iScience (Jun 2021)

Identification of binding sites for ivacaftor on the cystic fibrosis transmembrane conductance regulator

  • Onofrio Laselva,
  • Zafar Qureshi,
  • Zhi-Wei Zeng,
  • Evgeniy V. Petrotchenko,
  • Mohabir Ramjeesingh,
  • C. Michael Hamilton,
  • Ling-Jun Huan,
  • Christoph H. Borchers,
  • Régis Pomès,
  • Robert Young,
  • Christine E. Bear

Journal volume & issue
Vol. 24, no. 6
p. 102542

Abstract

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Summary: Ivacaftor (VX-770) was the first cystic fibrosis transmembrane conductance regulator (CFTR) modulatory drug approved for the treatment of patients with cystic fibrosis. Electron cryomicroscopy (cryo-EM) studies of detergent-solubilized CFTR indicated that VX-770 bound to a site at the interface between solvent and a hinge region in the CFTR protein conferred by transmembrane (tm) helices: tm4, tm5, and tm8. We re-evaluated VX-770 binding to CFTR in biological membranes using photoactivatable VX-770 probes. One such probe covalently labeled CFTR at two sites as determined following trypsin digestion and analysis by tandem-mass spectrometry. One labeled peptide resides in the cytosolic loop 4 of CFTR and the other is located in tm8, proximal to the site identified by cryo-EM. Complementary data from functional and molecular dynamic simulation studies support a model, where VX-770 mediates potentiation via multiple sites in the CFTR protein.

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