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高效调节剂治疗时代的囊性纤维化动物模型。

Animal models of cystic fibrosis in the era of highly effective modulator therapies.

机构信息

Marsico Lung Institute, University of North Carolina School of Medicine, Chapel Hill, NC, 27599, USA.

Marsico Lung Institute, University of North Carolina School of Medicine, Chapel Hill, NC, 27599, USA.

出版信息

Curr Opin Pharmacol. 2022 Jun;64:102235. doi: 10.1016/j.coph.2022.102235. Epub 2022 May 13.

Abstract

Few human genetic diseases can rely on the availability of as many and as diverse animal models as cystic fibrosis (CF), a multiorgan syndrome caused by functional absence of cystic fibrosis transmembrane regulator (CFTR). The recent development of highly effective CFTR modulator drug therapies simultaneously highlighted the remarkable clinical improvement achievable with these treatments, the lack of therapeutic alternatives for non-responders, and the need to understand the kinetics of disease upon early life/chronic treatment. These advances have rekindled efforts to leverage animal models to address critical knowledge gaps in CF. This article provides a concise overview of the areas of interests for therapeutic intervention in the current CF landscape, focusing on the contributions of in vivo models to understand CF pathogenesis, identify therapeutic windows, and develop novel therapies for all CFTR mutations.

摘要

很少有人类遗传疾病像囊性纤维化(CF)那样拥有如此众多和多样化的动物模型,CF 是一种多器官综合征,由囊性纤维化跨膜转导调节因子(CFTR)功能缺失引起。最近开发的高效 CFTR 调节剂药物治疗方法同时突出了这些治疗方法可实现的显著临床改善、无应答者缺乏治疗选择以及需要了解早期/慢性治疗后疾病的动力学。这些进展重新激发了利用动物模型来解决 CF 中关键知识空白的努力。本文简要概述了当前 CF 领域中治疗干预的关注领域,重点介绍了体内模型在了解 CF 发病机制、确定治疗窗口以及为所有 CFTR 突变开发新疗法方面的贡献。

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