Motile cilia and airway disease
Open accessAbstract
A finely regulated system of airway epithelial development governs the differentiation of motile ciliated cells of the human respiratory tract, conferring the body's mucociliary clearance defence system. Human cilia dysfunction can arise through genetic mutations and this is a cause of debilitating disease morbidities that confer a greatly reduced quality of life. The inherited human motile ciliopathy disorder, primary ciliary dyskinesia (PCD), can arise from mutations in genes affecting various aspects of motile cilia structure and function through deficient production, transport and assembly of cilia motility components or through defective multiciliogenesis. Our understanding about the development of the respiratory epithelium, motile cilia biology and the implications for human pathology has expanded greatly over the past 20 years since isolation of the first PCD gene, rising to now nearly 50 genes. Systems level insights about cilia motility in health and disease have been made possible through intensive molecular and omics (genomics, transcriptomics, proteomics) research, applied in ciliate organisms and in animal and human disease modelling. Here, we review ciliated airway development and the genetic stratification that underlies PCD, for which the underlying genotype can increasingly be connected to biological mechanism and disease prognostics. Progress in this field can facilitate clinical translation of research advances, with potential for great medical impact, e.g. through improvements in ciliopathy disease diagnosis, management, family counselling and by enhancing the potential for future genetically tailored approaches to disease therapeutics.
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Recent developments in exome sequencing have allowed the identification of novel components of pathways whose genes give a well-defined set of disease symptoms, as seen with cilia proteins identified from patients with ciliopathies.
“Recent developments in exome sequencing have allowed the identification of novel components of pathways whose genes give a well-defined set of disease symptoms, as has been seen with the cilia proteins identified from patients with ciliopathies [42,95].”
From Functional unknomics: Systematic screening of conserved genes of unknown function (2023) · cites this paper as [42]
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- Authors
- Legendre, M., Zaragosi, L.-E., & Mitchison, H. M.
- Affiliations
- Inserm (FR)
- Centre National de la Recherche Scientifique (FR)
- Great Ormond Street Hospital (GB)
- Corresponding author
- Mitchison, Hannah M.
- Venue
- Seminars in Cell & Developmental Biology
- Publisher
- Elsevier BV
- Published
- 2021-02
- Volume
- 110
- Pages
- 19-33
- ISSN
- 1084-9521 (ISSN-L)
- OpenAlex
- W3109915185
- Cited by
- 175
- References
- 182
- Citations by year
- 2026: 22 · 2025: 31 · 2024: 32 · 2023: 43 · 2022: 21 · 2021: 26
- FWCI
- 3.36
- Type
- journal article
- Language
- en
- Open access
- green
- discovery.ucl.ac.uk
- Locations
- Seminars in Cell and Developmental Biology (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- HAL (submittedVersion)
- Funders
- H2020 Marie Skłodowska-Curie Actions (800556)
- Agence Nationale de la Recherche (ANR-10-COHO-0003, ANR-19-CE14-0027)
- Ministry of Higher Education
- NIHR Great Ormond Street Hospital Biomedical Research Centre (17GM15)
- Association Vaincre la Mucoviscidose (RF20180502280, RF20180502258)
- Conseil Départemental des Alpes Maritimes (DEQ20180339158, 2016-294DGADSH-CV)
- Fondation pour la Recherche Médicale (DEQ20120323689)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Kidney Cyst Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
- Keywords
- motile cilia, primary ciliary dyskinesia, motile ciliopathy, multiciliogenesis, mucociliary clearance, ciliary motility, respiratory epithelium, genetic counseling, disease therapeutics
- MeSH terms
- Animals, Cilia, Ciliary Motility Disorders, Eye Proteins, Gene Expression Regulation, Genotype, Humans, Mutation, Proteins, Quality of Life, Signal Transduction, Respiratory Mucosa, Inheritance Patterns, Intracellular Signaling Peptides and Proteins, Forkhead Transcription Factors, Axonemal Dyneins
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