Treating and Managing Cystic Fibrosis: Patients Clinical Considerations

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: closed (10 April 2024) | Viewed by 1645

Special Issue Editors


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Guest Editor
Cystic Fibrosis Unit, Department of Pediatric Subspecialties, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy
Interests: CFTR; gene networks; human model systems; translational medicine; biomarker-driven clinical research; drug development; intracellular trafficking; rare mutations

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Guest Editor
Cystic Fibrosis Unit, Department of Pediatric Subspecialties, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy
Interests: cystic fibrosis; CFTR; chronic infections; lung disease; GI tract; translational medicine; CFTRD; pancreatitis; CFTR modulators; rare mutations; cell models

Special Issue Information

Dear Colleagues,

Cystic fibrosis (CF) is the most common life-limiting autosomal recessive disease worldwide characterized by clinical manifestations in multiple organ systems. A long-term goal is to understand how global and local properties of complex macromolecular networks influence the mutated cystic fibrosis transmembrane conductance regulator (CFTR) biogenesis, and how changes in such properties can lead to co- and multimorbidities in people with CF. The advent of modulator therapies has stressed the importance of the personalized functional characterization of CFTR genotypes because it is virtually impossible to perform randomized clinical trials to identify the best therapeutics for all CF patients. The cooperation between scientists and clinicians has led to the translation of basic science to biomarker-driven clinical research and shortly into clinical practice.

Given the heterogeneity of clinical presentations of CF and therapeutic responses to modulators, human model systems are essential in management and treatment decisions becoming drivers in personalized medicine.

“Bench to bedside” has the potential to improve patient care, as well as to determine eligibility for future biomarker-driven clinical trials critical for patients with unmet clinical needs. The challenge now is to compare the performance of different human model systems and their capacity to predict clinical outcome measures.

For this Special Issue, we invite review, articles, and original studies addressing the latest developments in human model systems and in predictive biomarkers to improve patient care, providing expert insights and perspectives on advances in the field.

Dr. Fabiana Ciciriello
Dr. Vincenzina Lucidi
Guest Editors

Manuscript Submission Information

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Keywords

  • cystic fibrosis
  • human model systems
  • biomarker-driven clinical research
  • theratyping
  • patient-derived cell models
  • CFTR rare mutations
  • personalized medicine
  • bench to bedside

Published Papers (1 paper)

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Research

16 pages, 2458 KiB  
Article
Distribution of OGTT-Related Variables in Patients with Cystic Fibrosis from Puberty to Adulthood: An Italian Multicenter Study
by Andrea Foppiani, Fabiana Ciciriello, Arianna Bisogno, Silvia Bricchi, Carla Colombo, Federico Alghisi, Vincenzina Lucidi, Maria Ausilia Catena, Mariacristina Lucanto, Andrea Mari, Giorgio Bedogni and Alberto Battezzati
J. Pers. Med. 2023, 13(3), 469; https://doi.org/10.3390/jpm13030469 - 03 Mar 2023
Viewed by 1112
Abstract
Background: Insulin secretion and glucose tolerance is annually assessed in patients with cystic fibrosis (PwCF) through oral glucose tolerance tests (OGTTs) as a screening measure for cystic fibrosis-related diabetes. We aimed to describe the distribution and provide reference quartiles of OGTT-related variables in [...] Read more.
Background: Insulin secretion and glucose tolerance is annually assessed in patients with cystic fibrosis (PwCF) through oral glucose tolerance tests (OGTTs) as a screening measure for cystic fibrosis-related diabetes. We aimed to describe the distribution and provide reference quartiles of OGTT-related variables in the Italian cystic fibrosis population. Methods: Cross-sectional study of PwCF receiving care in three Italian cystic fibrosis centers of excellence, from 2016 to 2020. We performed a modified 2-h OGTT protocol (1.75 g/kg, maximum 75 g), sampling at baseline and at 30-min intervals, analyzing plasma glucose, serum insulin, and C-peptide. The modified OGTT allowed for the modeling of β cell function. For all variables, multivariable quantile regression was performed to estimate the median, the 25th, and 75th percentiles, with age, sex, and pancreatic insufficiency as predictors. Results: We have quantified the deterioration of glucose tolerance and insulin secretion with age according to sex and pancreatic insufficiency, highlighting a deviation from linearity both for patients <10 years and >35 years of age. Conclusions: References of OGTT variables for PwCF provide a necessary tool to not only identify patients at risk for CFRD or other cystic fibrosis-related complications, but also to evaluate the effects of promising pharmacological therapies. Full article
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