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囊性纤维化:囊性纤维化跨膜转导调节因子突变分类和调节剂治疗的理解。

Cystic Fibrosis: Understanding Cystic Fibrosis Transmembrane Regulator Mutation Classification and Modulator Therapies.

机构信息

Centre for Applied Molecular Biology, University of the Punjab Lahore, Lahore 53700, Pakistan.

Department of Emergency, The Affiliated Ganzhou Hospital of Nanchang University, Ganzhou 341000, China.

出版信息

Adv Respir Med. 2024 Jul 20;92(4):263-277. doi: 10.3390/arm92040026.

Abstract

A common life-threatening hereditary disease, Cystic Fibrosis (CF), affects primarily Caucasian infants. High sweat-salt levels are observed as a result of a single autosomal mutation in chromosome 7 that affects the critical function of the cystic fibrosis transmembrane regulator (CFTR). For establishing tailored treatment strategies, it is important to understand the broad range of CFTR mutations and their impacts on disease pathophysiology. This study thoroughly investigates the six main classes of classification of CFTR mutations based on their functional effects. Each class is distinguished by distinct molecular flaws, such as poor protein synthesis, misfolding, gating defects, conduction defects, and decreased CFTR expression at the apical membrane. Furthermore, this paper focuses on the emerging field of CFTR modulators, which intend to restore CFTR function or mitigate its consequences. These modulators, which are characterized by the mode of action and targeted mutation class, have the potential to provide personalized therapy regimens in CF patients. This review provides valuable insights into the genetic basis of CF pathology, and highlights the potential for precision medicine methods in CF therapy by thoroughly investigating CFTR mutation classification and related modulators.

摘要

一种常见的危及生命的遗传性疾病,囊性纤维化(CF),主要影响白种人婴儿。由于 7 号染色体上的单个常染色体突变,影响囊性纤维化跨膜转导调节因子(CFTR)的关键功能,导致汗液盐水平升高。为了制定定制化的治疗策略,了解 CFTR 突变的广泛范围及其对疾病病理生理学的影响非常重要。本研究深入探讨了基于功能效应的 CFTR 突变的六个主要分类。每个类别都有不同的分子缺陷,如蛋白质合成不良、错误折叠、门控缺陷、传导缺陷和顶端膜 CFTR 表达减少。此外,本文还重点介绍了 CFTR 调节剂这一新兴领域,其旨在恢复 CFTR 功能或减轻其后果。这些调节剂的作用模式和靶向突变类别不同,有可能为 CF 患者提供个性化的治疗方案。本综述深入探讨了 CFTR 突变分类和相关调节剂,为 CF 病理学的遗传基础提供了有价值的见解,并强调了精准医学方法在 CF 治疗中的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c343/11270331/2ac5a7c23d21/arm-92-00026-g001.jpg

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