#40;MedGraphics &#8211; Saint Paul&#44; Minnesota&#44; USA&#41;&#46; Data were recorded in the PF BREEZE software version 3&#46;8B for Windows 95&#47;98&#47;NT &#40;American Thoracic Society&#41;&#44; and assessed in percentage predicted values for&#58; forced vital capacity &#40;FVC&#41;&#44; forced expiratory volume in 1<span class="elsevierStyleHsp" style=""></span>s &#40;FEV<span class="elsevierStyleInf">1</span>&#41;&#44; FEV<span class="elsevierStyleInf">1</span>&#47;FVC ratio&#44; forced expiratory flow at 25&#37; of FVC &#40;FEF<span class="elsevierStyleInf">25&#37;</span>&#41;&#44; forced expiratory flow at 50&#37; of FVC &#40;FEF<span class="elsevierStyleInf">50&#37;</span>&#41;&#44; forced expiratory flow at 75&#37; of FVC &#40;FEF<span class="elsevierStyleInf">75&#37;</span>&#41;&#44; forced expiratory flow between 25&#37; and 75&#37; of FVC &#40;FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#41;&#44; maximum forced expiratory flow &#40;FEF<span class="elsevierStyleInf">max</span>&#41;&#44; and expiratory reserve volume &#40;ERV&#41;&#46; Spirometry data were shown in percentage of the predicted value according to the Polgar and Promadhat &#40;1971&#41;&#44; Pereira et al&#46; &#40;2007&#41;&#44; and Duarte et al&#46; &#40;2007&#41; equations&#46;<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">14&#8211;16</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">In all patients undergoing spirometry&#44; the test was performed before and 15<span class="elsevierStyleHsp" style=""></span>min after administration of BD &#40;albuterol &#8211; C<span class="elsevierStyleInf">13</span>H<span class="elsevierStyleInf">21</span>NO<span class="elsevierStyleInf">3</span> &#91;400<span class="elsevierStyleHsp" style=""></span>mg&#93;&#41;&#46; Patients under BD therapy were instructed to interrupt the medication eight hours prior to spirometry&#44; if they were under short-acting BD treatment&#59; and 48<span class="elsevierStyleHsp" style=""></span>hours&#44; if they were under long-acting BD treatment&#46; The post-BD percentage change was used for the statistical analysis&#46; The BD response criteria&#44; defined as an increase of &#62;12&#37; and 200<span class="elsevierStyleHsp" style=""></span>mL of initial FEV<span class="elsevierStyleInf">1</span>&#44; was used as a second model to evaluate the association between the <span class="elsevierStyleItalic">IL-8</span> gene variants and BD response&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">DNA extraction and genotyping</span><p id="par0050" class="elsevierStylePara elsevierViewall">Genomic DNA was extracted from peripheral blood samples using standard phenol-chloroform method and quantified by GE NanoVue&#8482; spectrophotometer &#40;GE Healthcare Biosciences &#8211; Pittsburgh&#44; USA&#41;&#46; In this study&#44; the final sample concentration was set at 50<span class="elsevierStyleHsp" style=""></span>ng&#47;&#956;L&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Mutations of the <span class="elsevierStyleItalic">CFTR</span> gene were analyzed by polymerase chain reaction &#40;PCR&#59; F508del&#41; followed by enzymatic digestion &#40;G542X&#44; R1162X&#44; R553X&#44; G551D&#44; and N1303K&#41;&#46; Other mutations in the <span class="elsevierStyleItalic">CFTR</span> gene were identified by sequencing or with the use of the SALSA Multiplex Ligation-dependent Probe Amplification &#40;MPLA method&#41; Kit P091-C1 CFTR-MRC-Holland S4X&#44; 2183A&#62;G&#44; 1717-G&#62;A&#44; I618T with MegaBace1000<span class="elsevierStyleSup">&#174;</span> &#40;GE Healthcare Biosciences &#8211; Pittsburgh&#44; USA&#41;&#44; and ABI3500 &#40;Applied Biosystems &#8211; Thermo Fisher Scientific &#8211; S&#227;o Paulo&#44; Brazil&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">IL-8</span> gene variants were analyzed by PCR followed by restriction enzyme digestion&#46; For the rs4073 variant&#44; the primers 5&#8242;-CCA TCA TGA TAG CAT CTG TA-3&#8242; and 5&#8242;-CCA CAA TTT GGT GAA TTA TTA A-3&#8242;&#44; and the <span class="elsevierStyleItalic">Ase</span>I restriction enzyme were used&#59; for the rs2227306 variant&#44; primers 5&#8242;-CTC TAA CTC TTT ATA TAG GAA TT-3&#8242; and 5&#8242;-GAT TGA TTT TAT CAA CAG GCA-3&#8242;&#44; as well as the <span class="elsevierStyleItalic">Eco</span>RI restriction enzyme&#59; and for the rs2227307 variant&#44; primers 5&#8242;-TAA AGG TTT GAT CAA TAT AGA-3&#8242; and 5&#8242;-CTT CCT TCT AAT TCCA ATA TG-3&#8242;&#44; as well as the <span class="elsevierStyleItalic">Scr</span>FI restriction enzyme&#46;<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">18&#44;19</span></a> The products of the enzymatic restriction were submitted to electrophoresis on a 12&#37; polyacrylamide gel&#44; or 4&#37; agarose gel&#44;<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">18&#44;19</span></a> and stained with Red<span class="elsevierStyleSup">&#174;</span> gel&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Statistical analysis</span><p id="par0065" class="elsevierStylePara elsevierViewall">Statistical analyses were performed using Statistical Package for the Social Sciences version 22&#46;0 &#40;SPSS Inc&#46; &#8211; Chicago&#44; USA&#41;&#46; The GPower software version 3&#46;1&#46;9&#46;2<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">20</span></a> was used to calculate the sample power&#44; considering the genotype of the analyzed variants and adopting power for value above 80&#37;&#46; The following conditions were applied to calculate the sample power&#58; analysis of variance test&#44; in place of Kruskal&#8211;Wallis test considering that analysis of variance is a stronger test &#40;effect size<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;25&#44; <span class="elsevierStyleItalic">&#945;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; power<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;80&#44; numerator degree of freedom<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44; number of groups<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#44; ideal <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>158&#41;&#59; two-tailed Mann&#8211;Whitney test &#40;effect size<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;5&#44; <span class="elsevierStyleItalic">&#945;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; power<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;80&#44; allocation ratio N2&#47;N1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44; ideal <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>134&#41;&#59; chi-squared test &#40;effect size<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;3&#44; <span class="elsevierStyleItalic">&#945;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; power<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;80&#44; degree of freedom<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44; ideal <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>108&#41;&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">The Mann&#8211;Whitney and Kruskal&#8211;Wallis tests were used for the comparison between different genotypes and groups of <span class="elsevierStyleItalic">IL-8</span> gene variants and the response to BD&#46; In case of significant differences between the groups for the Kruskal&#8211;Wallis test&#44; further identification and evaluation of the differences between genotypes were performed with MedCalc<span class="elsevierStyleSup">&#174;</span> software for Windows&#44; version 16&#46;1 &#40;MedCalc<span class="elsevierStyleSup">&#174;</span> Software &#8211; Ostend&#44; Belgium&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">The chi-squared test