In cystic fibrosis
(CF), the deletion of phenylalanine 508 (F508del)
in the CF transmembrane conductance regulator (CFTR) leads to misfolding
and premature degradation of the mutant protein. These defects can
be targeted with pharmacological agents named potentiators and correctors.
During the past years, several efforts have been devoted to develop
and approve new effective molecules. However, their clinical use remains
limited, as they fail to fully restore F508del-CFTR biological function.
Indeed, the search for CFTR correctors with different and additive
mechanisms has recently increased. Among them, drugs that modulate
the CFTR proteostasis environment are particularly attractive to enhance
therapy effectiveness further. This Perspective focuses on reviewing
the recent progress in discovering CFTR proteostasis regulators, mainly
describing the design, chemical structure, and structure–activity
relationships. The opportunities, challenges, and future directions
in this emerging and promising field of research are discussed, as
well.