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Destructive methods of mucolysis degrade the mucin gel networks by reducing the size of the mucins. Doing so aids in reducing the elasticity of the mucin, allowing them to be cleared efficiently through airflow clearance (cough)192 but does not typically assist the burden of ciliary clearance. Dornase alfa is a highly-utilized example. It is the recombinant human enzyme DNase I and has demonstrated the ability to reduce sputum viscosity.193 It does so by decreasing the size of DNA molecules within sputum, which are the leading cause of the high viscosity of

sputum.194 Dornase alfa does not over-reduce these molecules to a point of liquefying the mucus gel so that it retains its necessary functionalities, and was the first FDA approved mucolytic prescribed in the United States.195,196

N-acetylcysteine (NAC) is another common destructive mucolytic agent. It is a thiol reducing agent that reduces the viscosity of sputum via mucin-chain scission, and though not used heavily in North America, has shown efficacy in aiding the clearance of sputum in COPD and CF patients.197 NAC reduces disulfide bonds within the mucus gel network to free thiols. As more novel disulfide reducing agents have been synthesized by today’s drug makers, NAC was found not to be a very efficient therapeutic mucolytic though early in vitro data was

promising.198-200 The reason for this is unknown and currently being studied by researchers worldwide.

1.4.4 Characterization of Mucins 1.4.4.a RT-PCR

RT-PCR is used to detect gene expression qualitatively by utilizing RNA of interest to create complementary DNA transcripts.201 These transcripts are then amplified using PCR, and can be used to determine the expressed genes within a biological sample.202,203 This has been shown to be highly useful in determining MUC genes in samples166 as well as quantifying the magnitude of overexpression of MUC genes in diseased sputum samples204,205, and identifying viruses in sputum.206,207

1.4.4.b Rheology

To obtain information about the viscous and elastic modulus of mucin gels, researchers turned to trying rheology on these systems. Rheology is the study of flow, and applies a stress to samples and measures the deformation strain of the material in response to this force.208

Biological scientist can use this methodology to understand the differences between different mucins209, the mucin response under different pH conditions210, 211, and changes in the mucin network after mucolysis methods have been applied.212

1.4.4.c Mass Spectrometry

Mass spectrometry methods have been a great tool to both quantify mucins213 and characterize them down to the peptides which make them up.214 Its use has changed the way scientist can analyze these intricate gels. Utilizing mass spectrometry as a detector after chromatography methods has been quite beneficial for size information and understanding the major MUC genes at different locations of the respiratory tract.215

1.4.4.d. Western Blot

To grasp understanding of the molecular weight of mucins and how their size is affected under various conditions, western blot is performed. Western blotting is the staple procedure in biomedical research for determining the rough molecular weight of a biological molecule. It involves the gel electrophoresis of native proteins which are stained with antibodies, and determining their size based on the resolution of the stained band they create in references to a marker of known size.216, 217 This method is what has given the molecular weight estimates of the identified MUC genes to-date. Western blot testing has shown that MUC5B and MUC5AC are of molecular weights larger than 25 MDa, but because of the nature of the test, cannot provide accurate quantitative data.218, 219

1.4.5 Research Objectives

To address the inability to obtain accurate data on the molecular weight of mucins, new characterization protocols must be installed. In this report, we propose the use of gel permeation chromatography (GPC) to afford useable data with high impact for drug development and to aid

the overall scientific understanding of mucin gel networks in the battle of pulmonary diseases. This tool will allow researchers to investigate the role of mucus in lowering patient wellbeing and fight mucin overexpression.

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