Animal models for cystic fibrosis liver disease (CFLD)
Romina Fiorotto1, Mariangela Amenduni1, Valeria Mariotti2
1Digestive Disease Section, Yale Liver Center, Yale University School of Medicine, New Haven, CT, USA.
Abstract:
Liver disease is a severe complication in patients with Cystic Fibrosis (CF), a genetic disease caused by mutations in the gene encoding for cystic fibrosis transmembrane conductance regulator (CFTR) channel. The sequence of events leading to CFLD is still unclear and has limited the development of more specific treatments other than the bile acid UDCA. However, in the last twenty years, several gaps have been filled, which have mainly been possible due to the availability of different animal models that mimic CF. CF mice, although they lack a spontaneous liver manifestation, have been essential to better understand the multiple functions of CFTR expression on the apical membrane of cholangiocytes, from chloride channel to regulator of epithelial innate immunity. Additionally, we have learned that the gut microbiota might be a pathogenetic factor for the development of liver disease. The recent creation of novel CF animal models (i.e. pig and ferret) that better reproduce the human disease, will allow for comparative studies with species that spontaneously develop the liver disease and will hopefully lead to novel therapeutic treatments. In this review, we have compared and summarized the main features of the current available CF animal models and their applicability for the study of the liver phenotype.
Insights
Cystic Fibrosis (CF) liver disease is complex, but animal models are advancing understanding of CFTR function and gut microbiota roles. New models in pigs and ferrets offer hope for targeted therapies.
Area of Science:
- Hepatology
- Genetics
- Microbiology
Background:
- Cystic Fibrosis (CF) liver disease (CFLD) is a severe complication of CF, a genetic disorder caused by CFTR gene mutations.
- The exact mechanisms leading to CFLD remain unclear, hindering the development of targeted treatments beyond UDCA.
- CFTR's role on cholangiocyte apical membranes, including chloride transport and immune regulation, is increasingly understood through CF animal models.
Purpose of the Study:
- To review and compare available Cystic Fibrosis (CF) animal models.
- To assess the applicability of these models for studying the liver phenotype in CF.
- To highlight advancements in understanding CFLD pathogenesis.
Main Methods:
- Review of existing literature on CF animal models.
- Comparison of CF mouse, pig, and ferret models regarding liver manifestation.
- Analysis of CFTR function and gut microbiota influence in CF liver disease.
Main Results:
- CF mice, while lacking spontaneous liver disease, have elucidated CFTR functions in cholangiocytes.
- Gut microbiota identified as a potential contributing factor to CFLD development.
- Novel CF models (pig, ferret) more closely mimic human disease, enabling comparative studies.
Conclusions:
- CF animal models have been crucial for understanding CFLD pathogenesis.
- Emerging models offer better platforms for studying CF liver disease and developing new therapies.
- Further research using advanced animal models is expected to yield novel therapeutic strategies for CFLD.
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