and Fisher&#39;s exact test were used for the comparison between different genotypes and groups of <span class="elsevierStyleItalic">IL-8</span> gene variants&#44; as well as the response to BD&#44; defined as an increase of &#62;12&#37; and 200<span class="elsevierStyleHsp" style=""></span>mL of initial FEV<span class="elsevierStyleInf">1</span>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">For the identification of mutations in the <span class="elsevierStyleItalic">CFTR</span> gene&#44; patients were analyzed based on two contexts&#58; <span class="elsevierStyleItalic">CFTR</span>-A&#44; all CF patients&#44; regardless of gene mutations &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>186 patients&#41;&#59; and <span class="elsevierStyleItalic">CFTR</span>-B&#44; patients with two mutations belonging to classes I&#44; II&#44; and&#47;or III &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>91 patients&#41;&#46; As for the variants&#44; four analysis models were adopted&#58; &#40;i&#41; co-dominant &#40;Kruskal&#8211;Wallis test&#41;&#59; &#40;ii&#41; recessive &#40;Mann&#8211;Whitney test&#41;&#59; &#40;iii&#41; dominant &#40;Mann&#8211;Whitney test&#41;&#59; &#40;iv&#41; over-dominant &#40;Mann&#8211;Whitney test&#41;&#44; applied in association with clinical variables&#46; For all analyses&#44; the alpha value was set at 0&#46;05&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">For analysis of the Hardy&#8211;Weinberg equilibrium &#40;HWE&#41;&#44; the Online Encyclopedia software for Genetic Epidemiology Studies &#40;OEGE&#41; was used&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">The false discovery rate &#40;FDR&#41; test was applied to correct the multiple test comparison&#46; FDR is an approach to the multiple comparisons problem&#46; Instead of controlling the chance of any false&#44; FDR controls the expected proportion of false positives among supra threshold voxels&#46; A FDR threshold is determined from the observed <span class="elsevierStyleItalic">p</span>-value distribution&#44; and hence is adaptive to the amount of signal in the data&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">21</span></a> The <span class="elsevierStyleItalic">p</span>-value and corrected <span class="elsevierStyleItalic">p</span>-value &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span>&#41; were shown in the manuscript&#46; The linkage disequilibrium analysis was performed in Haploview software version 4&#46;2&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Results</span><p id="par0095" class="elsevierStylePara elsevierViewall">Clinical and laboratory data of CF patients are described in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46; <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a> describes the genotype and allele frequency of <span class="elsevierStyleItalic">IL-8</span> gene variants&#46; <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a> shows the data with <span class="elsevierStyleItalic">p</span>-values and corrected <span class="elsevierStyleItalic">p</span>-values for association of the three <span class="elsevierStyleItalic">IL-8</span> gene variants&#44; considering the four models of analysis proposed and the genotype of the <span class="elsevierStyleItalic">CFTR</span> gene&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">The rs2227307 variant was not associated with response to BD in any of the studied models&#59; in turn&#44; rs2227306 was associated with FEF<span class="elsevierStyleInf">50&#37;</span> for patients with CC genotype &#40;dominant model&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;083&#41; and CT genotype &#40;over-dominant model&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;033&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;083&#41; in the <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D and E&#41;&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Special emphasis should be given to the rs4073 variant&#44; which was associated with the following spirometry variables&#58; FEV<span class="elsevierStyleInf">1</span>&#44; FEV<span class="elsevierStyleInf">1</span>&#47;FVC ratio&#44; FEF<span class="elsevierStyleInf">50&#37;</span> FEF<span class="elsevierStyleInf">75&#37;</span>&#44; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;&#46;</span> The lowest response to BD was observed for the TT genotype &#40;dominant model&#41; and patients of the <span class="elsevierStyleItalic">CFTR</span>-B group to FEV<span class="elsevierStyleInf">1</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#44; FEF<span class="elsevierStyleInf">50&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#44; FEF<span class="elsevierStyleInf">75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>G&#41;&#44; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>K&#41;&#46; The same was observed for the <span class="elsevierStyleItalic">CFTR-A</span> group for FEF<span class="elsevierStyleInf">75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>H&#41; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>L&#41;&#46; In the co-dominant analysis&#44; the TT genotype presented a lower response to BD for FEF<span class="elsevierStyleInf">75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>F&#41; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>J&#41;&#44; respectively&#44; in the <span class="elsevierStyleItalic">CFTR-A</span> and <span class="elsevierStyleItalic">CFTR-B</span> groups&#46; For the marker FEV<span class="elsevierStyleInf">1</span>&#47;FVC&#44; the AT genotype in patients from the <span class="elsevierStyleItalic">CFTR</span>-B group showed lower response to BD &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; Finally&#44; in patients from the <span class="elsevierStyleItalic">CFTR-A</span> and <span class="elsevierStyleItalic">CFTR-B</span> groups the AA genotype &#40;recessive model&#41; for rs4073 showed higher response to BD for FEF<span class="elsevierStyleInf">75&#37;</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>I&#41; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#44; respectively &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>M&#41;&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">The haplotype distribution for the <span class="elsevierStyleItalic">IL-8</span> gene variants is presented in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">For the comparison between <span class="elsevierStyleItalic">IL-8</span> gene variants and the response to BD&#44; defined as an increase of &#62;12&#37; and 200<span class="elsevierStyleHsp" style=""></span>mL of initial FEV<span class="elsevierStyleInf">1</span>&#44; no positive association was found &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Discussion</span><p id="par0120" class="elsevierStylePara elsevierViewall">The influence of different <span class="elsevierStyleItalic">IL-8</span> gene variants in the clinical severity of CF has been previously demonstrated&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">22</span></a> This study showed the association of different <span class="elsevierStyleItalic">IL-8</span> gene variants and their modulation to BD response&#44; assessing the impact of the drug on pulmonary function&#46; The variability of responses to BD is determined by multiple factors&#44; such as inflammation and pulmonary obstruction&#44;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">23</span></a> bacteria&#44;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">24</span></a> and lung symptoms&#44;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">25</span></a> as well as modifier genes&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">26</span></a> However&#44; no