Cystic fibrosis: current therapeutic targets and future approaches

Journal of Translational Medicine

Review

Misbahuddin M. Rafeeq¹  Hussam Aly Sayed Murad² 

[1] Department of Pharmacology, Faculty of Medicine, King Abdulaziz University, Rabigh Campus, 21589, Jeddah, Saudi Arabia;Department of Pharmacology, Faculty of Medicine, King Abdulaziz University, Rabigh Campus, 21589, Jeddah, Saudi Arabia;Department of Pharmacology, Faculty of Medicine, Ain Shams University, 11562, Cairo, Egypt;

关键词: Chloride;    Sweat;    Respiratory;    Hereditary;    CFTR;   

DOI  :  10.1186/s12967-017-1193-9

 received in 2017-02-01, accepted in 2017-04-23,  发布年份 2017

来源: Springer

【 摘 要 】

ObjectivesStudy of currently approved drugs and exploration of future clinical development pipeline therapeutics for cystic fibrosis, and possible limitations in their use.MethodsExtensive literature search using individual and a combination of key words related to cystic fibrosis therapeutics.Key findingsCystic fibrosis is an autosomal recessive disorder due to mutations in CFTR gene leading to abnormality of chloride channels in mucus and sweat producing cells. Respiratory system and GIT are primarily involved but eventually multiple organs are affected leading to life threatening complications. Management requires drug therapy, extensive physiotherapy and nutritional support. Previously, the focus was on symptomatic improvement and complication prevention but recently the protein rectifiers are being studied which are claimed to correct underlying structural and functional abnormalities. Some improvement is observed by the corrector drugs. Other promising approaches are gene therapy, targeting of cellular interactomes, and newer drugs for symptomatic improvement.ConclusionsThe treatment has a long way to go as most of the existing therapeutics is for older children. Other limiting factors include mutation class, genetic profile, drug interactions, adverse effects, and cost. Novel approaches like gene transfer/gene editing, disease modeling and search for alternative targets are warranted.

【 授权许可】

CC BY   
© The Author(s) 2017