1. VX-809 corrects folding defects in cystic fibrosis transmembrane conductance regulator protein through action on membrane-spanning domain 1
- Author
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Diane E. Grove, Pattarawut Sopha, Oxana Adolfovna de la Rosa, Hong Yu Ren, Douglas M. Cyr, Beth Jennifer Hoffman, Fredrick Van Goor, and Scott A. Houck
- Subjects
congenital, hereditary, and neonatal diseases and abnormalities ,Protein Folding ,Cystic Fibrosis ,Protein Conformation ,Regulator ,Mutation, Missense ,Aminopyridines ,Cystic Fibrosis Transmembrane Conductance Regulator ,medicine.disease_cause ,Cystic fibrosis ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Protein structure ,medicine ,Humans ,Benzodioxoles ,Molecular Biology ,030304 developmental biology ,0303 health sciences ,Mutation ,biology ,Lumacaftor ,Cell Biology ,Articles ,respiratory system ,medicine.disease ,Cystic fibrosis transmembrane conductance regulator ,Transmembrane protein ,digestive system diseases ,3. Good health ,Cell biology ,respiratory tract diseases ,Protein Structure, Tertiary ,Biochemistry ,chemistry ,Cell Biology of Disease ,030220 oncology & carcinogenesis ,biology.protein ,Protein folding ,Signal Transduction - Abstract
Misfolding of cystic fibrosis transmembrane conductance regulator protein (CFTR) causes the fatal lung disease cystic fibrosis. VX-809 was developed to suppress disease-related folding defects in CFTR. VX-809 suppresses folding defects in CFTR by modulating the conformation of membrane-spanning domain 1. VX-808 is thereby able to partially restore function to F508del-CFTR and other disease-related mutants., Cystic fibrosis (CF) is a fatal genetic disorder associated with defective hydration of lung airways due to the loss of chloride transport through the CF transmembrane conductance regulator protein (CFTR). CFTR contains two membrane-spanning domains (MSDs), two nucleotide-binding domains (NBDs), and a regulatory domain, and its channel assembly requires multiple interdomain contacts. The most common CF-causing mutation, F508del, occurs in NBD1 and results in misfolding and premature degradation of F508del-CFTR. VX-809 is an investigational CFTR corrector that partially restores CFTR function in people who are homozygous for F508del-CFTR. To identify the folding defect(s) in F508del-CFTR that must be repaired to treat CF, we explored the mechanism of VX-809 action. VX-809 stabilized an N-terminal domain in CFTR that contains only MSD1 and efficaciously restored function to CFTR forms that have missense mutations in MSD1. The action of VX-809 on MSD1 appears to suppress folding defects in F508del-CFTR by enhancing interactions among the NBD1, MSD1, and MSD2 domains. The ability of VX-809 to correct F508del-CFTR is enhanced when combined with mutations that improve F508del-NBD1 interaction with MSD2. These data suggest that the use of VX-809 in combination with an additional CFTR corrector that suppresses folding defects downstream of MSD1 may further enhance CFTR function in people with F508del-CFTR.
- Published
- 2013