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Cystic fibrosis transmembrane conductance

regulator mutations that disrupt nucleotide

binding.

J Logan, … , W J Cook, E J Sorscher

J Clin Invest.

1994;

94(1)

:228-236.

https://doi.org/10.1172/JCI117311

.

Increasing evidence suggests heterogeneity in the molecular pathogenesis of cystic fibrosis

(CF). Mutations such as deletion of phenylalanine at position 508 (delta F508) within the

cystic fibrosis transmembrane conductance regulator (CFTR), for example, appear to cause

disease by abrogating normal biosynthetic processing, a mechanism which results in

retention and degradation of the mutant protein within the endoplasmic reticulum. Other

mutations, such as the relatively common glycine-->aspartic acid replacement at CFTR

position 551 (G551D) appear to be normally processed, and therefore must cause disease

through some other mechanism. Because delta F508 and G551D both occur within a

predicted nucleotide binding domain (NBD) of the CFTR, we tested the influence of these

mutations on nucleotide binding by the protein. We found that G551D and the

corresponding mutation in the CFTR second nucleotide binding domain, G1349D, led to

decreased nucleotide binding by CFTR NBDs, while the delta F508 mutation did not alter

nucleotide binding. These results implicate defective ATP binding as contributing to the

pathogenic mechanism of a relatively common mutation leading to CF, and suggest that

structural integrity of a highly conserved region present in over 30 prokaryotic and

eukaryotic nucleotide binding domains may be critical for normal nucleotide binding.

Research Article

Find the latest version:

(2)

Cystic Fibrosis

Transmembrane Conductance

Regulator Mutations

That Disrupt Nucleotide

Binding

JamesLogan,* David Hiestand,* Paru Daram, ZhenHuang, Donald D.Muccio,§JohnHartman,

Boyd

Haley,*

William J.

Cook,1I

and Eric J.Sorscher

*DepartmentofBiochemistry University of KentuckyLexington, Kentucky 40536; and Departments of Medicine, Physiologyand

Biophysics, *Pediatrics, HPathology, *Chemistry, andOCenterfor Macromolecular Crystallography, University of Alabama

atBirmingham, Birmingham, Alabama 35294

Abstract

Increasing evidence suggests

heterogeneity

in the molecular

pathogenesisof cystic fibrosis (CF). Mutations such as dele-tion ofphenylalanine at position 508 (AF508) within the

cystic fibrosis transmembrane conductance regulator

(CFTR),for example, appear to cause diseasebyabrogating normal biosynthetic processing, a mechanism which results inretention and degradation of the mutant protein within the endoplasmic reticulum. Other mutations, such as the

relatively

common

glycine

-,

aspartic

acid

replacement

at CFTR position 551 (G551D) appear to be normally

pro-cessed,and therefore must cause disease through some other

mechanism. Because AF508 and G551D both occur within

apredictednucleotidebindingdomain(NBD) of the CFTR, we tested the influence of these mutations on nucleotide

bindingby theprotein.We found thatG551Dand the corre-sponding mutation in the CFTR second nucleotide binding

domain, G1349D, led to decreased nucleotide binding by

CFTRNBDs, while theAF508 mutation didnotalter nucle-otidebinding.These resultsimplicate defectiveATPbinding ascontributingtothepathogenicmechanism ofarelatively commonmutationleadingtoCF,and suggestthat structural

integrity

ofa highly conserved region present in over 30 prokaryotic and eukaryotic nucleotide binding domains

may becriticalfor normal nucleotidebinding. (J. Clin.

In-vest. 1994. 94:228-236.)Key words:cysticfibrosis*genetics

*pathogenesis *ATP * structure

Introduction

Many of the mutations whichcauseclinicalcysticfibrosis(CF)l occurwithin thetwonucleotidebindingdomains of thecystic

fibrosis transmembrane conductanceregulator (CFTR) (1-3).

While the precise role of the nucleotide binding domains (NBDs) in CFTR function is stillunknown, previous studies

Addresscorrespondence to E. J. Sorscher, Department ofPhysiology

andBiophysics, University ofAlabamaatBirmingham, UABStation,

Birmingham,AL35294-0005.

Receivedfor publication 16 June 1993 and in revisedform 21

December1993.

1.Abbreviations usedinthis paper:ABC, ATPbindingcassette;CF, cystic fibrosis; CFTR,CF transmembraneregulator; GST,

glutathione-s-transferase; NBD, nucleotidebindingdomain.

have shown that the anion channel function of CFTR is depen-dent upon the presence of ATP or other nucleotides (4-8). Studies inourlaboratory (9) as well as by others (10, 11 ) have suggested that AF508, the most common mutation associated with clinical CF, is not associated with disrupted nucleotide binding by folded

CFJlR

polypeptides. Phenylalanine 508 is not highly conserved among the NBDs of more than 30 prokaryotic and eukaryotic members of theATP binding cassette (ABC) gene family which includes CFTR (1, 12, 13); this observation hassuggested that the F508 residue might not directly contribute

toATPbinding byCFTR.Inaddition, increasing evidence sug-gests that

CFTR

possessingtheAF508mutation is improperly processed within epithelial cells, and that disease results because the mutant protein fails to insert properly in the apical cell membrane (14-17). Such a pathogenic mechanism is not likely

tobedependent upon ATP binding by the NBD.

The second most common mutation leading to clinical cystic fibrosis isaglycinetoaspartic acid replacement within

NBD-1atCFTRposition 551 (G551D)(2, 18, 19). Because (a) both G551D and the corresponding mutation in NBD-2,

G1349D, cause clinical CF; (b) both mutations involve a

glycine residue which is invariant in alignments of>30

nu-cleotidebinding domains from the ATP bindingcassettegene

family(1, 12,13); (c) chloride channel studies from heterol-ogous eukaryotic cells expressing recombinant CFTRhave raised thepossibilityofadefective responseto ATPbyCFTR

with these mutations (5); and(d)bothG551D and G1349D appeartobenormally processedtothecellmembrane,(5, 14,

15),wetestedthe influence of these mutationsonnucleotide

bindingby CFTR NBDs.Wefound that G551D and G1349D, but not AF508, significantly decreased nucleotide binding

by recombinant NBDs. These results directly demonstrate abnormal nucleotidebindingastheresult of CFTRmutations,

and may haveimportantimplications concerning thegeneral structureofnucleotidebindingdomains within the ABC gene

family.

