Airway surface liquid pH is not acidic in children with cystic fibrosis

© 2017 The Author(s). Modulation of airway surface liquid (ASL) pH has been proposed as a therapy for cystic fibrosis (CF). However, evidence that ASL pH is reduced in CF is limited and conflicting. The technical challenges associated with measuring ASL pH in vivo have precluded accurate measurement...

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Main Authors: Schultz, A., Puvvadi, R., Borisov, S., Shaw, N., Klimant, I., Berry, L., Montgomery, S., Nguyen, T., Kreda, S., Kicic, Anthony, Noble, P., Button, B., Stick, S.
Format: Journal Article
Published: Macmillan Publishers Limited 2017
Online Access:http://hdl.handle.net/20.500.11937/72846
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author Schultz, A.
Puvvadi, R.
Borisov, S.
Shaw, N.
Klimant, I.
Berry, L.
Montgomery, S.
Nguyen, T.
Kreda, S.
Kicic, Anthony
Noble, P.
Button, B.
Stick, S.
author_facet Schultz, A.
Puvvadi, R.
Borisov, S.
Shaw, N.
Klimant, I.
Berry, L.
Montgomery, S.
Nguyen, T.
Kreda, S.
Kicic, Anthony
Noble, P.
Button, B.
Stick, S.
author_sort Schultz, A.
building Curtin Institutional Repository
collection Online Access
description © 2017 The Author(s). Modulation of airway surface liquid (ASL) pH has been proposed as a therapy for cystic fibrosis (CF). However, evidence that ASL pH is reduced in CF is limited and conflicting. The technical challenges associated with measuring ASL pH in vivo have precluded accurate measurements in humans. In order to address this deficiency, ASL pH was measured in vivo in children using a novel luminescent technology integrated with fibre-optic probes. Here we show that ASL pH in children with CF is similar to that of children without CF. Findings were supported by highly controlled direct pH measurements in primary human airway epithelial cell culture models, which also suggest that the potential ASL pH gradient produced by defective apical ion transport is balanced out by paracellular shunting of acid/base. Thus, reduced baseline ASL pH is unlikely to be an important pathobiological factor in early CF lung disease.
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institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T10:54:13Z
publishDate 2017
publisher Macmillan Publishers Limited
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spelling curtin-20.500.11937-728462018-12-13T09:32:17Z Airway surface liquid pH is not acidic in children with cystic fibrosis Schultz, A. Puvvadi, R. Borisov, S. Shaw, N. Klimant, I. Berry, L. Montgomery, S. Nguyen, T. Kreda, S. Kicic, Anthony Noble, P. Button, B. Stick, S. © 2017 The Author(s). Modulation of airway surface liquid (ASL) pH has been proposed as a therapy for cystic fibrosis (CF). However, evidence that ASL pH is reduced in CF is limited and conflicting. The technical challenges associated with measuring ASL pH in vivo have precluded accurate measurements in humans. In order to address this deficiency, ASL pH was measured in vivo in children using a novel luminescent technology integrated with fibre-optic probes. Here we show that ASL pH in children with CF is similar to that of children without CF. Findings were supported by highly controlled direct pH measurements in primary human airway epithelial cell culture models, which also suggest that the potential ASL pH gradient produced by defective apical ion transport is balanced out by paracellular shunting of acid/base. Thus, reduced baseline ASL pH is unlikely to be an important pathobiological factor in early CF lung disease. 2017 Journal Article http://hdl.handle.net/20.500.11937/72846 10.1038/s41467-017-00532-5 Macmillan Publishers Limited restricted
spellingShingle Schultz, A.
Puvvadi, R.
Borisov, S.
Shaw, N.
Klimant, I.
Berry, L.
Montgomery, S.
Nguyen, T.
Kreda, S.
Kicic, Anthony
Noble, P.
Button, B.
Stick, S.
Airway surface liquid pH is not acidic in children with cystic fibrosis
title Airway surface liquid pH is not acidic in children with cystic fibrosis
title_full Airway surface liquid pH is not acidic in children with cystic fibrosis
title_fullStr Airway surface liquid pH is not acidic in children with cystic fibrosis
title_full_unstemmed Airway surface liquid pH is not acidic in children with cystic fibrosis
title_short Airway surface liquid pH is not acidic in children with cystic fibrosis
title_sort airway surface liquid ph is not acidic in children with cystic fibrosis
url http://hdl.handle.net/20.500.11937/72846