Mucus breakthrough could help patients breathe easy

Mucus breakthrough could help patients breathe easy
The study was led by Associate Professor Ethan Goddard-Borger from the Walter and Eliza Hall Institute of Medical Research in Melbourne, Australia. Credit: The Walter and Eliza Hall Institute

Worldwide, hundreds of millions of people are impacted by chronic respiratory disease. COPD alone affects more than 250 million people, causing 3 million deaths each year. People with chronic respiratory diseases typically produce an excessive amount of thick mucus in the lungs which obstructs their airways, making it difficult to breathe.

Significant leap in mucus biology

Mucus is mostly comprised of water and glycoproteins which are very long protein strands coated with glycans—a type of sugar molecule. Associate Professor Goddard-Borger said the study's findings revealed that proteins called 'trefoil factors' interact with mucins by recognising and binding to the unique glycan signatures on their surface.

"Trefoil factors have long been known to make more viscous (thicker), and it has been postulated that this thickening occurs in respiratory diseases. However, until now we did not completely understand how the trefoil factor proteins achieved this," he said.

Associate Professor Goddard-Borger said the research showed trefoil factors had two glycan-binding sites and could cross-link mucins strands to make the mucus gel more rigid. "Within mucus, trefoil factors essentially 'staple' the mucin strands into a mesh: the more staples, the denser the mesh and the thicker the mucus becomes."

Understanding what trefoil factors bind to and how they do this represents a significant leap forward in understanding mucus and how it functions in the respiratory, gastrointestinal and reproductive tracts.

Improving therapies for blocked airways

Associate Professor Goddard-Borger said that going forward the aim was to inhibit the bonds created between trefoil factors and mucin strands, and that the development of such a technology could lead to new therapeutics for the treatment of .

"A healthy amount of mucus is very important for capturing and clearing potential threats to the lung, such as dust particles, dead cells and bacteria, so we're not looking to remove mucus altogether. We are seeking to develop innovative approaches for reducing the viscosity of the mucus to aid in clearing excess mucus from the lungs of patients with chronic respiratory .

"The next step is to work with commercial collaborators to progress our vision to develop new mucolytic drugs that can more effectively clear mucus from the airways. Achieving this could make a significant impact on the quality of life and life expectancy of people struggling with debilitating respiratory conditions," Associate Professor Goddard-Borger said.


Explore further

Determining what binds to mucus

Citation: Mucus breakthrough could help patients breathe easy (2020, May 13) retrieved 4 December 2020 from https://medicalxpress.com/news/2020-05-mucus-breakthrough-patients-easy.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
35 shares

Feedback to editors

User comments