Methods

Recombinant synthesis andpurification ofCFTR nucleotide binding

domains. A series ofpolymerasechain reaction(PCR) primers defining

CFTR

NBD-l

(AA426 to588, 5 'GCGCGAATTCATGACAGCCTC-TTCTTCAG3'and 5'GCCATCAGTTTACAGACACAGAATTCAAA

3')orNBD-2(aminoacids1219to1387,5

'GCGCGAATTCAATAC-ACAGAAGGTGGAAATGCC3' and 5

'GTGCAATCAGCAAATGC-TTGTTTTAGAATTCTTC3')wereusedtoamplifytherespective wild-type andmutantNBDs fromCFTRcDNA

plasmid

templatesobtained

fromthe American TissueCultureCollection (Rockville, MD) (wild

type: ATCCno.T16-1andAF508: ATCCno.Cl-1/5)or as agenerous

giftfrom AlanSmithand RichardGregory (Genzyme Corp.,

Cambridge,

MA)(full lengthCFTRcDNAscontainingG551DorG1349D) (4, 5,

15). PCR conditionswere1 minx 94°C denaturation, 2 minX 50°C

J.Clin.Invest.

© TheAmerican Societyfor ClinicalInvestigation,Inc.

0021-9738/94/07/0228/09 $2.00

(3)

A

97 _lp

66 E 44

6

33 4_W

21 '

1 2 3 4

>_~~~~~B C

44 _

_ '.'J I',. '.

C

-_- 44

-_-* 33

A B C D E F

Figure 1. Synthesis and purification of recombinantCFTR NBD-l and NBD-2. (A)CFTRNBDs 1 and 2 weresynthesized as fusion proteins with GST and induced using isopropyl13-D-thiogalactopyranoside (Sigma Chemical Co.) (IPTG),according to a previously described protocol (9). Lanes 2and 3 show total E. coli cell lysate prior to and after IPTG induction, respectively (upper arrow, GST/wild typeNBD-l fusion protein). Lane4, following dialysis into a protease cleavage buffer, human thrombin was used to cleave the fusion protein into its two constituents; a 28-kDglutathione-s-transferasefragment(middle arrow) and the 21 -kDwild-type NBD- 1 (lowest arrow). Lane 1 contains molecular mass standards. (B) Cleaved material such as that shown in panel A., lane 4 was loaded on a preparative electrophoresis cell (Bio Rad). Proteins were separated on thebasis of molecularmassand collected in 5-ml fractionsastheyeluted from the bottom of thegel.Lanes B-J are20-gl samplesfrom every fifthfraction. Thepurified NBD-l (21 kD)is seen in lanes D and E. Molecularmassstandards are shown in lane A. (C) Using the same approach, aseriesof wild-type and mutant NBDs werepurified.LaneA, wild-type NBD-1; lane B, AF508NBD-1; lane C, G551D NBD-1; lane D, wild-typeNBD-2; lane E, G1349D NBD-2; lane F, molecular mass standards. Gels in A-C contain 12% acrylamide. GST/NBD fusion proteins run aberrantlyon 12%SDS-PAGE (- 43 kD). This has been noted for all five independently cloned NBD polypeptides used in this study, as well as forfour additional full length NBD mutants (not shown).

annealing, and 3 minx72°Celongation.Primers werechosen to create EcoRI sites at the ends of PCR products to allow cloning into the EcoRI siteofpGEX 2T(PharmaciaFineChemicals, Piscataway,NJ) in frame with glutathione-s-transferase (GST) and immediately 3' to an engi-neered thrombincleavagesite (9).AllPCRproducts obtainedbythis method were of thepredictedsize (524-bp NBD-1, 545-bpNBD-2).In

addition, identityofcorrectrecombinants were verifiedby (a) restriction

mapping using 10-12digestsperrecombinantconstruct;(b) re-ampli-fication ofthe fulllengthNBDinsertusingtherecombinantplasmidas

template; (c) recombinantplasmid-directedsynthesis of fusionprotein

andspecific cleavage byhuman thrombin into thetwopredicted

frag-ments; and(d) amino-terminalsequencing and compositional analysis (13 amino-terminal residues of NBD-1 and 12 amino-terminal residues ofNBD-2, aswell as >30 internal residues obtainedduring peptide mappingmatched the predicted sequence of the recombinantproteins).

Recombinantfusion proteinwascollectedandpartially purifiedas an

inclusion body preparation as described previously (9). After thrombin

treatment (inaproteasecleavage buffer containing 50 mM TrisHC1,

150 mM NaCl, 2.5 mM CaCl2, pH 7.4, and 20 U human thrombin

(SigmaChemical Co., St.Louis, MO)/10 mg recombinantprotein) - 3

mgofthepartially purified, cleavedpreparation(i.e.,containingNBD,

GST,someuncleavedfusion protein and minor bacterial contaminants) wasapplied to the top of apreparativeacrylamide gel (Bio Rad

Labora-tories)and the NBDpurified using electrophoresis through12%

acryl-amide as in Fig. 1 B. The observation that the polyacrylamide gel electrophoresisbasedprotein purification step used hererequired solubi-lization in 0.8%SDSis consistent with a recent report that solubilization of recombinant full length CFTR was refractory to a large series of

detergents, butultimately could be solubilized in 2% SDSwhile still

permitting efficient (20-40%) refolding of the protein intoa native formcapableofsupporting CFTRanion channel activityin theplanar lipid bilayer (6).

TrinitrophenylATPbindingby NBDs. 250 .gper mlpurified NBD-1 (-10

M1M)

in 10 mM Tris, pH 7.4, was incubated at40C with

increasingconcentrations oftrinitrophenylATP(TNP-ATP; Molecular

Probes, Inc., Eugene, OR). TNP-ATPdemonstrates fluorescence en-hancement when present in a nucleotidebindingpocket(10, 11). Ade-ninenucleotide fluorescencewasmeasuredateach datapointfor 1 sin

a 1-ml quartzcuvette usinga Perkin Elmer LS-50 spectrofluorometer (Perkin-Elmer Corp., Norwalk, CT) with excitation 408 nM and emis-sion 538 nM. Fluorescence enhancement was determinedateachdata point bymeasuring(a) thefluorescent signalof bufferplusTNP-ATP

ateach concentrationstudied; (b)the fluorescence ofproteinin buffer alone; and (c) thefluorescent signal ofprotein + TNP-ATP ateach

concentration and using the calculation: fluorescence enhancement

=(fluorescence signalofprotein+TNP-ATP)-(fluorescenceof TNP-ATPalone+fluorescence ofprotein alone). Becausepreliminary exper-iments indicated thatbindingof TNP-ATP to the NBD-1 isnot depen-dent upon divalentcations,Mg2`was notaddedtothe titration solutions.

y32p-2-azidoATPlabeling ofNBDs.2-azido ATPwassynthesized

from 2azido AMP(20) by themethod of Michelsonasmodifiedby

Salvuccietal.(21). [y-32p]2-azido ATP(sp. act. 5-35

mCi/,.mol)

wasthenprepared andpurified as describedpreviously (22).Thepurity

[y-32P]2-azidoATPwasdetermined by TLCanalysis.

Photoaffinity labelingwasconductedat4°Cin50-IAreactions

con-taining4 ,ugpurifiedrecombinantNBD, 10 mMtris, 10 mM MgCl2, pH7.1(withoutATPpresent) and the indicatedamountofphotoprobe.

