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囊性纤维化:一种致命疾病的矫正

Cystic fibrosis: Correction of a fatal disease.

作者信息

Friedman Jeffrey M

机构信息

HHMI at Rockefeller University, New York, NY 10065.

出版信息

Proc Natl Acad Sci U S A. 2025 Sep 16;122(37):e2519780122. doi: 10.1073/pnas.2519780122. Epub 2025 Sep 11.

Abstract

The 2025 Lasker~DeBakey Clinical Medical Research Award has been given to Michael Welsh, Jesús (Tito) González, and Paul Negulescu for their key roles in developing a novel treatment for cystic fibrosis (CF)-a three-drug combination that saves the lives of people with this lethal genetic disease [D. Keating , 379, 1612-1620 (2018)]. The disease is caused by mutations that disrupt the function of a gene known as CF Transmembrane Conductance Regulator which encodes a chloride channel expressed in epithelial cells including the lung. Collectively the three recipients were responsible for the development of novel high-throughput drug screens that led to the development of the new drugs. Welsh is a pulmonologist who played a key role in understanding the physiology and pathophysiology of the disease. González is a physical organic chemist who developed a novel technology that enabled robust high-throughput screens for drugs that correct the channel defects. Negulescu led a group of extremely talented biologists, chemists, and physicians who built on these advances to develop novel three-drug combinations that have miraculous benefits for the majority of afflicted patients. This advance represents a true milestone in medicine and fulfills a dream of research scientists and families-the conversion of a fatal disease into a fully treatable one. It is also a stunning example of the power of medical research to save people's lives.

摘要

2025年拉斯克~德巴基临床医学研究奖授予了迈克尔·威尔士、赫苏斯(蒂托)·冈萨雷斯和保罗·内古列斯库,以表彰他们在开发一种治疗囊性纤维化(CF)的新疗法中所发挥的关键作用——一种三联药物组合,可挽救患有这种致命遗传病的患者的生命[D. 基廷,379, 1612 - 1620 (2018)]。该疾病由突变引起,这些突变破坏了一种名为囊性纤维化跨膜传导调节因子的基因的功能,该基因编码一种在包括肺部在内的上皮细胞中表达的氯离子通道。这三位获奖者共同负责开发新型高通量药物筛选方法,从而促成了这些新药的研发。威尔士是一名肺病专家,在理解该疾病的生理学和病理生理学方面发挥了关键作用。冈萨雷斯是一位物理有机化学家,他开发了一种新技术,能够对纠正通道缺陷的药物进行强大的高通量筛选。内古列斯库带领一群极具才华的生物学家、化学家及医生,在这些进展的基础上开发出了新型三联药物组合,对大多数患病患者具有神奇疗效。这一进展代表了医学上的一个真正里程碑,实现了研究科学家和患者家庭的梦想——将一种致命疾病转变为一种完全可治疗的疾病。这也是医学研究拯救生命力量的一个惊人例证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c292/12452940/67274430fbbd/pnas.2519780122fig01.jpg

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