Our purpose here is not to address specific issues of mucus pathology, but to illustrate how polymer networks theory and its remarkable predictive power can be applied to study the supramolecular dynamics of mucus. Avoiding unnecessary mathematical formalization, in the light of available theory, we focus on the rather slow progress and the still large number of missing gaps in the complex topology and supramolecular dynamics of airway mucus. We start with the limited information on the polymer physics of respiratory mucins to then converge on the supramolecular organization and resulting physical properties of the mucus gel. In each section, we briefly discuss progress on the subject, the uncertainties associated with the established knowledge, and the many riddles that still remain.
A ROAD MAPM ucus has a complex set of functions in the airway, including its central role in mucociliary clearance. Defective mucus flow rests at the base of some of the most critical pulmonary pathology, including chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF), and asthma. Research on the intricate mechanisms that regulate mucus rheology, particularly in CF, has been largely focused on mucins and on the defective function of the cystic fibrosis transmembrane conductance regulator (CFTR). The biochemistry and molecular biology of mucins (Perez-Villar and Hill 1999;Chen et al. 2001;Thornton et al. 2008) and the biophysics of the CFTR (Riordan 2005; Sheppard and Welsh 2006) have all received a great deal of attention during this last decade. Even so, the pathophysiology of defective mucus remains largely phenomenological, and an understanding of the mechanisms that make airway mucus transportable is still limited. Mucus is a polymer gel, and this question rests by and large in the domains of the physics and physical chemistry of polymer gels. The matrix of polymer gels forms a supramolecular network with emerging properties that cannot be understood only on the basis of the properties of the molecules that make it. When polymers are constrained to lie close together by physical or chemical bonds, their behavior departs from those of free polymers. A new set of features emerges that is largely determined by polymer-polymer and polymer-solvent interactions, as well as the topological features of the gel's matrix, including the nature and density of interconnections (low/high energy bonds and physical tangles) and the conformational state and mechanical properties of the polymers that make it. Nonetheless, most of the emphasis on mucus research remains focused on the biochemistry and molecular biology of mucins, the giant polymers found in the mucus gel matrix.