Evidence map›Paper›PMID 29853489›Full record

ArticleThe European respiratory journal2018

The mucus bundles responsible for airway cleaning are retained in cystic fibrosis and by cholinergic stimulation.

Anna Ermund, Lauren N Meiss, Brendan Dolan, Andrea Bähr, Nikolai Klymiuk, Gunnar C Hansson

Open access · bronzeAbstract read
In one paragraph

Article in The European respiratory journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

40 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Article
  3. Structural and cellular mechanisms of mucus plugging in the larger airways.Chinese medical journal pulmonary and critical care medicine · 2026
    Review
  4. Airway mucus in infection.Frontiers in physiology · 2026
    Review
  5. iScience · 2025
    Article
  6. Article
  7. Adhesion of Pseudomonas aeruginosa to Human Outer Layer Airway Mucins.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  8. Review
  9. Mucin adhesion of serial cystic fibrosis airwaysFrontiers in cellular and infection microbiology · 2024
    Article
  10. Article
  11. Article
  12. Mucus aberrant properties in CF: Insights from cells and animal models.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2023
    Review
  13. Article
  14. Mucins MUC5AC and MUC5B Are Variably Packaged in the Same and in Separate Secretory Granules.American journal of respiratory and critical care medicine · 2022
    Article
  15. Preclinical evaluation of the epithelial sodium channel inhibitor AZD5634 and implications on human translation.American journal of physiology. Lung cellular and molecular physiology · 2022
    Article
  16. Review
  17. Mucins and CFTR: Their Close Relationship.International journal of molecular sciences · 2022
    Review
  18. Article
  19. Cellular and molecular architecture of submucosal glands in wild-type and cystic fibrosis pigs.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Anna ErmundDept of Medical Biochemistry, University of Gothenburg, Gothenburg, Sweden.
Lauren N MeissDept of Medical Biochemistry, University of Gothenburg, Gothenburg, Sweden.
Brendan DolanDept of Medical Biochemistry, University of Gothenburg, Gothenburg, Sweden.
Andrea BährInstitute of Molecular Animal Breeding and Biotechnology, Gene Center, Ludwig-Maximilians-University Munich, Munich, Germany.
Nikolai KlymiukInstitute of Molecular Animal Breeding and Biotechnology, Gene Center, Ludwig-Maximilians-University Munich, Munich, Germany.
Gunnar C HanssonDept of Medical Biochemistry, University of Gothenburg, Gothenburg, Sweden.
University of Gothenburg · SELudwig-Maximilians-Universität München · DE

Funding

The MUC2 Mucus Gel as an Innate Immune Mechanism that Inhibits InflammationU01AI095473 · NIAID · GOTEBORG UNIVERSITY · PI HANSSON, GUNNAR C., JOHANSSON, MALIN E.V. · 2011 to 2020
$2.6M
NIAID NIH HHS U01 AI095473
6 · The paper itself

Abstract

The beneficial effect of anticholinergic therapy for chronic lung diseases such as chronic obstructive pulmonary disease (COPD) is well documented, although cholinergic stimulation paradoxically inhibits liquid absorption, increases ciliary beat frequency and increases airway surface liquid transport.Using pig tracheobronchial explants, we quantified basal mucus transport before as well as after incubation with the clinically used antimuscarinic compound ipratropium bromide (Atrovent) and stimulation with acetylcholine.As expected, surface liquid transport was increased by acetylcholine and carbachol. In contrast, the mucus bundles secreted from the submucosal glands normally transported on the cilia were stopped from moving by acetylcholine, an effect inhibited by ipratropium bromide. Interestingly, in pigs lacking a functional cystic fibrosis (CF) transmembrane conductance regulator (CFTR) channel, the mucus bundles were almost immobile. As in wild-type pigs, CF surface liquid transport increased after carbachol stimulation. The stagnant CF mucus bundles were trapped on the tracheal surface attached to the surface goblet cells.

Indexed as

Mucociliary ClearanceAnimalsCholinergic AgentsCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDisease Models, AnimalEpithelial CellsHumansMucusPseudomonas aeruginosaRespiratory MucosaSwineCholinergic AgentsCystic Fibrosis Transmembrane Conductance Regulator

Identifiers

PMID29853489
PMCPMC6247115
OpenAlexW2806545545

What OpenQuestion holds

Textmetadata
LicenceTDM
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.