CELL LINES EXPRESSING CFTR AND METHODS OF USING THEM

Information

  • Patent Application
  • 20150315554
  • Publication Number
    20150315554
  • Date Filed
    November 24, 2014
    9 years ago
  • Date Published
    November 05, 2015
    9 years ago
Abstract
Disclosed herein are cells and cell lines that stably express CFTR and methods for using those cells and cell lines. The invention also includes techniques for creating these cells and cell lines. The cells and cell lines of this invention are physiologically relevant. They are highly sensitive and provide consistent and reliable results in cell-based assays.
Description
SEQUENCE LISTING

The instant application contains a Sequence Listing which has been submitted via EFS-Web and is hereby incorporated by reference in its entirety. Said ASCII copy, created on Mar. 16, 2010, is named 002298WO.txt and is 40,540 bytes in size.


FIELD OF THE INVENTION

The invention relates to cystic fibrosis transmembrane conductance regulator (CFTR) and cells and cell lines stably expressing CFTR. The invention further provides methods of making such cells and cell lines. The CFTR-expressing cells and cell lines provided herein are useful in identifying modulators of CFTR.


BACKGROUND

Cystic fibrosis is the most common genetic disease in the United States, and is caused by mutations in the gene encoding the cystic fibrosis transmembrane conductance regulator (CFTR) protein. CFTR is a transmembrane ion channel protein that transports chloride ions and other anions. The chloride channels are present in the apical plasma membranes of epithelial cells in the lung, sweat glands, pancreas, and other tissues. CFTR regulates ion flux and helps control the movement of water in sales and maintain the fluidity of mucus and other secretions. Chloride transport is induced by an increase in cyclic adenosine monophosphate (cAMP), which activates protein kinase A to phosphorylate the channel on the regulatory “R” domain.


CFTR is a member of the ABC transporter family. It contains two ATP-binding cassettes. ATP binding, hydrolysis and cAMP-dependent phosphorylation are required for channel opening. CFTR is encoded by a single large gene consisting of 24 exons. CFTR ion channel function is associated with a wide range of disorders, including cystic fibrosis, congenital absence of the vas deferens, secretory diarrhea, and emphysema. To date, more than 1000 distinct mutations have been identified in CFTR. The most common CFTR mutation is deletion of phenylalanine at residue 508 (ΔF508) in its amino acid sequence. This mutation is present in approximately 70% of cystic fibrosis patients.


The discovery of new and improved therapeutics that specifically target CFTR has been hampered by the lack of robust, physiologically relevant cell-based systems that are amenable to high-throughput formats for identifying and testing CFTR modulators, particularly high-throughput formats that allow various members of the CFTR family of mutants to be compared. Cell-based systems are preferred for drug discovery and validation because they provide a functional assay for a compound as opposed to cell-free systems, which only provide a binding assay. Moreover, cell-based systems have the advantage of simultaneously testing cytotoxicity. Ideally, cell-based systems should also stably express the target protein. It is also desirable for a cell-based system to be reproducible. The present invention addresses these problems.


SUMMARY OF THE INVENTION

We have discovered new and useful cells and cell lines and collections of cell lines that express various forms of CFTR. These cells, cell lines, and collections thereof are useful in cell-based assays, in particular high-throughput assays to study the fucntions of CFTR and to screen for CFTR modulators.


Accordingly, the invention provides a cell or cell line engineered to stably express CFTR, e.g., a functional CFTR or a mutant (e.g., dysfunctional) CFTR. In some embodiments, the CFTR is expressed in a cell from an introduced nucleic acid encoding it. In some embodiments, the CFTR is expressed in a cell from an endogenous nucleic acid activated by engineered gene activation.


The cells or cell lines of the invention may be eukaryotic c cells (e.g., mammalian cells), and optionally do not express CFTR endogenously (or in the case of gene activation, do not express CFTR endogenously prior to gene activation). The cells may be primary or immortalized cells, may be cells of, for example, primate (e.g., human or monkey), rodent (e.g., mouse, rat, or hamster), or insect (e.g., fruit fly) origin. In some embodiments, the cells are capable of forming polarized monolayers. The CFTR expressed in the cells or cell lines of the invention may be mammalian, such as rat, mouse, rabbit, goat, dog, cow, pig, or primate (e.g., human).


In some embodiments, the cells and cell lines of the invention have a Z′ factor of at least 0.4, 0.45, 0.5, 0.55, 0.6, 0.65, 0.7, 0.75, 0.8 or 0.85 in an assay, for example, a high throughput cell-based assay. In some embodiments, the cells or cell lines of the invention are maintained in the absence of selective pressure, e.g., antibiotics. In some embodiments, the CFTR expressed by the cells or cell lines does not comprise any polypeptide tag. In some embodiments, the cells or cell lines do not express any other introduced protein, including auto-fluorescent proteins (e.g., yellow fluorescent protein (YFP) or variants thereof).


In some embodiments, the cells or cell lines of the invention stably express CFTR at a consistent level in the absence of selective pressure for at least 15 days, 30 days, 45 days, 60 days, 75 days, 100 days, 120 days, or 150 days.


In another aspect of the invention, the cells or cell lines express a human CFTR. The CFTR may be a polypeptide having the amino acid sequence set forth in SEQ ID NO: 2; a polypeptide t least 95% sequence identity to SEQ ID NO: 2; a polypeptide encoded by a nucleic acid that hybridizes to SEQ ID NO: 1 under stringent conditions; or a polypeptide that is arm allelic variant of SEQ ID NO: 2. The CFTR may also be encoded by a nucleic acid having the sequence set forth in SEQ ID NO: 1; a nucleic acid that hybridizes to SEQ ID NO: 1 under stringent conditions; a nucleic acid that encodes the polypeptide of SEQ ID NO: 2; a nucleic acid with at least 95% sequence identity to SEQ. ID NO: 1; or a nucleic acid that is an allelic variant of SEQ ID NO: 1. The CFTR may be a polypeptide having the amino acid sequence set forth in SEQ ID NO: 7 or a polypeptide encoded by a nucleic acid sequence set forth in SEQ ID NO: 4.


In another aspect, the invention provides a collection of the cells or cells lines that express different forms (i.e., mutant forms) of CFTR. In some embodiments, the cells or cell lines in the collection comprise at least 2, at least 5, at least 10, at least 15, or at least 20 different cells or cell lines, each expressing at least a different form (i.e., mutant form) of CFTR. In some embodiments, the cells or cell lines in the collection are matched to share physiological properties (e.g., cell type, metabolism, cell passage (age), growth rate, adherence to a tissue culture surface, Z′ factor, expression level of CFTR) to allow parallel processing and accurate assay readouts. These can be achieved by generating and growing the cells and cell lines under identical conditions, achievable by, e.g., automation. In some embodiments, the Z′ factor is determined in the absence of a protein trafficking corrector. A protein trafficking corrector is a substance that aids maturation of improperly folded CFTR mutant by directly or indirectly interacting with the mutant CFTR at its transmembrane level and facilitates the mutant CFTR to reach the cell membrane.


In another aspect, the invention provides a method for producing the cells or cell lines of the invention, comprising the steps of: (a) introducing a vector comprising a nucleic acid encoding CFTR (e.g., human CFTR) into a host cell; or introducing one or more nucleic acid sequences that activate expression of endogenous CFTR (e.g., human CFTR); (b) introducing a molecular beacon or fluorogenic probe that detects the expression of CFTR into the host cell produced in step (a); and (c) isolating a cell that expresses CFTR. In some embodiments, the method comprises the additional step of generating a cell line from the cell isolated in step (c). The host cells may be eukaryotic cells such as mammalian cells, and may optionally do not express CFTR endogenously.


In some embodiments, the method of producing cells and cell lines of the invention utilizes a fluorescence activated cell sorter to isolate a cell that expresses CFTR. In some embodiments, the cell or cell lines of the collection are produced in parallel.


In another aspect, the invention provides a method for identifying a modulator of a CFTR function, comprising the steps of exposing a cell or cell line of the invention or a collection of the cell lines to a test compound; and detecting in a cell a change in a CFTR function, wherein a change indicates that the test compound is a CFTR modulator. In some embodiments, the detecting step can be a membrane potential assay, a yellow fluorescent protein (YFP) quench assay, an electrophysiology assay, a binding assay, or an Ussing chamber assay. In some embodiments, the assay in the detecting step is performed in the absence of a protein trafficking corrector. Test compounds used in the method may include a small molecule, a chemical moiety, a polypeptide, or an antibody. In other embodiments, the test compound may be a library of compounds. The library may be a small molecule library, a combinatorial library, a peptide library, or an antibody library.


In a further aspect, the invention provides a cell engineered to stably express CFTR at a consistent level over time. The cell may be made by a method comprising the steps of a) providing a plurality of cells that express mRNA(s) encoding the CFTR; b) dispersing the cells individually into individual culture vessels, thereby providing a plurality of separate cell cultures; c) culturing the cells under a set of desired culture conditions using automated cell culture methods characterized in that the conditions are substantially identical for each of the separate cell cultures, during which culturing the number of cells per separate cell culture is normalized, and wherein the separate cultures are passaged on the same schedule; d) assaying the separate cell cultures to measure expression of the CFTR at least twice; and e) identifying a separate cell culture that expresses the CFTR at a consistent level in both assays, thereby obtaining said cell.


