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PMID: 21658632
Becq F, Mall MA, Sheppard DN, Conese M, Zegarra-Moran O
Pharmacological therapy for cystic fibrosis: from bench to bedside.
J Cyst Fibros. 2011 Jun;10 Suppl 2:S129-45.,
[PubMed]
Sentences
No.
Mutations
Sentence
Comment
31
ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 21658632:31:72
status:
NEW
view ABCC7 p.Trp1282* details
Class I mutations: defective protein production Some CF mutations (e.g.
W1282X
) are nonsense mutations that introduce stop signals known as premature termination codons (PTCs) into the CFTR gene.
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42
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:42:26
status:
NEW
view ABCC7 p.Gly551Asp details
Class III mutations (e.g.
G551D
) disrupt channel regulation by affecting the pattern of channel opening and closing (termed gating) [12].
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44
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:44:17
status:
NEW
view ABCC7 p.Gly551Asp details
By contrast, for
G551D
channel openings occur very infrequently and are separated by prolonged periods of channel closure (e.g. [12, fig. 4B]).
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49
ABCC7 p.Arg347Pro
X
ABCC7 p.Arg347Pro 21658632:49:92
status:
NEW
view ABCC7 p.Arg347Pro details
ABCC7 p.Arg347Pro
X
ABCC7 p.Arg347Pro 21658632:49:93
status:
NEW
view ABCC7 p.Arg347Pro details
For example, the conductance of an open wild-type CFTR Cl-channel is ~8 pS, whereas that of
R347P
is only 2 pS [13].
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50
ABCC7 p.Arg347His
X
ABCC7 p.Arg347His 21658632:50:148
status:
NEW
view ABCC7 p.Arg347His details
An explanation for why mutations at R347 decrease Cl- flow through CFTR was provided by Tabcharani et al. [14], who demonstrated that the CF mutant
R347H
converts CFTR from a multi-ion pore to a single-ion pore.
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56
ABCC7 p.Pro574His
X
ABCC7 p.Pro574His 21658632:56:58
status:
NEW
view ABCC7 p.Pro574His details
ABCC7 p.Ala455Glu
X
ABCC7 p.Ala455Glu 21658632:56:48
status:
NEW
view ABCC7 p.Ala455Glu details
Interestingly, Zielenski and Tsui [10] assigned
A455E
and
P574H
, two CF mutations associated with a milder clinical phenotype (pancreatic sufficiency) to Class V.
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58
ABCC7 p.Pro574His
X
ABCC7 p.Pro574His 21658632:58:175
status:
NEW
view ABCC7 p.Pro574His details
ABCC7 p.Pro574His
X
ABCC7 p.Pro574His 21658632:58:176
status:
NEW
view ABCC7 p.Pro574His details
ABCC7 p.Ala455Glu
X
ABCC7 p.Ala455Glu 21658632:58:39
status:
NEW
view ABCC7 p.Ala455Glu details
Moreover, on reaching the cell surface
A455E
forms Cl-channels with open probability (Po), a measure of channel activity, similar to that of wild-type CFTR, whereas the Po of
P574H
exceeds that of wild-type CFTR [15].
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100
ABCC7 p.Arg258Gly
X
ABCC7 p.Arg258Gly 21658632:100:24
status:
NEW
view ABCC7 p.Arg258Gly details
ABCC7 p.Ser945Leu
X
ABCC7 p.Ser945Leu 21658632:100:31
status:
NEW
view ABCC7 p.Ser945Leu details
ABCC7 p.His949Tyr
X
ABCC7 p.His949Tyr 21658632:100:38
status:
NEW
view ABCC7 p.His949Tyr details
[29] BHK cells F508del,
R258G
,
S945L
,
H949Y
cAMP-stimulated iodide efflux, biochemistry VRT-325 (1-10 μM) rescued F508del-CFTR and other mutants after 48 h incubation of BHK cells at 37°C. VRT-325 also rescues misprocessed P-gp mutants and acts as P-gp inhibitor.
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116
ABCC7 p.Gly622Asp
X
ABCC7 p.Gly622Asp 21658632:116:79
status:
NEW
view ABCC7 p.Gly622Asp details
MPB-07, MPB-91, analogues [104] human CF nasal epithelial cells, CF15 F508del,
G622D
Biochemistry, iodide efflux, degradation assay MPB compounds protect a proteolytic cleavage site by directly binding to the NBD1 domain of F508del-CFTR.
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118
ABCC7 p.Arg1283Met
X
ABCC7 p.Arg1283Met 21658632:118:88
status:
NEW
view ABCC7 p.Arg1283Met details
PDE5 inhibitors Sidenafil (Viagra) [106] human CF nasal epithelial cells, CF15 F508del,
R1283M
Biochemistry, immunofluorescence, iodide efflux Sildenafil restored F508del-CFTR activity by preventing F508del-CFTR/calnexin interaction in the ER.
