Modulation of Ion Transport to Restore Airway Hydration in Cystic Fibrosis

Genes (Basel). 2021 Mar 22;12(3):453. doi: 10.3390/genes12030453.

Abstract

Cystic fibrosis (CF) is a life-limiting genetic disorder caused by loss-of-function mutations in the gene which codes for the CF transmembrane conductance regulator (CFTR) Cl- channel. Loss of Cl- secretion across the apical membrane of airway lining epithelial cells results in dehydration of the airway surface liquid (ASL) layer which impairs mucociliary clearance (MCC), and as a consequence promotes bacterial infection and inflammation of the airways. Interventions that restore airway hydration are known to improve MCC. Here we review the ion channels present at the luminal surface of airway epithelial cells that may be targeted to improve airway hydration and MCC in CF airways.

Keywords: airway hydration; big potassium (BK); cystic fibrosis; cystic fibrosis transmembrane conductance regulator (CFTR); epithelial sodium channel (ENaC); ion channel; transmembrane member 16A (TMEM16A).

Publication types

  • Review

MeSH terms

  • Cystic Fibrosis / genetics
  • Cystic Fibrosis / physiopathology*
  • Cystic Fibrosis Transmembrane Conductance Regulator / genetics
  • Cystic Fibrosis Transmembrane Conductance Regulator / metabolism*
  • Humans
  • Loss of Function Mutation
  • Mucociliary Clearance*
  • Respiratory Mucosa / metabolism
  • Respiratory Mucosa / pathology

Substances

  • CFTR protein, human
  • Cystic Fibrosis Transmembrane Conductance Regulator