Reactions wereinitiated by the addition ofphotoprobe. After a 30-s

incubation,the reactionswerephotolyzedfor 1 min withahand-held 254-nm UVlamp(I=3,100HIW/cm2).Afterphotolysis,sampleswere

precipitatedwithanequal volume of 7%perchloricacid and resolubi-lized inabuffercontaining10%SDS,3.6 M urea, 162 mMdithiothreitol,

m-Cresol purple as a tracking dye, and 20 mM Tris-HCl, pH. 8.0.

Samples werethen subjected to electrophoresis by an 8-12% SDS-PAGEseparating gel witha4%stacking gel accordingtothe method of Laemmli(23).Gelswerethenstained,fixed,andlabeling quantified

on anAMBIS 4000Imaging System(Ambis, Inc., SanDiego, CA).

Results

We usedprokaryotic over-expressionto generate quantities of

CFTlR NBDs sufficient forbinding and structural studies(Fig. 1). Because recombinant proteins synthesized in bacteria (as

well as ineukaryotic cells) commonly require refolding

(4)

3 4 5 6 7 8 9 10 11 Concentration

(ILM)

= wt.

M AF508

_ G551D

B 200

150

M

-4-,

U 100

0

50

2.5 5 10 15 25 50 75 100

Concentration

(,uM)

obtain arefolding sequence relevant to the native CFTR struc-tureandfunction. First,wehavepreviously shown that recombi-nantwild-typeandAF508CFTR NBD-1 derived from bacteria

bind ATPaffinityagarose aswellas32p-8-azido ATP (9). The

data presented below indicatesthat two additional ATP analogs,

trinitrophenyl ATP and 32p-2-azido ATP, also bind the

recom-binant NBD. All four ligands can be displaced by Na2 ATP

with half maximaldisplacement occurring at - 5 mM ATP. (9,

E.J. Sorscher andJ. Logan,unpublished observations). Second,

theproteins generated for thesestudiesdisplay substantial

sec-ondary structuralcontent (- 70%,3 sheet, 10% a helix) when

studied by circular dichroism, a result in agreement with a high

,/

sheetcontentreported for a synthetic peptide corresponding

to a67 amino acid segment of the NBD-1 (10). Third,although

invitro studies of recombinant CFTR using cell free membrane patches have demonstrated half maximal ATP stimulation at

- 270

jIM

(4), the ATPbinding affinity constants which we

have observed for NBD-1 are very similar to those reported for

CFTRCl-conductance reported in both native, perfused human sweat ducts and in anon-recombinant human cell line express-ing high levels of CFTR (T84) (7, 24; see also 8). Half maximal CFTR activity in both systems was reported at 3-5 mM, a finding which suggested that cellular ATP levels may represent

animportant regulatory constraintonCFTR anion channel ac-tivity. These observations indicate that the nucleotide binding

domains used in ourstudies possess substantial structure after refolding and bind ATP with an affinity very similar to that observed in macroscopic measurements of full length CFTR Cl- conductance.

We usedtwo independent assays of nucleotide binding to

testthesignificance of theAF508 and G551D mutations (Fig. 2). NBD-1 containing theAF508 mutation demonstrated very similarbindingtothewild typeNBD-1 as measuredusing either

TNP-ATP or32p-2-azido ATP. This result is consistent with previous studies inourlaboratory using other measurements of nucleotide affinity (9), as well as with conclusions reached using fully folded synthetic peptides corresponding to portions of the CFTRNBD-1 with andwithout F508 (11), and with a computer-based model of the NBDderived from asecondary structural alignment containing the known two- and

three-di-mensional structure of adenylate kinase (12, see below). In

contrast, as shown inFig. 2A, the G551D mutation inhibited

-0.8 -0.6 -0.4 -0.2 0.0 0.2 0.4 0.6

Concentration

Figure2.(A)TNP-ATPbinding byNBD-l. 250jg/mlpurified NBD-1in 10 mMTris, pH 7.4,wasincubatedat4°Cwithincreasing

concen-trations oftrinitrophenylATP. Eadie Hofstee transformation of the above data indicatedanapparent half maximalbindingat3.1, 3.5,

and 2.9 MM for wild type,AF508,andG551D, respectively;maximal

bindingvalueswere0.92, 1.05,and0.27relativefluorescence units

for the threerespective proteins.Bindingof TNP-ATPbythe wild type NBD-l could be inhibited in thepresenceof5 mMMg2ATP(50%

inhibitionat5 mMMg2 ATP). TNP-ATPbindingwascompletely ab-sentinthepresenceofdenaturingconcentrationsofurea(4 M),

indicat-ingtheimportanceofproperfoldingof the recombinant NBD for nucleo-tidebinding (not shown).n =7 for wild type andG551D,n= 3 for

AF508.Errorbars = SEM.(B)32p-2 azido ATP labeling of NBD-1.

32p-2-azidoATPatthe concentrationsshownwasincubated with

NBD-1 (4Mg)for30sfollowedby1 minofUVphotolysistocovalently label the recombinantproteinswithin the nucleotidebindingsite. The

gelswerestained, fixed, and thelabeling quantifiedon anAmbis 4000

Imaging System (Ambis, Inc.).InC,aLineweaver-Burkplotof the

data isshown;half-maximallabelingwasobtained at 1.3MMfor the

wild-typeNBD-1,2.1 MMfor the /F508NBD-1,andat7.5 MMfor

NBD-1containingthe G551Dmutation. To obtain maximal photolabel-ing, 32p-2azido ATPphotolysis shownin Band Cwasperformedin

the absence of free ATP.

0.9

A

0.8 0.7

0

0

0

0

IL0

0

Cu ._ Ir

0.6 0.5 0.4 0.3

0.2

0.1 1

(5)

TNP-ATP fluorescence enhancement by the recombinant

do-main.

The half maximal TNP-ATP binding values observed for wild type, AF508, and GS5lD were 3.1, 3.5, and 2.9

MM,

respectively, whereas the maximal binding occurred at 0.92,

1.05, and 0.27 relative fluorescent units. We estimateda5-mM half-maximalATPbinding basedonATPdisplacement of TNP-ATPand32p-2 azido ATP from the CFTRNBD-1.IntheNBD,

therefore, as in many nucleotide binding proteins, TNP-ATP

exhibits several orders of magnitude greater binding affinity

than does ATP. This may be due in part to thehydrophobic

phenyl group present in TNP-ATP and thehydrophobicnature

of many nucleotide binding sites. Forexample, in the gastric

H',

K+-ATPase, the apparent KD for TNP-ATPbinding was <25nM, whereas the apparent half maximalbinding byATP

was 86 tM (25). Inthe Na/KATPasepurified from eel elec-troplax, theKDfor TNP-ATPwasupto580 times greater than theKDfor ATP,dependingontheionic conditions used(26).

