Mathematical model reveals role of nucleotide signaling in airway surface liquid homeostasis and its dysregulation in cystic fibrosis

The intrapulmonary airways conduct air to the alveoli and are defended from inhaled pathogens by a highly regulated protective system of mucus, cilia, and liquid. In healthy lungs, a well-hydrated mucus layer is cleared by cilia from airway surfaces. In cystic fibrosis (CF), airway surfaces are dehydrated, leading to a failure of cilia-mediated mucus clearance and accumulation of pathogen-infected mucus. In this study, we created a mathematical model of airway surface liquid regulation in normal and CF cells and used the model to investigate a potential therapy to rehydrate CF airways and restore proper mucus clearance