Shiferaw Dejene, Faruqi Shoaib
Department of Respiratory Medicine, Hull University Teaching Hospitals NHS Trust, Cottingham HU16 5JQ, UK.
Ther Clin Risk Manag. 2019 Aug 22;15:1029-1040. doi: 10.2147/TCRM.S165027. eCollection 2019.
Cystic fibrosis (CF) is a life-limiting autosomal recessive disease caused by dysfunction of the cystic fibrosis transmembrane conductance regulator (CFTR) ion channel. Management of CF has traditionally relied upon managing complications of CFTR protein dysfunction and this has led to a steady improvement in survival of CF patients. However, the landscape of CF care has changed substantially over the last decade with the discovery of CFTR modulators that aim to increase or potentially restore the function of the disease-causing CFTR protein. This narrative review summarizes the development of CFTR therapies so far with emphasis on tezacaftor/ivacaftor combination therapy. We have also summarized the Phase II results of triple combination therapy which promises an effective CFTR modulator therapy for more than 90% of CF patients.
囊性纤维化(CF)是一种由囊性纤维化跨膜传导调节因子(CFTR)离子通道功能障碍引起的危及生命的常染色体隐性疾病。传统上,CF的治疗依赖于处理CFTR蛋白功能障碍的并发症,这使得CF患者的生存率稳步提高。然而,在过去十年中,随着旨在增加或潜在恢复致病CFTR蛋白功能的CFTR调节剂的发现,CF护理的格局发生了重大变化。这篇叙述性综述总结了迄今为止CFTR疗法的发展,重点是tezacaftor/ivacaftor联合疗法。我们还总结了三联联合疗法的II期结果,该疗法有望为超过90%的CF患者提供有效的CFTR调节剂治疗。
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