PMID- 35008443 OWN - NLM STAT- MEDLINE DCOM- 20220128 LR - 20220128 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 1 DP - 2021 Dec 21 TI - Rare Trafficking CFTR Mutations Involve Distinct Cellular Retention Machineries and Require Different Rescuing Strategies. LID - 10.3390/ijms23010024 [doi] LID - 24 AB - Most of the ~2100 CFTR variants so far reported are very rare and still uncharacterized regarding their cystic fibrosis (CF) disease liability. Since some may respond to currently approved modulators, characterizing their defect and response to these drugs is essential. Here we aimed characterizing the defect associated with four rare missense (likely Class II) CFTR variants and assess their rescue by corrector drugs. We produced CFBE cell lines stably expressing CFTR with W57G, R560S, H1079P and Q1100P, assessed their effect upon CFTR expression and maturation and their rescue by VX-661/VX-445 correctors. Results were validated by forskolin-induced swelling assay (FIS) using intestinal organoids from individuals bearing these variants. Finally, knock-down (KD) of genes previously shown to rescue F508del-CFTR was assessed on these mutants. Results show that all the variants preclude the production of mature CFTR, confirming them as Class II mutations. None of the variants responded to VX-661 but the combination rescued H1079P- and Q1100P-CFTR. The KD of factors that correct F508del-CFTR retention only marginally rescued R560S- and H1079P-CFTR. Overall, data evidence that Class II mutations induce distinct molecular defects that are neither rescued by the same corrector compounds nor recognized by the same cellular machinery, thus requiring personalized drug discovery initiatives. FAU - Ramalho, Sofia S AU - Ramalho SS AUID- ORCID: 0000-0002-7554-9802 AD - BioISI-Biosystems & Integrative Sciences Institute, Faculty of Sciences, University of Lisboa, Campo Grande, C8 bdg, 1749-016 Lisboa, Portugal. FAU - Silva, Iris A L AU - Silva IAL AUID- ORCID: 0000-0002-8062-5558 AD - BioISI-Biosystems & Integrative Sciences Institute, Faculty of Sciences, University of Lisboa, Campo Grande, C8 bdg, 1749-016 Lisboa, Portugal. FAU - Amaral, Margarida D AU - Amaral MD AD - BioISI-Biosystems & Integrative Sciences Institute, Faculty of Sciences, University of Lisboa, Campo Grande, C8 bdg, 1749-016 Lisboa, Portugal. FAU - Farinha, Carlos M AU - Farinha CM AUID- ORCID: 0000-0002-5467-1710 AD - BioISI-Biosystems & Integrative Sciences Institute, Faculty of Sciences, University of Lisboa, Campo Grande, C8 bdg, 1749-016 Lisboa, Portugal. LA - eng GR - UIDB/04046/2020 and UIDP/04046/2020/Fundacao para a Ciencia e Tecnologia/ GR - FARINH19I0/Cystic Fibrosis Foundation/ PT - Journal Article DEP - 20211221 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Benzodioxoles) RN - 0 (CFTR protein, human) RN - 0 (Indoles) RN - 0 (Pyrazoles) RN - 0 (Pyridines) RN - 0 (Pyrrolidines) RN - 0 (tezacaftor) RN - 126880-72-6 (Cystic Fibrosis Transmembrane Conductance Regulator) RN - RRN67GMB0V (elexacaftor) SB - IM MH - Benzodioxoles/pharmacology MH - Cell Line MH - Cystic Fibrosis/drug therapy/genetics MH - Cystic Fibrosis Transmembrane Conductance Regulator/*genetics MH - Female MH - Humans MH - Indoles/pharmacology MH - Male MH - Mutation/*genetics MH - Pyrazoles/pharmacology MH - Pyridines/pharmacology MH - Pyrrolidines/pharmacology PMC - PMC8744605 OTO - NOTNLM OT - cystic fibrosis OT - intestinal organoids OT - personalized medicine OT - protein trafficking OT - rare mutations OT - revertants COIS- The authors declare no conflict of interest. EDAT- 2022/01/12 06:00 MHDA- 2022/01/29 06:00 PMCR- 2021/12/21 CRDT- 2022/01/11 01:02 PHST- 2021/11/22 00:00 [received] PHST- 2021/12/17 00:00 [revised] PHST- 2021/12/18 00:00 [accepted] PHST- 2022/01/11 01:02 [entrez] PHST- 2022/01/12 06:00 [pubmed] PHST- 2022/01/29 06:00 [medline] PHST- 2021/12/21 00:00 [pmc-release] AID - ijms23010024 [pii] AID - ijms-23-00024 [pii] AID - 10.3390/ijms23010024 [doi] PST - epublish SO - Int J Mol Sci. 2021 Dec 21;23(1):24. doi: 10.3390/ijms23010024.