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Screening Assays to Characterize Novel Endothelial Regulators Involved in the Inflammatory Response
Published on: September 15, 2017
CF-Emerging therapies: Modulation inflammation
M Fayon1,
1C.R.C.M. pédiatrique & Centre de Recherche (CEDRE), CHU de Bordeaux-Université Victor Segalen Bordeaux 2, Laboratoire de Physiologie Cellulaire Respiratoire, Place Amélie Raba Léon, 33076 Bordeaux Cedex, France. michael.fayon@chu-bordeaux.fr
Abstract:
Persistent and dysregulated inflammation, combined with an exaggerated host response is a major contributor to CF lung disease. As lung disease progresses, neutrophil accumulation in the airways ensues. Modulation of CF airway inflammation may result in either beneficial or deleterious side effects, resulting in more harm than good. Antibiotics, in particular, macrolides which act as a long-term anti-inflammatory agent with an excellent safety profile, and dornase alpha, are very interesting agents; steroids are not indicated in CF except in very special situations, and other promising agents such as leukotriene modifiers, high-dose N-acetylcysteine, anti-elastase and anti-cytokines require further research. Research should focus on early treatment, before lung damage has occurred.
Insights
Persistent inflammation drives cystic fibrosis (CF) lung disease. Early intervention with agents like macrolides may offer benefits, but further research is needed for other treatments.
Area of Science:
- Pulmonology
- Immunology
- Pharmacology
Background:
- Persistent and dysregulated inflammation is a key factor in cystic fibrosis (CF) lung disease progression.
- Neutrophil accumulation in airways is a hallmark of advancing CF lung disease.
Purpose of the Study:
- To review current understanding of CF airway inflammation.
- To evaluate potential therapeutic agents for modulating inflammation in CF.
Main Methods:
- Literature review of inflammatory processes in CF.
- Analysis of existing and potential therapeutic strategies for CF lung disease.
Main Results:
- Macrolides show promise as anti-inflammatory agents with a good safety profile for long-term use in CF.
- Steroids are generally not recommended for CF, except in specific circumstances.
- Leukotriene modifiers, N-acetylcysteine, anti-elastase, and anti-cytokines require further investigation.
Conclusions:
- Early treatment of CF lung disease, before significant lung damage occurs, is crucial.
- Targeting airway inflammation is a critical therapeutic goal in CF management.
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