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Chloride transport across the apical membranes of epithelial cells in such tissues as the lung, intestine, pancreas and sweat glands is primarily mediated by the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR), an ATP- and phosphorylation-regulated member of the ABC (ATP-Binding Cassette) C subfamily of membrane proteins (reviewed in1). Like other members of the ABCC subfamily, CFTR is a large, multi-spanning integral membrane protein that binds ATP at two nucleotide binding sites formed at the interface of its nucleotide-binding domains (NBDs), where it possesses modest ATPase activity at a single site. However, unlike other ABCC subfamily members, CFTR has evolved as a unique regulated Cl channel rather than as an active solute transporter.
Mutations in CFTR cause Cystic Fibrosis, a disease affecting multiple organs including the lungs, gastrointestinal tract, pancreatic and reproductive tract, leading to morbidity and mortality in young adults. Lung disease typically accounts for early mortality in Cystic Fibrosis and in most cases is caused by the loss of CFTR function on the surface epithelium of the conducting airways. The lack of CFTR chloride channel activity causes a reduction in both Cl- and water movement across the surface epithelium to modify the fluid layer on the apical surface of the ciliated respiratory epithelium. This results in a viscous airway surface liquid that impairs the ability of ciliated respiratory epithelial cells to effectively clear pathogens out of the airways. As a consequence, most CF patients suffer from recurrent bouts of lung infection and lung damage due to inflammation.
As expected, studies of the mechanism of action of the normal CFTR protein focused primarily on detailed electrophysiological studies of its channel gating activity. Single channel studies have shown directly that CFTR functions as a PKA-dependent Cl- channel which possesses an ATP regulated gate2. Detailed electrophysiological studies provide a great deal of information on single CFTR channels1,3, however there may be concern as to whether the characteristics of any particular single channel that has been studied is reflective of the entire population of CFTR channels and therefore the single channel results should always be considered along with methods to study the macroscopic population. Direct assay of the population channel activity of purified CFTR has the potential to provide insight into the molecular defect associated with disease-causing mutations and to drive discovery of chemical modulators which repair mutant CFTR proteins. To date, there are in excess of 1,900 different mutations in CFTR thought to cause Cystic Fibrosis4. The major mutation, F508del-CFTR, found on at least one allele in approximately 90% of patients in North America and Europe leads to protein misfolding and retention in the endoplasmic reticulum5. F508del-CFTR also has other consequences, including defective channel activity6-9. The resultant absence of CFTR from the cell surface is associated with severe disease. G551D-CFTR, a less common mutation, is thought to be properly folded yet is dysfunctional as a chloride channel at the cell surface6. The development of small molecule correctors and potentiators has the goal of correcting folding and/or trafficking of mutants such as F508del-CFTR to the cell surface, and potentiating or increasing the channel activity of mutations such as G551D when present on the cell surface, respectively. While the correctors VX-809 and VX-661 (are not yet approved for use in patients, the potentiator Kalydeco (ivacaftor; VX-770) is being used at 150 mg every 12 hr in CF patients >6 years with at least one G551D-CFTR mutation, and more recently for patients with one of G178R, S549N, S549R, G551S, G1244E, S1251N, S1255P and G1349D. Kalydeco is both safe and results in improvement of clinical measures of CF disease10, however the mechanism of action of this small molecule was poorly understood at the time of FDA approval for use in patients.
A handful of CFTR purification methods have been described previously2,11-18, many of which require a considerable length of time to complete. In a recent publication19, a unique rapid purification and reconstitution method was described for CFTR overexpressed in the Sf9 cell expression system, and this purified protein in defined lipid systems was used to develop a CFTR halide channel activity assay for a population of CFTR molecules. The assay recapitulates the known effects of phosphorylation, nucleotides and inhibitors on CFTR function. The system was used to interrogate the effects of the potentiator VX-770/Kalydeco on Wt- (wild-type), F508del- and G551D-CFTR and it was shown for the first time that the drug interacts directly with the CFTR protein to potentiate its channel activity in an ATP-independent manner, demonstrating the utility and applicability of these methods to the study of the interaction of CFTR and mutants with nucleotides and small molecules from a population perspective to answer clinically relevant questions about the protein. The methods have also been used to study other potentiator molecules and their derivatives20, as well as the effects of a small molecule corrector on the activity of the protein21.
Efflux assays have been used in many studies previously to investigate the activity of CFTR mutants and the effects of CFTR-modulatory compounds on its activity, including whole cell assays using electrodes, radioactive tracers and fluorophores22,23, membrane vesicles with ion selective electrodes24, and purified reconstituted CFTR with radioactive tracers25. However the use of ion selective electrodes to study purified reconstituted CFTR was first reported recently19. An adaptation of the current method has been used for reconstitution and functional characterization of two membrane proteins in Pseudomonas aeruginosa, a common CF pathogen. Reconstitution of purified AlgE outer membrane protein coupled with iodide efflux measurements were used to support a model for anionic alginate secretion through this transporter26. Reconstitution and iodide efflux measurements were applied to the purified Wzx protein, which allowed a model to be proposed that suggests an H+-dependent antiport mechanism for lipid-linked oligosaccharide translocation across the bacterial inner membrane by this protein27. In both cases iodide was used as a surrogate for the anionic substrate, albeit at lower throughput than one might expect for a native substrate. The method may be suitable for adaptation to other proteins with cationic transport or conduction pathways for anionic substrates.
Here a rapid purification procedure is described for the CFTR protein and its reconstitution into proteoliposomes of defined lipid. The rapid reconstitution procedure can easily be tailored for use with CFTR purified by other methods, provided that the type of detergent used in the purification is amenable to removal by the methods used here or can be exchanged for a suitable detergent before the reconstitution procedure. The iodide efflux method for measurement of channel activity of purified and reconstituted CFTR protein is described in detail and some typical results that can be obtained from this method are presented.