Review Article

Cigarette Smoke-Induced Acquired Dysfunction of Cystic Fibrosis Transmembrane Conductance Regulator in the Pathogenesis of Chronic Obstructive Pulmonary Disease

Table 1

Studies on implications of CFTR in COPD.

Object of studyModelMolecular mechanismEffectRef

Correlation of CFTR mutations and COPDSubjects including 20 patients with asthma, 19 with DB, and 12 with COPDCFTR gene mutationsThe hyperactive M470 allele was more frequent in COPD patients[36]
Impact of ENaC on CFTR functionC57BL/6 and BALB/c mice overexpressing the beta-ENaC subunitOverexpressing ENaC impaired CFTR functionDysfunction of CFTR contributed to the onset and severity of COPD[37]
Impact of cigarette smoke on CFTR functionCurrent and former smokers with or without COPDCigarette smoke induced CFTR dysfunction and correlated with COPD disease phenotypeCigarette smoke induced the acquired CFTR dysfunction and contributes to COPD pathogenesis[20]
CFTR in COPD pathogenesisGOLD 0/4 patients and HBECsCigarette smoke reduced the expression of CFTR protein and reduced airway surface liquid heightCigarette smoke induced CFTR dysfunction and correlated with COPD disease phenotype[31]
ENaC and CFTR in COPD pathogenesisATI cells and ATII cells in distal lung tissuesAugmentation of ENaC induced CFTR dysfunction and impaired lung functionENaC and CFTR-mediated chloride channel are biomarkers and potent druggable targets of COPD[38]
CFTR-mediated chloride channel in COPDHealthy and COPD smokersCFTR-mediated chloride channel detected by β-adrenergic sweat rateCFTR-mediated chloride channel was significantly reduced in COPD smokers as detected by β-adrenergic sweat rate, which was associated with COPD severity and clinical symptoms of COPD[39]
Cigarette smoke-impaired CFTR functionCigarette smokers and patients with COPDCigarette smoke induced CFTR dysfunction by reducing CFTR mRNA, accelerating degradation, and altering channel gatingAcquired CFTR induced by cigarette smoke contributed to COPD with a clinical phenotype similar to mild CF[23]

ATI: alveolar type I; ATII: alveolar type II; COPD: chronic obstructive pulmonary disease; CFTR: cystic fibrosis transmembrane conductance regulator; DB: disseminated bronchiectasis; ENaC: epithelial sodium channel.