Evidence map›Paper›PMID 25361567›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2015

Linking increased airway hydration, ciliary beating, and mucociliary clearance through ENaC inhibition.

Annika B M Åstrand, Martin Hemmerling, James Root, Cecilia Wingren, Jelena Pesic, Edvin Johansson, Alaina L Garland, Arunava Ghosh, Robert Tarran

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
6.8field-weighted citation impact, top 3% 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

51 citing papers in PubMed, 75 citations in OpenAlex.

  1. Review
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  5. Article
  6. Airway ciliated cells in adult lung homeostasis and COPD.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  7. Article
  8. Review
  9. Article
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  13. Review
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  15. Article
  16. Trypsin-Like Proteases and Their Role in Muco-Obstructive Lung Diseases.International journal of molecular sciences · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Review
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

9 authors at 3 institutions in 2 countries.

Annika B M ÅstrandAstraZeneca R&D Mölndal, Mölndal, Sweden; annika.astrand@astrazeneca.com.
Martin HemmerlingAstraZeneca R&D Mölndal, Mölndal, Sweden;
James RootAstraZeneca R&D Mölndal, Mölndal, Sweden;
Cecilia WingrenAstraZeneca R&D Mölndal, Mölndal, Sweden;
Jelena PesicAstraZeneca R&D Mölndal, Mölndal, Sweden;
Edvin JohanssonAstraZeneca R&D Mölndal, Mölndal, Sweden;
Alaina L GarlandCystic Fibrosis/Pulmonary Research and Treatment Center, Marsico Lung Institute, University of North Carolina, Chapel Hill, North Carolina.
Arunava GhoshCystic Fibrosis/Pulmonary Research and Treatment Center, Marsico Lung Institute, University of North Carolina, Chapel Hill, North Carolina.
Robert TarranCystic Fibrosis/Pulmonary Research and Treatment Center, Marsico Lung Institute, University of North Carolina, Chapel Hill, North Carolina.
AstraZeneca (Sweden) · SEUniversity of North Carolina at Chapel Hill · USLung Institute · US

Funding

The Role of Airway Surface Liquid Nucleotides/Nucleosides in Volume HomeostasisP01HL034322 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOUCHER, RICHARD CHARLES · 1986 to 2011
$22.1M
SPLUNC1-Derived Peptides as ENaC AntagonistsR01HL108927 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TARRAN, ROBERT · 2012 to 2015
$1.4M
NHLBI NIH HHS P01 HL034322NHLBI NIH HHS R01 HL108927
6 · The paper itself

Abstract

Airway dehydration causes mucus stasis and bacterial overgrowth in cystic fibrosis and chronic bronchitis (CB). Rehydration by hypertonic saline is efficacious but suffers from a short duration of action. We tested whether epithelial sodium channel (ENaC) inhibition would rehydrate normal and dehydrated airways to increase mucociliary clearance (MCC) over a significant time frame. For this, we used a tool compound (Compound A), which displays nanomolar ENaC affinity and retention in the airway surface liquid (ASL). Using normal human bronchial epithelial cultures (HBECs) grown at an air-liquid interface, we evaluated in vitro potency and efficacy using short-circuit current (I(sc)) and ASL height measurements where it inhibited I(sc) and increased ASL height by ∼ 50% (0.052 μM at 6 h), respectively. The in vivo efficacy was investigated in a modified guinea pig tracheal potential difference model, where we observed an effective dose (ED50) of 5 μg/kg (i.t.), and by MCC measures in rats and sheep, where we demonstrated max clearance rates at 100 μg/kg (i.t.) and 75 μg/kg (i.t.), respectively. Acute cigarette smoke-induced ASL height depletion in HBECs was used to mimic the situation in patients with CB, and pretreatment prevented both cigarette smoke-induced ASL dehydration and lessened the decrease in ciliary beat frequency. Furthermore, when added after cigarette smoke exposure, Compound A increased the rate of ASL rehydration. In conclusion, Compound A demonstrated significant effects and a link between increased airway hydration, ciliary function, and MCC. These data support the hypothesis that ENaC inhibition may be efficacious in the restoration of mucus hydration and transport in patients with CB.

Indexed as

AnimalsBiological Transport, ActiveCells, CulturedCiliaEpithelial Sodium ChannelsFemaleGuinea PigsHumansMucusRatsRats, WistarRespiratory MucosaSheepSmokingEpithelial Sodium Channelsairway surface liquidchronic bronchitischronic obstructive pulmonary diseaseciliary beat frequencycystic fibrosiscystic fibrosis transmembrane conductance regulatormucociliary clearancetracheal potential difference

Identifiers

PMID25361567
PMCPMC4281700
OpenAlexW2320721555

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.