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Updated: May 11, 2026

Generation of Human Nasal Epithelial Cell Spheroids for Individualized Cystic Fibrosis Transmembrane Conductance Regulator Study
Published on: April 11, 2018
Managing an ageing cystic fibrosis population: challenges and priorities
Freddy J Frost1,2, Daniel G Peckham3, Imogen C Felton4
1Adult Cystic Fibrosis Centre Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK ffrost@liverpool.ac.uk.
Insights
People with cystic fibrosis (pwCF) are living longer due to medical advances. Future care must address the unique health challenges of aging pwCF, focusing on quality of life.
Area of Science:
- Pulmonology
- Gerontology
- Genetics
Background:
- Increasing life expectancy in people with cystic fibrosis (pwCF) necessitates a shift in care towards managing age-related complexities.
- Advancements in early diagnosis, multidisciplinary care, and CFTR modulator therapies have significantly improved outcomes for pwCF.
- The aging CF population presents unique health challenges requiring focused research and adapted clinical strategies.
Purpose of the Study:
- To review the key challenges and research priorities for the health needs of an aging population with cystic fibrosis.
- To highlight the evolving landscape of care for pwCF, considering the impact of increased longevity and therapeutic advancements.
- To identify emerging issues and propose multidisciplinary research approaches for holistic wellbeing in aging pwCF.
Main Methods:
- Literature review synthesizing current evidence on aging in cystic fibrosis.
- Analysis of research gaps and future priorities in managing age-related conditions in pwCF.
- Integration of clinical, patient, and community perspectives for comprehensive care strategies.
Main Results:
- Aging pwCF face heightened risks of cancers, cardiovascular diseases, and altered metabolic profiles.
- CFTR modulators show promise but long-term effects on inflammation, immunity, and disease trajectories require further study.
- Nutritional management, obesity, accelerated immune/pulmonary aging, menopause, antimicrobial resistance, and chronic inflammation are critical considerations.
Conclusions:
- Effective management of aging pwCF requires multidisciplinary research integrating diverse perspectives.
- Leveraging CF registries, clinical trial networks, and aging research collaborations is crucial.
- The goal is to ensure aging pwCF not only live longer but also achieve improved quality of life and holistic wellbeing.
Abstract:
The increasing life expectancy of people with cystic fibrosis (pwCF), largely driven by advancements in early diagnosis, multidisciplinary care and the recent introduction of cystic fibrosis transmembrane conductance regulator (CFTR) modulator therapies, is likely to herald a shift in the focus of care toward managing the complexities of ageing. This review highlights key challenges and research priorities for addressing the health needs of an ageing CF population. A growing body of evidence underscores the heightened risks of cancers, cardiovascular diseases and changing nutritional and metabolic profiles as pwCF age. CFTR modulators have improved clinical outcomes, but their effects on inflammation, immunity and long-term disease trajectories remain incompletely understood. Nutritional management, particularly the implications of obesity and body composition, poses new challenges, as does the potential accelerated ageing of immune and pulmonary systems in CF. Emerging issues such as menopause in females with CF, lifetime antimicrobial resistance and the interplay between chronic inflammation and ageing further complicate the care landscape. The review emphasises the urgent need for multidisciplinary research programmes that integrate clinical, patient and community perspectives. Leveraging established CF registries, clinical trial networks and collaborations with ageing research frameworks is critical to addressing these challenges. Ultimately, the goal is to ensure that pwCF not only live longer but also experience improved quality of life and holistic wellbeing as they realise the full benefits of therapeutic advances.
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