Combination potentiator (‘co-potentiator’) therapy for CF caused by CFTR mutants, including N1303K, that are poorly responsive to single potentiators

Autor: Peter M. Haggie, Walter E. Finkbeiner, Joseph-Anthony Tan, Alan S. Verkman, Dennis W. Nielson, Jung-Ho Son, Luis J. V. Galietta, Mark J. Kurth, Lorna Zlock, Puay-Wah Phuan, Ilaria Musante, Clarabella J. Li
Přispěvatelé: Phuan, Puay-Wah, Son, Jung-Ho, Tan, Joseph-Anthony, Li, Clarabella, Musante, Ilaria, Zlock, Lorna, Nielson, Dennis W., Finkbeiner, Walter E., Kurth, Mark J., Galietta, Luis J., Haggie, Peter M., Verkman, Alan S.
Rok vydání: 2018
Předmět:
0301 basic medicine
Cystic Fibrosis
High-throughput screen
Respiratory System
Mutant
Cystic Fibrosis Transmembrane Conductance Regulator
Quinolones
Pharmacology
Aminophenols
medicine.disease_cause
Cystic fibrosis
Congenital
0302 clinical medicine
CFTR
Lung
Sulfonamides
Mutation
Cultured
Drug Synergism
respiratory system
Small molecule
Potentiator
Cystic fibrosi
N1303K
Ion Channel Gating
Pulmonary and Respiratory Medicine
Agonist
congenital
hereditary
and neonatal diseases and abnormalities

medicine.drug_class
Cells
Clinical Sciences
Article
Cell Line
Structure-Activity Relationship
03 medical and health sciences
Rare Diseases
medicine
Animals
Humans
Structure–activity relationship
business.industry
medicine.disease
030104 developmental biology
030228 respiratory system
Cell culture
Pediatrics
Perinatology and Child Health

Mutant Proteins
business
Zdroj: Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, vol 17, iss 5
ISSN: 1569-1993
DOI: 10.1016/j.jcf.2018.05.010
Popis: Background Current modulator therapies for some cystic fibrosis-causing CFTR mutants, including N1303K, have limited efficacy. We provide evidence here to support combination potentiator (co-potentiator) therapy for mutant CFTRs that are poorly responsive to single potentiators. Methods Functional synergy screens done on N1303K and W1282X CFTR, in which small molecules were tested with VX-770, identified arylsulfonamide-pyrrolopyridine, phenoxy-benzimidazole and flavone co-potentiators. Results A previously identified arylsulfonamide-pyrrolopyridine co-potentiator (ASP-11) added with VX-770 increased N1303K-CFTR current 7-fold more than VX-770 alone. ASP-11 increased by ~65% of the current of G551D-CFTR compared to VX-770, was additive with VX-770 on F508del-CFTR, and activated wild-type CFTR in the absence of a cAMP agonist. ASP-11 efficacy with VX-770 was demonstrated in primary CF human airway cell cultures having N1303K, W1282X and G551D CFTR mutations. Structure-activity studies on 11 synthesized ASP-11 analogs produced compounds with EC 50 down to 0.5 μM. Conclusions These studies support combination potentiator therapy for CF caused by some CFTR mutations that are not effectively treated by single potentiators.
Databáze: OpenAIRE