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Nominal carbonic anhydrase activity minimizes airway-surface liquid pH changes during breathing
Journal article   Open access   Peer reviewed

Nominal carbonic anhydrase activity minimizes airway-surface liquid pH changes during breathing

Ian M Thornell, Xiaopeng Li, Xiao Xiao Tang, Christian M Brommel, Philip H Karp, Michael J Welsh and Joseph Zabner
Physiological reports, Vol.6(2), pp.e13569-n/a
01/2018
DOI: 10.14814/phy2.13569
PMCID: PMC5789725
PMID: 29380953
url
https://doi.org/10.14814/phy2.13569View
Published (Version of record) Open Access

Abstract

The airway-surface liquid pH (pH ) is slightly acidic relative to the plasma and becomes more acidic in airway diseases, leading to impaired host defense. CO in the large airways decreases during inspiration (0.04% CO ) and increases during expiration (5% CO ). Thus, we hypothesized that pH would fluctuate during the respiratory cycle. We measured pH on cultures of airway epithelia while changing apical CO concentrations. Changing apical CO produced only very slow pH changes, occurring in minutes, inconsistent with respiratory phases that occur in a few seconds. We hypothesized that pH changes were slow because airway-surface liquid has little carbonic anhydrase activity. To test this hypothesis, we applied the carbonic anhydrase inhibitor acetazolamide and found minimal effects on CO -induced pH changes. In contrast, adding carbonic anhydrase significantly increased the rate of change in pH . Using pH-dependent rates obtained from these experiments, we modeled the pH during respiration to further understand how pH changes with physiologic and pathophysiologic respiratory cycles. Modeled pH oscillations were small and affected by the respiration rate, but not the inspiratory:expiratory ratio. Modeled equilibrium pH was affected by the inspiratory:expiratory ratio, but not the respiration rate. The airway epithelium is the only tissue that is exposed to large and rapid CO fluctuations. We speculate that the airways may have evolved minimal carbonic anhydrase activity to mitigate large changes in the pH during breathing that could potentially affect pH-sensitive components of ASL.
Animals, Newborn Animals Respiratory Mucosa - chemistry Swine Respiratory Mucosa - enzymology Respiration Carbonic Anhydrases - metabolism Hydrogen-Ion Concentration

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