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Updated: Mar 3, 2026

Functional Reconstitution and Channel Activity Measurements of Purified Wildtype and Mutant CFTR Protein
Published on: March 9, 2015
Combination of Correctors Rescues CFTR Transmembrane-Domain Mutants by Mitigating their Interactions with
Background/Aims:
Premature degradation of mutated cystic fibrosis transmembrane conductance regulator (CFTR) protein causes cystic fibrosis (CF), the commonest Mendelian disease in Caucasians. Despite recent advances in precision medicines for CF patients, many CFTR mutants have not been characterized and the effects of these new therapeutic approaches are still unclear for those mutants.
Methods:
Cells transfected or stably expressing four CFTR transmembrane-domain mutants (G85E, E92K, L1077P, and M1101K) were used to: 1) characterize the mutants according to their protein expression, thermal sensitivity, and degradation pathways; 2) evaluate the effects of correctors in rescuing them; and 3) explore the effects of correctors on CFTR interactions with proteostasis components.
Results:
All four mutants exhibited lower protein expression than did wild type-CFTR, and they were degraded by proteasomes and aggresomes. At low temperature, only cells expressing the mutants L1077P and M1101K exhibited increased CFTR maturation. Co-administration of C4 and C18 showed the greatest effect, restoring functional expression and partial stability of CFTR bearing E92K, L1077P, or M1101K at the cell surface. However, this treatment was inefficient in rectifying the defect of CFTR bearing G85E. Correctors rescued CFTR mutants by reducing their interactions with proteostasis components associated with protein retention in the endoplasmic reticulum and ubiquitination.
Conclusion:
Co-administration of C4 and C18 rescued CFTR transmembrane-domain mutants by remodeling the CFTR interactome.
Insights
Cystic fibrosis transmembrane conductance regulator (CFTR) mutations cause CF. Correctors C4 and C18 partially restored function for some CFTR mutants by altering protein interactions, but not all mutants responded.
Area of Science:
- Molecular biology
- Genetics
- Biochemistry
Background:
- Cystic fibrosis (CF) is caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene, leading to premature protein degradation.
- Many CFTR mutants remain uncharacterized, and the efficacy of novel therapeutics is unclear for these variants.
Purpose of the Study:
- To characterize four CFTR transmembrane-domain mutants (G85E, E92K, L1077P, M1101K) regarding their expression, stability, and degradation pathways.
- To evaluate the potential of therapeutic correctors in rescuing these CFTR mutants.
- To investigate how correctors influence CFTR interactions with proteostasis machinery.
Main Methods:
- Utilized cells expressing wild-type CFTR and four CFTR mutants (G85E, E92K, L1077P, M1101K).
- Assessed protein expression, thermal stability, and degradation routes (proteasomal and aggresomal).
- Evaluated corrector efficacy (C4, C18) on mutant CFTR maturation and cell surface localization, and analyzed CFTR-proteostasis component interactions.
Main Results:
- All four CFTR mutants showed reduced protein expression and were degraded via proteasomes and aggresomes.
- Low-temperature treatment enhanced maturation for L1077P and M1101K mutants.
- Co-administration of C4 and C18 partially restored functional expression and stability for E92K, L1077P, and M1101K mutants, but not G85E.
- Correctors reduced endoplasmic reticulum retention and ubiquitination by altering CFTR interactions with proteostasis components.
Conclusions:
- The combination of correctors C4 and C18 demonstrated efficacy in rescuing specific CFTR transmembrane-domain mutants.
- These correctors function by remodeling the CFTR interactome, thereby mitigating protein misfolding and degradation.
- Further research is needed to develop effective therapies for all CFTR mutants, particularly G85E.
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