Searching for combinations of small-molecule correctors to restore f508del-cystic fibrosis transmembrane conductance

Clément Boinot1, Mathilde Jollivet Souchet1, Romain Ferru-Clément1

  • 1Laboratoire Signalisation et Transports Ioniques Membranaires, Université de Poitiers, Centre National de la Recherche Scientifique (CNRS), Poitiers, France.

Insights

This study explored combinations of correctors to improve F508del-cystic fibrosis transmembrane conductance regulator (CFTR) protein function. Synergistic drug combinations, particularly VX-809 + IsoLAB, showed significant rescue of chloride channel activity, highlighting potential for improved CFTR therapies.

Area of Science:

  • Molecular Biology
  • Pharmacology
  • Cell Physiology

Background:

  • The F508del mutation in cystic fibrosis transmembrane conductance regulator (CFTR) causes protein misfolding, endoplasmic reticulum retention, and impaired chloride (Cl(-)) channel function.
  • Individual CFTR correctors can partially restore F508del-CFTR trafficking and function, but synergistic approaches are needed for more effective rescue.
  • Understanding the combined effects of correctors is crucial for developing improved therapeutic strategies for cystic fibrosis.

Purpose of the Study:

  • To investigate the synergistic effects of multiple CFTR correctors on the function and maturation of F508del-CFTR.
  • To evaluate the efficacy of specific corrector combinations, including VX-809 and IsoLAB, in rescuing F508del-CFTR chloride channel activity.
  • To determine the influence of temperature on the effectiveness of CFTR corrector combinations.

Main Methods:

  • Utilized HeLa cells expressing F508del-CFTR.
  • Employed whole-cell patch-clamp technique to measure CFTR-mediated current density.
  • Tested combinations of five correctors: miglustat, IsoLAB, Corr4a, VX-809, and suberoylamilide hydroxamic acid (SAHA).

Main Results:

  • Several combinations, notably VX-809 + IsoLAB, significantly increased F508del-CFTR current density in response to activators.
  • The VX-809 + IsoLAB combination demonstrated functional rescue of F508del-CFTR activity, with enhanced correction observed at 37°C compared to room temperature.
  • Optimized incubation times for VX-809 + IsoLAB achieved maximal functional rescue comparable to individual optimal conditions.

Conclusions:

  • Synergistic polypharmacology using combinations of correctors offers a promising strategy for rescuing F508del-CFTR function.
  • Temperature plays a significant role in the efficacy of CFTR correctors and the level of functional rescue achieved.
  • Optimized corrector combinations hold potential for developing more effective therapeutic interventions for cystic fibrosis.

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