Nucleotidebindingbyapeptidefragment ofDNApolymerase Ialso wassubstantially tighter for TNP-nucleotides(kD = 0.5-1.5

MM)

than for thecorresponding nucleotides without phenyl group attached (kD = 230-2,100

MM)

(27).

Our estimatedbinding affinityfor ATP agreescloselywith

ourpreviously reported estimates ofATPaffinityfor theNBD

(9), withmacroscipic measurements of the ATP dependence of CFTR Cl channel activity using twoindependent systems (7, 24) and reasonably well with displacement of TNP-ATP

from a maltose binding protein/NBD-l fusion protein (28),

and withdisplacement of 32p-2 azidoATPfromthefull length CFTR (29) (half-maximal displacement at 1 mM). How-ever, while our results clearly indicate diminished nucleotide binding mediated by the GSSlD mutation, the micromolar half maximalbinding constantsusing TNP-ATP whichweobserved are notlikely topredict the dependence ofCFTRCl- channel activity onATP orothernonderivitized nucleotide triphosphates (KD values for ATP dependence of

CFTR

chloride channel have ranged between - 25 ,uM and 5 mM, depending onthe particular CFTR Cl- channel preparation used) (4, 5, 7, 24, 30).

The binding signal obtained with TNP-ATP reflects both theinstantaneous number of nucleotide binding sites occupied by theligandand thelocalenvironment within each site (which in turn isreflected inthemagnitude of fluorescence enhance-ment).Becausethebinding environments within the nucleotide pockets of the wild type, AFS08andGSSlD

NBD-l

polypep-tides maynotbeidentical, the quantum of fluorescence

enhance-mentobserved for each molecule ofTNP-ATPwhichbinds to

anNBD molecule cannot be assumed to be the same for the threerecombinant NBD-1 proteins. However, evenif the fluo-rescent (quantum) yield for each binding event is different, if the same numberof binding sites exist in solution, the ligand (TNP-ATP) concentration observed at saturation should not vary between the three NBD-1 polypeptides. This is not the

caseinour

experiments

(Fig.2A), whereGSSlDsaturates at 8-10

Mm

TNP-ATP, and saturation for the wild-type and the

AFS08 NBD occurred at significantly higher concentrations. This results suggests that inaddition to physically disrupting

thenucleotidebinding pocket within the nucleotide binding site

(see

Discussion),

theG-- D

replacement

at

position

551

might

alsodestabilizeoverall protein folding in such a way as to create

anequilibriumbetween NBD folded and unfolded forms. The result would be an apparent decrease in measurable

binding

sites within the NBD preparation and would explain the lower ligand concentration at saturation for GSS1D described in Fig. 2 A. Ultraviolet spectralanalysis of thestructuresofwild-type andmutant NBDs in the presence and absence of nucleotides, andin the presence of denaturants such as urea (9, 11 ) are in progress to evaluateeffects on protein folding stability mediated by GSSlD.

To confirm that less nucleotide was actually bound to CFTR polypeptides containing theGSSlD mutation, we performed an additional series of experiments using an independent nucleo-tidebinding assay. As showninFig. 2,Band C, at

concentra-tions below saturation, 32p-2-azido ATP labeling is diminished intheGSS1D mutant as compared with wild type (half-maximal photoinsertion was [in

1LM]

1.3 [wt]; 2.1 [AF508]; and 7.5 [GSS1D]. Because the two assays used in this study measure complementary features of nucleotide binding environment and ligand occupancy, taken together these results indicate defective nucleotide binding mediated by the GSSlD mutation. While the fluorescence enhancement observed for TNP-ATPbinding

depends primarily upon the integrity and local environment of anucleotidebinding pocket,32p-2 azido ATPlabelingnotonly requires an adequate binding site, but also requires properly oriented residues within the binding site which areaccessible for covalent photolabeling. In our experiments, the functional defect caused byGSS1D ledto anapparent decreasedmaximal binding by TNP-ATP(Fig. 2 A), and a diminished half maximal binding inexperiments using the32p-2 azido ATP (Fig. 2 B). Such anobservation could beexplained byachange in nucleo-tidebinding pockethydrophobicity (causingadecreased fluo-rescence signal from TNP-ATP even at maximal occupancy) together with loss of oneof a small number of sites normally available for covalent photolabeling by 32p-2-azido ATP (an abnormality with might be overcome at increasing

concentra-tions ofphotoaffinity ligand).

Although the glycine corresponding to G551 is invariant among morethan 30 ABCproteins (andan evenlarger numbers of NBDs, since each ABC protein possesses 2 NBDs), the functional significance of this glycine residue and the immedi-atelyadjacent, highly conserved residues found within all mem-bers of the gene family is not known (Other members of the gene family, for example, include the human multidrug resis-tancegene (MDR), the chloroquine resistance gene product of P. malaria, and the recently described human adrenoleukodys-trophy gene [1, 12, 13, 31-34]). An

LSGGQQXQR

motif is highly conserved across the ABC gene family (glycine corre-sponding to G551 underlined) (1, 12, 13), but is not present in other nucleotide binding proteins such as adenylate kinase, for example, or included within the so-called Walker A or Walker B sequences characterizing a broad range of non-ABC family, ATP-binding proteins (35, 36). It has been proposed that inthe histidine permease of S. typhimurium (an ABC pro-tein), the residues near the

LSG(JQXQR

motif could serve as a "linker peptide" which conveys conformational changes between segments of the domain (37).

(6)

I I, I I I

0 1 2 3 4 5 6 7 8 9 10 11 5 10 15 25 37.5 50

Concentration(PM) Concentration

(AiM)

Figure3. Binding of nucleotide by CFTR NBD-2.Aand B show TNP-ATP binding and 32p-2 azidoATPlabeling ofthe wild-type and G1349D

NBD-2,respectively. ExperimentswereperformedasinFig. 2. Maximalbindingof TNP-ATPtowild-typeNBD-2was 2.5 Xgreaterthan that

observedfor the G1349Dmutant. (Using algebraic transformationasdescribed inthe previous figure, forwtNBD-2, maximal binding = 8.9

fluorescence units; half maximal binding =3.8uMTNP-ATP; for G1349D,maximal binding= 3.5fluorescence units, half maximalat5.3

ILM

TNP-ATP). As shown in B, inclusion of G1349D withinNBD-2blockedazido nucleotide labeling of the protein. The magnitude of 32p-2 azido

ATPlabeling is highly dependentuponthe specific activity of the photoaffinityligand used. Thespecificactivity of 32p-2 azido ATP used in Fig.

3 Bwas 10-fold higher than that used in Fig. 2B.When wild-typeNBD-1 andNBD-2weredirectly compared using photolabeling under identical

conditions(and using thesamelot of32p-2 azido ATP),a - 10-fold enhancement of maximal photolabelingwasobserved inNBD-2 compared

with NBD-1 (datanotshown).

