The cystic fibrosis transmembrane conductance regulator (CFTR) is a member of the ATP-binding cassette transporters but serves as a chloride channel dysfunctional in cystic fibrosis. The activity of CFTR is tightly controlled not only by ATPdriven dimerization of its nucleotide-binding domains but also by phosphorylation of a unique regulatory (R) domain by protein kinase A (PKA of cytoplasmic loop 3 to prevent channel opening by ATP in the non-phosphorylated state and by subsequent cAMP-dependent phosphorylation. These observations support an electron cryomicroscopy-based structural model on which the R domain is closed to cytoplasmic loops regulating channel gating.
The cystic fibrosis transmembrane conductance regulator (CFTR)2 chloride channel is widely distributed in the human organs, including the heart, and mediates the electric response to ATP and protein kinase A or C. As shown in Fig. 1, this protein has two membrane-spanning domains (MSD1 and MSD2), two intracellular nucleotide-binding domains (NBD1 and NBD2), and a unique regulatory (R) domain, although it belongs to the human C subfamily of ATP-binding cassette transporters (1, 2). Each MSD consists of six transmembrane helical segments probably extended to four cytoplasmic loops (3). Although recent studies have strongly suggested structural similarities between CFTR and bacterial transporters Sav1866 and MsbA (3-5), three-dimensional structural information about the whole protein is still unavailable except for the crystal structure of the isolated NBD1 (6). Furthermore, the exact location and relative orientation of the R domain in the whole protein are also unclear because this domain lacks a stably folded globular structure and thus is disordered (7,8).Ion transport of CFTR is triggered by not only ATP binding and hydrolysis at the interface of a NBD1-NBD2 dimer but also phosphorylation by protein kinase A (PKA) (9). Structures of bacterial NBD homodimers indicate two ATP-binding sites at the NBD1-NBD2 interface, and each site is composed of residues from both NBDs (10). However, most PKA phosphorylation sites are mainly found in the R domain (6, 11).CFTR activity is tightly controlled by interdomain interactions. Several thiol-specific cross-linking studies, based on the crystal structures of Sav1866 and MsbA, have shown that the NBD1-NBD2 dimerization drives channel opening (12). However, chemical cross-linking of NBDs to cytoplasmic loops (CLs) inhibits channel activity (Fig. 1) (5, 13, 14). Recent structural studies of CFTR and other ATP-binding cassette transporters suggested rearrangements of CLs that couple dimerization of the NBDs to a change in the MSDs from an inward to an outward facing conformation (4,15,16). Our recent study also demonstrated that a K190C/S mutation from CL1 enhances ATP-independent channel opening induced by a K978C/P/S mutation from CL3 (17). Thus, CLs may function as a key regulatory switch to modulate normal CFTR activity. * This work was supported, in whole or in part, by National Institutes of Health Grant 2R...