Non-Modulator Therapies: Developing a Therapy for Every Cystic Fibrosis Patient

Clin Chest Med. 2022 Dec;43(4):717-725. doi: 10.1016/j.ccm.2022.06.011.

Abstract

Cystic fibrosis transmembrane conductance regulator (CFTR) modulator therapy brings hope to most patients with cystic fibrosis (CF), but not all. For approximately 12% of CF patients with premature termination codon mutations, large deletions, insertions, and frameshifts, the CFTR modulator therapy is not effective. Many believe that genetic-based therapies such as RNA therapies, DNA therapies, and gene editing technologies will be needed to treat mutations that are not responsive to modulator therapy. Delivery of these therapeutic agents to affected cells is the major challenge that will need to be overcome if we are to harness the power of these emerging therapies for the treatment of CF.

Keywords: Antisense oligonucleotide; Cystic fibrosis; Gene editing; Gene therapy; Messenger RNA; Premature termination codon; Read through agents.

Publication types

  • Review

MeSH terms

  • Cystic Fibrosis Transmembrane Conductance Regulator* / genetics
  • Cystic Fibrosis Transmembrane Conductance Regulator* / therapeutic use
  • Cystic Fibrosis* / genetics
  • Cystic Fibrosis* / therapy
  • Genetic Therapy
  • Humans
  • Mutation

Substances

  • Cystic Fibrosis Transmembrane Conductance Regulator