The lactoperoxidase system links anion transport to host defense in cystic fibrosis |
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Authors: | Conner Gregory E Wijkstrom-Frei Corinne Randell Scott H Fernandez Vania E Salathe Matthias |
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Institution: | Division of Pulmonary and Critical Care Medicine, University of Miami School of Medicine, Miami, FL 33136, United States. gconner@miami.edu |
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Abstract: | Chronic respiratory infections in cystic fibrosis result from CFTR channel mutations but how these impair antibacterial defense is less clear. Airway host defense depends on lactoperoxidase (LPO) that requires thiocyanate (SCN-) to function and epithelia use CFTR to concentrate SCN- at the apical surface. To test whether CFTR mutations result in impaired LPO-mediated host defense, CF epithelial SCN- transport was measured. CF epithelia had significantly lower transport rates and did not accumulate SCN- in the apical compartment. The lower CF SCN-] did not support LPO antibacterial activity. Modeling of airway LPO activity suggested that reduced transport impairs LPO-mediated defense and cannot be compensated by LPO or H2O2 upregulation. |
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Keywords: | ALI air-liquid interface ASL airway surface liquid CF cystic fibrosis CFTR cystic fibrosis transmembrane regulator LPO lactoperoxidase MPO myeloperoxidase |
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