In another aspect, the invention provides a method for isolating a cell that endogenously expresses CFTR, comprising the steps of: a) providing a population of cells; b) introducing into the cells a molecular beacon that detects expression of CFTR; and c) isolating cells that express CFTR. In some embodiments, the population of cells comprises cells that do not endogenously express CFTR. In some embodiments, the isolated cells that express CFTR prior to said isolating are not known to express CFTR. In some embodiments, the method further comprises, prior to said isolating step c), the step of increasing genetic variability.


In another aspect, the invention provides a use of a composition comprising a compound of the formula:




embedded image


to increase the expression level of a CFTR on the cell plasma membrane.





BRIEF DESCRIPTION OF THE FIGURES


FIGS. 1A and 1B show that stable CFTR-expressing cell lines produced exhibit significantly enhanced and robust CFTR surface expression. Ion-flux in response to activated CFTR expression was measured by a high-throughput compatible fluorescence membrane potential assay. FIG. 1A compares stable CFTR-expressing cell line 1 to transiently CFTR-transfected cells and control cells lacking CFTR. FIG. 1B compares stable CFTR-expressing cell line 1 (from FIG. 1A) to other stable CFTR-expressing clones produced (M11, J5, E15, and O1).



FIG. 2 displays dose response curves from a high-throughput compatible fluorescence membrane potential assay of CFTR. The assay measured the response of produced stable CFTR-expressing cell lines to forskolin, an agonist of CFTR. The EC50 value for forskolin in the tested cell lines as 256 nM. A Z′ value of at least 0.82 was obtained for the high-throughput compatible fluorescence membrane potential assay.



FIGS. 3A-3F show that stable CFTR-ΔF508 expressing CHO cell clones can be identified from non-responding clones from a population of CHO cells. Stable CFTR-ΔF508 expressing clones were able to rescue cell surface expression of CFTR-ΔF508 from entrapment in intracellular compartments, in the presence or absence of a protein trafficking corrector—Chembridge compound #5932794a (San Diego, Calif.). This compound is N-{2-[(2-methoxyphenyl)amino]-4′-methyl-4,5′-bi-1,3-thiazol-2′-yl}benzamide hydrobromide, and has the formula of




embedded image


Non-responding clones were not able to rescue cell surface expression of CFTR-ΔF508 from entrapment in intracellular compartments, either in the presence or absence of the protein trafficking corrector. Ion-flux in response to activated CFTR-ΔF508 expression was measured by a high-throughput compatible fluorescence membrane potential assay. FIG. 3A shows pharmacological response of a stable CFTR-ΔF508 expressing clone in the presence of a blue membrane potential dye and the protein trafficking corrector (15-25 μM) when challenged either by an agonist cocktail of forskolin (30 μM)+IBMX (100 μM) (black trace) or DMSO+Buffer (grey trace). FIG. 3B shows pharmacological response of a non-responding clone in the presence of a blue membrane potential dye and the protein trafficking corrector (15-25 μM, same as in 3A) when challenged either by an agonist cocktail of forskolin (30 μM)+IBMX (100 μM) (black trace) or DMSO+Buffer (grey trace). FIG. 3C shows pharmacological response of a stable CFTR-ΔF508 expressing clone in the presence of an AnaSpec membrane potential dye and the protein trafficking corrector (15-25 μM, same as in 3A, 3B) when challenged either by an agonist cocktail of forskolin (30 μM)+IBMX (100 μM) (black trace) or DMSO+Buffer (grey trace). FIG. 3D shows pharmacological response of a non-responding clone in the presence of an AnaSpec membrane potential dye and the protein trafficking corrector (15-25 μM, same as in 3A, 3B, 3C) when challenged either by an agonist cocktail of forskolin (30 μM)+IBMX (100 μM) (black trace) or DMSO+Buffer (grey trace). FIG. 3E shows pharmacological response of a stable CFTR-ΔF508 expressing clone in the presence of an AnaSpec membrane potential dye and without the protein trafficking corrector when challenged either by an agonist cocktail of forskolin (30 μM)+IBMX (100 μM) (black trace) or DMSO+Buffer (grey trace). FIG. 3F shows pharmacological response of a non-responding clone in the presence of an AnaSpec membrane potential dye and without the protein trafficking corrector when challenged either by an agonist cocktail of forskolin (30 μM)+IBMX (100 μM) (black trace) or DMSO+Buffer (grey trace).





DETAILED DISCLOSURE

Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Exemplary methods and materials are described below, although methods and materials similar or equivalent to those described herein can also be used in the practice or testing of the present invention. All publications and other references mentioned herein are incorporated by reference in their entirety. In case of conflict, the present specification, including definitions, will control. Although a number of documents are cited herein, this citation does not constitute an admission that any of these documents forms part of the common general knowledge in the art. Throughout this specification and claims, the word “comprise,” or variations such as “comprises” or “comprising” will be understood to imply the inclusion of a stated integer or group of integers but not the exclusion of any other integer or group of integers. Unless otherwise required by context, singular terms shall include pluralities and plural terms shall include the singular. The materials, methods, and examples are illustrative only and not intended to be limiting.


In order that the present invention may be more readily understood, certain terms are first defined. Additional definitions are set forth throughout the detailed description.


The term “stable” or “stably expressing” is meant to distinguish the cells and cell lines of the invention from cells with transient expression as the terms “stable expression” and “transient expression” would be understood by a person of skill in the art.


The term “cell line” or “clonal cell line” refers to a population of cells that are all progeny of a single original cell. As used herein, cell lines are maintained in vitro in cell culture and may be frozen in aliquots to establish banks of clonal cells.


The term “stringent conditions” or “stringent hybridization conditions” describe temperature and salt conditions for hybridizing one or more nucleic acid probes to a nucleic acid sample and washing off probes that have not bound specifically to target nucleic acids in the sample. Stringent conditions are known to those skilled in the art and can be found in Current Protocols in Molecular Biology, John Wiley & Sons, N.Y. (1989), 6.3.1-6.3.6. Aqueous and nonaqueous methods are described in that reference and either can be used. An example of stringent hybridization conditions is hybridization in 6×SSC at about 45° C., followed by at least one wash in 0.2×SSC, 0.1% SDS at 60° C. A further example of stringent hybridization conditions is hybridization in 6×SSC at about 45° C., followed by at least one wash in 0.2×SSC, 0.1% SDS at 65° C. Stringent conditions include hybridization in 0.5M sodium phosphate, 7% SDS at 65° C., followed by at least one wash at 0.2×SSC, 1% SDS at 65° C.


The phrase “percent identical” or “percent identity” in connection with amino acid and/or nucleic acid sequences refers to the similarity between at least two different sequences. This percent identity can be determined by standard alignment algorithms, for example, the Basic Local Alignment Tool (BLAST) described by Altshul et al. ((1990) J. Mol. Biol., 215: 403-410); the algorithm of Needleman et al. ((1970) J. Mol. Biol., 48: 444-453); or the algorithm of Meyers et al. ((1988) Comput. Appl. Biosci., 4: 11-17). A set of parameters may be the Blosum 62 scoring matrix with a gap penalty of 12, a gap extend penalty of 4, and a frameshift gap penalty of 5. The percent identity between two amino acid or nucleotide sequences can also be determined using the algorithm of E. Meyers and W. Miller ((1989) CABIOS, 4:11-17) that has been incorporated into the ALIGN program (version 2.0), using a PAM120 weight residue table, a gap length penalty of 12 and a gap penalty of 4. The percent identity is usually calculated by comparing sequences of similar length. Protein analysis software matches similar sequences using measures of similarity assigned to various substitutions, deletions and other modifications, including conservative amino acid substitutions. For instance, the GCG Wisconsin Package (Accelrys, Inc.) contains programs such as “Gap” and “Bestfit” that can be used with default parameters to determine sequence identity between closely related polypeptides, such as homologous polypeptides from different species of organisms or between a wild type protein and a mutant thereof. See, e.g., GCG Version 6.1. Polypeptide sequences also can be compared using FASTA using default or recommended parameters. A program in GCG Version 6.1. FASTA (e.g., FASTA2 and FASTA3) provides alignments and percent sequence identity of the regions of the best overlap between the query and search sequences (Pearson, Methods Enzymol. 183:63-98 (1990); Pearson, Methods Mol. Biol. 132:185-219 (2000)). The length of polypeptide sequences compared for identity will generally be at least about 16 amino acid residues, usually at least about 20 residues, more usually at least about 24 residues, typically at least about 28 residues, and preferably more than about 35 residues. The length of a DNA sequence compared for identity will generally be at least about 48 nucleic acid residues, usually at least about 60 nucleic acid residues, more usually at least about 72 nucleic acid residues, typically at least about 84 nucleic acid residues, and preferably more than about 105 nucleic acid residues.


The phrase “substantially as set out,” “substantially identical” or “substantially homologous” in connection with an amino acid nucleotide sequence means that the relevant amino acid or nucleotide sequence will be identical to or have differences (through conserved amino acid substitutions) in comparison to the sequences that are set out. Insubstantial differences include minor amino acid changes, such as 1 or 2 substitutions in a 50 amino acid sequence of a specified region. Insubstantial differences may have deleterious effect.


The terms “potentiator”, “corrector”, “agonist” or “activator” refer to a compound or substance that activates a biological function of CFTR, e.g., increases ion conductance via CFTR. As used herein, a potentiator, corrector or activator may act upon a CFTR or upon a specific subset of different forms (e.g., mutant forms) of CFTR.


The terms “inhibitor”, “antagonist” or “blocker” refers to a compound or substance that decreases a biological function of CFTR, e.g., decreases ion conductance via CFTR. As used herein, an inhibitor or blocker may act upon a CFTR or upon a specific subset of different forms (e.g., mutant forms) of CFTR.


