Table 1

Lung disease in cystic fibrosis

ProblemsSolutionsTreatments
Mutation of CFTR Provide normal geneGene therapy
Overcome stop mutationsAminoglycosides
Abnormal processing of CFTRRelocalisationMolecular chaperones
Defective CFTRUpregulate functionPharmacological agents
Abnormal ion transportIncrease chloride transportUTP/ATP
Block sodium uptakeAmiloride
Thick obstructive mucusDecrease viscosityMucolytics
DNAse
Impaired clearanceAugment clearanceChest physiotherapy
Pulmonary infectionDecrease bacterial loadAntibiotics
Salt-insensitive antimicrobial peptides
Pulmonary inflammationDiminish host reactionAntiprotease
BronchiectasisReplace when irreversible damageLung transplant