studies so far have investigated the role of IL-8 as a pro-inflammatory mediator of CF and its relationship to BD&#44; and whether the <span class="elsevierStyleItalic">IL-8</span> gene variants may explain the individual response to BD in CF&#46; It is believed that the short-acting and long-acting beta-2-agonists may be beneficial for CF patients with positive bronchial hyperresponsiveness&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">6</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">In progressive lung diseases&#44; different markers have been assessed&#59; the use of BD appears to provide better response to FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#44; when compared with other markers&#44; which indicates involvement of smaller caliber airways in CF&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">27</span></a> In the present study&#44; in agreement with the reference literature&#44; an association was observed between the rs4073 variant and the FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> marker in the dominant &#40;for both <span class="elsevierStyleItalic">CFTR</span>-A and <span class="elsevierStyleItalic">CFTR</span>-B groups&#41;&#44; co-dominant &#40;<span class="elsevierStyleItalic">CFTR</span>-B group&#41;&#44; and recessive models &#40;<span class="elsevierStyleItalic">CFTR</span>-B group&#41;&#46; There was improvement in several other markers of spirometry for rs4073&#44; such as FEV<span class="elsevierStyleInf">1</span>&#44; FEV<span class="elsevierStyleInf">1</span>&#47;FVC&#44; FEF<span class="elsevierStyleInf">50&#37;</span>&#44; and FEF<span class="elsevierStyleInf">75&#37;</span>&#44; which shows impact on breathing patterns of patients&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">The study by Hillian et al&#46; &#40;2008&#41; found an association of rs2227307 and rs4073 <span class="elsevierStyleItalic">IL-8</span> gene variants and severity of pulmonary disease&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a> In that study&#44; patients were divided into two cohorts&#58; &#40;1&#41; homozygous F508del patients&#59; &#40;2&#41; patients with other genotypes of the <span class="elsevierStyleItalic">CFTR</span> gene&#46; In cohort 1&#44; the rs4073&#44; rs2227306&#44; and rs2227543 variants were not associated with lung disease&#44; and an association was observed for rs22227307&#44; regardless of gender&#46; In cohort 2&#44; the rs4073 and rs2227306 variants were associated with lung disease severity in males&#46; Thus&#44; the gender of the patient&#44; genotype of the <span class="elsevierStyleItalic">CFTR</span> gene&#44; and modifier genes may modulate the severity of the lung disease&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a> In this study&#44; the rs2227307 genotype did not have an impact on the variability of the response to BD&#46; This suggests that although this genotype is associated with lung disease in homozygous F508del patients&#44; its response to BD is not relevant&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">The target of BD is the ADRB2 protein&#44; which is expressed in the airway smooth muscle&#46; Variants of <span class="elsevierStyleItalic">ADRB2</span> are associated with response to the medication&#46; Although this protein has been widely studied in asthma&#44; it was very seldom studied in CF&#46; The effectiveness of the response to BD and inhaled corticosteroids to manage airway inflammation in asthma has been confirmed&#44; and depends on the Arg16Gly &#40;rs1042713&#59; c&#46;46A&#62;G&#41; and Glu27Gln &#40;rs1042714&#59; c&#46;79C&#62;G&#41; <span class="elsevierStyleItalic">ADRB2</span> gene variants&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">29</span></a> The Gln27Glu variant confers resistance to the ADRB2 protein in BD response&#46; The 46&#42;G and 79&#42;G alleles are protective against asthma&#44; reducing the risk by 27&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">29</span></a> Both variants of the G allele induce changes in the regulation of the receptor due to increased susceptibility to protein degradation&#46; This study found that the Arg16Gly and Gln27Glu <span class="elsevierStyleItalic">ADRB2</span> gene variants influence the response to BD in CF&#46; In spirometry and in other markers of severity&#44; the Arg16Gly variant showed a positive association&#44; unlike Gln27Glu&#46; The Arg&#47;Arg genotype for the Arg16Gly variant was associated with better values of FEV<span class="elsevierStyleInf">1</span> and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#46; The response to BD in the analyses of haplotype was positive in the absence of Gly16Gly and Glu27Glu genotypes for FEV<span class="elsevierStyleInf">1</span>&#47;FVC ratio&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Variants of <span class="elsevierStyleItalic">ADRB2</span>&#44; diffusing capacity of the lungs for carbon monoxide&#44; alveolar capillary membrane conductance&#44; volume of blood in the alveolar capillary&#44; and SaO<span class="elsevierStyleInf">2</span> were evaluated in the response to BD in 18 patients and 20 healthy controls&#44; before and after the administration of salbutamol &#40;30&#44; 60&#44; and 90<span class="elsevierStyleHsp" style=""></span>min&#41;&#46; Healthy subjects showed no changes in markers assessed for the Glu27Glu variant&#46; However&#44; in CF&#44; this variant influenced the response to BD&#58; the best response was found in the presence of at least one allele 27Glu&#46; There was a difference in pulmonary diffusion and peripheral SaO<span class="elsevierStyleInf">2</span> according to the variation of the <span class="elsevierStyleItalic">ADRB2</span> gene at position 27&#44; and the dosage of the drug should be prescribed according to this variation&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">30</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">Most studies focus on the <span class="elsevierStyleItalic">ADRB2</span> gene variants in the response to BD&#46; However&#44; this study demonstrated that&#44; even indirectly&#44; the <span class="elsevierStyleItalic">IL-8</span> gene variants &#40;and possibly in other genes&#44; which modulate the inflammatory lung response&#41; may potentiate or minimize the effect of BD and also influence the response to the medication&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Regarding the HWE&#44; as previously discussed by this group&#44;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">22</span></a> two variants &#40;rs4073 and rs2227306&#41; were not in balance&#46; It is important to remember that the HWE assumes an ideal population&#44; without the interference of evolutionary factors&#46; However&#44; in genes as those involved in immunity&#44; inflammation&#44; and infection control&#44; the HWE imbalance may appear secondarily associated with the selection mechanisms that favored a particular allele that can bring a more effective response&#46; The disequilibrium does not invalidate the association study since the groups are part of the same population&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">The limitations of the present study include &#40;i&#41; cross-sectional dataset &#40;BD response was evaluated at a single time&#41;&#59; &#40;ii&#41; numerous missing data considering the problems to achieve information in the records&#59; &#40;iii&#41; whether BD response differs based on baseline FEV<span class="elsevierStyleInf">1</span>&#44; mainly in health subjects&#59; &#40;iv&#41; potential confounders to the results&#44; such as disease severity&#44; current therapies&#44; medication