TNP-ATPwere8.9 fluorescence units (wild-type NBD-2) and

3.5 fluorescence units(G1349D NBD-2);half-maximalbinding

wasobservedat3.8 and 5.3gcm TNP-ATPfor thewtNBD-2 and G1349Dmutants,respectively.Half-maximalphotoinsertionof the wildtypeNBD-2 with 32p-2 azidoATPwasobservedata

ligand concentration of - 13 um, whereas photolabeling was

substantiallyless for the G1349Dcomparedwith thewild-type

NBD-2 at every ligand concentration studied. These findings

havesignificance, since theysuggest ageneralfunction of the

conservedglycineandsurroundingresiduesmaybe in

nucleo-tidebinding.The resultsareconsistent both withprevious obser-vationsindicatinganabnormal ATPdependenceinCFTR

con-taining mutations in this glycineresidue (5) and with the ob-served loss of function of other ABC proteins containing comparablemutations (38). However, experiments measuring

CFTRorother ABCproteinfunction couldnotdistinguish

be-tweendisruptedATPbinding, hydrolysis, orutilization of

nu-cleotide asthe mechanism of observed abnormalities in

func-tion. Our data support the notion that in addition toabnormal

biosynthetic processing, cysticfibrosismayresult fromdefects in nucleotidebinding bytheCFTlR.It islikelythatanadditional mechanism (i.e.,absent CFTRpolypeptideduetothepresence

ofpremature stopcodons within certainmutantCFTRalleles)

mayalsoaccountfor the defectinsome cases(18, 39).

Discussion

Totestthe influence of CF mutationsonnucleotidebinding,

we constructed and purified the CFTR domains which have

beenimplicatedasbothnecessary and sufficient for nucleotide interactions with CFTR (1-5, 9-13). The highly conserved, functionally independent and even interchangeable nature of

CFTR and other nucleotidebindingdomains(whichspan - 200

aminoacids and share 30% amino acididentity throughoutthe

ABCgenefamily)suggeststhatoneapproachtounderstanding

the molecularpathogenesisof CFTR mutationsmightfocuson

the domainsthemselves,asopposedtoanyparticularATP

bind-ingcassetteproteincontext.Forexample,the NBDs in the LIV-Ineutral branched chain amino acidtransport systemofE.coli and the histidinepermeaseofS.typhimuriumarefoundongenes

separatefrom the remainder of thetransportcomplex (andare

therefore synthesized separately), but assemble with the

re-mainder of the ABC complex at the cell membrane. When CFTR NBD mutations were placedat corresponding residues within these bacterialNBDs, (orwithin the NBDs of theyeast

mating factortransporter, STE 6), certain of these mutations had functional effects consistent with those observed in CFTR

(althoughothers didnot.See refs.37, 38, 40). Furthermore,in

ABCproteins containingboth NBDs withinasingle polypeptide chain, thetwoNBDscanbeseparatedand still maintain func-tion. Forexample, when the STE 6 cDNA, which codes for

both NBDs of theprotein,was severedintotwohalves, (each

of which containedoneof theNBDs), coexpressionof the two

STE 6 truncations led to functional reconstitution of STE 6

mediated a-factortransport(40).

NBDsarealsointerchangeableamongmembers of the ABC

protein family. The NBD-1 of CFTR, for example, can be

grafted into STE 6 in place of the STE 6 NBD-1 to allow

A 5

4

0 0 c

0

D

(a 0 0

0

cc

3

2

1

(7)

functional transport ofmatingfactor.Importantly, NBD-1

muta-tions known to disrupt CFTR function also led to disrupted mating factor transport by the chimeric STE6/CF]R protein (41).Finally, although dataconcerningarequirement for ATP hydrolysis in CF`R activity is not yet conclusive, in some members of the ATP binding cassette gene family known to

hydrolyze ATP, isolated NBDs are sufficient to mediate this

hydrolysis (12,42, 43).Takentogether,thesefindings demon-strate that the NBDs within the ATP binding cassette family

are functionally independent, self-contained "cassettes" and emphasize (a) that characterization of the nucleotide binding domains, themselves, (independentofthetransmembrane, regu-latory and otherregions withinATPbindingcassetteproteins) canoffer substantialinsight into the mechanism of actionwithin

this family of gene products, and(b) the relevance of normal

and abnormalfunction of the domainstotheactivityofthefull

length ABCproteins. Indeed, inasimilarapproachto that ap-plied in the current study, binding and structural studies of synthetic peptidescorrespondingtoportionsof the CFTR NBD-1 (10, 11), as well as computer-assisted models of isolated nucleotidebinding domains basedonsecondary structural align-ments with the known crystal structures of adenylate kinase,

p21 ras, and the elongation factor Tu, have previously been usedtopredict thesignificanceofclinically importantmutations

onCFTR nucleotidebinding and function (seebelow, 12, 13). NBDs within theABCfamilyverylikelysubserve similar func-tions, sothatconclusions concerning the CFTR NBD- 1 could beapplicabletoCFTRNBD-2andtoNBDsofother members

ofthegenefamily aswell.

Themaximalbinding ofTNP-ATPby wild type andAF508 NBD-l was 3-4-fold greater than that observed for the G551D

mutant.Defective maximalbindingcapacity ofasimilar magni-tudehas beenproposed to accountforsomeforms of familial hypercholesterolemia (inwhichligandbinding bymutant LDL

receptor is decreased by fourfold) (44), for oxygen affinity

mutants inclinical hemoglobinopathies (45), aswellas inthe twofold differenceinbinding orenzymatic function which ac-countsforenzymatic defects of many congenital diseases (e.g., those inherited in an autosomal dominant fashion) (46). In addition, since in most cases the G -+ Dmutant allele causes

disease inconjunction withaAF508allele, nucleotide binding in acompound heterozygote (which may already be 50% de-creased duetoaberrantprocessing of theAF508geneproduct) might represent only a residual of15-20% of that seen in a wild-typecell.

Although the anion channelactivity of wild-type and mutant

CFTRpolypeptides has become themostuseful endpoint defin-ing normal CFTRfunction, mutations which cause clinical CF in manycases causeonly small alterations in channel activity in vitro. For example, in a series of four NBD-1 and NBD-2 mutations which cause disease (including G1349D and

GSS1S), although 4-8-fold differences in open probability

wereobserved in vitro when compared with wild type, no abnor-malities in maximal single channel currents could be docu-mented (althoughsmalldifferences in the dependence of current

onATPwereobserved for the mutants) (5). In vivo, potential differencemeasurements inrespiratoryepithelia of CF patients differ by less than threefold compared with normal controls (47, 48). Thisdatafurther supports the notion that even subtle

changesin normal CFTR function may have important physio-logic consequences. Finally, measurements of CFTR activity in intact human tissues and cell

monolayers

have indicated that

half maximal CFTRactivationrequires maximal cellular ATP

levels (- 5 mM), and thatCFTR activity maybe coupled to

physiologic nucleotide levels within the cell(7, 24). The de-crease in bindingof ATP analogs demonstrated here has sig-nificance, therefore,since a similar defect in nucleotidebinding in vivo could resultin mutantCFTRwhich would be activated

onlyatnucleotide levels which are notpresentwithin thecell.

