Future therapies for cystic fibrosis.



Allen, Lucy, Allen, Lorna, Carr, Siobhan B, Davies, Gwyneth, Downey, Damian, Egan, Marie, Forton, Julian T, Gray, Robert, Haworth, Charles, Horsley, Alexander
et al (show 3 more authors) (2023) Future therapies for cystic fibrosis. Nature communications, 14 (1). p. 693.

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Abstract

We are currently witnessing transformative change for people with cystic fibrosis with the introduction of small molecule, mutation-specific drugs capable of restoring function of the defective protein, cystic fibrosis transmembrane conductance regulator (CFTR). However, despite being a single gene disorder, there are multiple cystic fibrosis-causing genetic variants; mutation-specific drugs are not suitable for all genetic variants and also do not correct all the multisystem clinical manifestations of the disease. For many, there will remain a need for improved treatments. Those patients with gene variants responsive to CFTR modulators may have found these therapies to be transformational; research is now focusing on safely reducing the burden of symptom-directed treatment. However, modulators are not available in all parts of the globe, an issue which is further widening existing health inequalities. For patients who are not suitable for- or do not have access to- modulator drugs, alternative approaches are progressing through the trials pipeline. There will be challenges encountered in design and implementation of these trials, for which the established global CF infrastructure is a major advantage. Here, the Cystic Fibrosis National Research Strategy Group of the UK NIHR Respiratory Translational Research Collaboration looks to the future of cystic fibrosis therapies and consider priorities for future research and development.

Item Type: Article
Uncontrolled Keywords: Humans, Cystic Fibrosis, Cystic Fibrosis Transmembrane Conductance Regulator, Mutation, Genetic Therapy
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 14 Mar 2023 10:22
Last Modified: 01 Jul 2023 12:40
DOI: 10.1038/s41467-023-36244-2
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3168983