adherence&#44; and adequate pulmonary function test effort&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">In conclusion&#44; <span class="elsevierStyleItalic">IL-8</span> gene variants &#40;rs2227306 and specially rs4073&#41; can be associated with the response to BD during spirometry&#46; This drug may be an alternative for the treatment of the disease&#44; mostly among patients with airways of smaller caliber&#46; Studies involving dosage and combinations of drugs should be further conducted&#44; in order determine the best treatment according to CF patient genotype&#44; the <span class="elsevierStyleItalic">CFTR</span> gene&#44; as well as modifier genes&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Funding</span><p id="par0165" class="elsevierStylePara elsevierViewall">FALM&#58; Funda&#231;&#227;o de Amparo &#224; Pesquisa do Estado de S&#227;o Paulo &#40;<span class="elsevierStyleGrantSponsor" id="gs1">FAPESP</span>&#41; for supporting the researches <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2011&#47;12939-4</span>&#44; <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2011&#47;18845-1</span>&#44; <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2015&#47;12183-8</span>&#44; and <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2015&#47;12858-5</span>&#59; <span class="elsevierStyleGrantSponsor" id="gs2">Fundo de Apoio &#224; Pesquisa&#44; ao Ensino e &#224; Extens&#227;o da Universidade Estadual de Campinas</span> for supporting the research <span class="elsevierStyleGrantNumber" refid="gs2">&#35;0648&#47;2015</span>&#59; JDR&#58; FAPESP for supporting the research <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2011&#47;18845-1</span> and <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2015&#47;12183-8</span>&#46; LLF&#58; FAPESP for supporting the research <span class="elsevierStyleGrantNumber" refid="gs1">&#35;2013&#47;19052-0</span>&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicts of interest</span><p id="par0170" class="elsevierStylePara elsevierViewall">The authors declare no conflicts of interest&#46;</p></span></span>"
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            1 => "Disease severity"
            2 => "Interleukin 8"
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            0 => "<span class="elsevierStyleItalic">CFTR</span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Interleukin 8 protein promotes inflammatory responses&#44; even in airways&#46; The presence of interleukin 8 gene variants causes altered inflammatory responses and possibly varied responses to inhaled bronchodilators&#46; Thus&#44; this study analyzed the interleukin 8 variants &#40;rs4073&#44; rs2227306&#44; and rs2227307&#41; and their association with the response to inhaled bronchodilators in cystic fibrosis patients&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analysis of interleukin 8 gene variants was performed by restriction fragment length polymorphism of polymerase chain reaction&#46; The association between spirometry markers and the response to inhaled bronchodilators was evaluated by Mann&#8211;Whitney and Kruskal&#8211;Wallis tests&#46; The analysis included all cystic fibrosis patients&#44; and subsequently patients with two mutations in the cystic fibrosis transmembrane conductance regulator gene belonging to classes I to III&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">This study included 186 cystic fibrosis patients&#46; There was no association of the rs2227307 variant with the response to inhaled bronchodilators&#46; The rs2227306 variant was associated with FEF<span class="elsevierStyleInf">50&#37;</span> in the dominant group and in the group with two identified mutations in the cystic fibrosis transmembrane conductance regulator gene&#46; The rs4073 variant was associated with spirometry markers in four genetic models&#58; co-dominant &#40;FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> and FEF<span class="elsevierStyleInf">75&#37;</span>&#41;&#44; dominant &#40;FEV<span class="elsevierStyleInf">1</span>&#44; FEF<span class="elsevierStyleInf">50&#37;</span>&#44; FEF<span class="elsevierStyleInf">75&#37;</span>&#44; and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#41;&#44; recessive &#40;FEF<span class="elsevierStyleInf">75&#37;</span> and FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#41;&#44; and over-dominant &#40;FEV<span class="elsevierStyleInf">1</span>&#47;FVC&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">This study highlighted the importance of the rs4073 variant of the interleukin 8 gene&#44; regarding response to inhaled bronchodilators&#44; and of the assessment of mutations in the cystic fibrosis transmembrane conductance regulator gene&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A prote&#237;na interleucina 8 promove respostas inflamat&#243;rias&#44; o que inclui sua atua&#231;&#227;o nas vias a&#233;reas&#46; A presen&#231;a de variantes no gene da interleucina 8 causa respostas inflamat&#243;rias alteradas e possivelmente respostas variadas ao uso de broncodilatadores inalat&#243;rios&#46; Assim&#44; este estudo analisou as variantes da interleucina 8 &#40;rs4073&#44; rs2227306&#44; rs2227307&#41; e sua associa&#231;&#227;o &#224; resposta a broncodilatadores inalat&#243;rios em pacientes com fibrose c&#237;stica&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Foi feita an&#225;lise das variantes gen&#233;ticas da interleucina 8 por <span class="elsevierStyleItalic">restriction fragment length polymorphism</span> da rea&#231;&#227;o em cadeia da polimerase&#46; A associa&#231;&#227;o entre os marcadores da espirometria e a resposta a broncodilatadores inalat&#243;rios foi feita pelos testes de Mann-Whitney e Kruskal-Wallis&#46; A an&#225;lise incluiu todos os pacientes com fibrose c&#237;stica e posteriormente pacientes com duas muta&#231;&#245;es no gene <span class="elsevierStyleItalic">cystic fibrosis transmembrane conductance regulator</span> pertencentes &#224;s Classes I a II&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Este estudo incluiu 186 pacientes com fibrose c&#237;stica&#46; N&#227;o houve associa&#231;&#227;o da variante rs2227307 &#224; resposta a broncodilatadores inalat&#243;rios&#46; A variante rs2227306 foi associada a FEF<span class="elsevierStyleInf">50&#37;</span> no grupo dominante e no grupo com duas muta&#231;&#245;es identificadas no gene <span class="elsevierStyleItalic">cystic fibrosis transmembrane conductance regulator</span>&#46; A variante rs4073 foi associada a marcadores da espirometria em quatro modelos gen&#233;ticos&#58; codominante &#40;FEF<span class="elsevierStyleInf">25-75&#37;</span> e FEF<span class="elsevierStyleInf">75&#37;</span>&#41;&#44; dominante &#40;VEF<span class="elsevierStyleInf">1</span>&#44; FEF<span class="elsevierStyleInf">50&#37;</span>&#44; FEF<span class="elsevierStyleInf">75&#37;</span> e FEF<span class="elsevierStyleInf">25-75&#37;</span>&#41;&#44; recessivo &#40;FEF<span class="elsevierStyleInf">75&#37;</span> e FEF<span class="elsevierStyleInf">25-75&#37;</span>&#41; e overdominante &#40;VEF<span class="elsevierStyleInf">1</span>&#47;CVF&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#245;es</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Este estudo destaca&#44; principalmente&#44; a import&#226;ncia da variante rs4073 do gene da interleucina 8&#44; na resposta a broncodilatadores inalat&#243;rios&#44; concomitantemente ao gen&#243;tipo das muta&#231;&#245;es no gene <span class="elsevierStyleItalic">cystic fibrosis transmembrane conductance regulator</span>&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0030">Please cite this article as&#58; Furlan LL&#44; Ribeiro JD&#44; Bertuzzo CS&#44; Salom&#227;o Junior JB&#44; Souza DR&#44; Marson FA&#46; Variants in the interleukin 8 gene and the response to inhaled bronchodilators in cystic fibrosis&#46; J Pediatr &#40;Rio J&#41;&#46; 2017&#59;93&#58;639&#8211;48&#46;</p>"