The term “modulator” refers to a compound or substance that alters a structure, conformation, biochemical or biophysical property or functionality of a CFTR either positively or negatively. The modulator can be a CFTR agonist (potentiator, corrector, or activator) or antagonist (inhibitor or blocker), including partial agonists or antagonists, selective agonists or antagonists and inverse agonists, and can be an allosteric modulator. A substance or compound is a modulator even if its modulating activity changes under different conditions or concentrations or with respect to different forms (e.g., mutant forms) of CFTR. As used herein, a modulator may affect the ion conductance of a CFTR, the response of a CFTR to another regulatory compound, or the selectivity of a CFTR. A modulator may also change the ability of another modulator to affect the function of a CFTR. A modulator may act upon all or upon a specific subset of different forms (e.g., mutant forms) of CFTR. Modulators include, but are not limited to, potentiators, correctors, activators, inhibitors, agonists, antagonists, and blockers. Modulators also include protein trafficking correctors.


The phrase “functional CFTR” refers to a CFTR that responds to a known activator (such as apigenin, forskolin or IBMX—[3-isobutyl-1-methylxanthine]) or a known inhibitor (such as chromanol 293B, glibenclamide, lonidamine, NPPB—[5-nitro-2-(3-phenylpropylamino) benzoic acid], DPC—[diphenylamine-2-carboxylate] or niflumic acid) or other known modulators (such as 9-AC—[anthracene-9-carboxylic acid], or chlorotoxin) in substantially the same way as CFTR in a cell that normally expresses CFTR without engineering. CFTR behavior can be determined by, for example, physiological activities, and pharmacological responses. Physiological activities include, but are not limited to, chloride ion conductance. Pharmacological responses include, but are not limited to, activation by forskolin alone, or a mixture of forskolin, apigenin and IBMX [3-isobutyl-1-methylxanthine].


A “heterologous” or “introduced” CFTR protein means that the CFTR protein is encoded by a polynucleotide introduced into a host cell.


This invention relates to novel cells and cell lines that have been engineered to express CFTR. In some embodiments, the novel cells or cell lines of the invention express a functional, wild type CFTR (e.g., SEQ ID NO: 2). In some embodiments, the CFTR is a mutant CFTR (e.g., CFTR ΔF508; SEQ ID NO: 7). Illustrative CFTR mutants are set forth in Tables 1 and 2 (These tables are compiled based on mutation information obtained from a database developed by the Cystic Fibrosis Genetic Analysis Consortium available at www.genet.sickkids.on.ca/cftr/Home). According to the invention, the CFTR can be from any mammal, including rat, mouse, rabbit, goat, dog, cow, pig, or primate (e.g., human). In some embodiments, the novel cells or cell lines express an introduced functional CFTR (e.g., CFTR encoded by a transgene). In some embodiments, the novel cells or cell lines express a naturally-occurring CFTR, encoded by an endogenous CFTR gene that has been activated by gene activation technology. In preferred embodiments, the cells and cell lines stably express CFTR. The CFTR-expressing cells and cell lines of the invention have enhanced properties compared to cells and cell lines made by conventional methods. For example, the CFTR cells and cell lines have enhanced stability of expression (even when maintained in culture without selective pressure such as antibiotics) and possess high Z′ values in cell-based assays. The cells and cell lines of the invention provide detectable signal-to-noise signals, e.g., a signal-to-noise signal greater than 1:1. The cells and cell lines of the invention provide reliable readouts when used in high-throughput assays such as membrane potential assays, producing results that can match those from assays that are considered gold-standard in the field but too labor-intensive to become high-throughput (e.g., electrophysiology assays). In certain embodiments, the CFTR does not comprise a polypeptide tag.









TABLE 1







CFTR Mutants












Location





of



Name
Nucleotide Change
Mutation*
Consequence





1001+ 11C/T
C or T at 1001+ 11
intron 6b
sequence variation





1001+ 12C/T
C or T at 1001+ 12
intron 6b
sequence variation





1001+ 3A>T
A to T at 1001+ 3
intron 6b
Alternative splicing and





complete skipping of exon 6b





1001+ 4A- >C+

intron 6b
splicing


993delCTTAA








1002- 2A>G
A to G at 1002- 2
 6b
mRNA splicing defect





1002- 3T- >G
T to G at 1002- 3
intron 6b
mRNA splicing defect





1002- 56C/G
C or G at 1002- 56
intron 6b
sequence variation





1002- 7delTTT
Deletion of TTT beginning at
intron 6b
Interference with splicing



1002- 7







1013delAA
deletion of AA from 1013
 7
frameshift





-102T- >A
T to A at -102
promotor
regulatory mutation





1047C/T
C or T at 1047
 7
sequence variation





1058delC
deletion of C at 1058
 7
frameshift





1078delT
deletion of T at 1078
 7
frameshift





107 G/A
G to A at 107
 1
sequence variation





1086G/A
G or A at 1086
 7
Sequence variation





1092A/G
A or G at 1092
 7
sequence variation





1098G/A
G or A at 1098
 7
sequence variation (Val at 322





no change)





1104(C/G)
C or G at 1104
 7
sequence variation





1112delT
deletion of T at 1112
 7
frameshift





1119delA
deletion of A at 1119
 7
frameshift





1138insG
insertion of G after 1138
 7
frameshift





1150delA
deletion of A at 1150
 7
frameshift





1150insTC
Insertion of TC at 1150
 7
Frameshift





1151ins12
tandem duplication of
 7
Insertion-duplication of 4



12 bp from position

amino acids within the M6



1140 to position 1151

domain (transmembrane





domain)





1154insTC
insertion of TC after 1154
 7
frameshift





1161delC
deletion of C at 1161
 7
frameshift





1161insG
insertion of G after 1161
 7
frameshift





1164 T/A
T to A at 1164
 7
sequence variation





1185delTC
Deletion of TC at 1185
 7
Frameshift





1199delG
deletion of G at 1199
 7
frameshift





120del23
Deletion of 23 by from
promotor,
This mutation abolishes the



nucleotide + 120 of
1
initiation codon at position



exon 1 promoter, to

133. The next possible



nucleotide 142 (the

initiation codon is located at



first nucleotide of

intron 1 position 185 + 63.



codon 4)







1213delT
deletion of T at 1213
 7
frameshift





1215delG
deletion of G at 1215
 7
frameshift





1221delCT
deletion of CT from 1221
 7
frameshift





1233A/T
A or T at 1233
 7
Sequence variation





1243ins6
insertion of ACAAAA after 1243
 7
insertion of Asp and Lys after





Lys370





1248+ 17C- >T
C or T at 1248+ 17
intron 7
sequence variation





1248+ 1G- >A
G to A at 1248+ 1
intron 7
mRNA splicing defect





1248+ 1G- >C
G to C at 1248+ 1
intron 7
Splicing





1248+ 31 A/C
1248 + 31 A>C
intron 7
sequence variation





1248+ 52T/C
T or C at 1248+ 52
intron 7
sequence variation





1249- 27delTA
deletion of TA at 1249- 27
intron 7
mRNA splicing defect





1249- 30delAT
deletion of AT from 1249- 30
intron 7
mRNA splicing defect





1249- 31A- >G
1249- 31 A>G
intron 7
mRNA splicing defect





1249- 5A- >G
A to G at 1249
intron 7
mRNA splicing defect





1249- 82C/T
C or T at 1249- 82
intron 7
sequence variation





124del23bp
delete 23 by from 124 to 146
 1






1259insA
insertion of A after 1259
 8
frameshift





125G/C
G or C at 125
 1
sequence variation





1283delA
deletion of A at 1283
 8
frameshift





1288insTA
Insertion of TA at 1285 Or
 8
Frameshift



Insertion of AT at 1284







1289insTA
Insertion of TA at 1289
 8
Frameshift





1291delTT
delete TT from 1291
 8
Frame shift





1294del7
deletion of 7 by from 1294
 8
frameshift





1296G/T
G to T at 1296
 8
sequence variation (Thr at 388





no change)





129G/C
G or C at 129
 1
sequence variation





1309delG
deletion of G at 1309
 8
frameshift





1323insA
insertion of A after 1323
 8
frameshift





1341+ 18A- >C
A to C at 1341+ 18
intron 8
mRNA splicing defect





1341+ 1G- >A
G to A at 1341+ 1
intron 8
mRNA splicing defect





1341+ 28C>T
C > T at 1341+ 28
intron 8
polymorphism





1341+ 28C/T
C or T at 1341+ 28
intron 8
sequence variation





1341+ 6 A- >G
A to G at 1341+ 6

mRNA splicing defect





1341+ 6 A- >G
A to G at 1341+ 6
intron 8
mRNA splicing defect





1341+ 79 C/T
1341 + 79 C- >T
intron 8
sequence variation





1341G- >A
G to A at 1341
 8
sequence variation





1342- 11TTT- >G
TTT to G at 1342- 11
intron 8
mRNA splicing defect





1342- 12(GT)n
variable number of
intron 8
sequence variation



copies (8- 10x)





at around





1342- 12 to - 35







1342- 13G/T
G or T at 1342- 13
intron 8
sequence variation





1342- 1delG
Deletion of G at 1342- 1
Intron 8
Frameshift





1342- 1G- >C
G to C at 1342- 1
intron 8
mRNA splicing defect





1342- 265(GT)n
variable number of copies at
intron 8
sequence variation (greater



around 1342- 265 to - 310

than 8 alleles)





