Rattlesnake Phospholipase A2 Increases CFTR-Chloride Channel Current and Corrects ∆ F508CFTR Dysfunction: Impact in Cystic Fibrosis

Abstract Deletion of Phe508 in the nucleotide binding domain (∆ F508–NBD1) of the cystic fibrosistransmembrane regulator (CFTR; a cyclic AMP-regulated chloride channel) is the most frequent mutation associated with cystic fibrosis. This mutation affects the maturation and gating of CFTR protein. The search for new high-affinity ligands of CFTR acting as dual modulators(correctors/activators) presents a major challenge in the pharmacology of cystic fibrosis. Snake venomsare a rich source of natural multifunctional proteins, potential binders of ion channels. In this study, we identified the CB subunit of crotoxin from Crotalus durissus terrificusas a new ligand and allosteric modulatorof CFTR. We showed that CB interacts with NBD1 of both wild type and ∆ F508CFTR and increases their chloride channelcurrents. The potentiating effect of CB on CFTR activity was demonstrated using electrophysiological techniques in Xenopus laevis oocytes, in CFTR–HeLa cells, and ex vivo in mouse colon tissue. The correcting effect of CB was shown by functional rescue of CFTR activity after 24-h ΔF508CFTR treatments with CB. Moreover, the presence of fully glycosylated CFTR was observed. Molecular docking allowed us to propose a model of the complex involving of the ABCβ and F1-like ATP-binding subdomains of ΔF508–NBD1. Hydrogen–deuterium exchangeanalysis confirmed stabilization in these regions, also showing allosteric stabilization in two other distal regions. Surface plasmon resonance competition studies showed that CB disrupts the ∆ F508CFTR–cytokeratin 8 complex, allowing for the escape of ∆ F508CFTR from degradation. Therefore CB, as a dual modulatorof ΔF508CFTR, constitutes a template for the development of new anti-CF agents.