ASL, influenza and ion channels Flashcards
What impacts on the ASL?
1) Normally physiology - lungs are dynamic in how they deal with ASL
2) Pathogens
What is the problem with the movement of the ASL?
What is needed to overcome this problem?
As the fluid moves up the respiratory tract - small airways converge in the bronchial region and the surface area decreases
–> get a volume load
If lungs don’t do anything, as the fluid moves up the respiratory tract:
- The height of the ASL gets bigger because the surface area is smaller
- Height is no longer optimum
To overcome this problem:
- Have active and passive mechanism under normal physiological conditions to regulate the height of the liquid layer
Describe the height of the ASL in the distal airways?
Same height
What are the proximal airways?
Closer to the external environment (bronchi)
What are the distal airways?
Further away from the external environment (in the alveoli)
Describe the PASSIVE control of the ASL
Mucous layer acts as a RESERVOIR:
- Height of the layer too heigh - excess fluid into mucus layer –> height drop
- Height of the layer too low - liquid from the mucus layer
- -> height increases
Describe the ACTIVE control of the ASL
Active ion transport (and following water) controls the salt level in the PCL:
- Via complimentary ENaC and CFTR
How do CFTR and ENaC interact in the upper airway?
They are COMPLIMENTARY:
- When one is active the other is inactive
What is the optimum of the ASL in VITRO?
7-7.5 microns
What happens in VITRO when increase the height of the ASL to 30 microns?
When does this occur?
The layer of the cells in culture actively DECREASE the height of the layer down the optimum layer
Happens in the first 24hrs
What happens when the height of the ASL is HIGH?
ENaC (Na absorption) PREDOMINATES/upregulated:
- Na out of the PCL
- Water follows (PARACELLUARLY)
- Heigh goes down
What happens when the height of the ASL is LOW/STEADY STATE?
CFTR (Cl secretion) PREDOMINATES/is upregulated:
- Balance between Cl secretion and a little bit of Na absorption maintains the height of the ASL
- No net water movement paracellularly across the epithelium
What happens to the Vte when experimentally increase the height of the ASL too high?
- Increases with the increase of the height of the ASL
- Decreases as the height of the ASL decreases (due to the active mechanisms)
What happens to the Vte of cells when add Amiloride 0h after experimentally increasing the height of the ASL?
48hrs?
At 0hr - 65% decrease in Vte (65% inhibition of Vte)
At 48hr - 30% decrease in Vte (30% inhibition of Vte)
What happens to the Vte of cells when add Bumetanide 0h after experimentally increasing the height of the ASL?
48hrs?
At 0hr - 18% decrease in Vte (18% inhibition of the Vte)
At 48hr - 52% decrease in Vte (52% inhibition of Vte)
What is the function of Amiloride?
Blocks ENaC
What is the function of Bumetanide?
Blocks NKCC1 (on the basolateral membrane of the upper airway epithelial cells)
When add a blocker the the cell and there is a X% decrease/inhibition of Vte what does this show?
That the ion channel that is blocked contributes to X% of the Vte
The bigger the shift in the Vte with the potential - the bigger the function of the blocked protein
What disrupts the balance between ENaC and CFTR function?
Inherited conditions and acquired conditions
What are the inherited conditions that disrupt the balance between ENaC and CFTR function?
- Cystic fibrosis
- Atypical CF
- PHA type 1
What are the acquired conditions that disrupt the balance between ENaC and CFTR function?
- Infections (influenza)
- Smoking
- Vaping?
What are the effects of influenza?
Kills ~ 12K to 61K individuals / year USA
~ 600 to 13K individuals / year UK
10% hospital admissions during flu season are due to:
1) Influenza linked bronchopneumonia & oedema
2) Acquired respiratory distress syndrome
Lung function is compromised so much you need to be hospitalised to enable to get treatment to get oxygen in
How does influenza cause damage to the body?
Alters ENaC and CFTR function –> impacts on ASL level
What is the contradictory data regarding influenza and ASL height?
Different studies show that the height of the ASL in influenza to go up or down
Dependant on many different factors
What was the mice study that displayed the evidence that the influenza viruses impact on ENaC and CFTR
Measurement of murine nasal potential differences in response to the PR8 virus:
- Measure the Vte across the nasal epithelium with a references and recording electrode up the nose of the mouse
Then, add different drugs to see the shift in the Vte:
1) Amiloride
2) Forskkolin
3) GLyH-101
What is the PR8 virus?
An influenza virus that expresses a GFP-NS1 protein