Abstract

CFTR is an integral transmembrane glycoprotein and a cAMP-activated Cl− channel. Mutations in the CFTR gene lead to Cystic Fibrosis (CF)–an autosomal recessive disease with majority of the morbidity and mortality resulting from airway infection, inflammation, and fibrosis. The most common disease-associated mutation in the CFTR gene–deletion of Phe508 (ΔF508) leads to a biosynthetic processing defect of CFTR. Correction of the defect and delivery of ΔF508-CFTR to the cell surface has been highly anticipated as a disease modifying therapy. Compared to promising results in cultured cell this approach was much less effective in CF patients in an early clinical trial. Although the cause of failure to rescue ΔF508-CFTR in the clinical trial has not been determined, presence of factor(s) that interfere with the rescue in vivo could be considered. The cytokine TGF-β1 is frequently elevated in CF patients. TGF-β1 has pleiotropic effects in different disease models and genetic backgrounds and little is known about TGF-β1 effects on CFTR in human airway epithelial cells. Moreover, there are no published studies examining TGF-β1 effects on the functional rescue of ΔF508-CFTR. Here we found that TGF-β1 inhibits CFTR biogenesis by reducing mRNA levels and protein abundance in primary differentiated human bronchial epithelial (HBE) cells from non-CF individuals. TGF-β1 inhibits CFTR biogenesis without compromising the epithelial phenotype or integrity of HBE cells. TGF-β1 also inhibits biogenesis and impairs the functional rescue of ΔF508-CFTR in HBE cells from patients homozygous for the ΔF508 mutation. Our data indicate that activation of TGF-β1 signaling may inhibit CFTR function in non-CF individuals and may interfere with therapies directed at correcting the processing defect of ΔF508-CFTR in CF patients.

Highlights

  • The cystic fibrosis transmembrane conductance regulator (CFTR) is an integral transmembrane glycoprotein from the family of ATP binding cassette (ABC) transporters

  • Because rescued deletion of Phe508 (DF508)-CFTR is partially functional as a Cl2 channel, correction of the processing defect to deliver DF508CFTR to the cell surface has been highly anticipated as a disease modifying therapy [7,8]

  • Failure of VX-809 to rescue the DF508-CFTR defect in Cystic Fibrosis (CF) patients raises suspicion for presence of factor(s) that interfere with the DF508-CFTR rescue in vivo

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Summary

Introduction

The cystic fibrosis transmembrane conductance regulator (CFTR) is an integral transmembrane glycoprotein from the family of ATP binding cassette (ABC) transporters. The most common disease-associated mutation in the CFTR gene– deletion of Phe508 (DF508) leads to a temperature sensitive processing defect of the DF508-CFTR protein. Low temperature and chemical chaperones rescue the biosynthetic processing defect and allow exit of DF508-CFTR from the ER, maturation while passing through the Golgi complex, and trafficking to the cell membrane. Because rescued DF508-CFTR is partially functional as a Cl2 channel, correction of the processing defect to deliver DF508CFTR to the cell surface has been highly anticipated as a disease modifying therapy [7,8]. The only corrector that reached a clinical trial, VX-809 failed to mature DF508-CFTR, did not rescue the functional defect of DF508-CFTR in nasal epithelium and did not improve lung function in patients homozygous for DF508 mutation despite partially correcting DF508-CFTR in cultured cells [7,10]. Failure of VX-809 to rescue the DF508-CFTR defect in CF patients raises suspicion for presence of factor(s) that interfere with the DF508-CFTR rescue in vivo

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