Role of Mutant CFTR in Hypersusceptibility of Cystic
Fibrosis Patients to Lung Infections
Gerald B. Pier (1),
Martha Grout,
Tanweer S. Zaidi,
John C. Olsen,
Larry G. Johnson,
James R. Yankaskas,
Joanna B. Goldberg
Cystic fibrosis (CF) patients are hypersusceptible to chronic
Pseudomonas aeruginosa lung infections. Cultured human
airway epithelial cells expressing the
F508 allele of the cystic
fibrosis transmembrane conductance regulator (CFTR) were defective in
uptake of P. aeruginosa compared with cells expressing the
wild-type allele. Pseudomonas aeruginosa lipopolysaccharide
(LPS)-core oligosaccharide was identified as the bacterial
ligand for epithelial cell ingestion; exogenous oligosaccharide
inhibited bacterial ingestion in a neonatal mouse model, resulting in
increased amounts of bacteria in the lungs. CFTR may contribute to a
host-defense mechanism that is important for clearance of P.
aeruginosa from the respiratory tract.
G. B. Pier, M. Grout, T. S. Zaidi, J. B. Goldberg, Channing
Laboratory and Department of Medicine, Brigham and Women's Hospital,
Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115-5899,
USA.
J. C. Olsen, L. G. Johnson, J. R. Yankaskas, Department of Medicine,
Division of Pulmonary Diseases, University of North Carolina, Chapel
Hill, NC 27599-7020, USA.
(1) To whom correspondence should be addressed.