Division of Pediatric Pulmonology, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
PLoS One. 2013 May 9;8(5):e63167. doi: 10.1371/journal.pone.0063167. Print 2013.
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.
CFTR 是一种完整的跨膜糖蛋白和 cAMP 激活的 Cl(-)通道。CFTR 基因突变导致囊性纤维化(CF)——一种常染色体隐性遗传病,大多数发病率和死亡率是由气道感染、炎症和纤维化引起的。CFTR 基因中最常见的疾病相关突变是 Phe508(ΔF508)缺失,导致 CFTR 的生物合成加工缺陷。CFTR 缺陷的纠正和 ΔF508-CFTR 的递送至细胞表面一直被高度期待作为一种疾病修饰治疗。与培养细胞中的有希望的结果相比,这种方法在早期临床试验中对 CF 患者的效果要差得多。尽管临床试验中未能挽救 ΔF508-CFTR 的原因尚未确定,但可以考虑存在干扰体内挽救的因素。细胞因子 TGF-β1 在 CF 患者中经常升高。TGF-β1 在不同的疾病模型和遗传背景中具有多效性作用,而关于 TGF-β1 对人气道上皮细胞中 CFTR 的影响知之甚少。此外,尚无研究探讨 TGF-β1 对 ΔF508-CFTR 功能挽救的影响。在这里,我们发现 TGF-β1 通过降低非 CF 个体原代分化的人支气管上皮(HBE)细胞中的 mRNA 水平和蛋白丰度来抑制 CFTR 的生物发生。TGF-β1 在不损害 HBE 细胞的上皮表型或完整性的情况下抑制 CFTR 的生物发生。TGF-β1 还抑制了来自纯合 ΔF508 突变患者的 HBE 细胞中 ΔF508-CFTR 的生物发生和功能挽救。我们的数据表明,TGF-β1 信号的激活可能会抑制非 CF 个体中的 CFTR 功能,并可能干扰旨在纠正 CF 患者中 ΔF508-CFTR 加工缺陷的治疗。