Current and Future Treatments in Primary Ciliary Dyskinesia

Int J Mol Sci. 2021 Sep 11;22(18):9834. doi: 10.3390/ijms22189834.

Abstract

Primary ciliary dyskinesia (PCD) is a rare genetic ciliopathy in which mucociliary clearance is disturbed by the abnormal motion of cilia or there is a severe reduction in the generation of multiple motile cilia. Lung damage ensues due to recurrent airway infections, sometimes even resulting in respiratory failure. So far, no causative treatment is available and treatment efforts are primarily aimed at improving mucociliary clearance and early treatment of bacterial airway infections. Treatment guidelines are largely based on cystic fibrosis (CF) guidelines, as few studies have been performed on PCD. In this review, we give a detailed overview of the clinical studies performed investigating PCD to date, including three trials and several case reports. In addition, we explore precision medicine approaches in PCD, including gene therapy, mRNA transcript and read-through therapy.

Keywords: genetic; primary ciliary dyskinesia; treatment.

Publication types

  • Review

MeSH terms

  • Bacterial Infections / genetics
  • Bacterial Infections / metabolism
  • Bacterial Infections / microbiology
  • Bacterial Infections / therapy
  • Ciliary Motility Disorders* / genetics
  • Ciliary Motility Disorders* / metabolism
  • Ciliary Motility Disorders* / microbiology
  • Ciliary Motility Disorders* / therapy
  • Clinical Trials as Topic
  • Cystic Fibrosis / genetics
  • Cystic Fibrosis / metabolism
  • Cystic Fibrosis / microbiology
  • Cystic Fibrosis / therapy
  • Humans
  • Lung / metabolism
  • Lung / microbiology
  • Respiratory Tract Infections / genetics
  • Respiratory Tract Infections / metabolism
  • Respiratory Tract Infections / microbiology
  • Respiratory Tract Infections / therapy