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Updated: Jun 21, 2026

In Vitro Analysis of PDZ-dependent CFTR Macromolecular Signaling Complexes
Published on: August 13, 2012
Rescue of DeltaF508-CFTR by the SGK1/Nedd4-2 signaling pathway
Hung Caohuy1, Catherine Jozwik, Harvey B Pollard
1Department of Anatomy, Physiology, and Genetics, Uniformed Services University School of Medicine, Bethesda, Maryland 20814, USA. hcaohuy@usuhs.mil
Abstract:
The most common mutation in cystic fibrosis (CF) is DeltaF508, which is associated with failure of the mutant cystic fibrosis transmembrane conductance regulator (CFTR) to traffic to the plasma membrane. By a still unknown mechanism, the loss of correctly trafficked DeltaF508-CFTR results in an excess of the epithelial sodium channel (ENaC) on the apical plasma membrane. ENaC trafficking is known to be regulated by a signaling pathway involving the glucocorticoid receptor, the serum- and glucocorticoid-regulated kinase SGK1, and the ubiquitin E3 ligase Nedd4-2. We show here that dexamethasone rescues functional expression of DeltaF508-CFTR. The half-life of DeltaF508-CFTR is also dramatically enhanced. Dexamethasone-activated DeltaF508-CFTR rescue is blocked either by the glucocorticoid receptor antagonist RU38486 or by the phosphatidylinositol 3-kinase inhibitor LY294002. Co-immunoprecipitation studies indicate that Nedd4-2 binds to both wild-type- and DeltaF508-CFTR. These complexes are inhibited by dexamethasone treatment, and CFTR ubiquitination is concomitantly decreased. We further show that knockdown of Nedd4-2 by small interfering RNA also corrects DeltaF508-CFTR trafficking. Conversely, knockdown of SGK1 by small interfering RNA completely blocks dexamethasone-activated DeltaF508-CFTR rescue. These data suggest that the SGK1/Nedd4-2 signaling pathway regulates both CFTR and ENaC trafficking in CF epithelial cells.
Insights
Dexamethasone treatment rescues the DeltaF508-cystic fibrosis transmembrane conductance regulator (CFTR) mutation by enhancing its trafficking and stability. This occurs via the SGK1/Nedd4-2 pathway, which also regulates epithelial sodium channel (ENaC) trafficking in CF cells.
Area of Science:
- Cell Biology
- Molecular Biology
- Physiology
Background:
- Cystic Fibrosis (CF) is primarily caused by the DeltaF508 mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) protein.
- DeltaF508-CFTR fails to traffic correctly to the plasma membrane, leading to epithelial sodium channel (ENaC) over-activity.
- The glucocorticoid receptor, SGK1, and Nedd4-2 pathway are known regulators of ENaC trafficking.
Purpose of the Study:
- To investigate the effect of dexamethasone on DeltaF508-CFTR trafficking and function.
- To elucidate the role of the SGK1/Nedd4-2 signaling pathway in CFTR and ENaC regulation.
Main Methods:
- Dexamethasone treatment of cells expressing DeltaF508-CFTR.
- Pharmacological inhibition of glucocorticoid receptor and phosphatidylinositol 3-kinase.
- Co-immunoprecipitation to assess protein interactions.
- Small interfering RNA (siRNA) to knock down SGK1 and Nedd4-2 expression.
Main Results:
- Dexamethasone rescued functional expression and enhanced the half-life of DeltaF508-CFTR.
- Dexamethasone's effect was blocked by glucocorticoid receptor or PI3K inhibitors.
- Dexamethasone treatment reduced Nedd4-2 binding to CFTR and decreased CFTR ubiquitination.
- Nedd4-2 knockdown corrected DeltaF508-CFTR trafficking, while SGK1 knockdown blocked dexamethasone-induced rescue.
Conclusions:
- The SGK1/Nedd4-2 signaling pathway is a key regulator of both CFTR and ENaC trafficking in cystic fibrosis.
- Dexamethasone-mediated rescue of DeltaF508-CFTR involves modulation of this pathway.
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