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Published ahead of print on December 15, 2005, doi:10.1165/rcmb.2005-0214OC

Am. J. Respir. Cell Mol. Biol., Volume 34, Number 4, April 2006, 500-504

A more recent version of this article appeared on April 1, 2006
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Submitted on June 9, 2005
Revised on December 12, 2005

Restoration of Mucociliary Transport in the Fluid-Depleted Trachea by Surface-Active Instillates

Stephen T Ballard1*, James C Parker1, and Charles R Hamm2

1 Department of Physiology, University of South Alabama, College of Medicine, Mobile, AL, USA, 2 Department of Pediatrics, University of South Alabama, College of Medicine, Mobile, AL, USA

* To whom correspondence should be addressed. E-mail: sballard{at}usouthal.edu.

Severe impairment of mucociliary transport (MCT) is a hallmark of cystic fibrosis (CF) lung disease. Recent studies demonstrate that pharmacological inhibition of anion and liquid secretion in pig tracheas models the MCT defect in CF through depletion of the periciliary fluid component of airway surface liquid. In the present study, the effectiveness of various aqueous instillates on rehydration of the airway surface and restoration of MCT was assessed in this model. Excised porcine tracheas were mounted in a chamber that permitted simultaneous measurement of MCT and adventitial exposure of the airways to Krebs solution. When anion and liquid secretion were inhibited by treatment with bumetanide and dimethylamiloride, MCT was greatly reduced. Luminal instillation of aqueous solutions containing surface-active substances (1% Tween80 or calfactant) transiently restored MCT to high rates in nearly all tissues. Mucosal treatment with only Krebs solution or hypertonic saline restored MCT in only one-half of the tracheas. We conclude that aqueous salt solutions alone can hydrate airway surfaces and restore MCT in some tissues, but surface-active substances may provide additional benefit in restoring MCT in this model of mucociliary stasis. We speculate that administration of surface-active substances, by aerosol or lavage, might help to restore MCT in the airways of CF patients.




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