OurstudiesusingrecombinantCFTRNBDsprovideatest

ofrecentpredictions concerning the function and structure of

NBDswithin the ABC genefamily. Forexample, basedupon Michaels-Menten analysesof the ATP dependenceof CFTR anion channelopenprobability, it has beenproposedboththat

thefull length CFTRcontainsonlyone functionalATP binding site(30), and thattwoactive nucleotide bindingsites are

pres-ent within the fulllengthmolecule(5).Our results are the first todirectly demonstratethat both CFTR NBD-1 and NBD-2 are

capable ofbindingnucleotide, and thereforeprovideevidence

for the presence ofmore than onefunctionalCFTR nucleotide

binding site.Inaddition, binding affinity appearstobe different between the two domains. NBD-2 exhibits a modest(ninefold) increase in maximal TNP-ATP fluorescence when compared with NBD-1 (compareFigs. 2Aand 3 A), andanapproximate 10-fold increase inphotolabeling with32p-2azido ATPwhen NBD-2and NBD-1 arecompared in thesameexperiment (data

notshown). Increasedaffinity ofNBD-2 for a nucleotideanalog could support the notion thattwoNBDs of CFTR maynothave

identical roles in the maintenance of CFTRC1-channel activity.

Thepossibility of different functions of thetwoCFTRNBDs

has beensuggestedpreviouslybaseduponstudies of the influ-enceof NBD-1 andNBD-2mutationsonthe CFT`RC1-channel

in isolated membrane patches, where functional differences in

the domains led to speculation thatATPhydrolysis by CFTR was dependentprimarilyon NBD-2rather than NBD-1 (5).

Althoughahigh resolutioncrystalstructureisnotyet avail-able for any of the ABCprotein NBDs, Chou-Fasman based

predicted secondary structure of the CFTR and other NBDs corresponds verycloselytothatofnon-ABC,knownnucleotide binding proteins such as adenylate kinase, p21 ras, and the

elongation factor, Tu. Thestriking alignment of thepredicted

2° structure of the CFTR NBD and the known structure of these other proteins has been used to predict the functional consequences of disease-associated CFTR mutations. For

exam-ple,amodel oftheCFTRNBDbasedon20structuralhomology with adenylate kinase (12) predicted that theAF508mutation wouldbe spatially so distant from the nucleotide binding pocket of CFTR NBD-1 that it would notdisrupt ATP binding. Our resultsareconsistent with this prediction. No specific prediction

was made

concerning

the G-+DmutationsatCFTR

positions

551 and 1349. In an attempt torelate NBD tertiary structural models to our findings concerning nucleotide binding,

assign-ment of the corresponding locations of these residues within the known adenylate kinase tertiary structure wasperformed.

As

shown

in Fig. 4, assignment of the positions of G551

and G1349 isstraightforward based on previously determined alignments (12). These residues would be predicted to fall immediately afterthethird/8strandinboth the adenylate kinase and the predicted CFTR NBD structure. In addition, in the

original CFTR NBD model, the ATP binding pocket was

as-signedto a large cleft corresponding to the AMP binding site in adenylate kinase. When this binding site is appropriately adjusted based on the most recent crystallographic and NMR

(8)

ade-Figure 4.Positions ofresidues

G551andG1349inatertiary

structuralmodel of the NBD based on adenylate kinase. The similarities betweenpredicted sec-ondary structure of ABC protein NBDs and the known structureof

adenylatekinase, together with the structuralsimilarities of nucleo-tide binding sites within diverse, unrelated proteins outside of the ABCfamily (e.g.,between ade-nylate kinase, the elongation fac-tor Tu andp21 ras), suggest that the tertiary structure of nucleotide

bindingsites in the NBDs of

CFI7Rand other ABC family members mayclosely resemble those of adenylate kinase (12, 13,

35).In anattempt to relate previ-oustertiary structural models of

CFTRto ourfindingsof defective nucleotidebinding by the G551D andG1349D NBDs, we predicted the location of these residues based on previous alignments of CFTR NBDs with adenylate ki-nase. Asshownin the Figure, G551 and G1349 occur in a loop immediatelyfollowingthe third/s

strandof both the adenylate kinase and theCFTR NBD models (49,

50;theprediction alsoconforms

totheCFTRNBDmodel of ref. 12). The Walker A sequence is part ofaconnecting loopbetween the first/3strand andan ahelix. Both the Walker A motif and the residues atG551 orG1349 are predicted to fall within a large cleft suitable for nucleotide bind-ing; this cleft is known both by

NMRandx-raycrystallographyto

bindAMPwithin theadenylate

ki-nasemolecule.Thetwoviews aboveare- 900rotatedfrom each

other;the/3 strandsaregreen,a

helicesareblue,and theloopsare

white. The WalkerAsite and the location ofG551orG1349are

shownin red. A ball andstick modelofAMPis shown ina

nu-cleotidebindingsite. Theatoms arecoloredaccordingtothe

fol-lowingcode:N, blue,0, red, C,

green, P.yellow. Thefigurewas

prepared using the program Rib-bon 2.0(51).

nylatekinase (49, 50), as shown in Fig. 4, G551 and G1349 are onthe wall ofacleft suitable for ATPbinding within the NBD. Another wall ofthecleft is formed by the so-called

p-looporWalkerAmotif(GXXXXGKT/S)which is(a)present innearlyall ATP bindingproteins, (b)known tocontain

resi-dues whichactuallycoordinate withphosphate groupsofATP (suchasthep-looplysinewithinp21ras),and(c)

highly

likely

tobe involved in ATP binding bytheCFTRand otherNBDs,

(9)

nucleotide binding mediatedby G551D and G1349D, as well

as normal binding by LF508, provide

experimental

evidence supporting predictions of thestructureof the ATPbinding site

within the CFTRNBD. The results further support thenotion that the LSGGQXQR motif found within all ABC proteins is

involved in normal nucleotidebinding, and in factmayforma

critical

portion

ofan ATP

binding

cleft. An essential role in

nucleotidebindingcouldexplainthehighlevelof conservation

ofthis region withinthe ABC gene

family,

and would offera

molecularmechanismbywhichG551D and G1349Dcontribute

to clinical CF.

Acknowledgments

Theauthors wishtothank Dr. RichardGregoryand Dr. AlanSmith for

providingthe G551D and G1349DmutantCFTRcDNAs used in this

study.Wealso wishtothank Dr. Sadis Matalon forhelpingtoestablish the TNP-ATPprotocol,and Dr. M.-D. Tsaifor useful discussions

con-cerning the adenylate kinase structural model. Weare grateful toDr.