1342- 2A- >C
A to C at 1342- 2
intron 8
mRNA splicing defect





1342- 2delAG
deletion of AG from 1342- 2
intron 8
mRNA splicing defect





135del120ins300

 1






1366delG
deletion of G at 1366
 9
frameshift





1367del5
deletion of CAAAA at 1367
 9
frameshift





1367delC
deletion of C at 1367
 9
frameshift





1429del7bp
deletion of 17 bp from 1429
19
stop codon at amino acid 441





1460delAT
deletion of AT from 1460
 9
frameshift





1461ins4
insertion of AGAT after 1461
 9
frameshift





1461 T/C
T to C at 1461
 9
sequence variation





1471delA
deletion of A at 1471
 9
frameshift





1491- 1500del
Deletion between
 9
Large in/del



1491 to 1500







1497delGG
deletion of GG at 1497
 9
frameshift





1504delG
deletion of G at 1504
 9
frameshift





1524+ 1G- >A
G to A at 1524+ 1
intron 9
splice mutation





1524+ 60 insA
Ins A at 1524+ 60
intron 9
sequence variation





1524+ 68 G/A
1524 + 68 G>A
intron 9
sequence variation





1524+ 6insC
insertion of C after
intron 9
mRNA splicing defect



1524+ 6, with





G to A at 1524 + 12







1525- 18G/A
G or A at 1525- 18
intron 9
sequence variation or mRNA





splicing defect





1525- 1G- >A
G to A at 1525- 1
intron 9
mRNA splicing defect





1525- 2A- >G
A to G at 1525- 2
intron 9
Splicing





1525- 47T- >G
1525- 47T>G
Intron 9
Sequence Variation





1525- 60G/A
G or A at 1525- 60
intron 9
sequence variation





1525- 61A/G
A or G at 1525- 61
intron 9
sequence variation





1531C/T (L467F)
C or T at 1531
10
sequence variation





1540del10
deletion of 10 bp after 1540
10
frameshift





1548delG
deletion of G from
10
frameshift



1548 - 1550







1565 del CA
deletion of CA from 1565
10
frameshift





156G/A
G or A at 156
 1
sequence variation





1571delG
deletion of G at 1571
10
frameshift





1572T/C
T or C at 1572
10
sequence variation





1576insT
insertion of T at 1576
10
framshift





1601delTC
deletion of TC from 1601
10
frameshift



or CT from 1602







1609delCA
deletion of CA from 1609
10
frameshift





1612delTT
deletion of TT from 1612
10
frameshift





163G/A
G or A at 163
 1
sequence variation





1650C/G
C to G at 1650
10
Ile to Met at 506;





sequence variation





1651A/G
A or G at 1651
10
sequence variation





1653C/T
C to T at 1653
10
NO AMINOACID CHANGE





1660delG
Deletion of G at 1660
10
frameshift





1677delTA
deletion of TA from 1677
10
frameshift





1693A- >C
A to C at 1693
10
Ile to Leu at 521





(sequence variation)





1706del17
deletion of 17 bp
10
deletion of splice site



from 1706







1713A/G
A or G at 1713
10
sequence variation





1716+ 12T/C
T or C at 1716+ 12
intron 10
sequence variation





1716+ 13G/T
G or T at 1716+ 13
intron 10
sequence variation





1716+ 1G- >A
G to A at 1716+ 1
intron 10
mRNA splicing defect





1716+ 1G- >T
1716+ 1 G>T
intron 10
mRNA splicing defect





1716+ 2T- >C
T to Cat 1716+ 2
intron 10
mRNA splicing defect





1716+ 4 A- >T
1716+ 4 A>T
intron 10
mRNA splicing defect





1716+ 63ins11nt
insertion of 11
intron 10
sequence variation



nucleotides after





1716+ 63







1716+ 64A/C
A or C at 1716+ 64
intron 10
sequence variation





1716+ 77A/G
A or G at 1716+ 77
intron 10
sequence variation





1716+ 85C/T
C or T at 1716+ 85
intron 10
sequence variation





1716G/A
G or A at 1716
10
sequence variation





1717- 19T/C
T or C at 1717- 19
intron 10
sequence variation





1717- 1G- >A
G to A at 1717- 1
intron 10
mRNA splicing defect





1717- 2A- >G
A to G at 1717- 2
intron 10
mRNA splicing defect





1717- 3T- >G
T to G at 1717- 3
intron 10
mRNA splicing defect





1717- 8G- >A
G to A at 1717- 8
intron 10
mRNA splicing defect





1717- 9T- >A
T to A at 1717- 9
intron 10
mRNA splicing mutation





1742delAC
deletion of AC from 1742
11
frameshift





1749insTA
insertion of TA at 1749
11
frameshift resulting in





premature termination at 540





174delA
deletion of A between
 1
frameshift



172- 174







175delC
deletion of C at 175
 1
frameshift





175insT
insertion of T after 175
 1
frameshift





1764T/G
T or G at 1764
11
sequence variation





1767del6
delete 6 nucleotide
11
In frame in/del



from 1767







1773A/T
A or T at 1773
11
sequence variation





1774delCT
deletion of CT from 1774
11
frameshift





1782delA
deletion of A at 1782
11
frameshift





1784delG
deletion of G at 1784
11
frameshift





1787delA
deletion of A at position
11
frameshift, stop codon at 558



1787 or 1788







1802delC
deletion of C at 1802
11
frameshift





1806delA
deletion of A at 1806
11
frameshift





1811+ 11A- >G
A to G at 1811+ 11
intron 11
Splicing





1811 + 1650 T>A
1811+ 1650 T>A
intron 11
Sequence variation





1811+ 1.6 kbA- >G
A to G at 1811+ 1.2 kb
intron 11
creation of splice donor site





1811+ 16T- >C
1811+ 16 T>C
intron 11
This mutation may lead to an





alternative splicing, with the





donor splice site located at





nucleotide +18. This





alternative splice site with





the mutation at +16 has a





higher PCU than the 





previously described





mutation 1811 + 18G->A.





1811+ 18G- >A
G to A at 1811+ 18
intron 11
mRNA splicing defect





1811 + 1 G>A
G to A at 1811+ 1
intron 11
Splicing defect





1811+ 1G- >C
G to C at 1811+ 1
intron 11
mRNA splicing defect





1811+ 24G- >A
G to A at 1811 + 24
Intron 11
mRNA splicing defect





1811+ 34 G>A
G to A at 1811+ 34
intron 11
mRNA splicing defect





1811+ 5A- >G
1811 + 5 A>G
intron 11
mRNA splicing defect





1812- 108T/C
T or C at 1812- 108
intron 11
sequence variation





1812- 136T/C
T or C at 1812- 136
intron 11
sequence variation





1812- 1G- >A
G to A at 1812- 1
intron 11
mRNA splicing defect





1812- 26T- >C
T to C at 1812- 26
intron 11
splicing mutation





1812- 59T/G
T or G at 1812- 59
intron 11
sequence variation





1812- 5 T- >A
1812 - 5 T>A
intron 11
splicing mutation





1812- 99 T- >C
C to T at 1812- 99
Intron 11
Sequence Variation





1813insC
insertion of C after
12
frameshift



1813 (or 1814)







182delT
deletion of T at 182
 1
frameshift





1833delT
deletion of T at 1833
12
frameshift





1845delAG/1846delGA
deletion of AG at 1845
12
frameshift



or GA at 1846







185+ 1G- >T
G to T at 185+ 1
intron 1
mRNA splicing defect





185+ 45A- >G
A to G at 185+ 45
intron 1
sequence variation





185+ 4A- >T
A to T at 185+ 4
intron 1
mRNA splicing defect





(CBAVD)





186- 13C- >G
C to G at 186- 13
intron 1
mRNA splicing defect





1870delG
deletion of G at 1870
12
frameshift





1874insT
insertion of T between
12
frameshift



1871 and 1874







1898+ 152T/A
T or A at 1898+ 152
intron 12
sequence variation





1898+ 1G- >A
G to A at 1898+ 1
intron 12
mRNA splicing defect





1898+ 1G- >C
G to C at 1898+ 1
intron 12
mRNA splicing defect





1898+ 1G- >T
G to T at 1898+ 1
intron 12
mRNA splicing defect





1898+ 30G/A
G or A at 1898+ 30
intron 12
sequence variation





1898+ 3A- >C
A to C at 1898+ 3
intron 12
mRNA splicing defect





1898+ 3A- >G
A to G at 1898+ 3
intron 12
mRNA splicing defect





1898+ 5G- >A
G to A at 1898+ 5
intron 12
mRNA splicing defect





1898+ 5G- >T
G to T at 1898+ 5
intron 12
mRNA splicing defect





1898+ 73T- >G
T to G at 1898+ 73
intron 12
mRNA splicing defect





1918delGC
deletion of GC from 1918
13
frameshift





1924del7
deletion of 7 by (AAACTA)
13
frameshift



from 1924







1932delG
Deletion of G at
13
Frameshift a premature stop



nucleotide 1932

codon appears 10 codons





further.





