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Forskolin-induced Swelling in Intestinal Organoids: An In Vitro Assay for Assessing Drug Response in Cystic Fibrosis Patients
Published on: February 11, 2017
[Therapeutic advances in cystic fibrosis in 2014]
1Service de médecine interne, centre de référence de la mucoviscidose, centre adulte de ressource et de compétences de la mucoviscidose, centre hospitalier Lyon-Sud, 69495 Pierre-Bénite cedex, France.
Abstract:
Twenty-five years after the cystic fibrosis (CF) gene identification, this discovery actually begins to benefit to patients. Increasing our knowledge on CFTR biology, as well as technical progress made in order to screen for new drugs have made therapeutic strategies move an important step forward. It is likely that in the forthcoming years, the panel of molecules available for CF patients will be larger, with new activators and potentiators. The disease by itself may consequently change in its natural history. CF is an example of the so-called personalized medicine, aiming to fit treatment according to patient's genetic background. Ongoing clinical trials may enlarge the actually limited eligible number of CF patients for new drugs such as ivacaftor. Beyond this exciting and promising new therapeutic approach, one may not push symptomatic treatments on the side. Improvements have been made for inhaled antibiotics administration, aiming to simplify patient's life; clinical trials using new molecules able to liquefy mucus or with anti-inflammatory properties are actually underway. One important next step in the care for CF will be to design and conduct early intervention trials in CF infants. Newborn screening program have been widely implanted around the word, and cohorts studies have shown that both functional and structural abnormalities occurred very early, making the therapeutic window of opportunity tight.
Insights
Cystic Fibrosis (CF) treatments are advancing, with new drugs and personalized medicine approaches offering hope. Early intervention in infants is crucial for improving long-term outcomes in CF care.
Area of Science:
- Medical Research
- Genetics
- Pharmacology
Background:
- The identification of the cystic fibrosis (CF) gene has paved the way for significant therapeutic advancements.
- Progress in understanding CFTR biology and drug screening has accelerated the development of new treatments.
Purpose of the Study:
- To review the current state and future directions of cystic fibrosis therapeutics.
- To highlight the shift towards personalized medicine in CF treatment.
- To emphasize the importance of early intervention strategies.
Main Methods:
- Review of recent scientific literature and ongoing clinical trials in cystic fibrosis.
- Analysis of emerging therapeutic strategies, including gene-specific modulators and supportive care improvements.
- Discussion of personalized medicine principles applied to CF treatment.
Main Results:
- A growing number of therapeutic molecules, including activators and potentiators, are becoming available for CF patients.
- New drugs, such as ivacaftor, are expanding treatment options, with ongoing trials aiming to broaden eligibility.
- Improvements in symptomatic treatments, like inhaled antibiotics and mucus-thinning agents, are enhancing patient care.
Conclusions:
- Cystic fibrosis treatment is evolving towards personalized medicine, with a promising outlook for improved patient outcomes.
- The development of novel CFTR modulators and advancements in supportive care are transforming the disease's natural history.
- Early intervention trials in infants, informed by newborn screening, represent a critical next step in optimizing CF care.
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