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Novel approaches to cystic fibrosis

Cystic fibrosis is the most common genetically inherited disease to affect Caucasians. Major breakthroughs were made in the 1990's resulting in the identification of mutations in the chloride channel CFTR as the cause of disease both in the airway and the intestine as well as other epithelia. However, progress towards an effective treatment has been disappointing. Deletion of three nucleotides from the CFTR gene causes prevents the expression of phenylalanine at position 508 of CFTR and accounts for the majority of cases of cystic fibrosis (D508). This mutation causes a defect in trafficking so that CFTR does not reach the plasma membrane and is instead degraded. S-Nitrosoglutathione (GSNO) is an endogenous bronchodilator, levels of which are reduced in the airways of cystic fibrosis patients. GSNO has recently been shown to increase maturation of CFTR in cystic fibrosis cell lines at physiological concentrations. The ability of S-nitrosoglutathione to direct the DF508-CFTR to the plasma membrane and restore the function of the cAMP-dependent chloride transport in cultured human airway epithelial cells has now been studied. Swedish researchers have used immunocytochemical methodologies to show that GSNO time- and dose-dependently increases apical CFTR. Chloride transport studies showed that this was mirrored by a fourfold increase of cAMP-dependent chloride transport. This data and the fact that endogenous GSNO levels are lower in the airways of CF patients suggests that GSNO may underlie a novel approach to the treatment of cystic fibrosis.

December, 2002

S-Nitrosoglutathione induces functional DeltaF508-CFTR in airway epithelial cells.

Adapted from Andersson et al, Biochem Biophys Res Commun 2002 Sep 27;297(3):552-7

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