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128
ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 21658632:128:611
status:
NEW
view ABCC7 p.Trp1282* details
For further information, see the text. *Cellular model used: Primary cells/tissues: HBE, human bronchial epithelial cells from normal subjects; HBEC-CF primary, human bronchial epithelial cells from CF patients. Cell-lines (immortalized) expressing endogeneous CFTR: CF15 cells (human nasal airway, F508del/F508del); CFBE41o- (human bronchial origin, F508del/F508del); CFPAC-1 (human pancreatic duct origin, F508del/F508del); CFT1 (human tracheal origin, F508del/F508del); CuFi-1 (human bronchial origin, F508del/F508del); NuLi-1 (human bronchial origin, wild-type CFTR); IB3-1 (human bronchial origin, F508del/
W1282X
); LLC-PK1 (pig kidney epithelial cell line, wild-type CFTR).
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175
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:175:61
status:
NEW
view ABCC7 p.Gly551Asp details
Moreover, treatment of CF airway epithelia (genotype F508del/
G551D
) with VX-770 (10 μM) increased airway surface liquid (ASL) volume and ciliary beat frequency to levels about half those of normal airway epithelia [33].
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177
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:177:78
status:
NEW
view ABCC7 p.Gly551Asp details
The drug was first tested in 39 adult CF patients with the class III mutation
G551D
, who took the drug orally in a randomized, double-blind, placebo-controlled trial [34].
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180
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:180:175
status:
NEW
view ABCC7 p.Gly551Asp details
Following the success of this clinical trial, VX-770 is now being tested in Phase III clinical trials in the USA and Europe, including studies of children and adults with the
G551D
mutation as well as a study of adults carrying the F508del mutation (www.vrtx.com/current-projects/drug-candidates/vx-770.html).
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213
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:213:43
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:213:107
status:
NEW
view ABCC7 p.Gly551Asp details
[120] HeLa cells expressing CFTRs F508del,
G551D
Electrophysiology, NPD assay Genistein strongly increased
G551D
-CFTR Cl- currents.
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215
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:215:56
status:
NEW
view ABCC7 p.Gly551Asp details
Genistein stimulated the NPD of CF patients bearing the
G551D
mutation.
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216
ABCC7 p.Lys1250Ala
X
ABCC7 p.Lys1250Ala 21658632:216:28
status:
NEW
view ABCC7 p.Lys1250Ala details
[121] NIH3T3 cells F508del,
K1250A
Electrophysiology Genistein and benzimidazolones shared the same mechanism of action.
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217
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:217:20
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:217:39
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:217:142
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:217:143
status:
NEW
view ABCC7 p.Gly551Asp details
[122] FRT, HNEC-CF (
G551D
) primary WT,
G551D
Electrophysiology Genistein, but neither CPX nor MPB-07, rescued transepithelial Cl-transport in
G551D
epithelia.
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219
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:219:14
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:219:69
status:
NEW
view ABCC7 p.Gly551Asp details
[124] CHO WT,
G551D
Electrophysiology, iodide efflux The CF mutation
G551D
disrupts the inhibition of CFTR activity by elevated concentrations of genistein.
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223
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:223:82
status:
NEW
view ABCC7 p.Gly551Asp details
Benzo[c]quinolizinium and benzo[f]indolo [2,3-a]quinolizinium salts [128] CHO WT,
G551D
Iodide efflux Structure-activity relationships to identify the structural basis for CFTR activation.
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225
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:225:46
status:
NEW
view ABCC7 p.Gly551Asp details
7,8 benzoflavones [129] FRT, HBEC primary WT,
G551D
YFP cell-based assay and electrophysiology Screening of a combinatorial library based on flavone and benzoquinolizinium structures yielded a new family of active compounds, 7,8 benzoflavones.
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226
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:226:27
status:
NEW
view ABCC7 p.Gly551Asp details
Some agents also activated
G551D
-CFTR.
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230
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:230:114
status:
NEW
view ABCC7 p.Gly551Asp details
Table 3 (continued) Compound Ref. Cell system * CFTR isoform Method Results Benzoflavones analogues [132] FRT WT,
G551D
YFP cell-based assay Analysis of a panel of benzoflavones analogues to analyse structure-activity relationships and to model a pharmacophore.
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231
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:231:66
status:
NEW
view ABCC7 p.Gly551Asp details
CFTRact-01 to CFTRact-17 [133] FRT, HBEC-CF (F508del) primary WT,
G551D
, temperature-corrected F508del YFP cell-based assay and electrophysiology HTS of a 60,000 compound library yielded 14 active compounds from different chemical families.
