“…Investigators have questioned whether the distribution and͞or activity of carbonic anhydrase, which is found throughout the human body, may be altered in CF patients (27,28). Recently, Fanjul et al (29) showed that the targeting of the carbonic anhydrase isoform CA IV to plasma membranes in human pancreatic duct cells, which expressed the ⌬F508 CFTR mutation, is disrupted. Thus, an intriguing explanation of the OCS data might be that a functional impairment in carbonic anhydrase may limit OCS uptake and metabolism in CF patients' lungs, contributing, along with bacterial production of the gas, to generally higher levels within the alveolar and or airway gas.…”