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Association of rs4073 and rs2227306 variants of <span class="elsevierStyleItalic">IL-8</span> &#40;interleukin-8&#41; with the response to inhaled bronchodilators in cystic fibrosis patients&#46; &#40;A&#41; Association between forced expiratory volume in 1<span class="elsevierStyleHsp" style=""></span>s &#40;FEV<span class="elsevierStyleInf">1</span>&#41; of forced vital capacity &#40;FVC&#41; and rs4073&#44; dominant model and two identified mutations in the <span class="elsevierStyleItalic">CFTR</span> gene &#40;cystic fibrosis transmembrane regulator&#41; belonging to classes I&#44; II&#44; and&#47;or III &#40;<span class="elsevierStyleItalic">CFTR-B</span> group&#41; &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;028&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;112&#41;&#46; 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&#40;CC<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#59; mean of 6&#46;06<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>20&#46;27&#59; median of 4 &#40;ranging from &#8722;20 to 55&#41;&#46; &#40;CT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#59; mean of 19&#46;96<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>26&#46;43&#59; median of 19 &#40;ranging from &#8722;28 to 89&#41;&#46; &#40;F&#41; Association of forced expiratory flow of 75&#37; &#40;FEF<span class="elsevierStyleInf">75&#37;</span>&#41; of FVC with rs4073&#44; co-dominant model regardless of identified mutations in the <span class="elsevierStyleItalic">CFTR</span> gene &#40;<span class="elsevierStyleItalic">CFTR-A</span> group&#41; &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;044&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; 1<span class="elsevierStyleHsp" style=""></span>&#8800;<span class="elsevierStyleHsp" style=""></span>3&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 29&#46;93<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>39&#46;98&#59; median of 30 &#40;ranging from &#8722;47 to 142&#41;&#46; &#40;AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>42&#59; mean of 24&#46;81<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>53&#46;57&#59; median of 14 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 9&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>36&#46;95&#59; median of 2&#46;5 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;G&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;096&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>38&#59; mean of 33<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>55&#46;23&#59; median of 16 &#40;ranging from &#8722;27 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#59; mean of 5&#46;43<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>35&#46;93&#59; median of 2 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;H&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;034&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>70&#59; mean of 26&#46;86<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>48&#46;34&#59; median of 18 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 9&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>36&#46;95&#59; median of 2&#46;5 &#40;ranging from &#8722;35 to 119&#41;&#46; &#40;I&#41; Association of FEF<span class="elsevierStyleInf">75&#37;</span> with rs4073&#44; recessive model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;04&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;058&#41;&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#59; mean of 29&#46;93<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>39&#46;98&#59; median of 30 &#40;ranging from &#8722;47 to 142&#41;&#46; &#40;AT<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>70&#59; mean of 18&#46;54<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>47&#46;95&#59; median of 10 &#40;ranging from &#8722;58 to 235&#41;&#46; &#40;J&#41; Association of FEF between 25&#37; and 75&#37; &#40;FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#41; of FVC with rs4073&#44; co-dominant model and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;012&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#41;&#46; TT<span class="elsevierStyleHsp" style=""></span>&#8800;<span class="elsevierStyleHsp" style=""></span>AA and AT&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#59; mean of 25&#46;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;14&#59; median of 30 &#40;ranging from &#8722;21 to 57&#41;&#46; &#40;AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#59; mean of 18&#46;38<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>29&#46;04&#59; median of 14 &#40;ranging from &#8722;33 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#59; mean of 2&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;74&#59; median of 0 &#40;ranging from &#8722;51 to 65&#41;&#46; &#40;K&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;007&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;024&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>ATT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>38&#59; mean of 20&#46;13<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;64&#59; median of 18&#46;5 &#40;ranging from &#8722;33 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#59; mean of 2&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;74&#59; median of 0 &#40;ranging from &#8722;51 to 65&#41;&#46; &#40;L&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; dominant model&#44; and <span class="elsevierStyleItalic">CFTR-A</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;029&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;1&#41;&#46; &#40;AA<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>AT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>82&#59; mean of 15&#46;48<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;2&#59; median of 15 &#40;ranging from &#8722;40 to 117&#41;&#46; &#40;TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>33&#59; mean of 5&#46;94<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;33&#59; median of 0 &#40;ranging from &#8722;51 to 76&#41;&#46; &#40;M&#41; Association of FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span> with rs4073&#44; recessive model&#44; and <span class="elsevierStyleItalic">CFTR-B</span> group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;047&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleSup">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;063&#41;&#46; &#40;AA&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#59; mean of 25&#46;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;14&#59; median of 30 &#40;ranging from &#8722;21 to 57&#41;&#46; &#40;AT<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>TT&#41; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>50&#59; mean of 11&#46;56<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;89&#59; median of 8 &#40;ranging from &#8722;51 to 117&#41;&#46; The dot corresponds to median values and the bar corresponds to the 95&#37; confidence interval&#46;</p>"
