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PMID: 18945216
Pasyk S, Li C, Ramjeesingh M, Bear CE
Direct interaction of a small-molecule modulator with G551D-CFTR, a cystic fibrosis-causing mutation associated with severe disease.
Biochem J. 2009 Feb 15;418(1):185-90., 2009-02-15
[PubMed]
Sentences
No.
Mutations
Sentence
Comment
1
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:1:159
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:1:160
status:
NEW
view ABCC7 p.Gly551Asp details
CFTR is a member of the ABC (ATP-binding-cassette) superfamily of membrane proteins and a disease-causing missense mutation within the ABC signature sequence;
G551D-
CFTR exhibits defective phosphorylation and ATP-dependent channel gating.
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2
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:2:42
status:
NEW
view ABCC7 p.Gly551Asp details
Studies of the purified and reconstituted
G551D
-CFTR protein revealed that faulty gating is associated with defective ATP binding and ATPase activity, reflecting the key role of G551 in these functions.
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3
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:3:125
status:
NEW
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Recently, high-throughput screens of chemical libraries led to identification of modulators that enhance channel activity of
G551D
-CFTR.
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6
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:6:86
status:
NEW
view ABCC7 p.Gly551Asp details
First, we confirmed that VRT-532 causes a significant increase in channel activity of
G551D
-CFTR using a novel assay of CFTR function in inside-out membrane vesicles.
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7
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:7:50
status:
NEW
view ABCC7 p.Gly551Asp details
Biochemical studies of purified and reconstituted
G551D
-CFTR revealed that potentiation of the ATPase activity of VRT-532 is mediated by enhancing the affinity of the mutant for ATP.
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9
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:9:80
status:
NEW
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To summarize, these studies provide direct evidence that this compound binds to
G551D
-CFTR to rescue its specific defect in ATP binding and hydrolysis.
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15
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:15:33
status:
NEW
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The CF-causing missense mutation
G551D
-CFTR is associated with severe disease [2].
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16
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:16:34
status:
NEW
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Unlike the more common F508-CFTR,
G551D
-CFTR is not mistrafficked and exhibits normal expression on the cell surface [1].
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19
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:19:66
status:
NEW
view ABCC7 p.Gly551Asp details
Therefore it has been suggested that the disease-causing mutation
G551D
will interfere with ATP binding, NBD1 and NBD2 heterodimerization and the ATPase activity that results from this domain-domain interaction [9].
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20
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:20:60
status:
NEW
view ABCC7 p.Gly551Asp details
In fact, we showed in studies of purified and reconstituted
G551D
-CFTR that it is severely defective as an ATPase [10,11].
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23
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:23:129
status:
NEW
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A subgroup of these molecules is effective in modulating the functional expression of two disease-causing mutants: F508-CFTR and
G551D
-CFTR [13].
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24
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:24:71
status:
NEW
view ABCC7 p.Gly551Asp details
As we have optimized the purification and functional reconstitution of
G551D
-CFTR, we have an important reagent with which to evaluate whether certain of these pharmacological compounds act directly to modify the mutant CFTR protein.
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27
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:27:65
status:
NEW
view ABCC7 p.Gly551Asp details
EXPERIMENTAL Vesicle-based flux assay of Wt (wild-type) CFTR and
G551D
-CFTR function The measurement of iodide efflux from membrane vesicles was adapted from a previously described cellular iodide efflux method [14].
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38
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:38:47
status:
NEW
view ABCC7 p.Gly551Asp details
Purification and reconstitution of Wt CFTR and
G551D
-CFTR Detailed protocols regarding the generation of Wt and mutant CFTR-His proteins are described elsewhere [15].
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44
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:44:37
status:
NEW
view ABCC7 p.Gly551Asp details
ATPase assay of purified Wt CFTR and
G551D
-CFTR protein ATPase activity was measured as the production of [γ -32 P]Pi from [γ -32 P]ATP as described by Gross et al. [17a].
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51
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:51:80
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:51:169
status:
NEW
view ABCC7 p.Gly551Asp details
RESULTS A novel iodide efflux assay reports potentiating activity of VRT-532 on
G551D
-CFTR VRT-532 has been shown to potentiate cAMP-activated chloride ion flux through
G551D
-CFTR in Fischer rat thyroid epithelial cells grown in monolayers and studied in voltage-clamp experiments conducted in the Ussing chamber apparatus [13].
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52
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:52:181
status:
NEW
view ABCC7 p.Gly551Asp details
The increase in chloride flux described above could report changes in the function of other membrane proteins that have an impact on the driving force for chloride ion flux through
G551D
-CFTR rather than changes in the intrinsic activity of the mutant protein.
