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Saakshi Shah

Breathing Isn't a Luxury; A Cystic Fibrosis Story

Date: November 14, 2023.


We’ve all had that bookworm phase, right? That time when you’re devouring books, from the bestsellers to the hidden gems. But what about those criminally underrated books that you can’t help but champion? You wonder why more people don’t know about them; where’s the fan base for these literary treasures? You become their advocate, sharing these stories with friends, family, or even strangers at a cafe or library, all to ensure the world recognizes these phenomenal authors. You’ve become their unofficial spokesperson, and they deserve a massive following.


Now, just like those overlooked books, there are diseases that don’t get the spotlight. While everyone knows about cancer, diabetes, and the research behind them, there are lesser-known rare diseases affecting only a handful of people. Their lives are far from easy. In this blog, I’ll shed light on one such rare disease that makes-


Every breath a challenge: Cystic Fibrosis

What Is Cystic Fibrosis?



Cystic Fibrosis, often abbreviated as CF, is like a software glitch that disrupts the normal functioning of your program. In this analogy, the “bug” corresponds to a genetic mutation, while the “code” represents your DNA. CF is classified as an autosomal recessive disorder, meaning that only when you inherit this mutated gene from both of your parents will you develop cystic fibrosis. It’s essential to note that if just one mutated gene from either parent can lead to a condition, it’s termed an autosomal dominant disorder, and you have a 50% chance of being affected by that condition.


Understanding the CF “Bug”



Much like debugging your code to identify and fix issues affecting a specific function in your program, CF occurs when there’s a mutation in the CFTR gene, which stands for Cystic Fibrosis Transmembrane Conductance Regulator. Here’s the intriguing part: CF results from over 1700 different mutations in the CFTR gene —

imagine dealing with 1700+ bugs!

The most prevalent mutation is known as F508del. Now, you might wonder, what’s the role of the CFTR gene? Essentially, the CFTR gene regulates the balance of salt and water on various surfaces in the body. This gene is responsible for producing the CFTR protein, acting as the gatekeeper for chloride, ensuring that everything remains in proper equilibrium.


What Goes Awry in CF?


Mutation in the CFTR gene can lead to one of three scenarios:

  • The CFTR protein doesn’t function as intended.

  • The CFTR isn’t produced in sufficient quantities.

  • The CFTR isn’t produced at all.

When any of these circumstances occur, an imbalance in chloride levels is induced. This, in turn, causes the mucus membranes to become dehydrated and thickened. Specifically, this thickened mucus affects the respiratory and gastrointestinal tracts.


Respiratory System Ruckus: CF has a penchant for causing havoc in your airways, leading to inflammation and damage. This results in recurrent pneumonia, chronic infections, and an annoying, persistent cough. You’ll find yourself coughing and wheezing as if you’ve just completed a marathon, even when you’ve merely been at rest.


Digestive System Drama: Furthermore, CF can lead to liver complications, pancreatitis, and even insulin-dependent diabetes. These conditions can cause abdominal distention and intestinal blockages.


CF is a formidable disorder that significantly impacts life expectancy. While there’s no cure, available treatments effectively manage its symptoms. With proper care, most individuals with CF can lead into adulthood.



Various life science companies spearhead the race for effective CF treatments, exploring innovative approaches. From CFTR modulators to gene therapy, mRNA therapy, cell-based treatments, and an array of other small-molecule drugs, the landscape for CF management is bursting with potential. These pioneering efforts offer hope to patients grappling with this challenging condition, promising more personalized and transformative treatments.


“Cystic Fibrosis Treatment Approaches: A Toolbox of Solutions”



Visualize CF as an intricate puzzle, with each approach designed to solve a unique part, akin to specific tools in a kit that optimize different puzzle sections for improved outcomes.


CFTR Modulators: Restoring the Key: These aim to fix the glitch in the CFTR protein, the key to proper chloride channel function. By repairing this “key,” they hope to unlock better mucus clearance, reducing CF challenges.


Gene Therapy: Rewriting the Code: Like a software update, gene therapy rewrites the genetic code, replacing the defective CFTR gene with a functional one, and fixing the system’s “bugs.”


mRNA Therapy: Spurring Cell Productivity: This therapy boosts productivity by using messenger RNA to prompt cells to produce the correct CFTR protein, like an office memo enhancing team efficiency.


Cell Therapy: Substituting Troubled Parts: Utilizing stem cells, cell therapy generates new, healthy lung or organ cells that replace affected or damaged cells, like swapping a problematic car part with a brand-new one.


Other Small-Molecule Drugs: Targeted Troubleshooters: These drugs work as specialized detectives investigating specific issues within the CF puzzle, targeting pathways to alleviate symptoms or manage the condition more effectively, each focusing on a unique area.


In a world where rare diseases often linger in the shadows, these groundbreaking treatment approaches shine a light on a promising path forward for individuals living with Cystic Fibrosis. Similar to how we champion lesser-known books, we can stand as advocates for these innovative solutions and the hope they offer to those confronting this complex condition.

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