Abstract
Cystic fibrosis, the most common lethal genetic disease in Caucasians, is characterized by a decreased permeability in sweat gland duct and airway epithelia. In sweat duct epithelium, a decreased Cl− permeability accounts for the abnormally increased salt content of sweat1. In airway epithelia a decreased Cl− permeability, and possibly increased sodium absorption, may account for the abnormal respiratory tract fluid2,3. The Cl− impermeability has been localized to the apical membrane of cystic fibrosis airway epithelial cells4. The finding that hormonally regulated Cl− channels make the apical membrane Cl− permeable in normal airway epithelial cells5 suggested abnormal Cl− channel function in cystic fibrosis. Here we report that excised, cell-free patches of membrane from cystic fibrosis epithelial cells contain Cl− channels that have the same conductive properties as Cl− channels from normal cells. However, Cl− channels from cystic fibrosis cells did not open when they were attached to the cell. These findings suggest defective regulation of Cl− channels in cystic fibrosis epithelia; to begin to address this issue, we performed two studies. First, we found that isoprenaline, which stimulates Cl− secretion, increases cellular levels of cyclic AMP in a similar manner in cystic fibrosis and non-cystic fibrosis epithelial cells. Second, we show that adrenergic agonists open calcium-activated potassium channels, indirectly suggesting that calcium-dependent stimulus–response coupling is intact in cystic fibrosis. These data suggest defective regulation of Cl− channels at a site distal to cAMP accumulation.
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Welsh, M., Liedtke, C. Chloride and potassium channels in cystic fibrosis airway epithelia. Nature 322, 467–470 (1986). https://doi.org/10.1038/322467a0
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DOI: https://doi.org/10.1038/322467a0
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