TipoLiu and Edward Walthallfor assistance with theFigures,andto

Dr. Shenyi Peng and Yuee Wang for technical assistance. We thank Jennifer Smith and Bonnie Parrott forexcellent secretarial assistance.

This workwassupportedbyNationalInstitutes of Health grantP01

DK38518 andbytheCysticFibrosis Foundation.EricJ.Sorscher isa

Lucille P. MarkeyScholar in theBiomedicalSciences.

References

1. Riordan, J. R., J. M.Rommens, B.-S. Kerem, N. Alon,R. Rozmahel,

Z.Grzelczak,J.Zielenski,S.Lok,N.Plavsic,J.-L.Chou,M. L.Drumm,M.C.

lannuzzi,F. S.Collins,and L.-C. Tsui. 1989. Identification of thecysticfibrosis gene:Cloningand characterization ofcomplementaryDNA.Science(Wash.DC).

245:1066-1073.

2. Tsui, L. -C. 1991. Probing the basic defect in cystic fibrosis. Current

OpinioninGenetics andDevelopment. 1:4-10.

3. Collins, F. S. 1992. Cystic fibrosis: Molecularbiology and therapeutic implications.Science(Wash. DC).256:774-779.

4.Anderson,M. P., H. A.Berger, D. P.Rich,R.J.Gregory, A. E.Smith,

and M. J.Welsh.1991. Nucleotidetriphosphatesarerequiredtoopen the CFTR chloride channel. Cell. 67:775-784.

5.Anderson,M.P.,and M. J. Welsh. 1992.Regulation byATPand ADP of CFTR chloridechannels that containmutantnucleotide-bindingdomains. Science

(Wash. DC).257:1701-1704.

6.Bear,C.E.,C.Li,and N.Kartner,R. J.Bridges,T. J.Jensen,M. Ramjee-singh,and J. R. Riordan. 1992. Purification and functional reconstitution of the

cysticfibrosis transmembrane conductanceregulator(CFTR).Cell.68:809-818. 7.Quinton,P.M.,and M.M.Reddy.1992. Control ofCFTRchloride conductance

byATPlevelsthrough non-hydrolytic binding.Nature(Lond).360:79-81. 8. Wine,J. J.,and S. C. Silverstein. 1992. ATP and chloride conductance. Nature(Lond.). 360:18.

9.Hartman, J.,Z.Huang,T. A.Rado,S.Peng,T.Jilling,D. D.Muccio,and E. J.Sorscher. 1992. Recombinantsynthesis,purification,andnucleotidebinding

characteristics of the first nucleotidebindingdomain of thecysticfibrosis gene

product.J.Biol.Chem. 267:6455-6458.

10.Thomas,P.J.,P.Shenbagamurthi,X.Ysern,andP. L. Pedersen. 1991.

Cystic fibrosis transmembrane conductanceregulator: Nucleotidebindingto a

synthetic peptide.Science(Wash. DC).251:555-557.

11.Thomas,P.J.,J.S.Shenbagamurthi,J. M.Hullihen,and P. L. Pederson. 1992. Effects of themostcommoncystic fibrosis-causingmutationonthe second-arystructureandstabilityofasynthetic peptide.J. Biol.Chem.267:5727-5730. 12.Hyde, S.,P.Emsley,M.J.Hartshorn,M.M.Mimmack,U.Gileadi,S. R.

Pearce, M. P.Gallagher,D. R. Gill,R. E.Hubbard, andC. F.Higgins. 1990. Structural model ofATP-binding proteinsassociated withcystic fibrosis,

multi-drugresistance and bacterial transport. Nature(Lond.).346:362-365. 13.Mimura,C.S.,S. R.Holbrook,and G. F. Ames. 1991. Structural model of thenucleotide-bindingconserved component ofperiplasmicpermeases. Proc. Natl.Acad. Sci. USA. 88:84-88.

14.Cheng, S. H.,R. J.Gregory,J.Marshall,S.Paul, D. W.Souza,G. A.

White,C. R.O'Riordan,and A. E. Smith. 1990. Defective intracellular transport and processing ofCFTR is the molecular basis ofmostcystic fibrosis. Cell. 63:827-834.

15.Gregory,R.J.,D. P.Rich,S. H.Cheng,D. W.Souza,S.Paul,P. Manava-lan, M. P. Anderson, M. J. Welsh, and A. Smith. 1991. Maturation and function

ofcysticfibrosistransmembrane conductanceregulatorvariantsbearingmutations inputative nucleotide-binding domains 1 and 2. Mol. Cell. Biol. 11:3886-3893. 16. Denning, G. M., M. P. Anderson, J. F. Amara, J.Marshall,A. E.Smith,

and M. W. Welsh. 1992. Processingof mutantcystic fibrosis transmembrane conductanceregulatoristemperature-sensitive.Nature(Lond2).358:761-710.

17.Kartner,N.,0.Augustinas,T. J.Jensen,A. L.Naismith,and J. R. Riordan. 1992.Mislocalization of AF508 CFTR in cystic fibrosis sweat gland. Nature Genetics. 1:321-327.

18.Tsui, L-C. 1992.The spectrum ofcystic fibrosis mutations. Trends in Genet. 8:392-398.

19.Richards,B., J. Skoletsky, A. P. Shuber, R. Balfour, R. C. Stem, H. L. Dorkin, R. B.Parad,D.Witt,and K. W.Klinger.1993.MultiplexPCR

amplifica-tion from the CFTR geneusing DNA prepared from buccal brushes/swabs. Hum. Mol. Gen.2:159-163.

20. Kim, H., and B. Haley. 1990. Synthesis and Properties of 2-Azido-NAD+ J.Biol. Chem. 265 P. 3636-3641.

21. Salvucci, M. E., A. J. Chavan, and B. E. Haley. 1992. Identification of peptides from the adenine binding domains of ATP and AMP in adenylate Kinase: isolationofphotoaffinity-labeled peptides by metal chelatechromatography. Bio-chemistry. 31:4479-4487.

22. Potter, R. L., and B. E.Haley.1983.Photoaffinity Labelingof Nucleotide BindingSiteswith8-azidopurine Analogs.MethodsEnzymol. 91:613-663.

23.Laemmli, U. K. 1970. Cleavage of structural proteins during theassembly

of the head ofBacteriophage4. Nature(Lond.). 227:680-685.

24. Bell, C. L., and P. M.Quinton. 1993. Regulation of CFTR Cl conductance in secretionby cellular energy levels. Am. J. Physiol. 264:C925-C931.

25. Faller, L. D. 1989.Competitive bindingof ATP and thefluorescent sub-strate analogue 2 ',3 '-0-

(2.4.6-Trinitropenylcyclohexadienylidine)adenosine5'-Triphosphate to thegastricH',K+ -ATPase: evidence for two classes of nucleo-tide sites.Biochemistry. 28:6771-6778.

26. Moczydlowski, E. G., and P. A. G. Fortes. 1981. Characterization of 2',3'-0-(2,4,6-trinitrocyclohexadienylidine)adenosine 5'-triphosphateas afluorescent probe of the ATP site of sodium andpotassium transport adenosinetriphosphatase.

