Lecture 5 - Cf and small molecules II Flashcards
heavy CFTR mr
mature and glycosylated
Light CFTR mr
immature and not fully glycoylated
F508del CFTR
remains immature and is sent for degradation due to misfolding
Results of increasing lumacaftor concentration
increased number of mature CFTR in F508del mutations
cAMP is used to
stimulate CFTR
combination therapy is made up of three drugs…
Ivacafotr, Lumacaftor and Orkambi
Combination therapy phase 3 trial results
increased FEV1%
all parameters better
Only a mild impact
reduced hospitalisations IV-AB treatment
Combination therapy mechanism of action
can traffic F508del CFTR to the membrane so it is functional, however this is not sufficient to improve symptoms
But using potentiators to can enhance CFTR function and therefore relieve symptoms