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Functional studies of novel airway ciliated cell proteins in health and disease
Dissertation

Functional studies of novel airway ciliated cell proteins in health and disease

Akansha Jain
University of Iowa
Doctor of Philosophy (PhD), University of Iowa
Spring 2025
DOI: 10.25820/etd.007879
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Akansha Jain_Thesis_04_10_243.85 MB
Embargoed Access, Embargo ends: 06/26/2027

Abstract

This thesis is an exploration into the function of uncoupling proteins and the role of a sensory cilia protein, RPGRIP1L, in airway ciliated cells. Ciliated cells of the airway require significant ATP to carry out ciliary beating. In addition, the airway epithelium is exposed to one of the highest oxygen levels in the body. Although ciliated cells have a clever supply chain where the producers (mitochondria) are bunched up right below the users (cilia), this strategy makes ciliated cells hotspots for ROS damage; this is worsened by their high O2 surrounding. In chapter two, we show that airway ciliated cells express uncoupling protein 2 (UCP2) and uncoupling protein 5 (UCP5). We show increased mitochondrial uncoupling through UCP2 and UCP5 decreases ROS generation and downstream toxicity in ciliated cells. One disease with impairment in ciliated cell function is primary ciliary dyskinesia. In chapter three, we describe the case of a 52-year-old man with suspected PCD. However, he had normal nasal nitric oxide (nNO) levels and no variants in known PCD associated genes. Additional testing identified two in cis variants in the RPGRIP1L gene. To study whether this gene might be associated with PCD, we used nasal epithelial cultures. RPGRIP1Lmut epithelia showed complete abolishment of mucociliary transport (MCT) and cilia beat frequency was decreased by only 30%. However scanning electron microscopy revealed a chaotic cilia arrangement on the airway surface. The basal feet in RPGRIP1Lmut epithelia were misaligned compared to control (circular standard deviations: control= 25.4 and RPGRIP1Lmut= 59.3). To further assess the contribution of RPGRIP1L, we quantified protein through immunofluorescence microscopy and found that it was significantly decreased compared to control epithelia. For this patient, the results show that he has PCD, which explains his clinical manifestations.

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