全球囊性纤维化治疗方案差异

Rifa Gowani
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摘要

囊性纤维化(CF)是一种常见的单基因疾病,由7号染色体CFTR基因突变引起。进行性阻塞性肺病、鼻窦炎、外分泌胰腺功能不全导致吸收不良和营养不良、肝脏和胰腺功能障碍以及男性不育都是该病的特征。持续性肺部感染是由于CFTR缺乏或其功能下降引起的,导致支气管扩张和进行性肺破坏。尽管CF患者的生命正在缩短,但早期诊断有助于将患者的平均寿命提高到50岁左右,包括新生儿筛查,轻度形式识别和积极的治疗方法。治疗CF的方法包括胰酶替代、呼吸物理治疗、解黏液剂和强抗生素治疗。对于大多数症状严重的患者,需要进行肺或肝移植。CFTR蛋白受到大量突变的影响,每种突变都有不同的影响。尽管我们对CFTR功能和当代治疗方法的了解有所进展,但我们对囊性纤维化的大部分知识仍不清楚。随着最近突变特异性治疗的增加,未来CF患者的健康和生活质量可能会得到改善。研究的重点是恢复CFTR功能的新型药物,其中一些现在可以获得并具有积极的治疗效果,而另一些则显示出有希望的初步结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cystic Fibrosis Treatment Options Discrepancy Globally
Cystic fibrosis, or rather known as CF, is a common monogenic disease caused by genetic mutation on CFTR on chromosome 7. Progressive obstructive pulmonary disease, sinusitis, exocrine pancreatic insufficiency leading to malabsorption and malnutrition, liver and pancreatic dysfunction, and male infertility are all characteristics of the disease. Persistent pulmonary infections are caused by a lack of CFTR or its decreased function, leading to bronchiectasis and progressive lung destruction. Despite the fact that CF patients' lives are shortening, early diagnosis has helped improve patients' life span to a median age of around 50 years, including newborn screening, mild form identification, and a proactive therapy approach. Pancreatic enzyme replacement, respiratory physiotherapy, mucolytics, and strong antibiotic therapy are among treatments for CF. For the majority of people with severe symptoms, a lung or liver transplant is necessary. The CFTR protein is affected by a large number of mutations, each of which have diverse effects. Despite advances in our understanding of CFTR function and contemporary therapy, most of our knowledge of cystic fibrosis remains unclear. With the recent addition of mutation-specific treatments, future advances in health and quality of life for people with CF are likely to improve. The focus of research is on novel medications that restore CFTR function, some of which are now accessible and have a positive therapeutic impact, while others are showing promising preliminary results.
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