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Updated: Apr 19, 2026

Forskolin-induced Swelling in Intestinal Organoids: An In Vitro Assay for Assessing Drug Response in Cystic Fibrosis Patients
Published on: February 11, 2017
Deciphering miRNA transcription factor feed-forward loops to identify drug repurposing candidates for cystic fibrosis
Zhichao Liu1, Jürgen Borlak2, Weida Tong1
1Division of Bioinformatics and Biostatistics, National Center for Toxicological Research, U.S. Food and Drug Administration, 3900 NCTR Road, Jefferson, AR 72079 USA.
Background:
Cystic fibrosis (CF) is a fatal genetic disorder caused by mutations in the CF transmembrane conductance regulator (CFTR) gene that primarily affects the lungs and the digestive system, and the current drug treatment is mainly able to alleviate symptoms. To improve disease management for CF, we considered the repurposing of approved drugs and hypothesized that specific microRNA (miRNA) transcription factors (TF) gene networks can be used to generate feed-forward loops (FFLs), thus providing treatment opportunities on the basis of disease specific FFLs.
Methods:
Comprehensive database searches revealed significantly enriched TFs and miRNAs in CF and CFTR gene networks. The target genes were validated using ChIPBase and by employing a consensus approach of diverse algorithms to predict miRNA gene targets. STRING analysis confirmed protein-protein interactions (PPIs) among network partners and motif searches defined composite FFLs. Using information extracted from SM2miR and Pharmaco-miR, an in silico drug repurposing pipeline was established based on the regulation of miRNA/TFs in CF/CFTR networks.
Results:
In human airway epithelium, a total of 15 composite FFLs were constructed based on CFTR specific miRNA/TF gene networks. Importantly, nine of them were confirmed in patient samples and CF epithelial cells lines, and STRING PPI analysis provided evidence that the targets interacted with each other. Functional analysis revealed that ubiquitin-mediated proteolysis and protein processing in the endoplasmic reticulum dominate the composite FFLs, whose major functions are folding, sorting, and degradation. Given that the mutated CFTR gene disrupts the function of the chloride channel, the constructed FFLs address mechanistic aspects of the disease and, among 48 repurposing drug candidates, 26 were confirmed with literature reports and/or existing clinical trials relevant to the treatment of CF patients.
Conclusion:
The construction of FFLs identified promising drug repurposing candidates for CF and the developed strategy may be applied to other diseases as well.
Insights
Drug repurposing for cystic fibrosis (CF) identified novel therapeutic targets by constructing microRNA (miRNA) and transcription factor (TF) feed-forward loops (FFLs). This approach revealed 26 potential drug candidates for CF treatment.
Area of Science:
- Genetics and Molecular Biology
- Pharmacology and Drug Discovery
Background:
- Cystic fibrosis (CF) is a genetic disorder caused by CF transmembrane conductance regulator (CFTR) gene mutations, leading to severe lung and digestive issues.
- Current CF treatments primarily manage symptoms, highlighting the need for improved therapeutic strategies.
Purpose of the Study:
- To explore drug repurposing for CF by investigating microRNA (miRNA) and transcription factor (TF) gene networks.
- To identify and construct disease-specific feed-forward loops (FFLs) as potential therapeutic targets for CF.
Main Methods:
- Conducted comprehensive database searches to identify enriched TFs and miRNAs in CF and CFTR gene networks.
- Validated target genes and predicted miRNA targets using bioinformatics tools and STRING analysis for protein-protein interactions.
- Established an in silico drug repurposing pipeline based on miRNA/TF regulation within CF/CFTR networks.
Main Results:
- Constructed 15 composite FFLs in human airway epithelium, with nine validated in patient samples and CF cell lines.
- Identified ubiquitin-mediated proteolysis and ER protein processing as key functions within the FFLs, related to protein folding, sorting, and degradation.
- Screened 48 drug candidates, confirming 26 with existing literature or clinical trial relevance for CF treatment.
Conclusions:
- The study successfully constructed FFLs, identifying promising drug repurposing candidates for cystic fibrosis.
- The developed strategy offers a novel approach for CF treatment and has potential applicability to other genetic disorders.
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