Jm. Zahm et al., Improved activity of an actin-resistant DNase I variant on the cystic fibrosis airway secretions, AM J R CRIT, 163(5), 2001, pp. 1153-1157
In cystic fibrosis (CF), actin and DNA originating from inflammatory cells
contribute to the thickness of airway secretions. Actin can bind to DNA-ric
h fibers and potently inhibit the enzymatic activity of rhDNase. The In vit
ro effects of the actin-resistant rhDNase variant (A114R) were analyzed and
compared with those of the wild-type rhDNase. Frozen and thawed CF airway
secretions were incubated for 30 min with different concentrations (0.1, 0.
5, 1, 5, or 10 mug/ml) of either actin-resistant rhDNase or wild-type rhDNa
se. We observed that both the wild-type and the actin-resistant rhDNase sig
nificantly decreased (p < 0.05 and p < 0.001, respectively) the airway secr
etion viscosity. The decrease in airway secretion viscosity was significant
even at low concentrations (0.1 mug/ml) of the actin-resistant variant. In
cubation with the actin-resistant variant resulted in a significant decreas
e (p < 0.02) of the airway secretion contact angle and cough transport. A s
ignificantly higher (p < 0.01) increase in contact angle and cough transpor
t of airway secretions was observed at 10 mug/ml with the actin-resistant v
ariant as compared with the wild-type rhDNase. The present study had demons
trated that the actin-resistant rhDNase variant (A114R) has an enhanced cap
acity to improve the physical properties and cough transport of airway secr
etions from patients with cystic fibrosis.