BACKGROUND: Increased secretion of mucus is a hallmark of many respiratory
diseases and contributes significantly to the airflow limitation experience
d by many patients. While the current pharmacological approach to reducing
mucus and sputum production in patients is limited, clinical studies have s
uggested that drugs which inhibit the cyclooxygenase and/or 5-lipoxygenase
enzymatic pathways may reduce secretory activity in patients with airway di
sease.
Aim: This study was performed to investigate the effects of indomethacin (c
yclooxygenase inhibitor) and Bay x1005 (5-lipoxygenase inhibitor) on MUC5AC
release from human airways in vitro.
Methods: An immunoradiometric assay was used to determine the quantities of
MUC5AC present in the biological fluids derived from human airways in vitr
o. The measurements were made with a mixture of eight monoclonal antibodies
(MAbs; PM8) of which the 21 M1 MAb recognized a recombinant M1 mucin parti
ally encoded by the MUC5AC gene.
Results: The quantities of MUC5AC detected in the biological fluids derived
from human bronchial preparations were not modified after treatment with i
ndomethacin (cyclooxygenase inhibitor) and/or an inhibitor of the 5-lipoxyg
enase metabolic pathway (BAY x1005).
Conclusion: These results suggest that the cyclooxygenase and 5-lipoxygenas
e metabolic pathways play little or no role in the release of MUC5AC from h
uman airways.