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May 20, 2026American Journal of Respiratory and Critical Care Medicine

B33-11 Single-Cell RNA-Sequencing Reveals Deactivation of Inflammatory Responses in Cystic Fibrosis Classical Monocytes Following Elexacaftor/Tezacaftor/Ivacaftor Therapy

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Authors

SCS ChaoLDL DequanFLF Li

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Overview

Randomized trial reveals decreased inflammatory responses in classical monocytes after ETI therapy in PwCF, suggesting immunomodulatory effects.

Key Points

  • This research aims to explore the effects of Elexacaftor/Tezacaftor/Ivacaftor therapy on inflammatory responses in immune cells of cystic fibrosis patients.
  • Conducted single-cell RNA-sequencing on PBMC and lung explant tissues from healthy and cystic fibrosis donors.
  • Utilized bioinformatics for quality control, clustering, differential gene expression, and pathway analysis.
  • Compared inflammatory responses in classical monocytes before and after ETI therapy.
  • Significant suppression of LPS signaling, NF-κB, and MAPK/AP-1 pathways was observed in monocytes post-ETI therapy.
  • Down-regulation of CD14, TREM1 co-receptors and cytokines IL-1β and CXCL8 was noted, indicating reduced pro-inflammatory activity.
  • IL-1β production was normalized after therapy, highlighting potential biomarker opportunities.

Cite This Study

Chao et al. (2026) studied this question.

synapsesocial.com/papers/6a0d5078f03e14405aa9c377https://doi.org/10.1093/ajrccm/aamag162.2140
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