Pediatr. praxi. 2025;26(4):212-215 | DOI: 10.36290/ped.2025.041

Mucociliary clearance in the context of respiratory disease treatment: effects of commonly used medications

MUDr. Patrícia Čelková, MUDr. Pavol Dvoran, PhD., prof. MUDr. Peter Bánovčin, CSc., prof. MUDr. Miloš Jeseňák, PhD., MBA, Dott.Ric., MHA
Klinika detí a dorastu, Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave, Univerzitná nemocnica Martin

Mucociliary clearance is an essential airway defence mechanism that plays a key role in the removal of mucus and pollutants from the respiratory tract. Its function can be affected by a wide range of drugs, including those commonly used in the treatment of respiratory diseases. This review summarizes the current knowledge on their effects on airway cilia activity and efficiency of mucociliary transport, taking into account the differences between drug groups and routes of administration. The aim is to highlight the relevance of these effects for clinical practice and to aid the correct choice of treatment in patients with airway diseases.

Keywords: mucociliary clearance, motile cilia, respiratory diseases, topical therapy.

Accepted: August 20, 2025; Published: September 26, 2025  Show citation

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Čelková P, Dvoran P, Bánovčin P, Jeseňák Dott. Ric M. Mucociliary clearance in the context of respiratory disease treatment: effects of commonly used medications. Pediatr. praxi. 2025;26(4):212-215. doi: 10.36290/ped.2025.041.
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References

