RT Journal Article SR Electronic T1 Rhinovirus induces MUC5AC in a human infection model, & in vitro via NF-κB & EGFR pathways JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP erj00269-2010 DO 10.1183/09031936.00026910 A1 C.A. Hewson A1 J.J. Haas A1 N.W. Bartlett A1 S.D. Message A1 V. Laza-Stanca A1 T. Kebadze A1 G. Caramori A1 J. Zhu A1 M.R. Edbrooke A1 L.A. Stanciu A1 O.M. Kon A1 A. Papi A1 P.K. Jeffery A1 M.R. Edwards A1 S.L. Johnston YR 2010 UL http://erj.ersjournals.com/content/early/2010/06/04/09031936.00026910.abstract AB Rhinovirus (RV) infections are the major cause of asthma exacerbations - the major cause of morbidity and mortality in asthma. MUC5AC is the major mucin produced by bronchial epithelial cells. Whether RV infection up-regulates MUC5AC in vivo is unknown, and the molecular mechanisms involved incompletely understood.We investigated RV induction of MUC5AC in vivo and in vitro to identify targets for development of new therapies for asthma exacerbations.RV infection increased MUC5AC release in normal and asthmatic volunteers experimentally infected with RV-16; and in asthmatic, but not normal subjects, this was related to virus load. Bronchial epithelial cells were confirmed a source of MUC5AC in vivo. RV induction of MUC5AC in bronchial epithelial cells in vitro occurred via nuclear factor-κB dependent induction of matrix metalloproteinase mediated transforming growth factor-α release, thereby activating an epidermal growth factor receptor-dependent cascade culminating, via mitogen-activated protein kinase activation, in specificity protein-1 trans-activation of the MUC5AC promoter.RV induction of MUC5AC may be an important mechanism in RV-induced asthma exacerbations in vivo. Revealing the complex serial signalling cascade involved identifies targets for development of pharmacologic intervention to treat mucus hyper secretion in RV induced illness.