Potentiators exert distinct effects on human, murine, and Xenopus CFTR

Guiying Cui1, Netaly Khazanov2, Brandon B Stauffer1

  • 1Division of Pulmonology, Allergy/Immunology, Cystic Fibrosis, and Sleep, Department of Pediatrics, Emory + Children's Center for Cystic Fibrosis and Airways Disease Research, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, Georgia; and.

Insights

Researchers explored how cystic fibrosis transmembrane conductance regulator (CFTR) potentiators work by comparing effects across species. New potentiators were identified, offering potential leads for cystic fibrosis drug development.

Area of Science:

  • Molecular Pharmacology
  • Drug Discovery
  • Biophysics

Background:

  • Cystic fibrosis (CF) treatment involves CFTR potentiators like VX-770.
  • The precise binding sites of CFTR potentiators remain unidentified.
  • Understanding these sites is crucial for developing more effective CF therapies.

Purpose of the Study:

  • To identify and characterize novel CFTR potentiators.
  • To explore the mechanism of action of existing and new potentiators.
  • To investigate the ortholog-specific behavior of CFTR potentiators.

Main Methods:

  • Comparative molecular pharmacology using human, mouse, and Xenopus CFTR.
  • Computer-aided drug discovery and pharmacophore modeling.
  • Excised macropatch electrophysiology to assess channel function.

Main Results:

  • Potentiators (VX-770, NPPB, GlyH-101, P1-P3) showed varying efficacies across human (hCFTR), mouse (mCFTR), and Xenopus (xCFTR) orthologs.
  • P1, P2, and P3 potentiation of hCFTR was dependent on PKA stimulation.
  • P1 and P2 lacked additive effects, suggesting shared binding sites.
  • Three new potentiators (IOWH-032, OSSK-2, OSSK-3) with GlyH-101-like structures were identified.

Conclusions:

  • CFTR potentiators exhibit ortholog-specific activity, indicating structural differences in CFTR across species.
  • New potentiators were discovered, potentially serving as leads for cystic fibrosis drug development.
  • Comparative pharmacology with cross-ortholog chimeras may aid in identifying CFTR binding sites.

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