Cystic fibrosis (CF) is caused by mutations in the secretory Cl- channel CF
TR (cystic fibrosis transmembrane conductance regulator). Variation in the
severity of disease has been attributed to mutations in the CFTR gene that
cause different degrees of dysfunction of the CFTR Cl- channel. However, st
udies of mouse models of CF indicate that the severity of intestinal pathol
ogy is not correlated with activity of the CFTR chloride channel. This obse
rvation suggests that other 'environmental' factors might be important in d
etermining the severity of disease. In this respect, we have identified and
characterised an additional cellular defect in intestinal epithelial cells
of CF mice, the inability of these cells to regulate their volume after hy
potonic challenge. Here, we review the function of murine CFTR as both a Cl
- channel and as a regulator of volume-dependent homeostatic cell mechanism
s. Copyright (C) 2000 S. Karger AG Basel.