The regulation of airway ciliary beat frequency by calcium.   

John Evans, Alison Lansley and Michael J. Sanderson.

Introduction
During normal breathing, the airways transport large quantities of air in to the lungs. Unfortunately this air is frequently contaminated with a variety of pollutants, particles and bacteria that become deposited in the airways. To fight this constant accumulation of material, the airways have developed the defense mechanism of mucociliary clearance .    

The beat pattern of airway cilia. Positions 1 - 9: Recovery stroke, moving right to left. Positions  9 - 12: Effective stroke moving,  left to right. Data obtained from high-speed movies.   

The Mucociliary Interface
The trachea to the terminal bronchioles are lined with a ciliated epithelium. The cilia of each cell project towards the airway lumen and are bathed in a "watery" ionic solution called the periciliary layer.  Each cilium performs a repetitive beat cycle consisting of a rest, recovery and effective stroke. During the effective stroke the cilium makes contact with the overlying mucus and propels it forward to transport it, together with entrapped particles, from the airways.     


 A scanning electron micrograph showing the profile of the mucociliary interface.

Cilia in Lung Slices
Most studies of cilia have been performed in culture with tissues from large airways. Under these conditions, the cells lose their in vivo orientation and organization. However, by examining freshly prepared lung slices, the cilia of the small airways can easily be seen.

 

Low mag profile movie of cilia in small airways
(lumen at the top)

Using DIC-microscopy and high speed digital imaging (240 frames per second the beat frequency and beat pattern of the cilia can easily be recorded).
In our recent research we found the cilia of the small airways of mice to beat at a high frequency of about 20 -25 Hz. Importantly, this beat frequency appeared maximal and could not be increased.
 

High Speed movie - re-played at x8 slower (30 fps)

Ciliary Metachrony
To avoid interference and to enhance cooperative activity, the densely-packed cilia beat with a metachronal organization. This activity consists of many areas in which the cilia perform their beat cycle in a coordinated manner. In the video (right), the effective stoke moves towards the top of the image while the recovery stroke moves towards the lower right.  The recovery stroke generates the appearance of a wave moving across the field of cilia. By watching a small area, the progress of several metachronal waves can be followed .  


Video: Ciliary activity of rabbit tracheal cilia viewed from above with DIC optics



A SEM of rabbit tracheal airway cilia  

The form or pattern of the metachronal wave can be captured by rapid fixation and observed by SEM (left). The central regions of two metachronal waves can be seen. The upright cilia are performing effective strokes towards the top right while the curved cilia lying on their sides are progressing through the recovery stroke towards the bottom. The cilia surrounding and between the waves are lying temporarily at rest, pointing the direction of the effective stroke.

Advantages of metachrony for mucus transport
Because mucus is a viscous, elastic secretion, it cannot be moved by individual cilia. Consequently, ciliary metachrony is used to recruit the cooperative efforts of multiple cilia. By relying on the recovery stoke of the cilia to initiate the activity of adjacent resting cilia, greater numbers of cilia can be recruited  to enable mucus transport even though many of the cilia will be slowed during contact with the mucus load .   

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