1949del84
deletion of 84 bp
13
deletion of 28 a.a.



from 1949

(Met607 to Gln634)





2003del8
Deletion of GCTATTTT
13
Frameshift



from 2003







2043delG
deletion of G at 2043
13
frameshift





2051delTT
deletion of TT from 2051
13
frameshift





2055del9- >A
deletion of 9 bp
13
frameshift



CTCAAAACT to A





at 2055







2064C/G
C or G at 2064
13
sequence variation (Leu at





644 no change)





2082C/T
C or T at 2082
13
sequence variation (no





change Phe at 650)





2092A/G
A or G at 2092
13
sequence variation





2104insA+ 2109-
insertion of A at
13



2118del10
2104, deletion of





10 bp at 2109







2105-
Deletion of 13 bp and
13
Frameshift


2117de113insAGAAA
insertion of





AGAAA at 2105- 2117







2108delA
deletion of A at 2108
13
frameshift





2113delA
deletion of A at 2113
13
frameshift





2116delCTAA
deletion of CTAA at 2116
13
frameshift





2118del4
deletion of AACT from 2118
13
frameshift





211delG
deletion of G at 211
 2
frameshift





2141insA
insertion of A after 2141
13
frameshift





2143delT
deletion of T at 2143
13
frameshift





2176insC
insertion of C after 2176
13
frameshift





2183AA- >G
A to G at 2183 and deletion
13
frameshift



of A at 2184







2183delAA
deletion of AA at 2183
13
frameshift





2184A/G
A to G at 2184
13
no change





2184delA
deletion of A at 2184
13
frameshift





2184insA
insertion of A after 2184
13
frameshift





2185insC
insertion of C at 2185
13
frameshift





2193ins4
Insertion of 4T at 2193
13
Frameshift





2215insG
insertion of G at 2215
13
frameshift





2221insA
insertion of A at 2221
13
Frameshift a premature stop





codon appears 33 codons





further





2238C/G
C or G at 2238
13
sequence variation





223C/T
C or T at 223
 2
sequence variation





2289- 2295del7bpinsGT
Deletion of 7 bp
13
Frameshift



and insertion of





GT at 2289- 2295







2307insA
insertion of A after 2307
13
frameshift





232del18
Deletion of 18 bp from 232
 2
Deletion of 6 aa from 





Leu34 to Gln39





2335delA
deletion of A at 2335
13
frameshift





2347delG
deletion of G at 2347
13
frameshift





2372del8
deletion of 8 by from 2372
13
frameshift





2377C/T
C or T at 2377
13
sequence variation (no





change for Leu at 749)





237insA
insertion of A after 237
 2
frameshift





2380_2387del
Deletion of 8 bp from 2380
13
Frameshift





2391 C/T
2391 C>T
13
Polymorphism





2406delCC
deletion of CC at 2406
13
Frameshift





2409delC
Deletion of C at 2409
13
Frameshift





2412G/A
G to A at 2412
13
Sequence variation





2418GG>T
G to T at 2418
13
missense





241delAT
deletion of AT from 241
 2
frameshift





2423delG
deletion of G at 2423
13
frameshift





244delTA
deletion of TA from 244
 2
frameshift





2456delAC
deletion of AC at 2456
13
frameshift





2493ins8
insertion of 8bp after 2493
13
frameshift





2512delG
Deletion of G at 2512
13
Frameshift





2522insC
insertion of C after 2522
13
frameshift





2553A/G
A or G at 2553
13
sequence variation





2556insAT
insertion of AT after 2556
13
frameshift





2566insT
insertion of T after 2566
13
frameshift





2585delT
deletion of T at 2585
13
stop codon at amino acid 820





2603delT
deletion of T at 2603/4
13
frameshift





2622+ 14G/A
G or A at 2622+ 14
intron 13
sequence variation





2622+ 1G- >A
G to A at 2622+ 1
intron 13
mRNA splicing defect





2622+ 1G- >T
G to T at 2622+ 1
intron 13
splice mutation





2622+ 2del6
deletion of TAGGTA
intron 13
mRNA splicing defect



from 2622+ 2







2622+ 2T>C
T to C at 2622+ 2
intron 13
mRNA splicing defect





2623- 11 C- >T
2623- 11 C>T
intron 13
Polymorphism





2623- 23A- >G
2623- 23 A>G
intron 13
mRNA splicing defect





2623- 2A- >G
A to G at 2623- 2
intron 23
Splicing





2634delT
Deletion of T at 2634
14a
frameshift





2634insT
insertion of T after 2634
14a
frameshift





263A/T
A or T at 263
 2
sequence variation





2640delT
deletion of T at 2640
14a
frameshift





2691T/C
T or C at 2691
14a
sequence variation





2694delT
deletion of T at 2694
14a
frameshift





2694T/C
T or C at 2694
14a
sequence variation





2694T/G
T or G at 2694
14a
sequence variation





2703G/A
G or A at 2703
14a
sequence variation (Lys





at 857 no change)





2711delT
deletion of T at 2711
14a
frameshift





2721del11
deletion of 11 bp from 2721
14a
frameshift





2723delTT
deletion of TT from 2723
14a
frameshift





2732insA
insertion of A at 2732
14a
frameshift





2734G- >AT
Deletion of G at 2734
14a
frameshift



with insertion of AT







2736G/A
G or A at 2736
14a
sequence variation





2747delC
Deletion of C at
14a
Frameshift a premature stop



nucleotide 2747

codon appears 34 codons





further





2751+ 2T- >A
T to A at 2751+ 2
intron
mRNA splicing defect




14a






2751+ 3A- >G
A to G at 2751+ 3
intron
mRNA splicing defect




14a
(CBAVD)





2751G- >A
G to A at 2751
14a
mRNA splicing defect





2752- 15C/G
C or G at 2752- 15
intron
sequence variation




14a






2752- 17G/A
G to A at 2752- 17
intron
sequence variation




14a






2752- 1G- >C
G to C at 2752- 1
intron
splice mutation




14a






2752- 1G- >T
G to T at 2752- 1
intron
mRNA splicing defect




14a






2752- 22A/G
A or G at 2752- 22
intron
sequence variation




14a






2752- 26A- >G
A to G at 2752- 26
intron
mRNA splicing defect




14a






2752- 2A>G
A to G at 2752- 2
Intron
mRNA splicing defect




14a






2752- 674_3499+
2752- 674_3499+
14b, 15,
Large deletion removing


198del9855
198del9855bp
16, 17a,
exons 14b to 17b. 




17b
Frameshift





2752- 6T- >C
T to C at 2752- 6
intron
Splicing




14a






2752- 97C- >T
C to T at 2752- 97
intron
Splicing




14a






2766del8
deletion of 8 bp from 2766
14b
frameshift





2787del16
Deletion of 16
14b,
Splicing mutation.



nucleotides from
intron




2787
14b






2789+ 2insA
insertion of A
intron
mRNA splicing defect (CAVD)



after 2789+ 2
14b






2789+ 32T/C
T or C at 2789+ 32
intron
sequence variation




14b






2789+ 3delG
deletion of G at 2789+ 3
intron
mRNA splicing defect




14b






2789+ 5G- >A
G to A at 2789+ 5
intron
mRNA splicing defect




14b






2790- 108G/C
G or C at 2790- 108
intron
sequence variation




14b






2790- 1G- >C
G to C at 2790- 1
intron
mRNA splicing defect




14b






2790- 1G- >T
G to T at 2790- 1
intron
mRNA splicing defect




14b






2790- 21G/A
G or A at 2790- 21
intron
sequence variation




14b






2790- 2A- >G
A to G at 2790- 2
intron
mRNA splicing defect




14b






279A/G
A to G at 279
 2
No change (Leu at 49)





2811G/T
G or T at 2811
15
sequence variation





2819del4bpins13bp
delete 4bp(CTCA) at 
15
Thr to Met at 896, His to Ser



2819, insert 13 bp

at 897, insertion of Thr, Met



(TGAGTACTATGAG (SEQ

and Ser after 897



ID NO: 10)) at 2819







2839T/C
T or C at 2839
15
sequence variation





2844A/T
A or T at 2844
15
sequence variation (Ala at 904





no change)





284delA
deletion of A at 284
 2
frameshift





2851A/G
A or G at 2851
15
Ile or Val at 907





2856C/T
C or T at 2856
15
sequence variation (Thr at 908





no change)





2858G/T
G or T at 2858
15
sequence variation





2868 G/A
G to A at 2868
15
sequence variation





2869insG
insertion of G after 2869
15
frameshift





2896insAG
insertion of AG after 2896
15
frameshift





2901C/T
C or T at 2901
15
sequence variation





2907delTT
deletion of TT from 2907
15
frameshift





2909delT
deletion of T at 2909
15
frameshift





2940A/G
A or G at 2940
15
sequence variation





2942insT
insertion of T at 2942
15
frameshift resulting in





premature termination at





codon 974





2948AT- >C
AT to C at 2948
15
frameshift resulting in





premature termination at 2953





295ins8
insertion of ATTGGAAA
 2
frameshift



after 295







296+ 128G/C
G or C at 296+ 128
intron 2
sequence variation





296+ 12T- >C
T to C at 296+ 12
intron 2
mRNA splicing defect





296+ 1G- >A
G to A at 296+ 1
intron 2
splicing





296+ 1G- >C
G to C at 296+ 1
intron 2
mRNA splicing defect





296+ 1G- >T
G to T at 296+ 1
intron 2
missense; mRNA splicing





defect





296+ 28A- >G
A to G at 296+ 28
intron 2
mRNA splicing





296+ 2T- >A
T to A at 296+ 2
intron 2
mRNA splicing Defect





296+ 2T- >C
T to C at 296+ 2
intron 2
mRNA splicing defect





296+ 2T- >G
T to G at 296 + 2
intron 2
mRNA splicing defect





296+ 3insT
insertion of T
intron 2
mRNA splicing defect



after 296+ 3







2967G/A
G or A at 2967
15
sequence variation (no





change for Ser at 945)





