EXOCRINE-GLAND FUNCTION AND THE BASIC BIOCHEMICAL DEFECT IN CYSTIC FIBROSIS

The Lancet ◽  
1978 ◽  
Vol 312 (8086) ◽  
pp. 405-407 ◽  
Author(s):  
LeightonG. Dann ◽  
Karl Blau
1976 ◽  
Vol 10 (6) ◽  
pp. 574-578 ◽  
Author(s):  
Jeanette Blomfield ◽  
Anne R Rush ◽  
Helen M Allars ◽  
John M Brown

Cell ◽  
1997 ◽  
Vol 91 (6) ◽  
pp. 789-798 ◽  
Author(s):  
Wenbiao Chen ◽  
Michele A Kelly ◽  
Ximena Opitz-Araya ◽  
Ruth E Thomas ◽  
Malcolm J Low ◽  
...  

2003 ◽  
Vol 284 (1) ◽  
pp. C2-C15 ◽  
Author(s):  
A. S. Verkman ◽  
Yuanlin Song ◽  
Jay R. Thiagarajah

Cystic fibrosis (CF) is caused by mutations in the CF transmembrane conductance regulator (CFTR) protein, an epithelial chloride channel expressed in the airways, pancreas, testis, and other tissues. A central question is how defective CFTR function in CF leads to chronic lung infection and deterioration of lung function. Several mechanisms have been proposed to explain lung disease in CF, including abnormal airway surface liquid (ASL) properties, defective airway submucosal gland function, altered inflammatory response, defective organellar acidification, loss of CFTR regulation of plasma membrane ion transporters, and others. This review focuses on the physiology of the ASL and submucosal glands with regard to their proposed role in CF lung disease. Experimental evidence for defective ASL properties and gland function in CF is reviewed, and deficiencies in understanding ASL/gland physiology are identified as areas for further investigation. New model systems and measurement technologies are being developed to make progress in establishing lung disease mechanisms in CF, which should facilitate mechanism-based design of therapies for CF.


Author(s):  
David Martin ◽  
Junzheng Wu

Cystic fibrosis (CF) is an inherited chronic disease that affects about 30,000 children and adults in the United States and 70,000 worldwide. CF is the most common fatal inherited disorder affecting Caucasians in the United States. While its presentation can vary in severity, the most common clinical manifestations are progressive lung damage and chronic digestive problems due to exocrine gland dysfunction and the production of thick viscous mucus. Careful perioperative management is important to avoid respiratory complications.


1981 ◽  
Vol 98 (2) ◽  
pp. 218-222 ◽  
Author(s):  
M. Segall-Blank ◽  
A.G. Vagenakis ◽  
H. Shwachman ◽  
S.H. Ingbar ◽  
L.E. Braverman

1998 ◽  
Vol 112 (1) ◽  
pp. 19-31 ◽  
Author(s):  
Jakob Balslev Sørensen ◽  
Erik Hviid Larsen

Chloride channels in the luminal membrane of exocrine gland acini from frog skin (Rana esculenta) constituted a single homogeneous population. In cell-attached patches, channels activated upon exposure to isoproterenol, forskolin, or dibutyryl-cAMP and isobutyl-1-methyl-xanthine rectified in the outward direction with a conductance of 10.0 ± 0.4 pS for outgoing currents. Channels in stimulated cells reversed at 0 mV applied potential, whereas channels in unstimulated cells reversed at depolarized potentials (28.1 ± 6.7 mV), indicating that Cl− was above electrochemical equilibrium in unstimulated, but not in stimulated, cells. In excised inside-out patches with 25 mM Cl− on the inside, activity of small (8-pS) linear Cl−-selective channels was dependent upon bath ATP (1.5 mM) and increased upon exposure to cAMP-dependent protein kinase. The channels displayed a single substate, located just below 2/3 of the full channel amplitude. Halide selectivity was identified as PBr > PI > PCl from the Goldman equation; however, the conductance sequence when either halide was permeating the channel was GCl > GBr >> GI. In inside-out patches, the channels were blocked reversibly by 5-nitro-2-(3-phenylpropylamino)benzoic acid, glibenclamide, and diphenylamine-2-carboxylic acid, whereas 4,4-diisothiocyanatostilbene-2,2-disulfonic acid blocked channel activity completely and irreversibly. Single-channel kinetics revealed one open state (mean lifetime = 158 ± 72 ms) and two closed states (lifetimes: 12 ± 4 and 224 ± 31 ms, respectively). Power density spectra had a double-Lorentzian form with corner frequencies 0.85 ± 0.11 and 27.9 ± 2.9 Hz, respectively. These channels are considered homologous to the cystic fibrosis transmembrane conductance regulator Cl− channel, which has been localized to the submucosal skin glands in Xenopus by immunohistochemistry (Engelhardt, J.F., S.S. Smith, E. Allen, J.R. Yankaskas, D.C. Dawson, and J.M. Wilson. 1994. Am. J. Physiol. 267: C491–C500) and, when stimulated by cAMP-dependent phosphorylation, are suggested to function in chloride secretion.


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