De Boeck Kris
Pediatric Pulmonology, University Hospitals of Leuven, University of Leuven, Leuven, Belgium.
Acta Paediatr. 2020 May;109(5):893-899. doi: 10.1111/apa.15155. Epub 2020 Jan 22.
The autosomal recessive disease cystic fibrosis (CF) was once untreatable and deadly in childhood, but now most patients survive to adulthood. Many countries have instituted CF newborn screening because early diagnosis improves outcome. CF research has greatly intensified following the discovery of the CF transmembrane conductance regulator (CFTR) gene, which has more than 2000 different mutations. For patients with common mutations like F508del, CFTR modulators are life transforming and may even prevent major complications if started early in childhood. For some patients with rare CFTR mutations, a treatment path still needs to be developed. Conclusion: This review provides a general update on CF, including screening and current and future treatment.
常染色体隐性疾病囊性纤维化(CF)曾经在儿童期无法治疗且致命,但现在大多数患者能存活至成年。许多国家已开展CF新生儿筛查,因为早期诊断可改善预后。自发现囊性纤维化跨膜传导调节因子(CFTR)基因后,CF研究大大加强,该基因有2000多种不同突变。对于像F508del这样常见突变的患者,CFTR调节剂改变了生活,如果在儿童早期开始使用甚至可能预防主要并发症。对于一些具有罕见CFTR突变的患者,仍需制定治疗方案。结论:本综述提供了关于CF的总体最新情况,包括筛查以及当前和未来的治疗方法。