Recovery of ΔF508-CFTR Function by Citrate

Beatrice Borkenhagen1, Peter Prehm1,2

  • 1Institute of Physiological Chemistry and Pathobiochemistry, Muenster University Hospital, Waldeyerstr. 15, 48129 Muenster, Germany.

Nutrients
|October 27, 2022
PubMed

Insights

Citrate activates the defective cystic fibrosis transmembrane conductance regulator (CFTR) protein, a key factor in cystic fibrosis. This finding offers a new therapeutic avenue for treating cystic fibrosis by improving protein function and export.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cell Biology

Background:

  • Current cystic fibrosis treatments involve costly and complex medications.
  • A rational strategy for correcting the defective ΔF508-CFTR protein remains elusive.

Purpose of the Study:

  • To identify novel binding sites and activators for the cystic fibrosis transmembrane conductance regulator (CFTR) protein using virtual screening.
  • To evaluate citrate as a potential therapeutic agent for cystic fibrosis by assessing its effect on ΔF508-CFTR function.

Main Methods:

  • Virtual docking simulations of ATP and known CFTR activators were performed on the open conformation of the CFTR protein.
  • A novel ATP-binding site was identified between the NBD1 and NBD2 domains.
  • Citrate's effects on epithelial cells with intact and defective CFTR were experimentally evaluated, including hyaluronan export and iodide efflux assays.

Main Results:

  • A previously unknown ATP-binding site was discovered in the cleft between the NBD1 and NBD2 domains, characterized by six basic amino acids.
  • Citrate and isocitrate were found to bind to this novel site.
  • Citrate demonstrated the ability to activate hyaluronan export and iodide efflux in epithelial cells.
  • Citrate treatment also prevented the premature intracellular degradation of the ΔF508-CFTR protein.

Conclusions:

  • Citrate acts as a novel activator for the ΔF508-CFTR protein.
  • Citrate enhances the export of molecules by defective ΔF508-CFTR in epithelial cells, suggesting therapeutic potential for cystic fibrosis.