[HTML][HTML] VX-770-mediated potentiation of numerous human CFTR disease mutants is influenced by phosphorylation level

G Cui, BB Stauffer, BR Imhoff, A Rab, JS Hong… - Scientific reports, 2019 - nature.com
G Cui, BB Stauffer, BR Imhoff, A Rab, JS Hong, EJ Sorscher, NA McCarty
Scientific reports, 2019nature.com
Abstract VX-770 (ivacaftor) is approved for clinical use in CF patients bearing multiple CFTR
mutations. VX-770 potentiated wildtype CFTR and several disease mutants expressed in
oocytes in a manner modulated by PKA-mediated phosphorylation. Potentiation of some
other mutants, including G551D-CFTR, was less dependent upon the level of
phosphorylation, likely related to the severe gating defects in these mutants exhibited in part
by a shift in PKA sensitivity to activation, possibly due to an electrostatic interaction of D551 …
Abstract
VX-770 (ivacaftor) is approved for clinical use in CF patients bearing multiple CFTR mutations. VX-770 potentiated wildtype CFTR and several disease mutants expressed in oocytes in a manner modulated by PKA-mediated phosphorylation. Potentiation of some other mutants, including G551D-CFTR, was less dependent upon the level of phosphorylation, likely related to the severe gating defects in these mutants exhibited in part by a shift in PKA sensitivity to activation, possibly due to an electrostatic interaction of D551 with K1250. Phosphorylation-dependent potentiation of wildtype CFTR and other variants also was observed in epithelial cells. Hence, the efficacy of potentiators may be obscured by a ceiling effect when drug screening is performed under strongly phosphorylating conditions. These results should be considered in campaigns for CFTR potentiator discovery, and may enable the expansion of VX-770 to CF patients bearing ultra-orphan CFTR mutations.
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