Departments of Internal Medicine and Pediatrics, Division of Endocrinology, Virginia Commonwealth University, Richmond, VA, USA.
Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
J Cyst Fibros. 2019 Oct;18 Suppl 2(Suppl 2):S82-S87. doi: 10.1016/j.jcf.2019.08.010.
Poor growth has long been a characteristic feature of cystic fibrosis (CF) and is significantly linked to lung function and overall health status. Improvements in pulmonary and nutrition care for patients with cystic fibrosis (CF) have resulted in better growth outcomes; however, height gains have not paralleled the improvements in weight in children with CF, and patients with more severe CF mutations remain significantly more affected. Many factors affect the growth hormone-IGF-1 axis and the growth plate of the long bones, including the chronic inflammatory state associated with CF. There are also increasing data on the direct effects of CFTR on bone and implications for CFTR modulators in attaining optimal growth. Treatments aimed at improving growth in CF are also reviewed here.
长期以来,生长不良一直是囊性纤维化(CF)的特征之一,与肺功能和整体健康状况密切相关。对囊性纤维化(CF)患者的肺部和营养护理的改善导致了更好的生长结果;然而,身高的增长并没有与 CF 儿童的体重增长相匹配,并且具有更严重 CF 突变的患者仍然受到显著影响。许多因素会影响生长激素-IGF-1 轴和长骨的生长板,包括与 CF 相关的慢性炎症状态。也有越来越多的数据表明 CFTR 对骨骼的直接影响,以及 CFTR 调节剂在实现最佳生长方面的影响。本文还回顾了旨在改善 CF 生长的治疗方法。