15Airway mucociliary clearance (MCC) is required for host defense and often diminished in 16 chronic lung diseases. Effective clearance depends upon coordinated actions of the airway 17 epithelium and a mobile mucus layer. Dysregulation of the primary secreted airway mucin 18 proteins, MUC5B and MUC5AC, is associated with a reduction in the rate of MCC; however, 19 how other secreted proteins impact the integrity of the mucus layer and MCC remains unclear. 20 We previously identified the gene Bpifb1 as a regulator of the levels of MUC5B in the airways 21 using genetic approaches. Here, we show that BPIFB1 is required for normal mucociliary 22 clearance in vivo using Bpifb1 knockout (KO) mice. Reduced MCC in Bpifb1 KO mice occurred in 23 the absence of defects in sodium or chloride ion transport or changes in ciliary beat frequency. 24 We found that BPIFB1 loss resulted in airway mucus flakes with significantly increased complex 25 viscosity, a key biophysical property of mucus known to impact MCC. Finally, BPIFB1 protein 26 colocalized with MUC5B in secretory granules and was present in mucus on the airway surface. 27 Collectively, our findings demonstrate that BPIFB1 is an important component of the 28 mucociliary apparatus in mice and may be a key protein constituent of the mucus network. 29 30 31 42 particular, the concentration, organization, and post-translational modifications of MUC5AC 43 and MUC5B have been shown to alter biophysical properties of mucus that are required for 44