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          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">n</span>&#44; sample size&#59; <span class="elsevierStyleItalic">CFTR</span>&#44; cystic fibrosis transmembrane regulator&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Genotype&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">n</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Group of patients&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">&#8211;&#47;&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">55&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">29&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="6" align="left" valign="middle">Patients without known mutation in the <span class="elsevierStyleItalic">CFTR</span> gene&#44; or with one or two classes IV&#44; V or VI <span class="elsevierStyleItalic">CFTR</span> mutations</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">V562I&#47;&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">I507V&#47;&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">D110H&#47;V232H&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G576A&#47;R668C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">p&#46;Glu528G&#62;A&#47;TG11-5T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="10" align="left" valign="middle">Patients with one classes I&#44; II or III <span class="elsevierStyleItalic">CFTR</span> mutation&#44; and one non-identified mutation or IV&#44; V or VI <span class="elsevierStyleItalic">CFTR</span> mutation</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;3272-26A&#62;G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;P205S&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;P205S&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;R334W&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">3120&#43;1G&#62;A&#47;L206W&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">622-2A&#62;G&#47;711&#43;1G&#62;T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">R1162X&#47;-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;I618T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;F508del&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">49&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">26&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="22" align="left" valign="middle">Patients with two classes I&#44; II&#44; and&#47;or III <span class="elsevierStyleItalic">CFTR</span> mutations<br>&#40;<span class="elsevierStyleItalic">CFTR-B</span> group&#41;</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;G542X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;N1303K&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;R1162X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;R553X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;1584-18672pbA&#62;G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;c&#46;1717-1G&#62;A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">3120&#43;1G&#62;A&#47;R1066C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;2183AA&#62;G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;2184insA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;6B to 16 exon duplication&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;G85E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;S549R &#40;T&#62;G&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;S4X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;2183AA&#62;G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">G542X&#47;R1162X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">A561E&#47;A561E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;R1066C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">R1070Q&#59; S466X&#47;G542X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">F508del&#47;1812-1G&#62;A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">2183AA&#62;G&#47;2183AA&#62;G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">3120&#43;1G&#62;A&#47;3120&#43;1G&#62;A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">All patients assessed in this study have been included &#40;<span class="elsevierStyleItalic">CFTR-A</span> group&#41;&#46;</p>"
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          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Distribution of cystic fibrosis patients for the <span class="elsevierStyleItalic">CFTR</span> genotype and classes of identified mutations&#46;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></p>"
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          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">SaO<span class="elsevierStyleInf">2</span>&#44; transcutaneous arterial hemoglobin oxygen-saturation&#59; FVC&#44; forced vital capacity&#59; FEV<span class="elsevierStyleInf">1</span>&#44; forced expiratory volume in 1<span class="elsevierStyleHsp" style=""></span>s of FVC&#59; FEF<span class="elsevierStyleInf">25&#37;</span>&#44; forced expiratory flow at 25&#37; of FVC&#59; FEF<span class="elsevierStyleInf">50&#37;</span>&#44; forced expiratory flow at 50&#37; of FVC&#59; FEF<span class="elsevierStyleInf">75&#37;</span>&#44; forced expiratory flow at 75&#37; of FVC&#59; FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&#44; average forced expiratory flow between 25&#37; and 75&#37; of FVC&#59; FEF<span class="elsevierStyleInf">max</span>&#44; maximum forced expiratory flow&#59; ERV&#44; expiratory reserve volume&#46; Spirometry data are shown in percentage of the predicted value&#46; All evaluated patients are described&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Variables&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Distribution<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Gender &#40;male&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">92&#47;186 &#40;49&#46;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Ethnicity &#40;White&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">169&#47;180 &#40;93&#46;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Age &#40;months&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">169&#59; 201&#46;41<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>171&#46;98&#59; 143 &#40;7 to 932&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Onset of symptoms &#40;months&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">159&#59; 38&#46;23<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>114&#46;03&#59; 3 &#40;0 to 720&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Diagnosis &#40;months&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">171&#59; 87&#46;90<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>158&#46;39&#59; 20 &#40;0 to 833&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Onset of digestive symptoms &#40;months&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">140&#59; 41&#46;2<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>112&#46;61&#59; 3 &#40;0 to 720&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Onset of pulmonary symptoms &#40;months&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">156&#59; 46&#46;33<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>123&#46;64&#59; 6 &#40;0 to 720&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Body mass index &#40;Kg&#47;m</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">178&#59; 17&#46;28<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>4&#46;08&#59; 16&#46;28 &#40;6&#46;5 to 35&#46;67&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Nasal polyposis &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">28&#47;162 &#40;17&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Diabetes mellitus &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">32&#47;164 &#40;19&#46;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Osteoporosis &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25&#47;162 &#40;15&#46;4&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Pancreatic insufficiency &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">130&#47;162 &#40;80&#46;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Meconium ileus &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&#47;162 &#40;14&#46;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">1st Pseudomonas aeruginosa</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">121&#59; 103&#46;03<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>171&#46;74&#59; 31 &#40;0 to 872&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Mucoid P&#46; aeruginosa &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">74&#47;173 &#40;42&#46;8&#37;&#41;<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Non-mucoid P&#46; aeruginosa &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#47;173 &#40;57&#46;2&#37;&#41;<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Achromobacter xylosoxidans &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#47;174 &#40;9&#46;8&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Burkolderia cepacia &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25&#47;174 &#40;14&#46;4&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Staphylococcus aureus &#40;presence&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">131&#47;174 &#40;75&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">SaO</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">2</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">159&#59; 94&#46;87<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>4&#46;28&#59; 96 &#40;66 to 99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Bhalla score</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">113&#59; 8&#46;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#46;77&#59; 8 &#40;0 to 25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Kanga score</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">118&#59; 18&#46;78<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#46;82&#59; 17&#46;5 &#40;10 to 40&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Shwachman-Kulczycki score</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">143&#59; 65&#46;97<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>16&#46;78&#59; 65 &#40;20 to 95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FVC</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">142&#59; 72&#46;13<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>23&#46;86&#59; 77 &#40;19 to 126&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEV</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">1</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">141&#59; 60&#46;99<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>25&#46;75&#59; 63 &#40;17 to 116&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEV</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">1</span></span><span class="elsevierStyleItalic">&#47;FVC</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">144&#59; 79&#46;08<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#46;99&#59; 81 &#40;39 to 113&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEF</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">25&#37;</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">119&#59; 61&#46;28<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>31&#46;71&#59; 60 &#40;7 to 138&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEF</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">50&#37;</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">119&#59; 46&#46;2<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>31&#46;25&#59; 40 &#40;3 to 126&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEF</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">75&#37;</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">116&#59; 36&#46;32<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>28&#46;77&#59; 27&#46;5 &#40;4 to 142&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEF</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">25&#8211;75&#37;</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">140&#59; 47&#46;16<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>32&#46;51&#59; 39 &#40;5 to 150&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FEF</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">Max</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">114&#59; 75&#46;54<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>25&#46;59&#59; 73&#46;5 &#40;25 to 137&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">ERV</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">112&#59; 80&#46;96<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>52&#46;39&#59; 69 &#40;3 to 248&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Response to inhaled bronchodilator</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FVC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">117&#59; 1&#46;74<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#46;19&#59; 1 &#40;&#8722;17 to 32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEV<span class="elsevierStyleInf">1</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">117&#59; 3&#46;51<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>8&#46;0&#59; 3 &#40;&#8722;12 to 48&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEV<span class="elsevierStyleInf">1</span>&#47;FVC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">111&#59; 2&#46;14<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>7&#46;43&#59; 2 &#40;&#8722;19 to 32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEF<span class="elsevierStyleInf">25&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#59; 9&#46;99<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>24&#46;41&#59; 5 &#40;&#8722;45 to 110&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEF<span class="elsevierStyleInf">50&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#59; 13&#46;08<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>26&#46;06&#59; 9 &#40;&#8722;41 to 114&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEF<span class="elsevierStyleInf">75&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#59; 20&#46;93<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>46&#46;47&#59; 16 &#40;&#8722;64 to 235&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEF<span class="elsevierStyleInf">25&#8211;75&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#59; 12&#46;28<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>27&#46;77&#59; 9&#46;5 &#40;&#8722;51 to 117&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FEF<span class="elsevierStyleInf">Max</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">116&#59; 2&#46;63<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#46;48&#59; 3 &#40;&#8722;42 to 69&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>ERV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">100&#59; 23&#46;04<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>101&#46;08&#59; 0 &#40;&#8722;90 to 670&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "notaPie" => array:3 [
            0 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">The data with categorical distribution are presented as follows&#58; <span class="elsevierStyleItalic">n</span> of variable&#47;<span class="elsevierStyleItalic">n</span> total &#40;percentage&#41;&#59; data with numeric distribution are presented as follows&#58; sample size&#59; mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#59; median &#40;minimum to maximum&#41;&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0015"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Missing values for first <span class="elsevierStyleItalic">P&#46; aeruginosa</span> correspond to cystic fibrosis patients that never presented a <span class="elsevierStyleItalic">P&#46; aeruginosa</span> positive culture&#46;</p>"
