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Publication : A new role for bicarbonate secretion in cervico-uterine mucus release.

First Author  Muchekehu RW Year  2010
Journal  J Physiol Volume  588
Issue  Pt 13 Pages  2329-42
PubMed ID  20478977 Mgi Jnum  J:176765
Mgi Id  MGI:5292620 Doi  10.1113/jphysiol.2010.187237
Citation  Muchekehu RW, et al. (2010) A new role for bicarbonate secretion in cervico-uterine mucus release. J Physiol 588(Pt 13):2329-42
abstractText  Cervical mucus thinning and release during the female reproductive cycle is thought to rely mainly on fluid secretion. However, we now find that mucus released from the murine reproductive tract critically depends upon concurrent bicarbonate (HCO(3)(-)) secretion. Prostaglandin E(2) (PGE(2))- and carbachol-stimulated mucus release was severely inhibited in the absence of serosal HCO(3)(-), HCO(3)(-) transport, or functional cystic fibrosis transmembrane conductance regulator (CFTR). In contrast to mucus release, PGE(2)- and carbachol-stimulated fluid secretion was not dependent on bicarbonate or on CFTR, but was completely blocked by niflumic acid. We found stimulated mucus release was severely impaired in the cystic fibrosis F508 reproductive tract, even though stimulated fluid secretion was preserved. Thus, CFTR mutations and/or poor bicarbonate secretion may be associated with reduced female fertility associated with abnormal mucus and specifically, may account for the increased viscosity and lack of cyclical changes in cervical mucus long noted in women with cystic fibrosis.
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