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Alpha-1 antitrypsin deficiency: current therapy and emerging targets
Oisín F McElvaney1,2, Daniel D Fraughen1,2, Oliver J McElvaney1,2
1Irish Centre for Genetic Lung Disease, Royal College of Surgeons in Ireland, Dublin, Ireland.
Alpha1 antitrypsin deficiency (AATD) treatments are advancing for lung, liver, and skin issues. This review covers current AATD therapies and future pipeline options, addressing delivery and efficacy challenges.
Area of Science:
- Hereditary disorders
- Pulmonology
- Hepatology
- Dermatology
Background:
- Alpha1 antitrypsin deficiency (AATD) is a prevalent genetic disorder impacting the lungs, liver, and skin.
- Recent years have seen significant advancements in therapeutic strategies for AATD.
- Understanding the complex interplay between AATD manifestations is crucial for effective treatment.
Approach:
- This review synthesizes available therapeutic options for individual organ systems affected by AATD.
- It also explores emerging treatments targeting all manifestations of the disease.
- Key challenges in AATD therapy, including optimal delivery and desired therapeutic levels, are discussed.
Key Points:
- Current treatments address lung, liver, and skin manifestations of AATD.
- Novel therapeutic approaches are in development.
- Critical questions remain regarding AAT delivery, target levels, and potential cross-organ effects.
Conclusions:
- Increased awareness and diagnosis of AATD are essential for clinical research.
- Development of sensitive clinical parameters is needed to evaluate treatment efficacy.
- Future research should focus on addressing the underlying genetic defect and comprehensive disease management.
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