Review Article

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

Table 2

Impacts of cigarette smoke and other agents on CFTR function in COPD.

AgentsModelMolecular mechanismEffectRef

Cigarette smoke (CS)Baby hamster kidney (BHK) cellsCS induced CFTR internalization and insolubilityCS-induced CFTR dysfunction led to airway surface liquid dehydration[13]
Endobronchial biopsy specimensCS reduced lower airway CFTR activity in COPD patientsCS induced the acquired CFTR dysfunction contributing to COPD pathogenesis[20]
HBECsInduced CFTR dysfunctionENaC inhibition partially restored CFTR function and mucus hydration in CB patients[51]
Cigarette smoke condensate (CSC)Primary MNSE and HSNECSC affects the calcium-activated Clāˆ’ transport pathwayCSC impaired CFTR functions in epithelial cells[52]
Cigarette smoke extract (CSE)Primary HBECsCigarette smoking transmits acute reductions in CFTRCFTR potentiator (VX-770) reversed CFTR function[23]
Tobacco carcinogen NNK transporter MRP2Lung epithelial cellsInduced dysfunction of CFTR, MRP2, and PDZ proteinsContributed to cigarette smoke-associated lung diseases, such as COPD and lung cancer[53]
RoflumilastPrimary HBECs, Calu-3, and T84 monolayersRoflumilast activated CFTR-mediated anion transport in airway and intestinal epithelia via a cAMP-dependent pathwayRoflumilast partially reversed the CS-impaired CFTR function and resulted in augmented ASL depth[40]
Primary NHBE and Vero cell VC-10Roflumilast increased CFTR mRNA levels in CS-exposed cell culturesRoflumilast can rescue smoke-induced mucociliary dysfunction by reversing decreased CFTR activity[54]
HBECsRoflumilast restored CFTR function in CS-exposed cellsRoflumilast combined with adenosine increased mucosal hydration in HBECs exposed to CS[55]
2-Cyano-3,12-dioxooleana-1,9-dien-28-oic acid (CDDO)Human lungsChronic exposure of CS led to endoplasmic reticulum stress, unfolded CFTR protein response, and cell apoptosisCDDO corrected defective Nrf2-dependent cellular response in chronic exposure of CS-induced lung disease[56]
miR-101 and miR-144HBECs and human lung tissuesChronic exposure to CS upregulated miR-101 and miR-144, which suppressed CFTR in COPD lungsmiR-101 and miR-144 regulate the expression of the CFTR chloride channel in the lung[57]
Ivacaftor, VX-770Primary HBECsCigarette smoking transmitted acute reductions in CFTR activity due to inhibition of CFTR-dependent fluid transportCigarette smoke-reduced mucus transport in smokers could be reversed by CFTR potentiator VX-770[23, 25]
AcroleinPrimary HBECs and A/J miceAcrolein blocked CFTR by inhibiting channel gatingAcrolein mediated systemic CFTR dysfunction in smokers[20]
Cadmium and manganese16HBE14o-cells and human COPD lung tissuesCadmium and manganese of CS reduced levels of CFTR protein and mRNAAccumulation of cadmium and manganese reduced CFTR expression in the lungs of patients with severe COPD[31]
S-Nitrosoglutathione (GSNO)The preclinical COPD-emphysemamurine modelAlleviated CS-induced acquired CFTR dysfunction, resulting in autophagy impairmentIncreasing GSNO levels reduced CS-induced acquired CFTR dysfunction and controlled COPD emphysema pathogenesis[17]

ASL: airway surface liquid; BHK: baby hamster kidney; CB: chronic bronchitis; CDDO: 2-cyano-3,12-dioxooleana-1,9-dien-28-oic acid; ENaC: epithelial sodium channel; CS: cigarette smoke; CSC: cigarette smoke condensate; CSE: cigarette smoke extract; GSNO: S-nitrosoglutathione; HBECs: human bronchial epithelial cultures; HSNE: human sinonasal epithelial; MNSE: primary murine nasal septal epithelial; MRP2: multidrug resistance protein-2; NNK: 4-(methylnitrosamino)-1-(3-pyridyl)-1-buta-none; NHBECs: normal human bronchial epithelial cells.