Table 3.
Mutation Class (more severe to less severe) | Impact on CFTR | CFTR Modulator Therapy | Example of CFTR Modulator |
---|---|---|---|
I | Defect in CFTR protein production | ||
II (example Phe508del) | Ineffective CFTR protein processing → ineffective trafficking to cell surface | Corrector +/- potentiator | Ivacaftor/lumacaftor Tezacaftor/ivacaftor Elexacaftor/tezacaftor/ivacaftor |
III (example G551D) | Inability of CFTR protein to remain open “gating mutations” | Potentiator | Ivacaftor |
IV | Ineffective CFTR protein with reduced chloride transport | Potentiator | Ivacaftor |
V | Decreased CFTR synthesis | ||
VI | Reduced CFTR stability |