296+ 9A- >T
A to T at 296+ 9
intron 2
mRNA splicing defect





297- 10T- >G
T to G at 297- 10
intron 2
splice mutation





297- 12insA
insertion of A at 297- 12
intron 2
splice mutation





297- 28insA
insertion of A
intron 2
mRNA splicing defect



after 297- 28







297- 2A- >G
A to G at 297- 2
intron 2
mRNA splicing defect





297- 3C- >A
C to A at 297- 3
intron 2
mRNA splicing defect





297- 3C- >T
C to T at 297- 3
intron 2
mRNA splicing defect





297- 45 A- >G
A to G at 297- 45

Sequence variation





297- 50A/G
A or G at 297- 50
intron 2
sequence variation





297- 55C/T
C to T at 297- 55
intron 2
sequence variation





297- 57 G/T
297 - 57 G>T
intron 2
sequence variation





297- 67A/C
A or C at 297- 67
intron 2
sequence variation





297- 73 A/G
297 - 73 A>G
intron 2
sequence variation





2991del32
deletion of 32 bp from
15
frameshift



2991 to 3022







3007delG
deletion of G at 3007
15
frameshift





300delA
deletion of A at 300
 3
frameshift





3028delA
deletion of A at 3028
15
frameshift





3030G/A
G or A at 3030
15
sequence variation





3040+ 11A/T
3040+ 11 A>T
intron 15
Polymorphism





3040+ 23T- >C
T to C at 3040+ 23
intron 15
Splicing





3040+ 2T- >C
T to C at 3040+ 2
intron 15
mRNA splicing defect





3041- 11del7
deletion of GTATATT
intron 15
mRNA splicing mutation



at 3041- 11







3041- 15T- >G
T to G at 3041- 15
intron 15
mRNA splicing mutation





3041- 1G- >A
G to A at 3041- 1
intron 15 
mRNA splicing defect





3041- 4A- >G
A to G at 3041- 4
intron 6b
splicing





3041- 51 T/G
3041 - 51 T>G
intron 15
sequence variation





3041- 52C/G
C or G at 3041- 52
intron 15
sequence variation





3041- 71G/C
G or C at 3041- 71
intron 15
sequence variation





3041- 92G/A
G or A at 3041- 92
intron 15 
sequence variation





3041delG
deletion of G at 3041
16
frameshift





3056delGA
deletion of GA from 3056
16
frameshift





306delTAGA
deletion of TAGA from 306
 3
frameshift





306insA
insertion of A at 306
 3
frameshift





3079delTT
deletion of TT from 3079
16
frameshift





3100insA
insertion of A after 3100
16
frameshift





3120+ 198G- >A
G to A at 3120+ 198
intron 16
Splicing





3120+ 1G- >A
G to A at 3120+ 1
intron 16
mRNA splicing defect





3120+ 35 A- >T
A to T at 3120+ 35
Intron 16
mRNA splicing defect





3120+ 41delA
Delete A at 3120+ 41
intron 16
sequence variation





3120+ 45A/G
A or G at 3120+ 45
intron 16
sequence variation





3120G- >A
G to A at 3120
16
mRNA splicing defect





3121- 14C/A
C or A at 3121- 14
intron 16
Sequence variation





3121- 1G- >A
G to A at 3121- 1
intron 16
mRNA splicing defect





3121- 2A- >G
A to G at 3121- 2
intron 16
mRNA splicing defect





3121- 2A- >T
A to T at 3121- 2
intron 16
mRNA splicing defect





3121- 3C- >G
C to G at 3121- 3
intron 16
mRNA splicing





3121- 92A12/13
12A or 13A at 3121- 92
intron 16
sequence variation





3121- 977_3499+
3121- 977_3499+ 248del2515bp
17a, 17b
Large deletion removing


248del2515


exons 17a and 17b.





Frameshift





3126del4
deletion of ATTA from 3126
17a
frameshift





3129del4
deletion of 4 bp from 3129
17a
frameshift





3130del15
delete 15 nucleotide at 3130
17a
In fram in/del





3130delA
Deletion of A at 3130
17a
frameshift





3131del15
deletion of 15 bp from 
17a
deletion of Val at 1001



3130, 3131, or 3132

to Ile at 1005





3132delTG
deletion of TG from 3132
17a
frameshift





3141del9
del AGCTATAGC from 3141
17a
Frameshift





3152delT
delete T at 3152
17a
frameshift





3153delT
deletion of T at 3153
17a
frameshift





3154delG
deletion of G at 3154
17a
frameshift





3171delC
deletion of C at 3171
17a
frameshift resulting in





premature termination at 1022





3171insC
insertion of C after 3171
17a
frameshift





3173delAC
deletion of AC from 3173
17a
frameshift





3195del6
deletion of AGTGAT from 
17a
deletion of Val 1022 and



3195 to 3200

Ile 1023





3196del54
deletion of 54 bp 
17a
deletion of 18 aa from codon



from 3196

1022





3199del6
deletion of ATAGTG 
17a
deletion of Ile at 1023



from 3199

and Val at 1024





3200_3204delTAGTG
Deletion of TAGTG
17a
Frameshift



from 3200







3238delA
3238delA
17a
frameshift





3271+ 101C/G
C or G at 3271+ 101
intron
sequence variation




17a






3271+ 183 T to G
T to G at 3271+ 183
intron
sequence variation




17a






3271+ 18C/T
C or T at 3271+ 18
intron
sequence variation




17a






3271 +1G- >A
G to A at 3271+ 1
intron
mRNA splicing defect




17a






3271+ 1G>T
G to T at 3271+ 1
Intron
mRNA splicing defect




17a






3271+ 42A/T
A or T at 3271+ 42
intron
sequence variation




17a






3271+ 80A/T
A or T at 3271+ 80
Intron
Sequence variation




17a






3271+ 8A>G
A to G at 3271+ 8
intron
RNA splicing defect




17a






3271delGG
deletion of GG at 3271
17a
framshift for exon 17b,





loss of splice site





3272- 11A- >G
A to G at 3272- 11
intron
Splicing




17a






3272- 1G- >A
G to A at 3272- 1
intron
mRNA splicing defect




17a






3272- 26A- >G
A to G at 3272- 26
intron
mRNA splicing defect




17a






3272- 33A/G
A or G at 3272- 33
intron
sequence variation




17a






3272- 42 G/T
3272 - 42 G>T
intron
sequence variation




17a






3272- 4A- >G
A to G at 3272- 4
intron
mRNA splicing defect




17a






3272- 54del704
deletion of 704 bp
intron
deletion of exon 17b



from 3272- 54
17a






3272- 93T/C
T or C at 3272- 93
intron
sequence variation




17a






3272- 9A- >T
A to T at 3272- 9
intron
mRNA splicing defect




17a






3293delA
deletion of A at 3293
17b
frameshift





- 329A/G
A or G at - 329 upstream
promotor
sequence variation



of the cap site







3320ins5
insertion of CTATG
17b
frameshift



after 3320







3333C/T
C or T at 3333
17b
sequence variation





3336C/T
C or T at 3336
17b
sequence variation





3359delCT
deletion of CT from 3359
17b
frameshift





3384A/G
A or G at 3384
17b
sequence variation





3396delC
deletion of C at 3396
17
frameshift





- 33G- >A
G to A at - 33
promotor
promoter mutation





3413del355_insTGTTAA
Partial deletion of 
17b
A stop codon appears very



exon 17b. It removes

early in the new sequence but



355 bp, i.e. from nt

the consequences at the RNA



3413 (in codon 1094)

level remain to be studied.



to 3499+ 268 in





intron 17b; the 





sequence “TGTTAA”





is inserted at the





breakpoints.







3417A/T
A or T at 3417
17b
sequence variation





3419delT
deletion of T at 3419
17b
frameshift





3423delC
deletion of C at 3423
17b
frameshift





3425delG
deletion of G at 3425 or 3426
17b
frameshift





3438A/G
A or G at 3438
17b
Sequence variation





3447delG
Deleletion of G at 3447
17b
Frameshift





345T/C
T or C at 345
 3
sequence variation





3471T/C
T or C at 3471
17b
sequence variation





3477C/A
C or A at 3477
17b
sequence variation





347delC
deletion of C at 347
 3
frameshift





3495delA
deletion of A at 3495
17b
frameshift





3499+ 29G/A
G or A at 3499+ 29
Intron
Sequence variation




17b






3499+ 2T- >C
T to C at 3499+ 2
intron
mRNA splicing defect




17b






3499+ 37G/A
G or A at 3499+ 37
intron
sequence variation




17b






3499+ 3A- >G
A to G at 3499+ 3
intron
mRNA splicing defect




17b






3499+ 45T/C
T or C at 3499+ 45
intron
sequence variation




17b






3499+ 6A- >G
A to G at 3499+ 6
intron
mRNA splicing defect




17b






3499+ 7T- >G
T to G at 3499+ 7
intron
Splicing




17b






3500- 140A/C
A or C at 3500- 140
intron
sequence variation




17b






3500 - 1 G to A
3500 - 1 G>A
intron
mRNA splicing defect




17b






3500- 2A- >G
A to G at 3500- 2
intron
mRNA splicing defect




17b






3500- 44G/A
G or A at 3500- 44
intron
sequence variation




17b






3500- 50 A/C
3500 - 50 A>C
intron
sequence variation




17b






3523A- >G
A to G at 3523
18
Ile to Val at 1131





3532AC- >GTA
AC to GTA from 3532
18
frameshift





3556insAGTA
insertion of AGTA after
18
frame shift



position 3556







3577delT
deletion of T at 3577
18
frameshift





359insT
insertion of T after 359
 3
frameshift





3600+ 2insT
insertion of T after 3600+ 2
intron 18
mRNA splicing defect





3600+ 2T- >C
T to C at 3600+ 2
intron 18
sequence variation





3600+ 42G/A
G or A at 3600+ 42
intron 18
sequence variation





3600+ 5G- >A
G to A at 3600+ 5
intron 18
mRNA splicing defect





3600G- >A
G to A at 3600
18
mRNA splicing defect





3601- 111G/C
G or C at 3601- 111
intron 18
sequence variation





3601- 17T- >C
T to C at 3601- 17
intron 18
mRNA splicing defect





3601- 20T- >C
T to C at 3601- 20
intron 18
mRNA splicing mutant





3601- 2A- >G
A to G at 3601- 2
intron 18
mRNA splicing defect





3601- 65C/A
C or A at 3601- 65
intron 18
sequence variation





360- 365insT
Insertion of T at 360- 365
 3
Frameshift





360delT
deletion of T at 360
 3
frameshift





3617delGA
Deletion of GA from 3617
19
Frameshift





3617G/T
G or T at 3617
19
sequence variation





3622insT
insertion of T after 3622
19
frameshift





3629delT
Deletion of T at 3629
19
Frame shift





3636 C/T
C to T at 3636
19
sequence variation (Asp at





1168 no change)





