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囊性纤维化的新药:过去十年有哪些变化?

New drugs in cystic fibrosis: what has changed in the last decade?

作者信息

Roda Juliana, Pinto-Silva Catarina, Silva Iris A I, Maia Carla, Almeida Susana, Ferreira Ricardo, Oliveira Guiomar

机构信息

Pediatric Gastroenterology and Nutrition Unit, Centro Hospitalar e Universitario de Coimbra EPE Hospital Pediátrico de Coimbra, Avenida Afonso Romão 3000-602 Coimbra, Portugal.

Pediatric Gastroenterology and Nutrition Unit, Centro Hospitalar e Universitário de Coimbra EPE, Hospital Pediátrico de Coimbra, Coimbra, Portugal.

出版信息

Ther Adv Chronic Dis. 2022 May 21;13:20406223221098136. doi: 10.1177/20406223221098136. eCollection 2022.

DOI:10.1177/20406223221098136
PMID:35620188
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9128052/
Abstract

Cystic fibrosis (CF), a life-limiting chronic disease caused by mutations in the cystic fibrosis transmembrane regulator (CFTR) gene, affects more than 90,000 people worldwide. Until recently, the only available treatments were directed to symptom control, but they failed to change the course of the disease. New drugs developed in the last decade have the potential to change the expression, function, and stability of CFTR protein, targeting the basic molecular defect. The authors seek to provide an update on the new drugs, with a special focus on the most promising clinical trials that have been carried out to date. These newly approved drugs that target specific mutations are mainly divided into two main groups of CFTR modulators: potentiators and correctors. New therapies have opened the door for potentially disease-modifying, personalized treatments for patients with CF.

摘要

囊性纤维化(CF)是一种由囊性纤维化跨膜传导调节因子(CFTR)基因突变引起的危及生命的慢性疾病,全球有超过9万人受其影响。直到最近,唯一可用的治疗方法都是针对症状控制,但这些方法未能改变疾病的进程。过去十年研发的新药有可能改变CFTR蛋白的表达、功能和稳定性,针对基本分子缺陷。作者旨在提供新药的最新情况,特别关注迄今为止进行的最有前景的临床试验。这些新批准的针对特定突变的药物主要分为CFTR调节剂的两个主要类别:增强剂和校正剂。新疗法为CF患者带来了潜在的疾病修饰性个性化治疗的大门。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/929e/9128052/f20266b4cc89/10.1177_20406223221098136-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/929e/9128052/f20266b4cc89/10.1177_20406223221098136-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/929e/9128052/f20266b4cc89/10.1177_20406223221098136-fig1.jpg

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本文引用的文献

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Personalized Medicine Based on Nasal Epithelial Cells: Comparative Studies with Rectal Biopsies and Intestinal Organoids.基于鼻上皮细胞的个性化医学:与直肠活检和肠道类器官的比较研究
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Enhanced Expression of Human Epididymis Protein 4 (HE4) Reflecting Pro-Inflammatory Status Is Regulated by CFTR in Cystic Fibrosis Bronchial Epithelial Cells.反映促炎状态的人附睾蛋白4(HE4)的表达增强受囊性纤维化支气管上皮细胞中CFTR的调控。
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Deep mutational scanning reveals a correlation between degradation and toxicity of thousands of aspartoacylase variants.深度突变扫描揭示了数千种天冬氨酸酶变体的降解与毒性之间的相关性。
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依伐卡托特在 4 至<12 个月患有囊性纤维化且存在门控突变婴儿中的应用。两项 3 期临床试验的结果。
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CFTR Modulators Dampen -Induced Reactive Oxygen Species Production by Cystic Fibrosis Phagocytes.CFTR调节剂可抑制囊性纤维化吞噬细胞诱导的活性氧生成。
Front Cell Infect Microbiol. 2020 Jul 24;10:372. doi: 10.3389/fcimb.2020.00372. eCollection 2020.
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Distinctive lipid signatures of bronchial epithelial cells associated with cystic fibrosis drugs, including Trikafta.与囊性纤维化药物(包括特发性肺纤维化)相关的支气管上皮细胞的独特脂质特征。
JCI Insight. 2020 Aug 20;5(16):138722. doi: 10.1172/jci.insight.138722.
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CFTR Modulators: The Changing Face of Cystic Fibrosis in the Era of Precision Medicine.CFTR调节剂:精准医学时代囊性纤维化的新面貌
Front Pharmacol. 2020 Feb 21;10:1662. doi: 10.3389/fphar.2019.01662. eCollection 2019.
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Different CFTR modulator combinations downregulate inflammation differently in cystic fibrosis.不同的 CFTR 调节剂组合在囊性纤维化中下调炎症的方式不同。
Elife. 2020 Mar 2;9:e54556. doi: 10.7554/eLife.54556.
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Cystic fibrosis in the year 2020: A disease with a new face.2020年的囊性纤维化:面貌一新的疾病。
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CFTR: New insights into structure and function and implications for modulation by small molecules.CFTR:对结构和功能的新认识及其对小分子调节的影响。
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