Inhibition of ATP hydrolysis restores airway surface liquid production in cystic fibrosis airway epithelia

C van Heusden, B Button… - … of Physiology-Lung …, 2020 - journals.physiology.org
C van Heusden, B Button, WH Anderson, A Ceppe, LC Morton, WK O'Neal, H Dang…
American Journal of Physiology-Lung Cellular and Molecular …, 2020journals.physiology.org
Airway surface dehydration is a pathological feature of cystic fibrosis (CF) lung disease. CF
is caused by mutations in the CF transmembrane conductance regulator (CFTR), a cyclic
AMP-regulated Cl− channel controlled in part by the adenosine A2B receptor. An alternative
CFTR-independent mechanism of fluid secretion is regulated by ATP via the P2Y2 receptor
(P2Y2R) that activates Ca2+-regulated Cl− channels (CaCC/TMEM16) and inhibits Na+
absorption. However, due to rapid ATP hydrolysis, steady-state ATP levels in CF airway …
Airway surface dehydration is a pathological feature of cystic fibrosis (CF) lung disease. CF is caused by mutations in the CF transmembrane conductance regulator (CFTR), a cyclic AMP-regulated Cl channel controlled in part by the adenosine A2B receptor. An alternative CFTR-independent mechanism of fluid secretion is regulated by ATP via the P2Y2 receptor (P2Y2R) that activates Ca2+-regulated Cl channels (CaCC/TMEM16) and inhibits Na+ absorption. However, due to rapid ATP hydrolysis, steady-state ATP levels in CF airway surface liquid (ASL) are inadequate to maintain P2Y2R-mediated fluid secretion. Therefore, inhibiting airway epithelial ecto-ATPases to increase ASL ATP levels constitutes a strategy to restore airway surface hydration in CF. Using [γ32P]ATP as radiotracer, we assessed the effect of a series of ATPase inhibitory compounds on the stability of physiologically occurring ATP concentrations. We identified the polyoxometalate [Co4(H2O)2(PW9O34)2]10− (POM-5) as the most potent and effective ecto-ATPase inhibitor in CF airway epithelial cells. POM-5 caused long-lasting inhibition of ATP hydrolysis in airway epithelia, which was reversible upon removal of the inhibitor. Importantly, POM-5 markedly enhanced steady-state levels of released ATP, promoting increased ASL volume in CF cell surfaces. These results provide proof of concept for ecto-ATPase inhibitors as therapeutic agents to restore hydration of CF airway surfaces. As a test of this notion, cell-free sputum supernatants from CF subjects were studied and found to have abnormally elevated ATPase activity, which was markedly inhibited by POM-5.
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