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Bactericidal factor in human airway surface fluid and uses thereof
| Details |
Inventors: Welsh, Michael J.; Smith, Jeffrey J.; Travis, Sue M.; Greenberg, Everett P.;
Assignee: University Of Iowa Research Foundation (Iowa City, IA)
Primary Examiner: Weber; Jon P.
Assistant Examiner:
Attorney, Agent or Firm: Zarley, McKee, Thomte, Voorhees & Sease
A bactericidal factor isolated from the surface fluid of airway epithelial cells and uses therefore is described. The bactericidal factor is characterized as having the following features: a) a molecular weight of less than 10 kd; b) heat stable; c) broad spectrum activity including gram positive and gram negative bacteria, fungi, and methicillin resistant Staphylococcus; and d) decreased antimicrobial activity in increasing salt concentration. |
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DETAILED DESCRIPTION This invention relates to a broad spectrum antimicrobial factor which is produced by airway epithelial cells. This factor, which has been determined to be a defensin-like molecule, is present in the small amount of fluid covering the mucosal surface of airway cells. Importantly, this factor is active against a broad range of bacteria even in the absence of epithelial, inflammatory, or phagocytic cells. The factor is characterized as being a low molecular weight, heat-stable substance that has broad spectrum bactericidal activity, including P. aeruginosa, E. coli, and methicillin-resistant S. aureus. It has also shown activity against certain types of yeast and is expected to show broad specificity against yeast and other types of fungus. Its effectiveness is dependent on salt concentration, and in cystic fibrosis patients which have abnormal levels of salt concentration in the airways due to defective Cl. sup. - transport, the factor is inactivated leading for the first time to the explanation of the pulmonary infection associated with CF. Thus the invention in one embodiment comprises a treatment for CF by re-activating the factor by decreasing salt concentration in airways of affected patients. Applications for this bactericidal factor are numerous. First, the discovery of this unique factor can be used in the further study and understanding of cystic fibrosis. A fluid composition containing this factor is easily collected from the surface of airway epithelial cells. This composition can be used in in-vitro assays of epithelial cells to screen for agents which reverse the CF defect and re-activate the anti-microbial activity of the factor. The factor may be purified and formulated into a pharmacological preparation which may be used for preventing and treating pulmonary infections in susceptible persons not limited to CF patients. The factor may also be used to treat mucosal infections in other parts of the body, including urinary tract, vaginal, eye, gastrointestinal, and skin infections
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