In chronic obstructive pulmonary diseases, the airway epithelium is repeatedly exposed to neutrophil elastase, which influences the extent of epithelial damage or healing.
Neutrophil elastase enhances the levels of MUC4, a mucin linked to cell signaling pathways involving ErbB receptors, particularly the epidermal growth factor receptor.
This increase in MUC4 expression is due to an extension of its mRNA stability, leading to greater MUC4 glycoprotein production, suggesting a role in promoting epithelial repair in response to inflammation.