Evidence map›Paper›PMID 30996141›Full record

ArticleJCI insight2019

A glycopolymer improves vascoelasticity and mucociliary transport of abnormal cystic fibrosis mucus.

Courtney M Fernandez-Petty, Gareth W Hughes, Hannah L Bowers, John D Watson, Bradley H Rosen, Stacy M Townsend, Carlo Santos, Caroline E Ridley, Kengyeh K Chu, Susan E. Birket and 16 more

Open access · goldAbstract readVideo-Audio Media
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.2field-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

37 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
  2. iScience · 2025
    Article
  3. Mucins and Their Roles in Asthma.Immunological reviews · 2025
    Review
  4. Metachrony drives effective mucociliary transport via a calcium-dependent mechanism.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  5. Article
  6. Article
  7. Emerging cell and molecular targets for treating mucus hypersecretion in asthma.Allergology international : official journal of the Japanese Society of Allergology · 2024
    Review
  8. Article
  9. Article
  10. Effect of elexacaftor/tezacaftor/ivacaftor on mucus and mucociliary clearance in cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2024
    Observational
  11. SNSP113 (PAAG) improves mucociliary transport and lung pathology in the Scnn1b-Tg murine model of CF lung disease.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2023
    Article
  12. Mucociliary clearance augmenting drugs block SARS-CoV-2 replication in human airway epithelial cells.American journal of physiology. Lung cellular and molecular physiology · 2023
    Article
  13. Article
  14. Article
  15. Mucus-Inspired Dynamic Hydrogels: Synthesis and Future Perspectives.Journal of the American Chemical Society · 2022
    Review
  16. 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
  17. Review
  18. Article
  19. Review
  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

26 authors at 8 institutions in 2 countries.

Courtney M Fernandez-PettyDepartment of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Gareth W HughesWellcome Trust Centre for Cell-Matrix Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, United Kingdom.
Hannah L BowersDepartment of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
John D WatsonDepartment of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Bradley H RosenDepartment of Anatomy & Cell Biology and.
Stacy M TownsendSynedgen Inc., Claremont, California, USA.
Carlo SantosSynedgen Inc., Claremont, California, USA.
Caroline E RidleyWellcome Trust Centre for Cell-Matrix Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, United Kingdom.
Kengyeh K ChuWellman Center for Photomedicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Susan E. BirketDepartment of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Yao LiDepartment of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Hui Min LeungWellman Center for Photomedicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Marina MazurGregory Fleming James Cystic Fibrosis Research Center
Bryan A GarciaDepartment of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
T Idil Apak EvansDepartment of Anatomy & Cell Biology and.
Emily Falk LibbyGregory Fleming James Cystic Fibrosis Research Center
Heather HathorneGregory Fleming James Cystic Fibrosis Research Center
Justin HanesCenter for Nanomedicine and Departments of Biomedical Engineering, Chemical & Biomolecular Sciences, Johns Hopkins University, Baltimore, Maryland, USA
Guillermo J TearneyWellman Center for Photomedicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
John P ClancyDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
John F EngelhardtDepartment of Anatomy & Cell Biology and.
William E SwordsDepartment of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
David J ThorntonWellcome Trust Centre for Cell-Matrix Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, United Kingdom.
William P WiesmannSynedgen Inc., Claremont, California, USA.
Shenda M BakerSynedgen Inc., Claremont, California, USA.
Steven M RoweDepartment of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Cystic Fibrosis Foundation · USSynedgen (United States) · USHarvard University · USUniversity of Alabama at Birmingham · USWellcome Centre for Cell-Matrix Research · GBUniversity of Alabama at Birmingham Hospital · USUniversity of Iowa · USJohns Hopkins University · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Brandi Janssen · 1990 to 2026
$40.5M
Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Alejandro Antonio Pezzulo · 1998 to 2026
$30.5M
UAB CF Research and Translation Core CenterP30DK072482 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI David M. Bedwell · 2007 to 2026
$23.0M
Translational Program in CFTR-Related Airway DiseasesR35HL135816 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ROWE, STEVEN MARK · 2017 to 2022
$6.3M
Training Program in Cell, Molecular, and Developmental BiologyT32GM008111 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI YODER, BRADLEY K. · 1985 to 2022
$5.4M
National Ferret Resource and Research Center on Lung DiseaseR24HL123482 · NHLBI · UNIVERSITY OF IOWA · PI ENGELHARDT, JOHN F · 2014 to 2018
$3.8M
The University of Iowa Clinical and Translational Science AwardKL2TR002536 · NCATS · UNIVERSITY OF IOWA · PI BASSUK, ALEXANDER G · 2018 to 2022
$3.3M
Ultra-low Dose, High Speed, High Resolution, Multispectral, Multi-Source MDCT ScaS10OD018526 · OD · UNIVERSITY OF IOWA · PI HOFFMAN, ERIC ALFRED · 2015 to 2015
$2.0M
Mucus Microstructure and Osmotic Pressure: Biomarkers for CB in COPDR01HL125169 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI NEPTUNE, ENID R, SUK, JUNG SOO · 2015 to 2018
$1.7M
Mucolytic for enhanced mucus and biofilm clearance in cystic fibrosis patientsR43HL118867 · NHLBI · SYNEDGEN, INC. · PI BAKER, SHENDA · 2013 to 2013
$150k
NCATS NIH HHS KL2 TR002536NHLBI NIH HHS R01 HL125169NHLBI NIH HHS R24 HL123482NHLBI NIH HHS R35 HL135816NHLBI NIH HHS R43 HL118867NIDDK NIH HHS P30 DK054759NIDDK NIH HHS P30 DK072482NIEHS NIH HHS P30 ES005605NIGMS NIH HHS T32 GM008111NIH HHS S10 OD018526Wellcome Trust
6 · The paper itself

Abstract

Cystic fibrosis (CF) is characterized by increased mucus viscosity and delayed mucociliary clearance that contributes to progressive decline of lung function. Mucus in the respiratory and GI tract is excessively adhesive in the presence of airway dehydration and excess extracellular Ca2+ upon mucin release, promoting hyperviscous, densely packed mucins characteristic of CF. Therapies that target mucins directly through ionic interactions remain unexploited. Here we show that poly (acetyl, arginyl) glucosamine (PAAG), a polycationic biopolymer suitable for human use, interacts directly with mucins in a Ca2+-sensitive manner to reduce CF mucus viscoelasticity and improve its transport. Notably, PAAG induced a linear structure of purified MUC5B and altered its sedimentation profile and viscosity, indicative of proper mucin expansion. In vivo, PAAG nebulization improved mucociliary transport in CF rats with delayed mucus clearance, and cleared mucus plugging in CF ferrets. This study demonstrates the potential use of a synthetic glycopolymer PAAG as a molecular agent that could benefit patients with a broad array of mucus diseases.

Indexed as

AnimalsCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDisease Models, AnimalFerretsGlucosamineHumansMiceMice, Inbred CFTRMucin-5BMucociliary ClearanceMucusPolymersProtein Structure, QuaternaryRatsRespiratory MucosaCftr protein, mouseCystic Fibrosis Transmembrane Conductance RegulatorGlucosamineMucin-5BPolymerspoly-N (acetyl, arginyl)glucosamineDrug therapyGenetic diseasesGeneticsPulmonologyRespiration

Identifiers

PMID30996141
PMCPMC6538343
OpenAlexW2939231063

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.