Increased mucus production is a common cause of morbidity and mortality in inflammatory airway diseases, including asthma, chronic obstructive pulmonary disease (COPD), and cystic fibrosis. However, the precise molecular mechanisms for pathogenic mucus production are largely undetermined. Accordingly, there are no specific and effective anti-mucus therapeutics. Here, we define a signaling pathway from chloride channel calcium-activated 1 (CLCA1) to MAPK13 that is responsible for IL-13–driven mucus production in human airway epithelial cells. The same pathway was also highly activated in the lungs of humans with excess mucus production due to COPD. We further validated the pathway by using structure-based drug design to develop a series of novel MAPK13 inhibitors with nanomolar potency that effectively reduced mucus production in human airway epithelial cells. These results uncover and validate a new pathway for regulating mucus production as well as a corresponding therapeutic approach to mucus overproduction in inflammatory airway diseases.
Yael G. Alevy, Anand C. Patel, Arthur G. Romero, Dhara A. Patel, Jennifer Tucker, William T. Roswit, Chantel A. Miller, Richard F. Heier, Derek E. Byers, Tom J. Brett, Michael J. Holtzman
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Secreted CLCA1 modulates TMEM16A to activate Ca 2+ -dependent chloride currents in human cells: ( A ) GFP-expressing cells were co-cultured with pHLsec- or CLCA1-transfected cells, and assayed for I CaCC by patch clamp electrophysiology. ( B – C ) Whole-cell currents measured in GFP-positive cells from experiments as in ( A ), superfused with standard extracellular solution, and in the absence or presence of 10 μM free Ca 2+ in the pipette (respectively, [0 μM Ca 2+ ] in or [10 μM Ca 2+ ] in ). ( B ) Representative current traces. The pulse protocol is shown at the top left. Outward currents are represented by upward deflections , and dotted lines indicate zero current. Membrane capacitance was similar in all cases at ∼25 pF. ( C ) Current–voltage relationships at the end of the 600-ms voltage steps. Membrane potential values were corrected off-line for the calculated liquid junction potentials, respectively −5.5 mV ([0 μM Ca 2+ ] in ) and −6.0 mV ([10 μM Ca 2+ ] in ). Data are presented as means ± S.E. (n = 5–9). ( D ) Current density at +100 mV, from the same experiments as in ( C ). Symbols represent data from individual patches; bars indicate the means ± S.E. of all experiments. *p < 0.01 (one-way ANOVA, F = 30.3 and p = 1.2 × 10 −7 ; followed by Tukey test)
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