# Intracellular Chloride Channels: A Rising Target in Lung Disease Research

**Authors:** Boina Baoyinna Borjigin, Jing Zhao, Harpreet Singh, Yutong Zhao

PMC · DOI: 10.70322/jrbtm.2025.10012 · Journal of respiratory biology and translational medicine · 2026-03-28

## TL;DR

This review explores the role of chloride intracellular channels (CLICs) in lung diseases, highlighting their potential as new therapeutic targets.

## Contribution

The paper provides a comprehensive overview of CLICs' functional roles in lung pathophysiology, emphasizing underexplored therapeutic opportunities.

## Key findings

- CLICs exist in both membrane and soluble forms and are involved in chloride flux regulation and cellular processes.
- CLIC1, CLIC3, and CLIC4 are specifically linked to lung cancer, inflammation, and pulmonary hypertension.
- Distinct expression patterns of CLIC isoforms in lung cells suggest potential for targeted therapies.

## Abstract

Chloride intracellular ion channels (CLICs) represent a relatively underexplored class of chloride channels and are included in a research initiative that focuses on druggable genes that have not been well studied yet. As a unique family, CLICs exist in membrane and soluble forms and play a role in regulating chloride flux and modulating various aspects of cellular biology. To date, six mammalian CLICs have been cloned and characterized at molecular and physiological levels. The respiratory system, responsible for gas exchange between the atmosphere and the human body, has recently been shown to express CLICs with functional relevance in lung pathophysiology, including lung carcinoma, inflammation, and endothelial dysfunction. Notably, the expression patterns of CLIC isoforms in lung cell types are distinct. Among them, CLIC1, CLIC3, and CLIC4 have been investigated more extensively, particularly in the context of lung cancer, inflammatory diseases, and pulmonary arterial hypertension. A deeper understanding of the role of CLICs in regulating lung cellular function may pave the way for developing novel therapeutic strategies to treat pulmonary disorders. In this review, we summarize the expression and functional roles of CLICs in lung pathophysiology, with particular emphasis on CLIC1, CLIC3, and CLIC4.

## Linked entities

- **Genes:** CLIC1 (CLIC family member 1) [NCBI Gene 1192], CLIC3 (CLIC family member 3) [NCBI Gene 9022], CLIC4 (CLIC family member 4) [NCBI Gene 25932]
- **Diseases:** lung carcinoma (MONDO:0005138), pulmonary arterial hypertension (MONDO:0015924)

