{"id":2111,"date":"2020-03-29T16:42:45","date_gmt":"2020-03-29T23:42:45","guid":{"rendered":"http:\/\/depts.washington.edu\/cfrtc\/?p=2111"},"modified":"2021-04-20T17:30:07","modified_gmt":"2021-04-21T00:30:07","slug":"rdp-pilot-james-debley","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/cfrtc\/rdp-pilot-james-debley\/","title":{"rendered":"RDP Pilot &#8211; James-Debley"},"content":{"rendered":"<p>[et_pb_section fullwidth=&#8221;on&#8221; specialty=&#8221;off&#8221;][et_pb_fullwidth_slider admin_label=&#8221;Fullwidth Slider&#8221; show_arrows=&#8221;on&#8221; show_pagination=&#8221;on&#8221; auto=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; module_id=&#8221;interior&#8221;][et_pb_slide background_image=&#8221;https:\/\/depts.washington.edu\/cfrtc\/wp-content\/uploads\/2014\/12\/microscope11.jpg&#8221; background_color=&#8221;#ffffff&#8221; alignment=&#8221;center&#8221; background_layout=&#8221;dark&#8221; \/][\/et_pb_fullwidth_slider][\/et_pb_section][et_pb_section][et_pb_row][et_pb_column type=&#8221;1_4&#8243;][et_pb_sidebar admin_label=&#8221;Pilots Sidebar&#8221; orientation=&#8221;left&#8221; area=&#8221;et_pb_widget_area_7&#8243; background_layout=&#8221;light&#8221; \/][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221;]<\/p>\n<h1 style=\"text-align: center;\">Approach to CFTR Editing in Differentiated Airway Epithelial Cells<\/h1>\n<p><strong>P.I.:<\/strong>&nbsp;Richard James, PhD<br \/> Assistant Professor,<br \/>Pediatrics<\/p>\n<p>Jason Debley, MD, MPH<br \/>Associate Professor,<br \/>Pediatrics<\/p>\n<p align=\"LEFT\">Cystic Fibrosis is autosomal recessive disorder driven by point mutations in CFTR on both copies of chromosome 7 that lead to defects in CFTR channel function (some protein processing, gating and conductance mutations) or defects in expression on the cell surface (protein production, insufficient protein and some protein processing mutations).  These CFTR mutations can cause complete loss of protein function or partial loss of protein function (~0-25% residual function). As evidenced by the efficacy of CFTR modulators, which can double or triple CFTR protein function, partial rescue, even at low levels, is likely to provide clinical benefit. We hypothesize that gene editing could be used to directly repair these mutations at the level of the genome and partially rescue CFTR function in primary lung epithelia. The purpose of this proposal is to address the feasibility of using gene editing to repair CFTR mutations at the level of the genome. We will develop methods to directly repair all possible mutations in CFTR that are observed in Cystic Fibrosis and assess the percentages of cells that can be repaired using this method. We will also answer the question of how much repair is necessary to provide functional rescue of chloride channel function in gene-edited differented bronchial epithelial cells; in other words, what percentage of cells need to be repaired to restore CFTR function and chloride transport. We expect these feasibility studies to provide a path forward for evaluation of gene editing or alternative gene delivery methods for the treatment of Cystic Fibrosis.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pilot 12: Identification of Biomarkers for Cystic Fibrosis Associated Nephrotoxicity<\/p>\n<p>P.I.:  \tNeal Paragas, PhD<br \/>\n\tResearch Assistant Professor,<br \/>\n\tMedicine (Nephrology)<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>P.I.: <a href=\"http:\/\/depts.washington.edu\/metab\/directory\/faculty\/steven-e-kahn-m-b-ch-b\/\" target=\"_blank\">Steven Kahn, MB, ChB<\/a><br \/> Professor of Medicine<br \/> Metabolism, Endocrinology and Nutrition<\/p><p><a href=\"http:\/\/depts.washington.edu\/metab\/directory\/faculty\/kristina-utzschneider-m-d\/\" target=\"_blank\">Kristina Utzschneider, MD<\/a><br \/> Associate Professor of Medicine<br \/> Metabolism, Endocrinology and Nutrition<\/p><p>With the increased life expectancy of patients with cystic fibrosis (CF), other co-morbidities have become apparent in these patients. One of these is abnormal glucose metabolism, where CF-related diabetes (CFRD) is common. More recently, another abnormality of glucose metabolism has been recognized; namely late hypoglycemia following oral glucose loading. In this study, we propose to test the hypothesis that the post-glucose load hypoglycemia observed in patients with CF results from a deficient counterregulatory hormone response and\/or an insulin response that is exaggerated and delayed. This increased insulin response could be the result of an exaggerated incretin hormone response or altered gastric emptying. To address this hypothesis, we will perform a 3-hour oral glucose tolerance test during which we will measure counterregulatory, islet and incretin hormone responses and determine the rate of gastric emptying using acetaminophen. To determine whether patients with CF and late hypoglycemia also have episodes of hypoglycemia during daily living that includes mixed meals, we will use a continuous glucose monitoring system (CGMS) to examine 24-hour glucose profiles for 3 days. All these measures will be compared between patients with CF who develop late hypoglycemia, CF patients who do not develop hypoglycemia, and age and body mass index-matched healthy controls. The findings from this study will provide important new information regarding the mechanism(s) responsible for the late hypoglycemia observed in patients with CF and the data could be used as the basis for future grant applications. The ultimate goal is to gain insight into the condition of late hypoglycemia in order to better manage patients with CF.<\/p>","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[12],"tags":[],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/2111"}],"collection":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/comments?post=2111"}],"version-history":[{"count":1,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/2111\/revisions"}],"predecessor-version":[{"id":2112,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/2111\/revisions\/2112"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/media?parent=2111"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/categories?post=2111"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/tags?post=2111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}