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54
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:54:101
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:54:210
status:
NEW
view ABCC7 p.Gly551Asp details
Therefore, as the first step towards understanding the mechanism of action of this small molecule in
G551D
-CFTR function, we were prompted to re-evaluate the effect of this modulator on the channel activity of
G551D
-CFTR in a more simplified system.
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55
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:55:88
status:
NEW
view ABCC7 p.Gly551Asp details
Typically, activation of the channel function of CFTR and CF-causing mutants (including
G551D
-CFTR) by membrane-permeable agonists of cAMP-dependent PKA has been studied in intact cells using a convenient method known as the iodide efflux assay [18-20].
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58
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:58:229
status:
NEW
view ABCC7 p.Gly551Asp details
At the other end of the spectrum, patch-clamp studies of single channels in isolated membrane patches provide exquisite resolution of the kinetics of channel gating; however, as the channel activity of certain mutants, including
G551D
-CFTR, is severely impaired, acquisition of sufficient data to draw conclusions regarding the pharmacological effects of interesting compounds is time-consuming and often limited to a small number of channel proteins.
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60
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:60:102
status:
NEW
view ABCC7 p.Gly551Asp details
Vesicles were prepared from Sf9 cells infected with baculovirus containing cDNA coding for Wt CFTR or
G551D
-CFTR using methods that have been described previously [21].
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78
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:78:84
status:
NEW
view ABCC7 p.Gly551Asp details
Figure 2 shows an example of the regulated efflux from membrane vesicles expressing
G551D
-CFTR.
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81
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:81:37
status:
NEW
view ABCC7 p.Gly551Asp details
VRT-532 directly binds reconstituted
G551D
-CFTR and modifies its ATPase activity It has been shown that ATP-dependent heterodimerization of the two NBDs of CFTR is required for their activity as an ATPase and is permissive for subsequent conformational changes leading to opening of the chloride channel gate [22-24].
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82
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:82:51
status:
NEW
view ABCC7 p.Gly551Asp details
Further, it has been suggested that the failure of
G551D
-CFTR to bind ATP accounts for its defective ATPase activity and channel gating [5].
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83
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:83:94
status:
NEW
view ABCC7 p.Gly551Asp details
These findings prompted us to test the hypothesis that VRT-532 potentiates channel opening of
G551D
-CFTR by directly binding to enhance ATP affinity and hydrolysis.
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84
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:84:53
status:
NEW
view ABCC7 p.Gly551Asp details
As previously determined, purified and reconstituted
G551D
-CFTR exhibits a very low level of ATPase activity relative to the Wt protein (0.1 +- 0.1 versus 1.4 +- 0.1 nmol·μg·h-1 respectively) in the presence of 1 mM MgATP [15].
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88
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:88:32
status:
NEW
view ABCC7 p.Gly551Asp details
Although the ATPase activity of
G551D
-CFTR was significantly enhanced by the addition of VRT-532, the activity of the treated mutant protein failed to achieve the level of activity exhibited by the Wt CFTR protein (measured at 1 mM MgATP) as shown in Figure 4(A).
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90
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:90:89
status:
NEW
view ABCC7 p.Gly551Asp details
In Figure 5 and Table 1, the apparent ATP dependence of the ATPase activity exhibited by
G551D
-CFTR after treatment with VRT-532 (5 μM) is shown.
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91
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:91:58
status:
NEW
view ABCC7 p.Gly551Asp details
In contrast with the dose response obtained for untreated
G551D
-CFTR, which failed to exhibit saturable ATP dependence, the data corresponding to the VRT-532-treated protein could be fitted using a Michaelis-Menten function (r2 = 0.9).
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92
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:92:75
status:
NEW
view ABCC7 p.Gly551Asp details
These findings suggest that VRT-532 acts to enhance the ATPase activity of
G551D
-CFTR by increasing the apparent affinity for ATP.
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93
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:93:46
status:
NEW
view ABCC7 p.Gly551Asp details
Figure 2 VRT-532 enhances channel activity in
G551D
-CFTR (A)Asexpected,iodideeffluxmediatedbyvesiclesexpressingG551D-CFTRwasnotsignificantly enhanced by PKA and MgATP plus valinomycin.
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96
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:96:79
status:
NEW
view ABCC7 p.Gly551Asp details
(B) The histogram compares iodide efflux rates of membrane vesicles containing
G551D
-CFTR treated with MgATP (1 mM) and PKA (200 nM) before and after VRT-532 treatment (n = 5).
