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Updated: Feb 4, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
The Role of BPIFA1 in Upper Airway Microbial Infections and Correlated Diseases
Yung-An Tsou1,2, Min-Che Tung3,4, Katherine A Alexander5
1Department of Otolaryngology Head and Neck Surgery, School of Medicine, China Medical University Hospital, Taichung 404, Taiwan.
Abstract:
The mucosa is part of the first line of immune defense against pathogen exposure in humans and prevents viral and bacterial infection of the soft palate, lungs, uvula, and nasal cavity that comprise the ear-nose-throat (ENT) region. Bactericidal/permeability-increasing fold containing family A, member 1 (BPIFA1) is a secretory protein found in human upper aerodigestive tract mucosa. This innate material is secreted in mucosal fluid or found in submucosal tissue in the human soft palate, lung, uvula, and nasal cavity. BPIFA1 is a critical component of the innate immune response that prevents upper airway diseases. This review will provide a brief introduction of the roles of BPIFA1 in the upper airway (with a focus on the nasal cavity, sinus, and middle ear), specifically its history, identification, distribution in various human tissues, function, and diagnostic value in various upper airway infectious diseases.
Insights
Bactericidal/permeability-increasing fold containing family A, member 1 (BPIFA1) is a key innate immune protein in the upper airway. This review explores BPIFA1
Area of Science:
- Immunology
- Microbiology
- Biochemistry
Background:
- The mucosa forms the first line of immune defense against pathogens in the human upper aerodigestive tract.
- Bactericidal/permeability-increasing fold containing family A, member 1 (BPIFA1) is an innate immune protein found in mucosal secretions and tissues.
- BPIFA1 plays a crucial role in preventing viral and bacterial infections in the ear-nose-throat (ENT) region.
Purpose of the Study:
- To provide an overview of the roles of BPIFA1 in the upper airway, focusing on the nasal cavity, sinus, and middle ear.
- To discuss the history, identification, and tissue distribution of BPIFA1.
- To examine the function and diagnostic potential of BPIFA1 in upper airway infectious diseases.
Main Methods:
- Literature review of existing studies on BPIFA1.
- Analysis of BPIFA1 distribution in various human tissues.
- Evaluation of BPIFA1's functional mechanisms in innate immunity.
Main Results:
- BPIFA1 is identified in mucosal fluids and submucosal tissues of the soft palate, lung, uvula, and nasal cavity.
- BPIFA1 demonstrates critical functions in the innate immune response against upper airway pathogens.
- The protein shows potential diagnostic value for infectious diseases affecting the upper airway.
Conclusions:
- BPIFA1 is a significant component of the upper airway's innate immune defense system.
- Understanding BPIFA1's roles can lead to improved diagnostics and therapeutics for ENT infections.
- Further research into BPIFA1 is warranted to fully elucidate its clinical applications.
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