Cystic fibrosis transmembrane conductance regulator (CFTR) is a member of the ABC protein superfamily. Phosphorylation of a regulatory domain of this protein is a prerequisite for activity. We analyzed the effect of protein kinase A (PKA) phosphorylation on the structure of purified and reconstituted CFTR protein. 1 H/ 2 H exchange monitored by attenuated total reflection Fourier transform IR spectroscopy demonstrates that CFTR is highly accessible to aqueous medium. Phosphorylation of the regulatory (R) domain by PKA further increases this accessibility. More specifically, fluorescence quenching of cytosolic tryptophan residues revealed that the accessibility of the cytoplasmic part of the protein is modified by phosphorylation. Moreover, the combination of polarized IR spectroscopy with 1 H/ 2 H exchange suggested an increase of the accessibility of the transmembrane domains of CFTR. This suggests that CFTR phosphorylation can induce a large conformational change that could correspond either to a displacement of the R domain or to long range conformational changes transmitted from the phosphorylation sites to the nucleotide binding domains and the transmembrane segments. Such structural changes may provide better access for the solutes to the nucleotide binding domains and the ion binding site.Cystic fibrosis is caused by a mutation in the membrane chloride channel CFTR 1 (1). CFTR is a member of the ABC superfamily. As the other members of this family, CFTR contains two transmembrane domains and two nucleotide binding domains (NBD) responsible for ATP hydrolysis. In addition to the common ABC structure, CFTR possesses an R domain (regulatory domain) that contains several consensus phosphorylation sites. Phosphorylation of this domain followed by ATP binding and hydrolysis by the NBDs is necessary to induce chloride permeability (2, 3). Yet, an alternative activation mode has been proposed recently, where glutamate induces chloride channel activity in the absence of PKA and ATP (4), but it still needs further investigation.CFTR contains 10 dibasic (R(R/K)X(S/T)) consensus sequences for PKA phosphorylation as well as several monobasic and low affinity sites, most of them located in the R domain (1). Although the overall sequence identity of CFTR R domains is low, the phosphorylation sites are remarkably conserved among species (5). It is believed that the R domain combines both inhibitory and stimulatory effects. Effectively, deletion of the residues 708 -835 from the R domain (6, 7), and even of the residues 760 -783 (8), generates constitutively active channels. Moreover, overexpression or addition of the unphosphorylated R domain, encompassing residues 590 -858, inhibits chloride transport (9). PKA phosphorylation relieves this inhibition. On the other hand, it has been shown that exogenous phosphorylated R domain (either residues 590 -858, 645-834, or 708 -831) increases the open probability of a CFTR channel construct missing residues 708 -835 from the R domain (7,10,11).Nevertheless, the effect of the ph...