Ogden Herbert Luke, Kim Hoyeol, Wikenheiser-Brokamp Kathryn A, Naren Anjaparavanda P, Mun Kyu Shik
Division of Pulmonary Medicine, Cystic Fibrosis Research Center, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Micromachines (Basel). 2021 Jun 25;12(7):747. doi: 10.3390/mi12070747.
Cystic fibrosis (CF) is an autosomal recessive disease caused by mutations in the cystic fibrosis transmembrane regulator (CFTR) gene: the gene product responsible for transporting chloride and bicarbonate ions through the apical membrane of most epithelial cells. Major clinical features of CF include respiratory failure, pancreatic exocrine insufficiency, and intestinal disease. Many CF animal models have been generated, but some models fail to fully capture the phenotypic manifestations of human CF disease. Other models that better capture the key characteristics of the human CF phenotype are cost prohibitive or require special care to maintain. Important differences have been reported between the pathophysiology seen in human CF patients and in animal models. These limitations present significant limitations to translational research. This review outlines the study of CF using patient-derived organs-on-a-chip to overcome some of these limitations. Recently developed microfluidic-based organs-on-a-chip provide a human experimental model that allows researchers to manipulate environmental factors and mimic in vivo conditions. These chips may be scaled to support pharmaceutical studies and may also be used to study organ systems and human disease. The use of these chips in CF discovery science enables researchers to avoid the barriers inherent in animal models and promote the advancement of personalized medicine.
囊性纤维化(CF)是一种常染色体隐性疾病,由囊性纤维化跨膜传导调节因子(CFTR)基因突变引起:该基因产物负责通过大多数上皮细胞的顶端膜转运氯离子和碳酸氢根离子。CF的主要临床特征包括呼吸衰竭、胰腺外分泌功能不全和肠道疾病。已经构建了许多CF动物模型,但有些模型未能完全体现人类CF疾病的表型表现。其他能更好体现人类CF表型关键特征的模型成本过高或需要特殊护理来维持。据报道,人类CF患者和动物模型的病理生理学存在重要差异。这些局限性给转化研究带来了重大限制。本综述概述了利用患者来源的芯片器官研究CF以克服其中一些局限性的情况。最近开发的基于微流控的芯片器官提供了一种人体实验模型,使研究人员能够操控环境因素并模拟体内条件。这些芯片可以进行扩展以支持药物研究,也可用于研究器官系统和人类疾病。在CF发现科学中使用这些芯片能使研究人员避开动物模型固有的障碍,并推动个性化医疗的发展。