Evidence map›Paper›PMID 34357110›Full record

ArticleJournal of personalized medicine2021

A Precision Medicine Approach to Optimize Modulator Therapy for Rare CFTR Folding Mutants.

Guido Veit, Tony Velkov, Haijin Xu, Nathalie Vadeboncoeur, Lara Bilodeau, Elias Matouk, Gergely L Lukacs

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 38 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Guido VeitDepartment of Physiology, McGill University, Montréal, QC H3G 1Y6, Canada.ORCID 0000-0002-6758-2696
Tony VelkovDepartment of Pharmacology & Therapeutics, School of Biomedical Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne 3010, Australia.ORCID 0000-0002-0017-7952
Haijin XuDepartment of Physiology, McGill University, Montréal, QC H3G 1Y6, Canada.
Nathalie VadeboncoeurResearch Center, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, QC G1V 4G5, Canada.
Lara BilodeauResearch Center, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, QC G1V 4G5, Canada.
Elias MatoukAdult Cystic Fibrosis Clinic, Montreal Chest Institute, McGill University, Montréal, QC H4A 3J1, Canada.
Gergely L LukacsDepartment of Physiology, McGill University, Montréal, QC H3G 1Y6, Canada.
McGill University · CAInstitut universitaire de cardiologie et de pneumologie de Québec · CAThe University of Melbourne · AU

Funding

Correction of defective functional expression of CFTR in cystic fibrosisR01DK075302 · NIDDK · MCGILL UNIVERSITY · PI LUKACS, GERGELY L. · 2006 to 2020
$3.3M
CIHR MOP-142221CIHR PJT-153095CIHR PJT-173342NIDDK NIH HHS 5R01DK075302
6 · The paper itself

Abstract

Trikafta, a triple-combination drug, consisting of folding correctors VX-661 (tezacaftor), VX-445 (elexacaftor) and the gating potentiator VX-770 (ivacaftor) provided unprecedented clinical benefits for patients with the most common cystic fibrosis (CF) mutation, F508del. Trikafta indications were recently expanded to additional 177 mutations in the CF transmembrane conductance regulator (CFTR). To minimize life-long pharmacological and financial burden of drug administration, if possible, we determined the necessary and sufficient modulator combination that can achieve maximal benefit in preclinical setting for selected mutants. To this end, the biochemical and functional rescue of single corrector-responsive rare mutants were investigated in a bronchial epithelial cell line and patient-derived human primary nasal epithelia (HNE), respectively. The plasma membrane density of P67L-, L206W- or S549R-CFTR corrected by VX-661 or other type I correctors was moderately increased by VX-445. Short-circuit current measurements of HNE, however, uncovered that correction comparable to Trikafta was achieved for S549R-CFTR by VX-661 + VX-770 and for P67L- and L206W-CFTR by the VX-661 + VX-445 combination. Thus, introduction of a third modulator may not provide additional benefit for patients with a subset of rare CFTR missense mutations. These results also underscore that HNE, as a precision medicine model, enable the optimization of mutation-specific modulator combinations to maximize their efficacy and minimize life-long drug exposure of CF patients.

Indexed as

CFTR missense mutationsCFTR modulator combinationcystic fibrosiscystic fibrosis transmembrane conducatance regulator (CFTR)precision medicineprimary human nasal epithelia

Identifiers

PMID34357110
PMCPMC8307171
OpenAlexW3181000983

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.