Liquid secretion properties of airway submucosal glands

ST Ballard, SK Inglis - The Journal of physiology, 2004 - Wiley Online Library
ST Ballard, SK Inglis
The Journal of physiology, 2004Wiley Online Library
The tracheobronchial submucosal glands secrete liquid that is important for hydrating airway
surfaces, supporting mucociliary transport, and serving as a fluid matrix for numerous
secreted macromolecules including the gel‐forming mucins. This review details the
essential structural elements of airway glands and summarizes what is currently known
regarding the ion transport processes responsible for producing the liquid component of
gland secretion. Liquid secretion most likely arises from serous cells and is principally under …
The tracheobronchial submucosal glands secrete liquid that is important for hydrating airway surfaces, supporting mucociliary transport, and serving as a fluid matrix for numerous secreted macromolecules including the gel‐forming mucins. This review details the essential structural elements of airway glands and summarizes what is currently known regarding the ion transport processes responsible for producing the liquid component of gland secretion. Liquid secretion most likely arises from serous cells and is principally under neural control with muscarinic agonists, substance P, and vasoactive intestinal peptide (VIP) functioning as effective secretogogues. Liquid secretion is driven by the active transepithelial secretion of both Cl and HCO3 and at least a portion of this process is mediated by the cystic fibrosis transmembrane conductance regulator (CFTR), which is highly expressed in glands. The potential role of submucosal glands in cystic fibrosis lung disease is discussed.
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