Premature degradation of CFTR⌬F508 causes cystic fibrosis (CF). CFTR⌬F508 folding defects are conditional and folding correctors are being developed as CF therapeutics. How the cellular environment impacts CFTR⌬F508 folding efficiency and the identity of CFTR⌬F508's correctable folding defects is unclear. We report that inactivation of the RMA1 or CHIP ubiquitin ligase permits a pool of CFTR⌬F508 to escape the endoplasmic reticulum. Combined RMA1 or CHIP inactivation and Corr-4a treatment enhanced CFTR⌬F508 folding to 3-7-fold greater levels than those elicited by Corr-4a. Some, but not all, folding defects in CFTR⌬F508 are correctable. CHIP and RMA1 recognize different regions of CFTR and a large pool of nascent CFTR⌬F508 is ubiquitinated by RMA1 before Corr-4a action. RMA1 recognizes defects in CFTR⌬F508 related to misassembly of a complex that contains MSD1, NBD1, and the R-domain. Corr-4a acts on CFTR⌬F508 after MSD2 synthesis and was ineffective at rescue of ⌬F508 dependent folding defects in amino-terminal regions. In contrast, misfolding caused by the rare CF-causing mutation V232D in MSD1 was highly correctable by Corr-4a. Overall, correction of folding defects recognized by RMA1 and/or global modulation of ER quality control has the potential to increase CFTR⌬F508 folding and provide a therapeutic approach for CF.
INTRODUCTIONCystic fibrosis (CF) is a lethal inherited disorder that is caused by mutations in the gene coding for the CF transmembrane conductance regulator (CFTR; Riordan et al., 1989). The CFTR protein is a cAMP-regulated chloride channel that is localized to the apical surface of epithelial cells (Li et al., 1988;Anderson et al., 1991) where it functions to regulate water and salt homeostasis. Inheritance of the CFTR⌬F508 gene, in which phenylalanine 508 is deleted from the nucleotide binding domain 1 (NBD1), is the major cause of CF. This prevalent mutation is found in ϳ90% of patients afflicted with CF (Bobadilla et al., 2002). Loss of functional CFTR alters the hydration of airway epithelial and gives rise to microbial infections, which can ultimately lead to lung failure and death (Rowe et al., 2005).CFTR, an ATP-binding cassette (ABC) transporter superfamily member (Hyde et al., 1990), is a 1480-residue polytopic membrane glycoprotein that is predicted to contain two membrane-spanning domains (MSD), two nucleotide-binding domains (NBD), and a regulatory domain (R; Riordan et al., 1989). The folding of CFTR into a functional chloride channel is complex because it requires the coordinated folding and assembly of its membrane and cytoplasmic domains Cui et al., 2007). Consequently, CFTR folding is a relatively inefficient process with ϳ70% of the wild type and 99% of the ⌬F508 mutant being partitioned from a folding to a degradation pathway (Ward and Kopito, 1994). However, although early stage biogenic intermediates of CFTR and CFTR⌬F508 appear to have similar conformations (Zhang et al., 1998), the folding of CFTR⌬F508 becomes arrested at a poorly defined step. Interestingly, deletion ...