In silico analysis and theratyping of an ultra-rare CFTR genotype (W57G/A234D) in primary human rectal and nasal epithelial cells.

In silico analysis and theratyping of an ultra-rare CFTR genotype (W57G/A234D) in primary human rectal and nasal epithelial cells.
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DOI:
10.1016/j.isci.2023.108180
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发表时间:
2023-11-17
期刊:
影响因子:
5.8
通讯作者:
Sorio, Claudio
Sorio, Claudio
中科院分区:
综合性期刊2区
文献类型:
--
作者:
Kleinfelder, Karina;Lotti, Virgini;Eramo, Adriana;Amato, Felice;Lo Cicero, Stefania;Castelli, Germana;Spadaro, Francesca;Farinazzo, Alessia;Dell'Orco, Daniele;Preato, Sara;Conti, Jessica;Rodella, Luca;Tomba, Francesco;Cerofolini, Angelo;Baldisseri, Elena;Bertini, Marina;Volpi, Sonia;Villella, Valeria Rachela;Esposito, Speranza;Zollo, Immacolata;Castaldo, Giuseppe;Laudanna, Carlo;Sorsher, Eric J.;Hong, Jeong;Joshi, Disha;Cutting, Garry;Lucarelli, Marco;Melotti, Paola;Sorio, Claudio

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Mutation targeted therapy in cystic fibrosis (CF) is still not eligible for all CF subjects, especially for cases carrying rare variants such as the CFTR genotype W57G/A234D (c.169T>G/c.701C>A). We performed in silico analysis of the effects of these variants on protein stability, which we functionally characterized using colonoids and reprogrammed nasal epithelial cells. The effect of mutations on cystic fibrosis transmembrane conductance regulator (CFTR) protein was analyzed by western blotting, forskolin-induced swelling (FIS), and Ussing chamber analysis. We detected a residual CFTR function that increases following treatment with the CFTR modulators VX661±VX445±VX770, correlates among models, and is associated with increased CFTR protein levels following treatment with CFTR correctors. In vivo treatment with VX770 reduced sweat chloride concentration to non-CF levels, increased the number of CFTR-dependent sweat droplets, and induced a 6% absolute increase in predicted FEV1% after 27 weeks of treatment indicating the relevance of theratyping with patient-derived cells in CF. Very rare CFTR variants/complex genotypes should be studied as N-of-1 case Theratyping in patient-derived nasal and colon cells provides overlapping results FIS and Ussing chamber assays provide complementary information on CFTR function A234D variant is responsible for the response to CFTR modulators Therapy; Human specimen; Molecular medicine; Integrative aspects of cell biology; Pharmacoinformatics; In silico biology
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