Evidence map›Paper›PMID 21990373›Full record

ArticleFASEB journal : official publication of the Federation of American Societies for Experimental Biology2012

Cigarette smoke exposure induces CFTR internalization and insolubility, leading to airway surface liquid dehydration.

Lucy A Clunes, Catrin M Davies, Raymond D Coakley, Andrei A Aleksandrov, Ashley G Henderson, Kirby L Zeman, Erin N Worthington, Martina Gentzsch, Silvia M Kreda, Deborah Cholon and 4 more

Open access · greenAbstract read
In one paragraph

Article in FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 170 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
170citing papers in PubMed, 1 pooled it
12.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

170 citing papers in PubMed, 1 synthesis or guideline pooled it, 251 citations in OpenAlex.

  1. The European respiratory journal · 2022
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Air pollution-induced airway epithelial barrier dysfunction in COPD: a narrative review of mechanisms and therapeutic implications.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Research Progress on the Mechanisms of High Mucus Secretion in the Airway: A Scoping Review.International journal of chronic obstructive pulmonary disease · 2026
    Article
  13. Article
  14. Article
  15. Secondhand vape exposure regulation of CFTR and immune function in cystic fibrosis.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  16. Article
  17. Article
  18. Quantifying abnormal alveolar microstructure in cystic fibrosis lung disease via hyperpolarizedJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2024
    Article
  19. Association between biomarkers of tobacco smoke exposure and clinical efficacy of ivacaftor in the G551D observational trial (GOAL).Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2024
    Observational
  20. Observational

110 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Lucy A ClunesCystic Fibrosis/Pulmonary Research and Treatment Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Catrin M Davies
Raymond D Coakley
Andrei A Aleksandrov
Ashley G Henderson
Kirby L Zeman
Erin N Worthington
Martina Gentzsch
Silvia M Kreda
Deborah Cholon
William D Bennett
John R Riordan
Richard C Boucher
Robert Tarran
University of North Carolina at Chapel Hill · US

Funding

The Mucus Transport Apparatus: Why Two Layers?P50HL084934 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOUCHER, RICHARD CHARLES · 2006 to 2010
$15.6M
Restoration of mutant CFTR stability and functionR01DK051870 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BALCH, WILLIAM EDWARD · 1996 to 2020
$8.7M
MOLECULAR MECHANISMS OF CFTR FUNCTIONR01DK051619 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RIORDAN, JOHN R · 1997 to 2013
$3.0M
MECHANISMS OF AUTONOMIC CARDIOVASCULAR CONTROLR13HL034332 · NHLBI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI VATNER, STEPHEN F · 1986 to 1986
–
NHLBI NIH HHS HL084934NHLBI NIH HHS HL34332NHLBI NIH HHS P50 HL084934NIDDK NIH HHS 5R01DK051619NIDDK NIH HHS 5R01DK051870NIDDK NIH HHS R01 DK051619NIDDK NIH HHS R01 DK051870
6 · The paper itself

Abstract

Cigarette smoke (CS) exposure induces mucus obstruction and the development of chronic bronchitis (CB). While many of these responses are determined genetically, little is known about the effects CS can exert on pulmonary epithelia at the protein level. We, therefore, tested the hypothesis that CS exerts direct effects on the CFTR protein, which could impair airway hydration, leading to the mucus stasis characteristic of both cystic fibrosis and CB. In vivo and in vitro studies demonstrated that CS rapidly decreased CFTR activity, leading to airway surface liquid (ASL) volume depletion (i.e., dehydration). Further studies revealed that CS induced internalization of CFTR. Surprisingly, CS-internalized CFTR did not colocalize with lysosomal proteins. Instead, the bulk of CFTR shifted to a detergent-resistant fraction within the cell and colocalized with the intermediate filament vimentin, suggesting that CS induced CFTR movement into an aggresome-like, perinuclear compartment. To test whether airway dehydration could be reversed, we used hypertonic saline (HS) as an osmolyte to rehydrate ASL. HS restored ASL height in CS-exposed, dehydrated airway cultures. Similarly, inhaled HS restored mucus transport and increased clearance in patients with CB. Thus, we propose that CS exposure rapidly impairs CFTR function by internalizing CFTR, leading to ASL dehydration, which promotes mucus stasis and a failure of mucus clearance, leaving smokers at risk for developing CB. Furthermore, our data suggest that strategies to rehydrate airway surfaces may provide a novel form of therapy for patients with CB.

Indexed as

AdultAgedAnimalsBase SequenceBiological Transport, ActiveBody WaterBronchitis, ChronicCase-Control StudiesCells, CulturedCricetinaeCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDNA PrimersFemaleHumansLungCFTR protein, humanCystic Fibrosis Transmembrane Conductance RegulatorDNA PrimersSaline Solution, HypertonicSmoke

Identifiers

PMID21990373
PMCPMC3290447
OpenAlexW2091751789

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.