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Phenotypic Profiling of CFTR Modulators in Patient-Derived Respiratory Epithelia

Saumel Ahmadi 1,2 , Zoltan Bozoky 2 , Michelle Di Paola 2,5 , Sunny Xia 2 , Canhui Li 2 , Amy P. Wong 2,7 , Leigh Wellhauser 2 , Steven V Molinski 2,5 , Wan Ip 6 , Hong Ouyang 6 , Julie Avolio 6 , Julie D. Forman-Kay 2,5 , Felix Ratjen 3,6 , Jeremy A Hirota 8 , Johanna Rommens 4 , Janet Rossant 4,7 ,Tanja Gonska 3,6 , Theo J. Moraes 3,6 and Christine E. Bear 1,2,5,*



Editorial Summary


Cystic fibrosis: toward personalized therapies
A new method for evaluating drug responses in patient-derived respiratory tissue promises to help determine the best treatment for each patient with cystic fibrosis (CF). CF patients are highly susceptible to lung infections due to the build-up of thick mucus in the airways. Over 2000 mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene have been identified in patients with CF, which partly explains their varied response to treatment. Saumel Ahmadi, Christine E. Bear, and colleagues at the Hospital for Sick Children in Toronto developed a fluorescence-based method for measuring improvements in mutant CFTR function in patient-derived nasal and induced pluripotent stem cell-derived lung tissue. This method enables comparison of approved and investigational drugs on airway cells from each individual patient and in the longer term will accelerate the development of personalized therapeutic strategies.

Affiliations:
1 Department of Physiology, University of Toronto, Toronto, ON, Canada.
2 Programme in Molecular Structure & Function, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.
3 Department of Paediatrics, University of Toronto, Toronto, ON, Canada.
4 Department of Molecular Genetics, University of Toronto, Toronto, ON, Canada.
5 Department of Biochemistry, University of Toronto, Toronto, ON, Canada.
6 Programme in Physiology & Experimental Medicine, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.
7 Programme in Developmental and Stem Cell Biology, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.
8 Division of Respiratory Medicine, The University of British Columbia, Vancouver, BC, Canada.
* Corresponding author address:
Peter Gilgan Centre for Research and Learning, Molecular Structure & Function,
Hospital for Sick Children,
686 Bay St., Room 20.9420,
Toronto, ON, M5G0A4, Canada.
email: bear@sickkids.ca