Personalized medicine in Cystic Fibrosis: Genistein supplementation as a treatment option for patients with a rare S1045Y-CFTR mutation.
Am J Physiol Lung Cell Mol Physiol. 2016 Jun 3:ajplung.00134.2016. Epub 2016 Jun 3. PMID: 27261451
Cystic fibrosis (CF) is a life-shortening disease caused by the mutations that generate non-functional CF transmembrane conductance regulator (CFTR) protein. A rare serine-to-tyrosine (S1045Y) CFTR mutation was earlier reported to result in CF-associated fatality. We identified an African American patient with the S1045Y mutation in CFTR, as well as a stop-codon mutation, who has a mild CF phenotype. The underlying mechanism of CF caused by S1045Y-CFTR has not been elucidated. In this study, we determined that S1045Y-CFTR exhibits two-fold attenuated function compared to WT-CFTR. We report that serine-to-tyrosine mutation leads to increased tyrosine phosphorylation of S1045Y-CFTR, followed by recruitment and binding of E3-ubiquitin ligase c-cbl, resulting in enhanced ubiquitination and passage of S1045Y-CFTR into the endosome/lysosome degradative compartment. We demonstrate that inhibition of tyrosine phosphorylation partially rescues S1045Y-CFTR surface expression and function. Based on our findings, it could be suggested that consuming genistein (a tyrosine phosphorylation inhibitor) would likely ameliorate CF symptoms in individuals with S1045Y-CFTR, providing a unique personalized therapy for this rare CF mutation.