- 363C/T
C to T at - 363
promotor
promoter mutation





365- 366insT (W79fs)
insertion at 360 - 365
 3
Frameshift (W79fs)





3659delC
deletion of C at 3659
19
frameshift





3662delA
deletion of A at 3662
19
frameshift





3667del4
deletion of 4 bp from 3667
19
frameshift





3667ins4
insertion of TCAA after 3667
19
frameshift





3670delA
deletion of A at 3670
19
frameshift





3696G/A
G to A at 3696
18
No change to Ser at 1188





3724delG
deletion of G at 3724
19
frameshift





3726G/T
G or T at 3726
19
sequence variation





3732delA
deletion of A at 3732 and
19
frameshift and Lys to Glu at



A to G at 3730

1200





3737delA
deletion of A at 3737
19
frameshift





3750delAG
deletion of AG from 3750
19
frameshift





3755delG
deletion of G between
19
frameshift



3751 and 3755







3780 A/C
A to C at 3780
19
sequence variation





3789insA
insertion of A at 3789
19
frameshift resulting in a





premature termination at 3921





3791C/T
C or T at 3791
19
sequence variation





3791delC
deletion of C at 3791
19
frameshift





379- 381insT
Insertion of T at 379- 381
 3
Frameshift





3821- 3823del T
deletion of T at 3821- 3823
19
frameshift (Stop at 1234)





3821delT
deletion of T at 3821
19
frameshift





3849+ 10kbC- >T
C to T in a 6.2 kb
intron 19
creation of splice



EcoRI fragment

acceptor site



10 kb from 19







3849+ 1G- >A
G to A at 3849+ 1
intron 19
mRNA splicing defect





3849+ 40A- >G
A to G at 3849+ 40
intron 19
Splicing





3849+ 45G- >A
G to A at 3849+ 45
intron 19
Splicing





3849+ 4A- >G
A to G at 3849+ 4
intron 19
mRNA splicing defect





3849+ 5G- >A
G to A at 3849+ 5
intron 19
mRNA splicing defect





3849G- >A
G to A at 3849
19
mRNA splicing defect





3850- 129T/C
T or C at 3850- 129
intron 19
sequence variation





3850- 1G- >A
G to A at 3850- 1
intron 19
mRNA splicing defect





3850- 3T- >G
T to G at 3850- 3
intron 19
mRNA splicing defect





3850- 41C/G
3850- 41 C>G
intron 19
Sequence variation





3850- 79T/C
T or C at 3850- 79
intron 19
sequence variation





3860ins31
insertion of 31 bp
20
frameshift



after 3860







3867A/G
A or G at 3867
20
sequence variation





3876delA
deletion of A at 3876
20
frameshift





3878delG
deletion of G at 3878
20
frameshift mutation at 1249





and stop codon at 1258





3891 G/A
G or A at 3891
20
Sequence Variation





3898insC
insertion of C after 3898
20
frameshift





3905insT
insertion of T after 3905
20
frameshift





3906insG
insertion of G after 3906
20
frameshift





3922del10- >C
deletion of 10 bp from
20
deletion of Glu 1264 to



3922 and replacement

Glu 1266



with 3921







3939C/T
C or T at 3939
20
sequence variation





3944delGT
deletion of GT from 3944
20
frameshift





394delTT
deletion of TT from 394
 3
frameshift





3960- 3961delA
Deletion of A at
20
Frameshift



3960- 3961







4005+ 117T/G
T or G at 4005+ 117
intron 20
sequence variation





4005+ 121delTT
8T or 6T at 4005+ 121
intron 20
sequence variation





4005+ 1G- >A
G to A at 4005+ 1
intron 20
mRNA splicing defect





4005+ 23delA
Deletion of A 
Intron 20
Sequence variation- mRNA



at 4005+ 23

splicing defect





4005+ 28insA
6A or 7A at 4005+ 28
intron 20
sequence variation





4005+ 29G- >C
G to C at 4005+ 29
intron 20
Splicing





4005+ 2T- >C
T to C at 4005+ 2
intron 20
mRNA splicing defect





4005+ 33A- >G
A to G at 4005+ 33
intron 20
Splicing





4006- 103delT
deletion of T
intron 20
sequence variation



at 4006- 103







4006- 11 t- >G
T to G at 4006- 11

mRNA splicing defect





4006- 14C- >G
C to G at 4006- 14
intron 20
mRNA splicing defect





4006- 19del3
deletion of 3 bp
intron 20
mRNA splicing defect



from 4006- 19







4006- 200G/A
G or A at 4006- 200
intron 20
sequence variation





4006- 26 T/C
4006 - 26 T>C
intron 20
sequence variation





4006- 46delTATTT
Deletion from 4006- 46 
intron 20
Splicing defect



to 4006- 42







4006- 4A- >G
A to G at 4006- 4
intron 20
mRNA splicing defect





4006- 50 A/C
4006 - 50 A>C
intron 20
sequence variation





4006- 61del14
deletion of 14 bp from 
intron 20
mRNA splicing defect



4006- 61 to 4006- 47







4006- 8T- >A
T to A at 4006- 8
intron 20
mRNA splicing defect





4006delA
deletion of A at 4006
21
frameshift





4010del4
deletion of TATT
21
frameshift



from 4010







4015delA
deletion of A at 4015
21
frameshift





4016insT
insertion of T at 4016
21
frameshift





4022insT
insertion of T at 4022
21
Frameshift.





4029A/G
A or G at 4029
21
sequence variation





4040delA
deletion of A at 4040
21
frameshift





4041_4046del6insTGT
Deletion of nucleotides
21
deletion of Leu at 1304



4041 to 4046 and

and Asp at 1305,



insertion of TGT

insertion of Val at 1304





4048insCC
insertion of CC
21
frameshift



after 4048







405+ 1G- >A
G to A at 405+ 1
intron 3
mRNA splicing defect





405+ 3A- >C
A to C at 405+ 3
intron 3
mRNA splicing defect





405+ 42A/G
A or G at 405+ 42
intron 3
sequence variation





405+ 46G/T
G or T at 405+ 46
intron 3
sequence variation





405+ 4A- >G
A to G at 405+ 4
intron 3
mRNA splicing defect





406- 10C- >G
C to G at 406- 10
intron 3
mRNA splicing defect





406- 112T/A
T or A at 406- 112
intron 3
sequence variation





406- 13T/C
T or C at 406- 13
intron 3
sequence variation





406- 1G- >A
G to A at 406- 1
intron 3
mRNA splicing defect





406- 1G- >C
G to C at 406- 1
intron 3
mRNA splicing defect





406- 1G- >T
G to T at 406- 1
intron 3
mRNA splicing defect





406- 2A- >C
A to C at 406- 2
intron 3
mRNA splicing defect





406- 2A- >G
A to G at 406- 2
intron 3
mRNA splicing defect





406- 3T- >C
T to C at 406- 3
intron 3
mRNA splicing defect





406- 5T- >G
T to G at 406- 5
intron 3
mRNA splicing defect





406- 6T- >C
T to C at 406- 6
intron 3
mRNA splicing defect





406- 82T/A
T or A at 406- 82
Intron 3
Sequence variation





406- 83A/G
A or G at 406- 83
intron 3
sequence variation





4086T/C
T or C at 4086
21
sequence variation





4095+ 1G>C
4095+ 1 G>C
intron 21
mRNA splicing defect





4095+ 1G- >T
4095+ 1 G>T
Intron 21
mRNA splicing defect





4095+ 2T- >A
4095+ 2 T>A
intron 21
mRNA slicing defect





4095+ 42T/C
T or C at 4095+ 42
intron 21
sequence variation





4096- 1G- >A
G to A at 4096- 1
intron 21
mRNA splicing defect





4096- 283T/C
T or C at 4096- 283
intron 21
sequence variation





4096- 28G- >A
G to A at 4096- 28
intron 21
mRNA splicing defect





4096- 3C- >G
C to G at 4096- 3
intron 21
mRNA splicing defect





40G/C
G to C at 40
 1
Sequence variation





4108delT
deletion of T at 4108
22
frameshift





4114ATA- >TT
ATA to TT from 4114
22
Ile to Leu at 1328 and





frameshift





412del7- >TA
deletion of ACCAAAG
 4
frameshift



from 412 and





insertion of TA







4168delCTAAGCC
Deletion of CTAAGCC
22




at 4168







4171insA
insertion of A at 4171
22
Frameshift a premature stop





codon appears 12 codons





further.