            ]
            2 => array:3 [
              "identificador" => "tblfn0020"
              "etiqueta" => "c"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">One cystic fibrosis patient showed a positive culture for <span class="elsevierStyleItalic">P&#46; aeruginosa</span>&#44; with negative values for <span class="elsevierStyleItalic">P&#46; aeruginosa</span> antigen specific IgG and the patient was excluded for the frequency estimation&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Descriptive analysis of clinical and laboratory markers of cystic fibrosis patients&#46;</p>"
        ]
      ]
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        "etiqueta" => "Table 3"
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        "tabla" => array:3 [
          "leyenda" => "<p id="spar1045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">IL-8</span>&#44; interleukin 8&#59; &#37;&#44; percentage&#59; <span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span>&#44; chi-square&#59; af&#44; absolute frequency&#46;</p>"
          "tablatextoimagen" => array:2 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Variants&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Genotype&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Number &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Allele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Number &#40;af&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span>-Value<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " rowspan="4" align="left" valign="top">rs4073</td><td class="td" title="table-entry  " align="left" valign="top">AA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">54 &#40;29&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">187 &#40;0&#46;51&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle">3&#46;94</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle"><span class="elsevierStyleBold">&#60;0&#46;05</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">79 &#40;42&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">183 &#40;0&#46;49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">52 &#40;28&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">370&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">185&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="7" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " rowspan="4" align="left" valign="top">rs2227306</td><td class="td" title="table-entry  " align="left" valign="top">CC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">70 &#40;38&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">211 &#40;0&#46;57&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle">8&#46;21</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle"><span class="elsevierStyleBold">&#60;0&#46;05</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">CT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">71 &#40;38&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">157 &#40;0&#46;43&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">43 &#40;23&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">368&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">184&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="7" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " rowspan="4" align="left" valign="top">rs2227307</td><td class="td" title="table-entry  " align="left" valign="top">GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">31 &#40;17&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">139 &#40;0&#46;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle">1&#46;48</td><td class="td" title="table-entry  " rowspan="3" align="left" valign="middle">&#62;0&#46;05</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">77 &#40;43&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">217 &#40;0&#46;61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">70 &#40;39&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">356&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">178&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1581574.png"
              ]
            ]
            1 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">rs4073&#47;rs2227306&#47;rs2227307&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Frequency&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Percentage &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CC GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CC GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CC TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CT GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA CT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA TT GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA TT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AA TT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT CC GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT CC TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT CT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT CT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT TT GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT TT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">AT TT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CC GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CC GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CC TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CT GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT CT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT TT GG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT TT GT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">TT TT TT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">177&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1581576.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tblfn0025"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0025"><span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span> and <span class="elsevierStyleItalic">p</span>-values refer to the calculation of Hardy&#8211;Weinberg equilibrium&#46; Significant data are shown in bold type&#46; There was weak correlation among the <span class="elsevierStyleItalic">IL-8</span> gene variants in the cystic fibrosis patients enrolled in the study&#46; There is no linkage disequilibrium&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Distribution of genotypes&#44; alleles and haplotype of <span class="elsevierStyleItalic">IL-8</span> gene variants &#40;rs4073&#44; rs2227306 and rs2227307&#41; in cystic fibrosis patients&#46;</p>"
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        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0175" class="elsevierStylePara elsevierViewall">To Luciana Montes Rezende&#44; Luciana Cardoso Bonadia&#44; and Stephanie Villa-Nova for their technical support during DNA extraction and identification of mutations of the <span class="elsevierStyleItalic">CFTR</span> gene&#46; To Marcela Augusta de Souza Pinhel&#44; Michele Lima Greg&#243;rio&#44; Rafael Fernandes Ferreira&#44; Graciele Domitila Tenani&#44; and Heloisa Cristina Caldas for their technical support during standardization of <span class="elsevierStyleItalic">IL</span>-8 genotyping&#46; To Maria &#194;ngela Gon&#231;alves de Oliveira Ribeiro for conducting pulmonary function tests &#40;LAFIP&#47;Ciped&#47;Unicamp&#41;&#46; To Rafaella Maionchi Pereira Martins for her technical support to determine clinical scores&#46; To Maria de F&#225;tima Corr&#234;a Pimenta Servidoni for promoting a link between both Universities&#46;</p>"
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