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| Content Provider | PubMed Central |
|---|---|
| Author | Dieter, Worlitzsch Tarran, Robert Ulrich, Martina Schwab, Ute Cekici, Aynur Meyer, Keith C. Birrer, Peter Bellon, Gabriel Berger, Jürgen Weiss, Tilo Botzenhart, Konrad Yankaskas, James R. Randell, Scott Boucher, Richard C. Döring, Gerd |
| Copyright Year | 2002 |
| Abstract | Current theories of CF pathogenesis predict different predisposing “local environmental” conditions and sites of bacterial infection within CF airways. Here we show that, in CF patients with established lung disease, Psuedomonas aeruginosa was located within hypoxic mucopurulent masses in airway lumens. In vitro studies revealed that CF-specific increases in epithelial O2 consumption, linked to increased airway surface liquid (ASL) volume absorption and mucus stasis, generated steep hypoxic gradients within thickened mucus on CF epithelial surfaces prior to infection. Motile P. aeruginosa deposited on CF airway surfaces penetrated into hypoxic mucus zones and responded to this environment with increased alginate production. With P. aeruginosa growth in oxygen restricted environments, local hypoxia was exacerbated and frank anaerobiosis, as detected in vivo, resulted. These studies indicate that novel therapies for CF include removal of hypoxic mucus plaques and antibiotics effective against P. aeruginosa adapted to anaerobic environments. |
| Related Links | http://dx.doi.org/10.1172/jci0213870 |
| Ending Page | 325 |
| Page Count | 9 |
| Starting Page | 317 |
| File Format | |
| ISSN | 00219738 |
| e-ISSN | 15588238 |
| Journal | The Journal of Clinical Investigation |
| Issue Number | 3 |
| Volume Number | 109 |
| Language | English |
| Publisher | American Society for Clinical Investigation |
| Publisher Date | 2002-02-01 |
| Access Restriction | Open |
| Rights Holder | American Society for Clinical Investigation |
| Subject Keyword | Medicine(all) Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
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