A Stabilizing Influence: CAL PDZ Inhibition Extends the Half-Life of ΔF508-CFTR
A Stabilizing Influence: CAL PDZ Inhibition Extends the Half-Life of ΔF508-CFTR
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DOI:
10.1002/anie.201005585
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发表时间:
2010-01-01
影响因子:
16.6
通讯作者:
Madden, Dean R.
中科院分区:
文献类型:
--
作者:
Cushing, Patrick R.;Vouilleme, Lars;Madden, Dean R.
From synthesis to degradation, membrane proteins navigate interwoven networks that control their localization and activity within the cell. At branch points within these networks, protein–protein interactions often determine the flux of individual proteins through specific pathways and thus offer targets for therapeutic modulation. The PDZ (PSD-95, Dlg, and ZO-1) proteins constitute a major family of trafficking regulators. Characterized by the presence of eponymous protein–protein interaction domains (PPIDs), PDZ proteins generally bind the C termini of their partners and help direct their movements throughout the cell. The targets of PDZ regulation include the cystic fibrosis transmembrane conductance regulator (CFTR), the chloride channel mutated in patients with cystic fibrosis (CF).[1] CF is the most common life-threatening autosomal recessive disease among people of European ancestry. In airway epithelia, loss of CFTR impairs mucociliary clearance and facilitates chronic bacterial infections.[2, 3] The ΔF508 allele, found in ca. 90% of patients, results in a protein that fails to fold correctly.[4, 5] However, if the folding defect is overcome, the resulting ΔF508-CFTR retains limited chloride channel activity (Figure 1a).[6]Because only 10–35% of wild-type (WT) activity may be required for therapeutic benefit,[7] many efforts have been made to identify “corrector” and “potentiator” compounds that address the primary folding and gating defects of ΔF508-CFTR, respectively (Figure 1b).[8, 9] There is now a growing prospect that the maturation and specific activity of ΔF508-CFTR can be pharmacologically enhanced. However, the rescued protein remains unstable.[10–12] Optimal therapy is thus likely to require repair of all three defects: folding, open probability, and stability (Figure 1a). To identify “stabilizers”–a new class of reagents that extend the half-life of ΔF508-CFTR–we targeted a key regulator of its post-endocytic trafficking. The CFTR-associated ligand (CAL) negatively regulates ΔF508-CFTR cellsurface abundance through its PDZ domain.[13] However, CFTR interacts not only with CAL, but also with the Na+/H+ exchanger regulatory factors NHERF1 and NHERF2, which counteract CAL s effect, enhancing the activity and the abundance of ΔF508-CFTR at the apical membrane.[14–16] In an accompanying report,[17] we describe a novel strategy that permitted elaboration of the decameric peptide inhibitor iCAL3610 (iCAL36; ANSRWPTSII). iCAL36 targets the CAL, but not the NHERF, PDZ domains, despite their