Aug 2026· Respiratory care· pp.
19433654261477809
· 0 citations· 4 references
Medicine
TL;DR
A summary of recent literature pertaining to CFTR modulators is provided to enhance the knowledge of the growing body of evidence guiding the next era of CF care, in which disease modification at the molecular level is increasingly achievable.
Abstract
The introduction of cystic fibrosis transmembrane conductance regulator (CFTR) modulators has transformed the therapeutic landscape of cystic fibrosis. CFTR modulators target specific functional defects in the CFTR protein, improving its folding, trafficking, gating, or conductance depending on mutation class. As CFTR modulators become the standard of care, emerging data highlight not only their transformative benefits but also knowledge gaps regarding long-term outcomes, variability in therapeutic response, effects on early disease, and extra-pulmonary implications for people with cystic fibrosis (CF) complications. Additionally, access, tolerability, and the needs of individuals with rare or non-modulator-responsive mutations remain important challenges. This article aims to provide a summary of recent literature pertaining to CFTR modulators. Through this summary, we seek to enhance the knowledge of the growing body of evidence guiding the next era of CF care, in which disease modification at the molecular level is increasingly achievable.
The focus of this review is to describe and discuss the strategies for restoring the CFTR functional defects depending on the specific CFTR pathogenic variants, and the possible application of experimental and clinical drugs to CF treatment, which may allow improvements in patients’ quality of life and life expectancy.
Sara Allushi, M. Virgulti, Giovanna Blaconà et al.· International Journal of Mol...· 0 citations
This review proposes RDA as a conceptual framework for identifying ongoing, potentially modifiable disease processes in people receiving CFTR modulators and considers the implications of RDA for clinical research by identifying key evidence gaps and outlining a stepwise pathway for its definition and validation.
A. Gramegna, G. Putti, Gianfranco Alicandro et al.· American Journal of Respirat...· 0 citations
It is concluded that childhood CF is being transformed rather than solved, and that surveillance, nutritional and psychosocial frameworks developed in the pre-modulator era require deliberate re-evaluation rather than uncritical continuation.
S. Bittmann, E. Luchter, E. Moschüring-Alieva· Asian Journal of Pediatric R...· 0 citations
This Personal View highlights how sweat chloride quantification informs the understanding of CFTR modulator therapeutic response while cautioning its ability to fully predict individual clinical response.
E. T. Zemanick, S. Graeber, Carlo Castellani et al.· The Lancet Respiratory Medic...· 0 citations
A potential combination between gene therapy approaches and existing modulators to improve treatment eligibility, safety, and efficacy for cystic fibrosis patients is discussed.
The available data show a signficant progress in the availability of pathogen-oriented therapy in the SFD, but there remain genetic, age-related, and institutional barriers limiting full patient coverage with highly effective CFTR-modulators.
V. Brisin, A. E. Kidakoeva, S. Trishina et al.· Meditsinskiy sovet = Medical...· 0 citations
A new machine-learning framework aims to improve the success rate of computational protein design while moving away from results that reproduce sequences found in nature.