Cystic Fibrosis Clinical Trial
Official title:
Use of Nasal Epithelial Cells and Blood Lymphocytes to Identify Markers for Cystic Fibrosis and Cystic Fibrosis Pulmonary Exacerbations
Study Hypothesis: We hypothesize that cellular markers from nasal epithelial cells and blood lymphocytes can serve as potential biomarkers reflect the underlying inflammatory state of the lung and will be helpful in determining the presence of a CF pulmonary exacerbation and its overall severity.
Cystic fibrosis (CF) is the most common lethal genetic disease in the US afflicting
approximately 30,000 people. Chronic disease of the respiratory tract, which is responsible
for early death, affects both the upper and lower airways.
We propose to utilize cells (blood lymphocytes and nasal epithelial cells) that are readily
accessible and are known to express the cystic fibrosis transmembrane conductance regulator
(CFTR) and therefore candidates to express markers of the downstream consequences of CFTR
deficiency.
A marker that indicates the inflammatory state of the lung would be useful to identify
infective/inflammatory exacerbations as opposed to worsening due to pulmonary vascular
disease or simply upper airway infection. This marker might help to guide therapy for
intensity and duration. Evidence in mice suggest that lymphocytes may be a driving force for
inflammation in the CF lung, particularly during exacerbations, and also that human CF
lymphocytes have dysfunctional production of cytokines.
Specific Aims:
To identify markers in nasal epithelial cells or blood lymphocytes that distinguish CF
patients from those with functional CFTR (healthy volunteers and patients with asthma). If
successful this could become a marker for CFTR correction by drugs or other systemic
therapies.
To identify markers in blood lymphocytes that will identify inflammatory status (ie,
distinguish an active exacerbation from return to clinical stability) in CF patients. This
could become a marker for infectious exacerbations of CF airway disease.
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