Related Experiment Video
Updated: Sep 28, 2025

Real-Time, Semi-Automated Fluorescent Measurement of the Airway Surface Liquid pH of Primary Human Airway Epithelial Cells
Published on: June 13, 2019
Club cell secretory protein and lung function in children with cystic fibrosis
Jing Zhai1, Mary J Emond2, Amber Spangenberg1
1Asthma and Airway Disease Research Center, University of Arizona, Tucson, AZ, United States.
Insights
Low serum club cell secretory protein (CC16) levels are linked to worse lung function in children with cystic fibrosis (CF). These deficits, combined with inflammation, worsen CF lung disease severity.
Area of Science:
- Pulmonary Medicine
- Genetics
- Immunology
Background:
- Club cell secretory protein (CC16) has anti-inflammatory properties relevant to lung diseases.
- Cystic Fibrosis (CF) is a genetic disorder characterized by progressive lung damage.
- Investigating CC16's role in CF lung function is crucial for understanding disease progression.
Purpose of the Study:
- To examine the relationship between serum CC16 levels and lung function in children with CF.
- To determine if genetic variants influencing CC16 levels impact CF lung function.
- To assess the association between CC16 deficits, inflammation, and CF lung disease severity.
Main Methods:
- Longitudinal data from 260 children with CF (EPIC Study) were analyzed.
- Serum CC16 levels and an inflammatory score were compared between adolescents with lowest (LLF) and highest (HLF) lung function.
- Single nucleotide variants (SNVs) in SCGB1A1 and EHF-APIP loci were tested for association with CC16 levels and lung function decline (FEV1, FEV1/FVC) from ages 7-16.
Main Results:
- Children with lower lung function (LLF group) had significantly lower CC16 levels and higher inflammatory scores compared to the HLF group.
- The combination of low CC16 and high inflammation increased the likelihood of having the lowest lung function.
- A specific SNV (rs3741240) associated with CC16 levels was also linked to a decline in FEV1/FVC and FEV1.
Conclusions:
- Serum CC16 deficits are strongly associated with CF lung disease severity.
- The impact of CC16 deficits on CF lung disease is additive to systemic inflammation.
- The rs3741240 A allele may contribute to reduced CC16 levels and accelerated lung function decline in CF patients.
Background:
Club cell secretory protein (CC16) exerts anti-inflammatory functions in lung disease. We sought to determine the relation of serum CC16 deficits and genetic variants that control serum CC16 to lung function among children with cystic fibrosis (CF).
Methods:
We used longitudinal data from CF children (EPIC Study) with no positive cultures for Pseudomonas aeruginosa prior to enrollment. Circulating levels of CC16 and an inflammatory score (generated from CRP, SAA, calprotectin, G-CSF) were compared between participants with the lowest and highest FEV1 levels in adolescence (LLF and HLF groups, respectively; N = 130-per-group). Single nucleotide variants (SNVs) in the SCGB1A1, EHF-APIP loci were tested for association with circulating CC16 and with decline of FEV1 and FEV1/FVC% predicted levels between ages 7-16 using mixed models.
Results:
Compared with the HLF group, the LLF group had lower levels of CC16 (geometric means: 8.2 vs 6.5 ng/ml, respectively; p = 0.0002) and higher levels of the normalized inflammatory score (-0.21 vs 0.21, p = 0.0007). Participants in the lowest CC16 and highest inflammation tertile had the highest odds for having LLF (p<0.0001 for comparison with participants in the highest CC16 and lowest inflammation tertile). Among seven SNVs associated with circulating CC16, the top SNV rs3741240 was associated with decline of FEV1/FVC and, marginally, FEV1 (p = 0.003 and 0.025, respectively; N = 611 participants, 20,801 lung function observations).
Conclusions:
Serum CC16 deficits are strongly associated with severity of CF lung disease and their effects are additive with systemic inflammation. The rs3741240 A allele is associated with low circulating CC16 and, possibly, accelerated lung function decline in CF.
More Related Videos
08:00Generation of Human Nasal Epithelial Cell Spheroids for Individualized Cystic Fibrosis Transmembrane Conductance Regulator Study
Published on: April 11, 2018
06:57The WinCF Model - An Inexpensive and Tractable Microcosm of a Mucus Plugged Bronchiole to Study the Microbiology of Lung Infections
Published on: May 8, 2017
Related Concept Videos
Cystic Fibrosis: Pathogenesis
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
Cystic Fibrosis: Management
Sinus disease and chronic...
Overview of Secretory Vesicles
Various proteins regulate the aggregation of molecules inside the secretory vesicles. Chromogranins...
Chest Physiotherapy
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
Chronic Inflammation
Breathing