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TNF alpha and IL-17 alkalinize airway surface liquid through CFTR and pendrin
Journal article   Open access   Peer reviewed

TNF alpha and IL-17 alkalinize airway surface liquid through CFTR and pendrin

Tayyab Rehman, Ian M. Thornell, Alejandro A. Pezzulo, Andrew L. Thurman, Guillermo S Romano Ibarra, Philip H. Karp, Ping Tan, Michael E. Duffey and Michael J. Welsh
American Journal of Physiology: Cell Physiology, Vol.319(2), pp.C331-C344
08/01/2020
DOI: 10.1152/ajpcell.00112.2020
PMCID: PMC7500220
PMID: 32432926
url
https://doi.org/10.1152/ajpcell.00112.2020View
Published (Version of record) Open Access

Abstract

The pH of airway surface liquid (ASL) is a key factor that determines respiratory host defense; ASL acidification impairs and alkalinization enhances key defense mechanisms. Under healthy conditions. airway epithelia secrete base (HCO3-) and acid (H+) to control ASL pH (pH(ASL)). Neutrophil-predominant inflammation is a hallmark of several airway diseases, and TNF alpha and IL-17 are key drivers. However, how these cytokines perturb pH(ASL) regulation is uncertain. In primary cultures of differentiated human airway epithelia, TNFa decreased and IL-17 did not change pH(ASL). However, the combination (TNF alpha+EL-17) markedly increased pH(ASL) by increasing HCO3- secretion. TNF alpha+IL-17 increased expression and function of two apical HCO3- transporters, CI-1R anion channels and pendrin Cl-/HCO3- exchangers. Both were required for maximal alkalinization. TNF alpha+IL-17 induced pendrin expression primarily in secretory cells where it was coexpressed with CFTR. Interestingly, significant pendrin expression was not detected in CFTR-rich ionocytes. These results indicate that TNF alpha +IL-17 stimulate HCO3 secretion via CFTR and pendrin to alkalinize ASL, which may represent an important defense mechanism in inflamed airways.
Cell Biology Physiology Life Sciences & Biomedicine Science & Technology

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