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Cited by 484

The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.

Cystic fibrosis: a mucosal immunodeficiency syndrome

Open access
Cohen, Taylor Sitarik, Prince, Alice·2012·Nature Medicine

Abstract

Cystic fibrosis transmembrane conductance regulator (CFTR) functions as a channel that regulates the transport of ions and the movement of water across the epithelial barrier. Mutations in CFTR, which form the basis for the clinical manifestations of cystic fibrosis, affect the epithelial innate immune function in the lung, resulting in exaggerated and ineffective airway inflammation that fails to eradicate pulmonary pathogens. Compounding the effects of excessive neutrophil recruitment, the mutant CFTR channel does not transport antioxidants to counteract neutrophil-associated oxidative stress. Whereas mutant CFTR expression in leukocytes outside of the lung does not markedly impair their function, the expected regulation of inflammation in the airways is clearly deficient in cystic fibrosis. The resulting bacterial infections, which are caused by organisms that have substantial genetic and metabolic flexibility, can resist multiple classes of antibiotics and evade phagocytic clearance. The development of animal models that approximate the human pulmonary phenotypes—airway inflammation and spontaneous infection—may provide the much-needed tools to establish how CFTR regulates mucosal immunity and to test directly the effect of pharmacologic potentiation and correction of mutant CFTR function on bacterial clearance.

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Metadata

Authors
Cohen, T. S., & Prince, A.
Venue
Nature Medicine
Published
2012-04
Volume
18
Issue
4
Pages
509-519
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2040233646
Cited by
484
References
8
FWCI
35.57
Type
journal article
Language
en
Open access
green

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