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101
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:101:154
status:
NEW
view ABCC7 p.Gly551Asp details
In these 'proof of principle` studies, we revealed the direct action of one such compound, VRT-532, to enhance the ATP affinity of the CF-causing mutant,
G551D
-CFTR.
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102
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:102:185
status:
NEW
view ABCC7 p.Gly551Asp details
As previously mentioned, VRT-532 is a particularly interesting small-molecule modulator as it enhances the channel activity of at least two different CFTR genotypes, including F508 and
G551D
-CFTR, suggesting that it may have a general role in repairing the molecular defects in multiple disease variants [13].
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106
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:106:93
status:
NEW
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ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:106:170
status:
NEW
view ABCC7 p.Gly551Asp details
Therefore the findings of the present Figure 3 VRT-532 enhances intrinsic ATPase activity of
G551D
-CFTR (A) ATPase activity of purified, reconstituted and phosphorylated
G551D
-CFTR measured as the production of radioactive Pi from radioactive ATP.
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109
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:109:22
status:
NEW
view ABCC7 p.Gly551Asp details
(B) The activation of
G551D
-CFTR is dependent on the dose of VRT-532, and this relationship can be fitted with a sigmoidal function (r2 = 0.94), yielding an EC50 of 2.7 μM (mean of duplicate measurements, from two different protein preparations; bars indicate range).
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110
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:110:63
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:110:157
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:110:256
status:
NEW
view ABCC7 p.Gly551Asp details
Figure 4 VRT-532 significantly enhances the ATPase activity of
G551D
-CFTR but not Wt CFTR (A) VRT-532 (5 μM) significantly enhances ATPase activity of
G551D
-CFTR in the presence of 500 μM MgATP (n = 3, P < 0.05) but this activity stimulated by
G551D
-CFTR is less than the activity of the Wt protein measured at the same MgATP concentration, as indicated by the broken line [15].
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112
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:112:68
status:
NEW
view ABCC7 p.Gly551Asp details
study suggest that VRT-532 directly binds to purified reconstituted
G551D
-CFTR to modulate its activity, providing the impetus for future studies to determine whether it binds directly to F508-CFTR and to define the site for binding on these two mutants.
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113
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:113:233
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:113:388
status:
NEW
view ABCC7 p.Gly551Asp details
Both the chloride channel gating and ATPase functions of CFTR likely report multiple dynamic conformational changes occurring throughout the whole molecule and, hence, the specific site at 5 VRT-532 enhances the ATPase activity of
G551D
-CFTR by increasing the apparent affinity for ATP The graph shows the effect of VRT-532 (5 μM) on ATP dose dependence of the ATPase activity of
G551D
-CFTR.
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124
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:124:78
status:
NEW
view ABCC7 p.Gly551Asp details
Since the VRT-532 compound exerts a profound effect on ATPase activity by the
G551D
-CFTR protein rather than on the Wt protein, we speculate that it may be binding to or indirectly stabilizing an intramolecular interaction which is important for ATPase activity and is altered in the mutant protein.
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128
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:128:189
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:128:223
status:
NEW
view ABCC7 p.Gly551Asp details
We are currently optimizing the purification and reconstitution of Table 1 Kinetic parameters obtained from analyses of ATP dependence of the ATPase activity of Wt CFTR and VRT-532-treated
G551D
-CFTR The ATPase activity of
G551D
-CFTR cannot be fitted using the Michaelis-Menten equation (see Figure 5 and [10,15]).
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131
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:131:81
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:131:100
status:
NEW
view ABCC7 p.Gly551Asp details
Protein Vmax (nmol · μg · h-1 ) Km ATP (mM) CFTR [10,15] 4.6 0.7
G551D
-CFTR N.A. NA
G551D
-CFTR + VRT-532 1.6 3.6 the major CF mutant for the purpose of testing this hypothesis directly.
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132
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:132:6
status:
NEW
view ABCC7 p.Gly551Asp details
While
G551D
-CFTR is not a common mutation in the CF patient population, it does account for disease in approx.
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134
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:134:84
status:
NEW
view ABCC7 p.Gly551Asp details
Hence, the insights regarding the molecular mechanisms for functional repair of the
G551D
-CFTR mutant by the small molecule, VRT-532, generated in the present study will provide the template for future drug development and potentially improvement in the clinical care of these severely affected patients.
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135
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 18945216:135:135
status:
NEW
view ABCC7 p.Gly551Asp details
Currently, a clinical trial is in progress that is investigating the efficacy of a different molecule (VX-770) in patients bearing the
G551D
-CFTR mutation (http://www.cff.org/research/ClinicalResearch/ FAQs/VX-770).
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