## Full-text entities

- **Genes:** AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, Clic5 (chloride intracellular channel 5) [NCBI Gene 224796] {aka 5730531E12Rik, B330005L24, Gm322, jbg, nmf318}, BMPR2 (bone morphogenetic protein receptor type 2) [NCBI Gene 659] {aka BMPR-II, BMPR3, BMR2, BRK-3, POVD1, PPH1}, CFTR (CF transmembrane conductance regulator) [NCBI Gene 1080] {aka ABC35, ABCC7, CF, CFTR/MRP, MRP7, TNR-CFTR}, PWAR1 (Prader Willi/Angelman region RNA 1) [NCBI Gene 145624] {aka D15S227E, PAR-1, PAR1}, KRAS (KRAS proto-oncogene, GTPase) [NCBI Gene 3845] {aka 'C-K-RAS, C-K-RAS, CFC2, K-RAS2A, K-RAS2B, K-RAS4A}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, IL2RG (interleukin 2 receptor subunit gamma) [NCBI Gene 3561] {aka CD132, CIDX, IL-2RG, IMD4, P64, SCIDX}, HIF1A (hypoxia inducible factor 1 subunit alpha) [NCBI Gene 3091] {aka HIF-1-alpha, HIF-1A, HIF-1alpha, HIF1, HIF1-ALPHA, MOP1}, CLIC2 (CLIC family member 2) [NCBI Gene 1193] {aka CLCNL2, CLIC2b, MRXS32, XAP121}, Pah (phenylalanine hydroxylase) [NCBI Gene 18478], Clic4 (CLIC family member 4) [NCBI Gene 83718], EGLN1 (egl-9 family hypoxia inducible factor 1) [NCBI Gene 54583] {aka C1orf12, ECYT3, HALAH, HIF-PH2, HIFPH2, HPH-2}, Nfkb1 (nuclear factor of kappa light polypeptide gene enhancer in B cells 1, p105) [NCBI Gene 18033] {aka NF-KB1, NF-kappaB, NF-kappaB1, p105, p50, p50/p105}, Clic3 (chloride intracellular channel 3) [NCBI Gene 69454] {aka 2300003G24Rik}, Clic4 (chloride intracellular channel 4) [NCBI Gene 29876] {aka D0Jmb3, TU-74, mc3s5, mtCLIC}, CFTR [NCBI Gene 100381094], ABCB1 (ATP binding cassette subfamily B member 1) [NCBI Gene 5243] {aka ABC20, CD243, CLCS, ENPAT, GP170, MDR1}, Glrx (glutaredoxin) [NCBI Gene 93692] {aka D13Wsu156e, Glrx1, Grx1, TTase}, Clic6 (chloride intracellular channel 6) [NCBI Gene 209195] {aka 5730466J16Rik, CLIC1L}, NLRP3 (NLR family pyrin domain containing 3) [NCBI Gene 114548] {aka AGTAVPRL, AII, AVP, C1orf7, CIAS1, CLR1.1}, ANO1 (anoctamin 1) [NCBI Gene 55107] {aka DOG1, INDMS, MYMY7, ORAOV2, TAOS2, TMEM16A}, BEST1 (bestrophin 1) [NCBI Gene 7439] {aka ARB, BEST, BMD, Best1V1Delta2, RP50, TU15B}, EDN1 (endothelin 1) [NCBI Gene 1906] {aka ARCND3, ET1, HDLCQ7, PPET1, QME}, GSTK1 (glutathione S-transferase kappa 1) [NCBI Gene 373156] {aka GST, GST 13-13, GST13, GST13-13, GSTK1-1, hGSTK1}, CLIC1 (CLIC family member 1) [NCBI Gene 1192] {aka CL1C1, CLCNL1, G6, NCC27}, Tgfb1 (transforming growth factor, beta 1) [NCBI Gene 21803] {aka TGF-beta1, TGFbeta1, Tgfb, Tgfb-1}, CLIC6 (CLIC family member 6) [NCBI Gene 54102] {aka CLIC1L}, MAPK8 (mitogen-activated protein kinase 8) [NCBI Gene 5599] {aka JNK, JNK-46, JNK1, JNK1A2, JNK21B1/2, PRKM8}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, Mapk15 (mitogen-activated protein kinase 15) [NCBI Gene 332110] {aka ERK-8}, CLIC4 (CLIC family member 4) [NCBI Gene 25932] {aka CLIC4L, H1, MTCLIC, huH1, p64H1}, CLIC5 (CLIC family member 5) [NCBI Gene 53405] {aka DFNB102, DFNB103, MST130, MSTP130}, clic1.S (chloride intracellular channel 1 S homeolog) [NCBI Gene 398656] {aka clic1, ncc27, xclic1}, BEST4 (bestrophin 4) [NCBI Gene 266675] {aka VMD2L2}, CLIC3 (CLIC family member 3) [NCBI Gene 9022]
- **Diseases:** Tumorigenesis (MESH:D063646), bacterial (MESH:D001424), Lung cancer (MESH:D008175), Lung Inflammation (MESH:D011014), metastasis (MESH:D009362), dysfunction (MESH:D006331), infection (MESH:D007239), Pulmonary arterial (MESH:D000071079), injury (MESH:D014947), Cell Carcinoma (MESH:D002280), cardiopulmonary disease (MESH:D006323), ARDS (MESH:D012128), Lung (MESH:D008171), mitochondrial dysfunction (MESH:D028361), Lung Injury (MESH:D055370), endothelial (MESH:D005642), systemic (MESH:D015619), non-small cell lung cancer (MESH:D002289), tumor (MESH:D009369), fibrosis (MESH:D005355), CF (MESH:D003550), Pulmonary Arterial Hypertension (MESH:D000081029), Thomsen disease (MESH:D009224), sepsis (MESH:D018805), hypoxia (MESH:D000860), myocardial infarction (MESH:D009203), vaso-occlusion (MESH:D001157), Lung Adenocarcinoma (MESH:D000077192), viral infections (MESH:D014777), CLIC (MESH:D015270), inflammation (MESH:D007249), thrombus (MESH:D013927), inherited genetic disorder (MESH:D030342), endothelial dysfunction (MESH:D014652), right ventricular failure (MESH:D051437), pulmonary fibrosis (MESH:D011658), IAV infection (MESH:D007251), asthma (MESH:D001249)
- **Chemicals:** IAA-94 (MESH:C015765), thiol (MESH:D013438), Chloride (MESH:D002712), oxygen (MESH:D010100), NO (MESH:D009569), R(+)-[(6,7-Dichloro-2-cyclopentyl-2,3-dihydro-2-methyl-1-oxo-1H-inden-5-yl)-oxy]acetic acid (-), calcium (MESH:D002118), bleomycin (MESH:D001761), zinc (MESH:D015032), alcohol (MESH:D000438), reduced glutathione (MESH:D005978), sphingosine-1-phosphate (MESH:C060506), FA (MESH:D005557), carbon dioxide (MESH:D002245), forskolin (MESH:D005576), LPS (MESH:D008070), bicarbonate (MESH:D001639)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Bos taurus (bovine, species) [taxon 9913], Xenopus laevis (African clawed frog, species) [taxon 8355], Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116], Orthomyxoviridae (family) [taxon 11308], Influenza A virus (no rank) [taxon 11320], H1N1 subtype (serotype) [taxon 114727]
- **Mutations:** F508del
- **Cell lines:** PC9 — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_B260), H2087 — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_1524), TKB14 — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_S140), A549 — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_0023), NHBECs — Rattus norvegicus (Rat), Spontaneously immortalized cell line (CVCL_AR51), CHO — Cricetulus griseus (Chinese hamster), Spontaneously immortalized cell line (CVCL_0213)

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13026507/full.md

## References

80 references — full list in the complete paper: https://tomesphere.com/paper/PMC13026507/full.md

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Source: https://tomesphere.com/paper/PMC13026507