Review Article

The Significance of Hypothiocyanite Production via the Pendrin/DUOX/Peroxidase Pathway in the Pathogenesis of Asthma

Figure 1

Schematic model of OSCN production via the pendrin/DUOX/peroxidase pathway in airway epithelial cells (modified from [9]). In airway epithelial cells, SCN is actively transported into pulmonary lumens via NIS/SLC5A5 at the basal side and via several anion transporters including CFTR and pendrin/SLC26A4 at the apical side. SCN together with H2O2 generated by Duox1 and Duox2 is catalyzed by peroxidases into OSCN. Three peroxidases including MPO, EPX, and LPO are involved in this reaction. A low dose of OSCN activates NF-κB via PKA, whereas a high dose of OSCN causes necrosis followed by release of IL-33 in airway epithelial cells. It is of note that if peroxidases are inhibited, it would protect airway epithelial cells against inflammation.