4.7 Review

A bird eye view on cystic fibrosis: An underestimated multifaceted chronic disorder

Journal

LIFE SCIENCES
Volume 268, Issue -, Pages -

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.lfs.2020.118959

Keywords

CFTR; Mucins; Co-morbidities; Nano-formulations; miRNA; lncRNA

Funding

  1. National Cancer Institute, National Institutes of Health of United States of America [R01 CA210192, R01 CA206069, R01 CA204552]
  2. UTRGV, School of Medicine
  3. Herb Kosten Foundation, Memphis, TN, USA

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Cystic fibrosis is a genetic disease that affects multiple organs, not just the lungs. Respiratory issues in CF could be a key target for improved treatment strategies.
Cystic fibrosis (CF) is an autosomal recessive disease which involves the mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. CF involves in the inflammatory processes and is considered as a multisystem disorder that is not confined to lungs, but it also affects other vital organs that leads to numerous co-morbidities. The respiratory disorder in the CF results in mortality and morbidity which is characterized by series of serious events involving mucus hypersecretion, microbial infections, airways obstruction, inflammation, destruction of epithelium, tissue remodeling and terminal lung diseases. Mucins are the high molecular weight glycoproteins important for the viscoelastic properties of the mucus, play a significant role in the disease mechanisms. Determining the functional association between the CFTR and mucins might help to identify the putative target for specific therapeutic approach. In fact, furin enzyme which helps in the entry of novel COVID-19 virus into the cell, is upregulated in CF and this can also serve as a potential target for CF treatment. Moreover, the use of nano-formulations for CF treatment is an area of research being widely studied as they have also demonstrated promising outcomes. The in-depth knowledge of non-coding RNAs like miRNAs and lncRNAs and their functional association with CFTR gene expression and mutation can provide a different range of opportunity to identify the promising therapeutic approaches for CF.

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