Different classes of mutations (class I-VI) of the cystic fibrosis (CF)transmembrane conductance regulator (CFTR) gene are responsible for lung/pancreatic disease. The most common mutation, ⌬F508, is characterized by expression of precursor forms of CFTR but no functional CFTR. Since only 5-10% of normal CFTR function is required to correct the electrophysiologic defect across the airway epithelium, gene therapy holds promise for treatment of patients with CF lung disease. However, efficient delivery and transgene expression are not the only parameters that may influence the success of gene therapy. Host-specific immune responses generated against the therapeutic CFTR protein may pose a problem, especially when the coding sequence between the normal CFTR and mutated CFTR differ. This phenomenon is more pertinent to class I mutations in which large fragments of the protein are not expressed. However, T cells directed against epitopes that span sequences containing class II-V mutations are also possible. We used MHC-binding prediction programs to predict the probability of cellular immune responses that may be generated against CFTR in ⌬F508 homozygote patients. Results obtained from running the prediction algorithms yielded a few high-scoring MHC-Class I binders within the specific sequences, suggesting that there is a possibility of the host to mount a cellular immune response against CFTR, even when the difference between therapeutic and host CFTR is a single amino acid (F) at position 508.
Keywords: MHC ligand; CFTR; gene therapy; ⌬F508Cystic fibrosis (CF) is a debilitating human disease caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene, which encodes a protein that functions as a cAMP-regulated chloride channel. Defects of the CFTR protein result in abnormal chloride transport across the apical membranes of epithelial cells in the airways, pancreas, intestine, and vas deferens, leading to progressive lung disease, pancreatic dysfunction, elevated sweat electrolyte levels, and male infertility, respectively. More than 1,000 mutations have been identified in the CFTR gene. With reference to chloride transport dysfunction, CFTR mutations can be grouped into five classes that reflect the associated biosynthetic or functional alterations in the CFTR protein: (I) CFTR not synthesized, (II) defective processing, (III) defective regulation, (IV) defective conductance, and (V) partially defective production or processing. While for classes I (Received in original form August 23, 2006 and in final form November 17, 2006 ) Grants from the NIH (PO1-NL051746, P30-DK047757) (J.M.W.) and the CF Foundation supported this work.Correspondence and requests for reprints should be addressed to James M. Wilson, M.D., Ph.D