J. Biol. Chem.256:2346-2356.

27.Mullen,G. P., P.Shenbagamurthi,and A.S. Mildvan. 1989. Substrate and DNAbindingtoa50-residuepeptide fragmentof DNApolymeraseI. J. Biol. Chem. 264:19637-19647.

28.Ko,Y.H.,P. J.Thomas,M. R.Delannoy,and P. L. Pedersen. 1993. The

cysticfibrosis conductanceregulator.Overexpression, purification,and character-ization of wild type andAF508mutantforms of the first nucleotidebindingfold in fusion with themaltose-bindingprotein. J. Biol. Chem. 15:24330-24338.

29.Travis,S. M., M. R.Carson,D. R.Ries,and M. J. Welsh.1993. Interaction ofnucleotides with membrane-associated cystic fibrosis transmembrane conduc-tanceregulator. J. Biol. Chem.268,21:15336-15339.

30.Schultz,B. D., C. J.Venglaric,R. J.Bridges,and R. A. Frizzell. 1993.

Regulation ofCFI'R Cl-channels by adenine nucleotide phosphates. FASEB

(Fed.Am.Soc. Exp. Biol.) J. 7:2464 (Abstr.).

31.Ambudkar,S. V., I. H. Lelong, J. Zhang, C. 0.Cardarelli,M. M. Gottes-man, and I. Pastan. 1992. Partialpurificationand reconstitution of the human

multidrug-resistancepump:Characterization of the drug-stimulatable ATP

hydro-lysis.Proc.Nati.Acad. Sci. USA.89:8472-8476.

32.Gill, D. R., S. C. Hyde, C. F. Higgins, M. A. Valverde, G. M. Mintenig, and F. V. Sepulveda. 1992. Separationof drug transport and chloride channel functions of the humanmultidrugresistance P-glycoprotein. Cell. 71:23-32.

33. Sarkadi, B., E. M. Price, R. C. Boucher, U. A. Germann, and G. A.

Scarborough.1992.Expression of the human multidrug resistance cDNA in insect cells generates a high activitydrug-stimulatedmembrane ATPase. J.BioL Chem. 267:4854-4858.

34. Mosser, J. A-M. Douar, C-O. Sarde, P. Kioschis, R. Feil, H. Moser, A-M.Poustka,J-L.Mandel, and P.Aubourg. 1993. Putative x-linked

adrenoleuko-dystrophy gene shares unexpected homology with ABC transporters. Nature

(Lond.).361:726-730.

35. Saraste, M., P. R. Sibbald, and A. Wittinghofer. 1990. The P-loop-a commonmotif in ATP- and GTP-binding proteins. TIBS (Trends Biochem.Sci.).

15:430-434.

36.Walker,J.E.,M.Saraste,M.J.Runswick, and N. J. Gar. 1982. Distantly related sequences in the a- and13-subunitsof ATP synthase,myosin, kinases and otherATP-requiringenzymes and a common nucleotide binding fold. EMBO (Eur.Mol.BioL Organ.)J.8:945-951.

37. Shyamala, V., V. Baichwal, E.Beall, and G. Ames. 1991. Structure-function analysisofthe histidine permease and comparison with cystic fibrosis mutations. J.Biol.Chem. 266:18714-18719.

38.Gibson,A.L.,L. M.Wagner,F. S.Collins,and D. L. Oxender. 1991. A bacterial system forinvestigatingtransport effects of cysticfibrosis-associated mutations. Science (Wash. DC). 254:109-111.

39.Cutting,G.R.,L. M.Kasch,B.J.Rosenstein, L.-C. Tsui, H. H. Kazazian, Jr., and S. E. Antonarakis. 1990. Two patients with cystic fibrosis, nonsense mutations in eachcysticfibrosis gene, and mild pulmonary disease. N.Engl.J. Med.323:1685-1689.

(10)

a-factor transporter STE6, a member of the ATP binding cassette (ABC) superfam-ily. EMBO(Eur. Mol. Biol. Organ.) J. 10:3777-3785.

41.Teem, J. L., H. A. Berger, L. S.Ostedgaard,D. P. Rich, L.-C. Tsui, and M. J. Welsh. 1993. Identification of revertants for the cystic fibrosisAF508 mutationusing STE6-DFTR chimeras in yeast.Cell.73:335-346.

42. Bishop, L., R. Agbayani, Jr., S. V. Ambudkar, P. C. Maloney, and G. F.-L. Ames. 1989. Reconstitution of a bacterial periplasmic permease in proteo-liposomes and demonstration of ATP hydrolysis concomitant with transport. Proc.

NatL.Acad. Sci. USA. 86:6953-6957.

43.Mimack,M.L.,M. P.Gallagher,S. R. Pearce,S. C. Hyde,I. R.Booth,and C. F.Higgins. 1989. Energy coupling toperiplasmicbinding protein-dependent transportsystems: Stoichiometry of ATP hydrolysis during transport in vivo. Proc.

Nadl.Acad. Sci. USA. 86:8257-8261.

44. Lehrman, M. A., J. L. Goldstein, D. W. Russell, and M. S. Brown. 1987. Duplicationof seven exons in LDL receptor gene caused by Alu-Alu recombination in a subjectwith familialhypercholesterolemia. CelL

48:827-835.

45. Bunn, H. F., and B. G. Forget. 1986.Hemoglobinopathydue to abnormal

oxygenbinding. InHemoglobin:Molecular, Genetic and ClinicalAspects,W. B. Saunders, Inc. editors.Philadelphia,PA.595-622.

46.McKusick,V.1989. Genetic map of the human genome autosomes,and,

x, y, and mitochondrial chromosomes. In The Metabolic Basis of Inherited Dis-eases,6th ed. C. R.Scriver,A.L. Beaudet, W. S.Sly,and D.Valle,editors. New York.73-163.

47. Knowles, M., J. Gatzy, and R. Boucher. 1981. Increased bioelectric poten-tialdifference across respiratory epitheliain cystic fibrosis. N. Engl. J.Med. 305:1489-1495.

48. Knowles, M.-R., L. L. Clarke, and R. Boucher. 1991. Activation by

extracellular nucleotides of chloride secretion in the airwayepitheliaofpatients

with cystic fibrosis. N. Engl. J. Med.325:533-538.

49. Diederichs, K., and G. E. Schulz. 1990. Three-dimensional structure of thecomplexbetween themitochondrial matrixadenylatekinase anditssubstrate AMP.Biochemistry.29:8138-8144.

50. Tsai, M.-D.,and H. Yan. 1991. Mechanism ofadenylatekinase: Site-directedmutagenesisversusX-ray and NMR. Perspect. Biochem.30:6806-6818.

51.Carson,M. 1987. Ribbon models of macromolecules. J. Mol. Graphics.

References

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