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Future therapies for cystic fibrosis

Allen, Lucy; Allen, Lorna; Carr, Siobhan B; Davies, Gwyneth; Downey, Damian; Egan, Marie; Forton, Julian T; ... Davies, Jane C; + view all (2023) Future therapies for cystic fibrosis. Nature Communications , 14 (1) , Article 693. 10.1038/s41467-023-36244-2. Green open access

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Abstract

We are currently witnessing transformative change for people with cystic fibrosis with the introduction of small molecule, mutation-specific drugs capable of restoring function of the defective protein, cystic fibrosis transmembrane conductance regulator (CFTR). However, despite being a single gene disorder, there are multiple cystic fibrosis-causing genetic variants; mutation-specific drugs are not suitable for all genetic variants and also do not correct all the multisystem clinical manifestations of the disease. For many, there will remain a need for improved treatments. Those patients with gene variants responsive to CFTR modulators may have found these therapies to be transformational; research is now focusing on safely reducing the burden of symptom-directed treatment. However, modulators are not available in all parts of the globe, an issue which is further widening existing health inequalities. For patients who are not suitable for- or do not have access to- modulator drugs, alternative approaches are progressing through the trials pipeline. There will be challenges encountered in design and implementation of these trials, for which the established global CF infrastructure is a major advantage. Here, the Cystic Fibrosis National Research Strategy Group of the UK NIHR Respiratory Translational Research Collaboration looks to the future of cystic fibrosis therapies and consider priorities for future research and development.

Type: Article
Title: Future therapies for cystic fibrosis
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41467-023-36244-2
Publisher version: https://doi.org/10.1038/s41467-023-36244-2
Language: English
Additional information: © 2023 Springer Nature Limited. This article is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).
Keywords: Humans, Cystic Fibrosis, Cystic Fibrosis Transmembrane Conductance Regulator, Mutation, Genetic Therapy
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10164927
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