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VX-770-mediated potentiation of numerous human CFTR disease mutants is influenced by phosphorylation level.

Guiying Cui | Brandon B Stauffer | Barry R Imhoff | Andras Rab | Jeong S Hong | Eric J Sorscher | Nael A McCarty
Scientific reports | 2019

VX-770 (ivacaftor) is approved for clinical use in CF patients bearing multiple CFTR mutations. VX-770 potentiated wildtype CFTR and several disease mutants expressed in oocytes in a manner modulated by PKA-mediated phosphorylation. Potentiation of some other mutants, including G551D-CFTR, was less dependent upon the level of phosphorylation, likely related to the severe gating defects in these mutants exhibited in part by a shift in PKA sensitivity to activation, possibly due to an electrostatic interaction of D551 with K1250. Phosphorylation-dependent potentiation of wildtype CFTR and other variants also was observed in epithelial cells. Hence, the efficacy of potentiators may be obscured by a ceiling effect when drug screening is performed under strongly phosphorylating conditions. These results should be considered in campaigns for CFTR potentiator discovery, and may enable the expansion of VX-770 to CF patients bearing ultra-orphan CFTR mutations.

Pubmed ID: 31530897

Research resources used in this publication

None found

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Associated grants

  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL139876

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