  1. . Kuek LE, Lee RJ. First contact: the role of respiratory cilia in host-pathogen interactions in the airways. Am J Physiol Lung Cell Mol Physiol. 2020;319(4):L603-L619. doi:10.1152/ajplung.00283.2020. Go to original source... Go to PubMed...
  2. . Bustamante-Marin XM, Ostrowski LE. Cilia and Mucociliary Clearance. Cold Spring Harb Perspect Biol. 2017;9(4):a028241. doi: 10.1101/cshperspect.a028241. Go to original source... Go to PubMed...
  3. . Whitsett JA. Airway epithelial differentiation and mucociliary clearance. Ann Am Thorac Soc. 2018;15(Suppl 3):S143-S148. doi:10.1513/AnnalsATS.201802-128AW. Go to original source... Go to PubMed...
  4. . McCormick JP, Thompson J, Khalid AN, et al. Prevalence of chronic rhinosinusitis in bronchiectasis patients suspected of ciliary dyskinesia. Int Forum Allergy Rhinol. 2019;9(12):1430-1435. doi:10.1002/alr.22414. Go to original source... Go to PubMed...
  5. . Gudis D, Zhao KQ, Cohen NA. Acquired cilia dysfunction in chronic rhinosinusitis. Am J Rhinol Allergy. 2012;26(1):1-6. doi:10.2500/ajra.2012.26.3716. Go to original source... Go to PubMed...
  6. . Leigh MW, Horani A, Kinghorn B, et al. Primary ciliary dyskinesia (PCD): a genetic disorder of motile cilia. Transl Sci Rare Dis. 2019;4(1-2):51-75. doi:10.3233/TRD-190036. Go to original source... Go to PubMed...
  7. . Nikolaizik W, Rieger C, Hammer J. Comparison of ciliary beat frequencies at different temperatures in young adults. ERJ Open Res. 2020;6(4):00477-2020. doi:10.1183/23120541.00477-2020. Go to original source... Go to PubMed...
  8. . Price ME, Sisson JH. Redox regulation of motile cilia in airway disease. Redox Biol. 2019;27:101146. doi:10.1016/j.redox.2019.101146. Go to original source... Go to PubMed...
  9. . Salathe M. Regulation of mammalian ciliary beating. Annu Rev Physiol. 2007;69:401-422. doi:10.1146/annurev.physiol.69.040705.141253. Go to original source... Go to PubMed...
  10. . Stanek A, Owczuk R, Wujtewicz M, et al. Effects of normobaric oxygen on ciliary beat frequency of human respiratory epithelium. Br J Anaesth. 1998;80(5):660-664. doi:10.1093/bja/80.5.660. Go to original source... Go to PubMed...
  11. . Workman AD, Cohen NA. The effect of drugs and other compounds on the ciliary beat frequency of human respiratory epithelium. Am J Rhinol Allergy. 2014;28(6):454-464. doi:10.2500/ajra.2014.28.4092. Go to original source... Go to PubMed...
  12. . Jiao J, Zhang L. Influence of intranasal drugs on human nasal mucociliary clearance and ciliary beat frequency. Allergy Asthma Immunol Res. 2019;11(3):306-319. doi:10.4168/aair.2019.11.3.306. Go to original source... Go to PubMed...
  13. . Mallants R, Jorissen M, Augustijns P. Beneficial effect of antibiotics on ciliary beat frequency of human nasal epithelial cells exposed to bacterial toxins. J Pharm Pharmacol. 2008;60(4):437-443. doi:10.1211/jpp.60.4.0005. Go to original source... Go to PubMed...
  14. . Taccetti G, Francalanci M, Pizzamiglio G, et al. Cystic fibrosis: recent insights into inhaled antibiotic treatment and future perspectives. Antibiotics. 2021;10(3):338. doi:10.3390/antibiotics10030338. Go to original source... Go to PubMed...
  15. . Pappová L. Farmakologické ovplyvnenie kinetiky cílií respiračného traktu [dissertation]. Martin (Slovakia): Jessenius Faculty of Medicine, Comenius University; 2017. 115 p.
  16. . Devalia JL, Sapsford RJ, Rusznak C, et al. The effects of salmeterol and salbutamol on ciliary beat frequency of cultured human bronchial epithelial cells, in vitro. Pulm Pharmacol. 1992;5(4):257-263. doi:10.1016/0952-0600(92)90068-r. Go to original source... Go to PubMed...
  17. . Guleria R, Mohan A, Sinha A, et al. Effect of single inhalation of salbutamol, ipratropium bromide and beclomethasone on mucociliary clearance in patients with chronic obstructive airway disease. Indian J Chest Dis Allied Sci. 2003;45(4):241-246.
  18. . Stafanger G, Bisgaard H, Pedersen M, et al. Effect of N-acetylcysteine on the human nasal ciliary activity in vitro. Eur J Respir Dis. 1987;70(3):157-162.
  19. . Mata M, Sarrion I, Armengot M, et al. Respiratory syncytial virus inhibits ciliagenesis in differentiated normal human bronchial epithelial cells: effectiveness of N-acetylcysteine. PLoS One. 2012;7(10):e48037. doi:10.1371/journal.pone.0048037. Go to original source... Go to PubMed...
  20. . Nakahari T, Suzuki C, Kawaguchi K, et al. Ambroxol-enhanced frequency and amplitude of beating cilia controlled by a voltage-gated Ca2+ channel, Cav1.2, via pHi increase and [Cl-]i decrease in the lung airway epithelial cells of mice. Int J Mol Sci. 2023;24(23):16976. doi: 10.3390/ijms242316976. Go to original source... Go to PubMed...
  21. . Pappová L, Kazimierová I, Jošková M, et al. Acute and chronic effects of oral erdosteine on ciliary beat frequency, cough sensitivity and airway reactivity. Adv Exp Med Biol. 2018;1023:1-10. doi: 10.1007/5584_2017_48. Go to original source... Go to PubMed...
  22. . Naclerio RM, Baroody FM, Bidani N, et al. A comparison of nasal clearance after treatment of perennial allergic rhinitis with budesonide and mometasone. Otolaryngol Head Neck Surg. 2003;128(2):220-227. doi: 10.1067/mhn.2003.70. Go to original source... Go to PubMed...
  23. . Bousquet J, Khaltaev N, Cruz AA, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA<sup>2</sup>LEN and AllerGen). Allergy. 2008;63 Suppl 86:8-160. doi:10.1111/j.1398-9995.2007.01620.x. Go to original source... Go to PubMed...




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