A profound discovery with significant implications for respiratory and GI disease

Epithelial transmembrane proteins (ETPs) give functionality to tissues.

ETPs can become dysregulated by congenital disease or acquired stressors, leading to tissue dysfunction.

Four pillars of ETP Functionality

Absorption

The process by which ETPs are selectively modulated to enhance or inhibit tissue uptake of substances important for healthy epithelial tissue function, e.g., uptake of electrolyte and fluid into intestinal epithlial

Secretion

The process by which ETPs are selectively modulated to enhance or inhibit tissue deposition of substances important for healthy epithelial tissue function, e.g., secretion of chloride into the lung important in CF

Barrier Function

The process by which ETPs are selectively modulated to decrease tissue permeability for healthy epithelial tissue function, e.g., strengthening the tight-junctions of the intestinal epithelial for protection from pathogens

Proliferation

The process by which ETPs are selectively modulated to promote growth for healthy epithelial tissue function; e.g., stimulation of intestinal villus growth

RxAA ETP Interactions

Junctional

RxAA may act through a phosphorylation event to reliably activate tight junction ETPs and reduce tissue permeability and improve barrier function

GPCR

RxAA may act through cell surface signaling to promote a messaging cascade to the cell nucleus where ETP transcription and translation occurs, measurable as cell proliferation

Transporter

RxAA carrier-mediated transport creates an electrogenic second messenger dependent signaling pathway that reliably modulates ETPs to modulate tissue absorption

Ion Channel

RxAA may selectively bind to cell surface receptors to generate a second messenger signal mediated by cAMP or calcium flux and modulate tissue secretion

RxAA Cell Signaling

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