Clinical and molecular characterization of S1118F-CFTR

Himabindu Penmatsa1, Carla A Frederick, Sunitha Nekkalapu

  • 1Department of Physiology, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA.

Pediatric Pulmonology
|September 24, 2009
PubMed

Insights

The S1118F-CFTR mutation impairs cystic fibrosis transmembrane conductance regulator (CFTR) maturation, leading to atypical CF symptoms. Correctors can improve CFTR function in individuals with this mutation.

Area of Science:

  • Molecular Biology
  • Genetics
  • Biochemistry

Background:

  • Cystic fibrosis (CF) is a severe autosomal recessive disorder.
  • It typically presents with lung disease, pancreatic insufficiency, and elevated sweat chloride levels.

Observation:

  • A patient with meconium ileus and pancreatic sufficiency presented with compound heterozygous mutations DeltaF508/I1027T and S1118F.
  • Intermediate sweat chloride levels were observed in this patient.

Findings:

  • The S1118F-CFTR mutation results in <15% mature CFTR (band C) and ~10-15% of wild-type (WT) CFTR function.
  • mRNA levels for S1118F-CFTR and WT-CFTR are comparable, indicating impaired protein maturation.
  • CFTR-correcting therapies can enhance mature and functional S1118F-CFTR by 3-4 fold.

Implications:

  • The S1118F-CFTR mutation causes a distinct CF phenotype with atypical symptoms.
  • Understanding the molecular basis of S1118F-CFTR is crucial for developing targeted CF therapies.
  • This research highlights the potential of CFTR modulators for patients with specific CFTR mutations.
Abstract