Cited by 161Cystic Fibrosis Research AdvancesInhalation and Respiratory Drug DeliveryGenetic and Kidney Cyst Diseases

Correction of CFTR function in nasal epithelial cells from cystic fibrosis patients predicts improvement of respiratory function by CFTR modulators

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Pranke, Iwona M., Hatton, Aurélie, Simonin, Juliette, Jais, Jean Philippe, Le Pimpec-Barthes, Françoise, Carsin, Ania, Bonnette, Pierre, Fayon, Michael +10 more·2017·Scientific Reports

Abstract

Clinical studies with modulators of the Cystic Fibrosis Transmembrane conductance Regulator (CFTR) protein have demonstrated that functional restoration of the mutated CFTR can lead to substantial clinical benefit. However, studies have shown highly variable patient responses. The objective of this study was to determine a biomarker predictive of the clinical response. CFTR function was assessed in vivo via nasal potential difference (NPD) and in human nasal epithelial (HNE) cultures by the response to Forskolin/IBMX and the CFTR potentiator VX-770 in short-circuit-current (∆I scF/I+V ) experiments. CFTR expression was evaluated by apical membrane fluorescence semi-quantification. I sc measurements discriminated CFTR function between controls, healthy heterozygotes, patients homozygous for the severe F508del mutation and patients with genotypes leading to absent or residual function. ∆I scF/I+V correlated with CFTR cellular apical expression and NPD measurements. The CFTR correctors lumacaftor and tezacaftor significantly increased the ∆I scF/I+V response to about 25% (SEM = 4.4) of the WT-CFTR level and the CFTR apical expression to about 22% (SEM = 4.6) of the WT-CFTR level in F508del/F508del HNE cells. The level of CFTR correction in HNE cultures significantly correlated with the FEV 1 change at 6 months in 8 patients treated with CFTR modulators. We provide the first evidence that correction of CFTR function in HNE cell cultures can predict respiratory improvement by CFTR modulators.

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Authors
Pranke, I. M., Hatton, A., Simonin, J., Jais, J. P., Le Pimpec-Barthes, F., Carsin, A., Bonnette, P., Fayon, M., Stremler-Le Bel, N., Grenet, D., Thumerel, M., Mazenq, J., Urbach, V., Mesbahi, M., Girodon-Boulandet, E., Hinzpeter, A., Edelman, A., & Sermet-Gaudelus, I.
Affiliations
  • Centre National de la Recherche Scientifique (FR)
  • Hôpital de la Timone (FR)
  • Hôpital Foch (FR)
  • Hôpital Pellegrin (FR)
  • Hôpital Cochin (FR)
Venue
Scientific Reports
Published
2017-08-07
Volume
7
Issue
1
Pages
7375-7375
ISSN
2045-2322 (ISSN-L)
OpenAlex
W2741556432
Cited by
161
References
2
Citations by year
2026: 9 · 2025: 15 · 2024: 14 · 2023: 14 · 2022: 21 · 2021: 32 · 2020: 20 · 2019: 18 · 2018: 15 · 2017: 3
Type
journal article
Language
en
Open access
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
American Breast Cancer Foundation
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Inhalation and Respiratory Drug Delivery
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Kidney Cyst Diseases
Keywords
cystic fibrosis, CFTR, CFTR modulators, CFTR correctors, lumacaftor, tezacaftor, F508del mutation, nasal epithelial cells, nasal potential difference, short-circuit current, predictive biomarkers, FEV1 response, patient response variability
MeSH terms
Aminopyridines, Cells, Cultured, Chlorides, Cystic Fibrosis, Epithelial Cells, Homozygote, Humans, Indoles, Mutation, Nasal Mucosa, Respiratory Function Tests, Biomarkers, Treatment Outcome, Cell Culture Techniques, Cystic Fibrosis Transmembrane Conductance Regulator, Benzodioxoles

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