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237
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:237:12
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:237:27
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly1349Asp
X
ABCC7 p.Gly1349Asp 21658632:237:19
status:
NEW
view ABCC7 p.Gly1349Asp details
ABCC7 p.Gly1349Asp
X
ABCC7 p.Gly1349Asp 21658632:237:33
status:
NEW
view ABCC7 p.Gly1349Asp details
[136] COS-7
G551D
,
G1349D
,
G551D
/
G1349D
Electrophysiology, iodide efflux Study explores the contribution of G551 and G1349 to CFTR modulation (potentiation and inhibition) by phloxine B.
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238
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:238:20
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:238:87
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly1349Asp
X
ABCC7 p.Gly1349Asp 21658632:238:27
status:
NEW
view ABCC7 p.Gly1349Asp details
ABCC7 p.Gly1349Asp
X
ABCC7 p.Gly1349Asp 21658632:238:97
status:
NEW
view ABCC7 p.Gly1349Asp details
[137] C127, FRT WT,
G551D
,
G1349D
Electrophysiology Phloxine B has distinct effects on
G551D
and
G1349D
-CFTR, suggesting that drug therapy for CF is mutation-specific.
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242
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:242:286
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:242:287
status:
NEW
view ABCC7 p.Gly551Asp details
Phenylglycine and sulfonamide [140] FRT, HBEC-CF (F508del) Temperature-corrected F508del YFP cell-based assay, electrophysiology HTS of a library containing 50,000 diverse small molecules yielded two novel classes of potentiators that were active with nanomolar potency on F508del- and
G551D-
CFTR.
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243
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:243:25
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly1349Asp
X
ABCC7 p.Gly1349Asp 21658632:243:32
status:
NEW
view ABCC7 p.Gly1349Asp details
ABCC7 p.Glu193Lys
X
ABCC7 p.Glu193Lys 21658632:243:40
status:
NEW
view ABCC7 p.Glu193Lys details
[141] COS-7, HEK293, FRT
G551D
,
G1349D
,
E193K
, G970R YFP cell-based assay, electrophysiology Study demonstrates that potentiators are active on mutations residing in different CFTR domains and that potencies are mutation-specific.
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244
ABCC7 p.Ser660Ala
X
ABCC7 p.Ser660Ala 21658632:244:113
status:
NEW
view ABCC7 p.Ser660Ala details
5-nitro-2-(3-phenyl propylamino)benzoate (NPPB) analogues [142] BHK, HEK293, CFBE41o- transfected WT, F508del, R-
S660A
-CFTR Electrophysiology NPPB analogues stimulate WT and F508del-CFTR channel activity at submicromolar concentrations without blocking the channel pore.
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245
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:245:52
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:245:295
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:245:296
status:
NEW
view ABCC7 p.Gly551Asp details
Dihydropyridines (DHP) [143] FRT, HBEC-CF (F508del)
G551D
, temperature-corrected F508del YFP cell-based assay, electrophysiology Screening of an approved drugs library identified some antihypertensive 1,4-dihydropyridines as submicromolar potentiators of F508del-CFTR and, with less potency, of
G551D
CFTR.
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246
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:246:10
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly1349Asp
X
ABCC7 p.Gly1349Asp 21658632:246:17
status:
NEW
view ABCC7 p.Gly1349Asp details
[144] FRT
G551D
,
G1349D
, temperature-corrected F508del YFP cell-based assay, electrophysiology Structure-activity relationships for CFTR potentiation and Ca2+-channel inhibition leading to identification of compounds that more potently potentiate CFTR than block Ca2+-channels.
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253
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:253:125
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:253:128
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:253:241
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:253:244
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:253:392
status:
NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:253:397
status:
NEW
view ABCC7 p.Gly551Asp details
N-(2,4-di-tert-butyl- 5-hydroxyphenyl)- 4-oxo-1,4-dihydroquinoline-3-carboxamide (VX-770) [33] FRT, NIH3T3, HBEC primary WT,
G551D an
d F508del Electrophysiology, ASL height and ciliary beat frequency VX-770 increases the open probability of
G551D-CF
TR Cl-channels and hence, stimulates Cl-secretion, apical surface hydration and ciliary beat frequency of human bronchial epithelia expressing
G551D-CFTR
.
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255
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:255:76
status:
NEW
view ABCC7 p.Gly551Asp details
Pyrrolo[2,3-b] pyrazines derivatives (RP) [147] CHO, Calu-3, mice colon WT,
G551D
, temperature-corrected F508del Iodide efflux, electrophysiology The synthesis and screening of a small library of 6 RP derivatives identified RP107 as a submicromolar activator of wild-type and mutant CFTR.
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271
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:271:199
status:
NEW
view ABCC7 p.Gly551Asp details
VX-770 [34] Phase 1 and 2 completed Phase 3 This randomized, double-blind, placebo-controlled trial evaluated the safety and tolerability of VX-770 in adult CF patients with at least one copy of the
G551D
mutation.
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275
ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 21658632:275:75
status:
NEW
view ABCC7 p.Gly551Asp details
Thus, VX-770 improved CFTR and lung function in adult CF patients with the
G551D
mutation.
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