Evidence map›Paper›PMID 40261935›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

Proteostasis landscapes of cystic fibrosis variants reveal drug response vulnerability.

Eli Fritz McDonald, Minsoo Kim, John A Olson, Jens Meiler, Lars Plate

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Eli Fritz McDonaldDepartment of Chemistry, Vanderbilt University, Nashville, TN 37240.ORCID 0000-0002-0572-330X
Minsoo KimDepartment of Chemistry, Vanderbilt University, Nashville, TN 37240.ORCID 0000-0001-9854-2999
John A OlsonDepartment of Chemistry, Vanderbilt University, Nashville, TN 37240.ORCID 0009-0000-9654-6611
Jens MeilerDepartment of Chemistry, Vanderbilt University, Nashville, TN 37240.ORCID 0000-0001-8945-193X
Lars PlateDepartment of Chemistry, Vanderbilt University, Nashville, TN 37240.ORCID 0000-0003-4363-6116

Funding

Chemistry-Biology Interface Training GrantT32GM065086 · NIGMS · VANDERBILT UNIVERSITY · PI BACHMANN, BRIAN O, SULIKOWSKI, GARY ALLEN · 2002 to 2022
$7.0M
Coordination of chaperone interactions that dictate protein folding and traffickingR35GM133552 · NIGMS · VANDERBILT UNIVERSITY · PI Lars Plate · 2019 to 2026
$3.2M
Rational optimization of combinatorial therapies for the treatment of rare cystic fibrosis variantsR01HL167046 · NHLBI · PURDUE UNIVERSITY · PI Lars Plate, Jonathan Patrick Schlebach · 2023 to 2026
$2.7M
Molecular Chaperone Recognition of CFTR StabilityF31HL162483 · NHLBI · VANDERBILT UNIVERSITY · PI MCDONALD, ELI FRITZ · 2022 to 2023
$58k
NHLBI NIH HHS F31 HL162483NHLBI NIH HHS R01 HL167046NIGMS NIH HHS R35 GM133552NIGMS NIH HHS T32 GM065086
6 · The paper itself

Abstract

Cystic fibrosis (CF) is a lethal genetic disorder caused by variants in CF transmembrane conductance regulator (CFTR). Many variants are treatable with correctors, which enhance the folding and trafficking of CFTR. However, approximately 3% of persons with CF harbor poorly responsive variants. Here, we used affinity purification mass spectrometry proteomics to profile the protein homeostasis (proteostasis) changes of CFTR variants during correction to assess modulated interactions with protein folding and maturation pathways. Responsive variant interactions converged on similar proteostasis pathways during correction. In contrast, poorly responsive variants subtly diverged, revealing a partial restoration of protein quality control surveillance and partial correction. Computational structural modeling showed that corrector VX-445 failed to confer enough NBD1 stability to poor responders. NBD1 secondary stabilizing mutations rescued poorly responsive variants, revealing structural vulnerabilities in NBD1 required for treating poor responders. Our study provides a framework for discerning the underlying protein quality control and structural defects of CFTR variants not reached with existing drugs to expand therapeutics to all susceptible CFTR variants.

Indexed as

Cystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorProteostasisAminopyridinesBenzodioxolesHumansMutationProtein FoldingProteomicsAminopyridinesBenzodioxolesCFTR protein, humanCystic Fibrosis Transmembrane Conductance Regulatorcorrectorscystic fibrosisdrug responseproteostasisvariants

Identifiers

PMID40261935
PMCPMC12054793

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.