A novel isotopic technique suggests that the [Na] and [Cl] of airway surfac
e liquid are both normally similar to 50 mM. In cystic fibrosis, lack of th
e functional cystic fibrosis transmembrane conductance regulator (CFTR) cau
ses failure of transcellular Cl absorption, resulting in an elevation of [N
a] and [Cl] of airway surface liquid to similar to 100 mm.