CFTR pharmacology and its role in intestinal fluid secretion

Curr Opin Pharmacol. 2003 Dec;3(6):594-9. doi: 10.1016/j.coph.2003.06.012.

Abstract

The cystic fibrosis transmembrane conductance regulator (CFTR) is a cAMP-activated Cl(-) channel expressed in epithelial cells in the airways, pancreas, intestine and other fluid-transporting tissues. Cystic fibrosis is caused by mutations in the CFTR, resulting in impaired Cl(-) transport and plasma membrane targeting. CFTR is expressed in the lumenal membrane of enterocytes, where it functions as the principal pathway for secretion of Cl(-) and fluid in enterotoxin-induced secretory diarrheas such as cholera. Small-molecule CFTR inhibitors reduce enterotoxin-induced intestinal fluid secretion in animal models. CFTR inhibition might also reduce intestinal fluid losses in cholera and possibly in other infectious and non-infectious diarrheas.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Animals
  • Antidiarrheals / pharmacology
  • Antidiarrheals / therapeutic use
  • Chlorides / metabolism
  • Cystic Fibrosis / genetics
  • Cystic Fibrosis / physiopathology
  • Cystic Fibrosis Transmembrane Conductance Regulator / agonists
  • Cystic Fibrosis Transmembrane Conductance Regulator / antagonists & inhibitors
  • Cystic Fibrosis Transmembrane Conductance Regulator / physiology*
  • Diarrhea / drug therapy
  • Diarrhea / microbiology
  • Diarrhea / physiopathology
  • Enterocytes / metabolism
  • Enterotoxins / metabolism
  • Intestinal Secretions / physiology*

Substances

  • Antidiarrheals
  • Chlorides
  • Enterotoxins
  • Cystic Fibrosis Transmembrane Conductance Regulator