[HTML][HTML] Combined agonists act synergistically to increase mucociliary clearance in a cystic fibrosis airway model

NS Joo, HJ Cho, M Shinbashi, JY Choi, CE Milla… - Scientific reports, 2021 - nature.com
NS Joo, HJ Cho, M Shinbashi, JY Choi, CE Milla, JF Engelhardt, JJ Wine
Scientific reports, 2021nature.com
Mucus clearance, a primary innate defense mechanism of airways, is defective in patients
with cystic fibrosis (CF) and CF animals. In previous work, the combination of a low dose of
the cholinergic agonist, carbachol with forskolin or a β adrenergic agonist, isoproterenol
synergistically increased mucociliary clearance velocity (MCCV) in ferret tracheas.
Importantly, the present study shows that synergistic MCCV can also be produced in CF
ferrets, with increases~ 55% of WT. Synergistic MCCV was also produced in pigs. The …
Abstract
Mucus clearance, a primary innate defense mechanism of airways, is defective in patients with cystic fibrosis (CF) and CF animals. In previous work, the combination of a low dose of the cholinergic agonist, carbachol with forskolin or a β adrenergic agonist, isoproterenol synergistically increased mucociliary clearance velocity (MCCV) in ferret tracheas. Importantly, the present study shows that synergistic MCCV can also be produced in CF ferrets, with increases ~ 55% of WT. Synergistic MCCV was also produced in pigs. The combined agonists increased MCCV by increasing surface fluid via multiple mechanisms: increased fluid secretion from submucosal glands, increased anion secretion across surface epithelia and decreased Na+ absorption. To avoid bronchoconstriction, the cAMP agonist was applied 30 min before carbachol. This approach to increasing mucus clearance warrants testing for safety and efficacy in humans as a potential therapeutic for muco-obstructive diseases.
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