Evidence for airway surface dehydration as the initiating event in CF airway disease
Evidence for airway surface dehydration as the initiating event in CF airway disease
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DOI:
10.1111/j.1365-2796.2006.01744.x
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发表时间:
2007-01-01
影响因子:
11.1
通讯作者:
Boucher, R. C.
中科院分区:
文献类型:
--
作者:
Boucher, R. C.
Cystic fibrosis (CF) lung disease reflects persistent bacterial infection of airway lumens. Several hypotheses have been advanced to link mutations in the CFTR gene to the failure of the CF lung to defend itself against bacterial infection. Amongst the most productive hypotheses at present is the ''low airway surface liquid (ASL) volume'' or ''dehydration'' hypothesis. This hypothesis predicts that airway surface dehydration produces the mucus adhesion, inflammation, and bacterial biofilm formation characteristic of CF. Clinical trials of inhaled hypertonic saline have demonstrated therapeutic benefit of manoeuvres designed to rehydrate CF airway surfaces.