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Updated: Jul 17, 2025

Generation of Human Nasal Epithelial Cell Spheroids for Individualized Cystic Fibrosis Transmembrane Conductance Regulator Study
Published on: April 11, 2018
Update on Cystic Fibrosis in Pediatric Patients
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Columbia University Irving Medical Center, 622 West 168th Street, PH 17 East - 105L, New York, NY, 10032, USA. ses2005@cumc.columbia.edu.
Insights
Cystic fibrosis (CF) management has improved, with CFTR modulator therapies enhancing lung function and weight. Further research is needed to fully understand their impact on gastrointestinal and liver health in CF patients.
Area of Science:
- Gastroenterology
- Pulmonology
- Genetics
Background:
- Cystic fibrosis (CF) is a genetic, multisystem disorder impacting numerous organs.
- Gastrointestinal and hepatobiliary complications are significant challenges in CF management.
Purpose of the Study:
- To review nutritional, gastrointestinal, and hepatobiliary manifestations in CF.
- To emphasize the impact of CFTR modulator therapy on these manifestations.
Main Methods:
- Literature review of current research on CF gastrointestinal and hepatobiliary aspects.
- Analysis of studies investigating CFTR modulator therapy's effects.
Main Results:
- Increased life expectancy in CF patients due to improved therapies.
- CFTR modulator therapy shows benefits in pulmonary function and weight gain.
- Individualized nutritional support and early pancreatic intervention are recommended.
- Non-invasive screening for hepatobiliary issues is advised.
- The full impact of CFTR modulators on GI and liver health requires further investigation.
Conclusions:
- CFTR modulators significantly improve survival and quality of life.
- Ongoing research is crucial to elucidate the long-term effects of CFTR modulators on GI and hepatobiliary health.
- Patient-reported outcomes and biomarkers are key for evaluating modulator efficacy.
Purpose Of Review:
Cystic fibrosis is an inherited, multisystem disease that affects the gastrointestinal system in numerous ways. This article reviews the nutritional, gastrointestinal, and hepatobiliary manifestations of cystic fibrosis with an emphasis on the effects of CFTR modulator therapy.
Recent Findings:
The life expectancy of individuals with cystic fibrosis has increased substantially in recent years. CFTR modulator therapy improves pulmonary function and results in weight gain. An individualized approach to nutrition is encouraged. Pancreatic exocrine function may improve with intervention early in life. The use of non-invasive methods to screen for hepatobiliary involvement is recommended. Highly effective CFTR modulators lead to increased survival and improved quality of life for many individuals. Their effects on gastrointestinal symptoms and hepatobiliary disease are not fully understood. Patient-reported outcome measures and biomarkers are important clinical endpoints for studying the effects of modulators.
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