Functional CFTR channel is essential for effective antimicrobial activities of neutrophils

Abstract

Abstract Patients with Cystic Fibrosis (CF) are highly susceptible to infections caused by opportunistic pathogens including Burkholderia cenocepacia. In response to infection, CF neutrophils are deficient in clearing bacteria and release inflammatory molecules that contributes to aggravated lung-tissue damage in people with CF (PWCF). Although CF has no cure, novel therapeutic drugs have emerged targeting defective CFTR channel (CFTR modulators). However, it is unknown whether CFTR modulators may restore the basic antimicrobial functions of phagocytes in PWCF. Here, we first evaluated the expression and subcellular localization of CFTR. Neutrophils from PWCF and non-CF donors were treated in vitro with CF modulators, before infection with B. cenocepacia, and then, CFTR cellular localization was evaluated by confocal microscopy followed by the analysis of antimicrobial killing, and the production of Neutrophil Extracellular Traps (NETs). Furthermore, CFTR-mediated currents were measured by patch-clamp in non-CF and CF neutrophils after treatment with the CFTR modulators. We found that CFTR modulators increased the expression of functional CFTR channel at the plasma membrane, and also potentiated CFTR-mediated channel activity in CF and non-CF neutrophils, as recorded by whole-cell patch clamp. The production of NETs was also increased in both CF and non-CF neutrophils treated with CFTR modulators, those changes were comparable to cells stimulated with B. cenocepacia or PMA. Finally, CF neutrophils treated with the CFTR modulators restored their antimicrobial killing against B. cenocepacia. Together, these data indicate that functional CFTR channel is essential for regulating the antimicrobial mechanisms of neutrophils.