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Updated: May 17, 2026

In Vitro Analysis of PDZ-dependent CFTR Macromolecular Signaling Complexes
Published on: August 13, 2012
The Ion channel, CFTR, assembles with HIPPO pathway proteins TAZ and YAP in polycystic kidney disease
Abhishek Sharma1, Masoud Afshani1, Cristian Ciobanu1
1Departments of Medicine and Physiology, Johns Hopkins University, Baltimore, Maryland, USA.
Abstract:
Adult-onset polycystic kidney disease (ADPKD) leads to a decline in renal function. Cyst expansion is critically dependent on increased proliferation(1). Because proliferation is so central to cyst formation, thwarting these processes is critical for improving the health of patients with ADPKD. We have shown that the CFTR modulator VX-809 reduces cyst formation by creating an absorptive phenotype and inhibiting proliferation. We utilized the pkd1R3277/R3277C (RC) mutant mice and cell lines to study this phenomenon. We show that CFTR closely associates with the HIPPO pathway proteins TAZ and YAP. CFTR co-localizes strongly with TAZ and YAP in normal and RC mice and in RC mice treated with VX-809. In RC mice, the co-localization of TAZ, YAP, and CFTR is predominately at the apical membrane; the abnormal accumulation of these three proteins at the apical membrane is indicative of their role in cyst growth. VX-809 treatment of RC kidneys restores CFTR, TAZ, and YAP to a basolateral location similar to that observed in the normal kidney. CFTR, TAZ, and YAP also co-localize with calnexin, a marker of the ER, with the highest co-localization in untreated RC kidneys. We show that both TAZ and YAP are increased in the nuclei of untreated RC kidneys when compared to normal kidneys. Importantly, VX-809 reduces TAZ and YAP in the nucleus to levels comparable to those in normal kidneys, providing mechanistic insight into how CFTR modulator therapy reduces proliferation.
Insights
CFTR modulators like VX-809 inhibit cyst growth in polycystic kidney disease by affecting the Hippo pathway. This therapy reduces proliferation by altering the localization of CFTR, TAZ, and YAP proteins.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Biology
Background:
- Adult-onset polycystic kidney disease (ADPKD) is characterized by progressive renal function decline due to cyst expansion.
- Cyst formation in ADPKD is critically dependent on increased cell proliferation.
- Targeting proliferation pathways is essential for developing effective ADPKD therapies.
Purpose of the Study:
- To investigate the mechanism by which the CFTR modulator VX-809 inhibits cyst formation and proliferation in ADPKD.
- To explore the association between CFTR, the Hippo pathway proteins TAZ and YAP, and cystogenesis in ADPKD models.
Main Methods:
- Utilized pkd1R3277/R3277C (RC) mutant mice and cell lines to model ADPKD.
- Examined the co-localization of CFTR, TAZ, and YAP proteins in normal and RC kidneys, with and without VX-809 treatment.
- Assessed the nuclear localization of TAZ and YAP in RC kidneys.
Main Results:
- CFTR was found to associate closely with TAZ and YAP in both normal and RC mice.
- In untreated RC kidneys, CFTR, TAZ, and YAP abnormally accumulated at the apical membrane and co-localized with calnexin (ER marker).
- VX-809 treatment restored CFTR, TAZ, and YAP to a basolateral location and reduced nuclear TAZ/YAP levels in RC kidneys.
Conclusions:
- CFTR modulator therapy, exemplified by VX-809, reduces ADPKD cyst formation by inhibiting proliferation.
- The therapeutic effect involves altering the cellular localization of CFTR, TAZ, and YAP, shifting them from the apical membrane and nucleus to a basolateral position.
- This study provides mechanistic insight into how CFTR modulators impact the Hippo pathway, offering a potential therapeutic strategy for ADPKD.
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