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Am J Physiol Lung Cell Mol Physiol (February 20, 2009). doi:10.1152/ajplung.90636.2008
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Submitted on December 23, 2008
Revised on January 27, 2009
Accepted on February 17, 2009

Lubiprostone induced airway secretion in sheep, pigs and humans

Nam Soo Joo1, Jeffrey J. Wine1, and Alan W. Cuthbert2*

1 Stanford University
2 Univ of Cambridge

* To whom correspondence should be addressed. E-mail: awc1000{at}cam.ac.uk.

Lubiprostone, a putative ClC-2 chloride channel opener, has been investigated for its effects on airway epithelia (tracheas). Lubiprostone is shown to increase submucosal gland secretion in pigs, sheep and humans and to increase short circuit current (SCC) in the surface epithelium of pigs and sheep. Use of appropriate blocking agents and ion-substitution experiments shows anion secretion is the driving force for fluid formation in both glands and surface epithelium. From SSC concentration-response relations it is shown that for apical lubiprostone Kd=10.5nM with a Hill slope of 1.08, suggesting a single type of binding site, and from the speed of the response, close to the apical surface, confirmed the rapid blockade by Cd ions. Responses to lubiprostone were reversible and repeatable, responses being significantly larger with ventral compared to dorsal epithelium. Submucosal gland secretion rates following basolateral lubiprostone were, respectively, 0.2, 0.5 and 0.8 nL gland-1 min-1 in humans, sheep and pigs. These rates dwarf any contribution surface secretion adds to the accumulation of surface liquid under the influence of lubiprostone. Lubiprostone stimulated gland secretion in two out of four human cystic fibrosis (CF) tissues and in 3 disease controls (chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis (COPD/IPF), but in neither type of tissue was the increase significant. Lubiprostone was able to increase gland secretion rates in normal human tissue in the continuing presence of a high forskolin concentration. Lubiprostone had no spasmogenic activity on trachealis muscle making it a potential agent for increasing airway secretion that may have therapeutic utility.







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