2016
DOI: 10.1101/cshperspect.a028241
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Cilia and Mucociliary Clearance

Abstract: Mucociliary clearance (MCC) is the primary innate defense mechanism of the lung. The functional components are the protective mucous layer, the airway surface liquid layer, and the cilia on the surface of ciliated cells. The cilia are specialized organelles that beat in metachronal waves to propel pathogens and inhaled particles trapped in the mucous layer out of the airways. In health this clearance mechanism is effective, but in patients with primary cilia dyskinesia (PCD) the cilia are abnormal, resulting i… Show more

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Cited by 529 publications
(456 citation statements)
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References 127 publications
(152 reference statements)
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“…Differentiation of the cells lasts more than a week. In this time, the epithelial cell layer is able to maintain the barrier function, but, as discussed above, the mucociliary clearance function is impaired (43). Another consequence of the regeneration process is that the cell layer has a reduced thickness.…”
Section: Discussionmentioning
confidence: 99%
“…Differentiation of the cells lasts more than a week. In this time, the epithelial cell layer is able to maintain the barrier function, but, as discussed above, the mucociliary clearance function is impaired (43). Another consequence of the regeneration process is that the cell layer has a reduced thickness.…”
Section: Discussionmentioning
confidence: 99%
“…By their continuous and coordinated beating, cilia transport mucus and entrapped pathogens and toxins out of the airways, helping to maintain the lung in a healthy state (13). Impaired mucociliary clearance is a feature of many airway diseases, including cystic fibrosis (CF) and primary ciliary dyskinesia (PCD).…”
Section: Introductionmentioning
confidence: 99%
“…Divergence from these parameters, either due to environmental insults or disease, impairs optimal ciliary function and leads to compromised mucociliary clearance. Ciliary structure and function are highly vulnerable to damage from cigarette smoke, chronic inflammation, and pathogens (8,13). Primary ciliary dyskinesia, a disorder of mucociliary clearance, involves the absence or abnormal movement of cilia due to mutations in genes responsible for cilium biogenesis or motility (14).…”
Section: Motile Ciliamentioning
confidence: 99%
“…Several static in vitro culture models of human and rodent airway have been developed that allow analysis of mucin secretion, ciliary beating, and MCT (8,13,46,47). Although informative, a major limitation of these systems is that in vitroreconstituted mucociliary epithelia transport the secreted mucus in a continuous circular manner, and, as such, often fail to reproduce in vivo-observed directionality of MCT.…”
Section: Model Systems For Investigating Mucociliary Functionsmentioning
confidence: 99%