My kids all have DF508/G551D.
The drug only has to work on one mutation....then the cf lungs act like a carrier's lungs ie your parents. The G551D mutation has the channel that transports sodium but not the 'gate' that allows it to transfer across the cell (sorry about my rudimentary knowledge of CFTR, but this is the way it has been explained to me/us).
The DF508 mutation does not have the channel (or has a lessor channel) and does not have the 'gate' either. That's why the 770 works for G551D but not so much for DF508. Vertex hopes that the 809/661 (?) combined with the 770 will enable both functions to work correctly (the channel and the gate), thus allowing sodium to move though the cell, the lack of which is the base cause of cf problems.
Various mutations work in different but similar ways to create the problems pwcf have (which is due to lack of sodium transport). To add to Bill, G551D is about 2% of cf population (I think, could be higher).
The drug only has to work on one mutation....then the cf lungs act like a carrier's lungs ie your parents. The G551D mutation has the channel that transports sodium but not the 'gate' that allows it to transfer across the cell (sorry about my rudimentary knowledge of CFTR, but this is the way it has been explained to me/us).
The DF508 mutation does not have the channel (or has a lessor channel) and does not have the 'gate' either. That's why the 770 works for G551D but not so much for DF508. Vertex hopes that the 809/661 (?) combined with the 770 will enable both functions to work correctly (the channel and the gate), thus allowing sodium to move though the cell, the lack of which is the base cause of cf problems.
Various mutations work in different but similar ways to create the problems pwcf have (which is due to lack of sodium transport). To add to Bill, G551D is about 2% of cf population (I think, could be higher).