4172delGC
deletion of GC from 4172
22
frameshift





4173delC
deletion of C at 4173
22
frameshift





4203TAG- >AA
TAG to AA at 4203
22
frameshift





4209TGTT- >AA
TGTT to AA from 4209
22
Frame shift





4218insT
insertion of T after 4218
22
frameshift





4269- 108A- >G
A to G at 4269- 108
intron 22
sequence variation





4269- 139G/A
G or A at 4269- 139
intron 22
sequence variation





4271delC
deletion of C at 4271
23
frameshift





4272delA
Deletion of nucleotide
23
Frameshift



A at 4272 position







4279insA
insertion of A after 4279
23
frameshift





4301)delA
deletion of A at 4301
23
frameshift



or 4302







4326delTC
Deletion of TC from 
23
FrameShift



4326 to 4327







4326delTC
deletion of TC from 4326
23
frameshift





4329C/G
C or G at 4329
Exon 23
Sequence Variation





4332delTG
deletion of TG at 4332
23
framshift





4356G/A
G or A at 4356
23
sequence variation





435insA
insertion of A after 435
 4
frameshift





4374+ 10T- >C
T to C at 4374+ 10
intron 23
splicing





4374+ 13A/G
A or G at 4374+ 13
intron 23
sequence variation





4374+ 14A/G
A or G at 4374+ 14
intron 23
sequence variation





4374+ 1G- >A
G to A at 4374+ 1
intron 23
mRNA splicing defect





4374+ 1G- >T
G to T at 4374+ 1
intron 23
mRNA splicing defect





4374_4374+ 1GG>TT
4374_4374+ 1GG>TT
23,
mRNA splicing defect




intron 23






4375- 15C/T
C or T at 4375- 15
intron 23
sequence variation





4375- 1G- >C
G to C at 4375- 1
intron 23
splicing mutation





4375- 36delT
deletion of T at 375- 36
intron 23
sequence variation





4382delA
deletion of A at 4382
24
frameshift





4404C/T
C or T at 4404
24
sequence variation





441delA
deletion of A at 441
 4
frameshift



and T to A at 486







4428insGA
insertion of GA
24
frameshift



after 4428







444delA
deletion of A at 444
 4
frameshift





4464 C/T
C to T at 4464
24
sequence variation





451del8
deletion of GCTTCCTA
 4
frameshift



from 451







4521G/A
G or A at 4521
24
sequence variation





4557 G/A
G to A at 4557
24
sequence variation (Leu at





1475 no change)





4563T/C
T or C at 4563
24
sequence variation





4575+ 2G- >A
G to A at 4575+ 2
intron 24
Splicing





457TAT- >G
TAT to G at 457
 4
frameshift





458delAT
deletion of AT at 458
 4
frameshift





4608- 4638del31
31 bp deletion between
intron 24
sequence variation



4608 and 4638







460delG
deletion of G at 460
 4
frameshift





- 461A- >G
A to G at - 461
promotor
Sequence variation





4655T- >G
T to G at 4655
intron 24
sequence variation





465G/A
G or A at 465
 4
sequence variation





4700T8/9
8T or 9T at 4700
intron 24
sequence variation





- 471delAGG
deletion of AGG
promotor
promoter mutation



from - 471







489 C/T
C to T at 489
 4
sequence variation





489delC
deletion of C at 489
 4
frameshift





48C/G
C or G at 48
promotor
sequence variation





492G/A
G or A at 492
 4
sequence variation





519delT
T deleted
 4
frameshift





525delT
deletion of T at 525
 4
frameshift





541del4
deletion of
 4
frameshift



CTCC from 541







541delC
deletion of C at 541
 4
frameshift





545T/C
T or C at 545
 4
sequence variation





546insCTA
insertion of
 4
frameshift



CTA at 546







547insGA
insertion of GA
 4
Frameshift; a premature



between nucleotides

stop codon appears 15



547 and 548

codons further.





547insTA
insertion of TA
 4
frameshift



after 547







549C/T
C to T at 549
 4
sequence variation





(His at 139 no change)





552insA
insertion of A
 4
frameshift



after 552







556delA
deletion of A at 556
 4
frameshift





557delT
deletion of T at 557
 4
frameshift





565delC
deletion of C at 565
 4
frameshift





574delA
deletion of A at 574
 4
frameshift





576InsCTA
Insert CTA at 576
 4
In frame in/del





- 589G/A
G or A at - 589
Promoter
Sequence Variation





591del18
deletion of 18 bp
 4
deletion of 6 a.a. from



from 591







605insT
insertion of T
 4
frameshift



after 605







612T/A
T or A at 612
 4
sequence variation



(together





with Y161S)







621+ 1G- >T
G to T at 621 +1
intron 4
mRNA splicing defect





621+ 2T- >C
T to C at 621 +2
intron 4
mRNA splicing defect





621+ 2T- >G
T to G at 621 +2
intron 4
mRNA splicing defect





621+ 31C/G
C or G at 621 +31
intron 4
sequence variation





621+ 3A- >G
A to G at 621 +3
intron 4
mRNA splicing defect





621G- >A
G to A at 621
 4
mRNA splicing defect





622- 103A/G
A or G at 622- 103
intron 4
sequence variation





622- 116A/G
A or G at 622- 116
intron 4
sequence variation





622- 152G/C
G or C at 622- 152
intron 4
sequence variation





622- 16 T/C
622 - 16 T>C
intron 4
sequence variation





622- 1G- >A
G to A at 622- 1
intron 4
mRNA splicing defect





622- 2A- >C
A to C at 622- 2
intron 4
mRNA splicing defect





622- 2A- >G
A to G at 622- 2
intron 4
mRNA splicing defect





624delT
deletion of T at 624
 5
frameshift





650delATAAA
Deletion of ATAAA
 5
Frameshift



at 650







657delA
deletion of A at 657
 5
frameshift





663delT
deletion of T at 663
 5
frameshift





675del4
deletion of TAGT 
 5
frameshift



from 675







676A/G
A or G at 676
 5
sequence variation





681delC
deletion of C at 681
 5
frameshift





710_711+ 5de17
Deletion of
 5




AAGTATG between





710 and 711+ 5







711+ 1G- >T
G to T at 711+ 1
intron 5
mRNA splicing defect





711+ 34A- >G
A to G at 711+ 34
intron 5
mRNA splicing defect





711+ 3A- >C
A to C at 711+ 3
intron 5
mRNA splicing defect





711+ 3A- >G
A to G at 711+ 3
intron 5
mRNA splicing defect





711+ 3A- >T
A to T at 711+ 3
intron 5
mRNA splicing defect





711+ 5G- >A
G to A at 711+ 5
intron 5
mRNA splicing defect





712- 1G- >T
G to T at 712- 1
intron 5
mRNA splicing defect





712- 92T/A
T or A at 712- 92
intron 5
sequence variation





733delG
Deletion of G at 733
 6a
Frameshift





741C/T
C or T at 741
 6a
sequence variation





- 741T- >G
T to G at - 741
promotor
promoter mutation





759A/G (A209A))
A or G at 759
 6a
sequence variation





(Ala at 209 no change)





- 790T9/8
9T or 8T at - 790
promotor
sequence variation





795G/A
G to A at 795
 6a
Sequence variation. No





change





- 816C- >T
C to T at - 816
promotor
promoter mutation





- 816delCTC
deletion of CTC
promotor
sequence variation



at - 816







- 834T/G
T or G at - 834
promotor
sequence variation





852del22
deletion of 22 bp
 6a
frameshift



from 852







873C/T
C or T at 873
 6a
sequence variation





874Ins TACA
Insertion of 4 bp
 6a
stop codon at amino 



(TACA) at 874

acid 257 in exon 6b





875+ 1G- >A
G to A at 875+ 1
intron 6a
mRNA splicing defect





875+ 1G- >C
G to C at 875+ 1
intron 6a
mRNA splicing defect





875+ 40A/G
A or G at 875+ 40
intron 6a
sequence variation





876- 10del8
deletion of 8 bp
intron 6a
mRNA splicing defect



from 876- 10







876- 14del12
deletion of 12 bp
intron 6a
mRNA splicing defect



from 876- 14







876- 3C- >T
C to T at 876- 3
intron 6a
splicing mutation





876- 8 A- >C
876 - 8 A>C
intron 6a
mRNA splicing defect





- 895T/G
T or G at - 895
promotor
sequence variation



upstream of the cap





site







905delG
deletion of G
 6b
frameshift



at 905







- 912dupT
deletion of T at
promotor
Sequence variation



nucleotide - 912







935delA
deletion of A
 6b
frameshift



at 935







936delTA
deletion of TA
 6b
frameshift



from 936







- 94G- >T
G to T at - 94
promotor
promoter mutation





977insA
insertion of A
 6b
frameshift



after 977







989- 992insA
Insertion of A
 6b
Frameshift



at 989- 992







991del5
deletion AACTT
 6b
frameshift



from 991 or





CTTAA from 993







994del9
deletion of
 6b
mRNA splicing defect



TTAAGACAG from 994







99C/T
C or T at 99
promotor
sequence variation





A1006E
C to A at 3149
17a
Ala to Glu at 1006





A1009T
G to A at 3157
17a
Ala to Thr at 1009





A1025D
C to A at 3206
17a
Substitution of alanine





to aspartic acid at





position 1025





A1067D
C to A at 3332
17b
Ala to Asp at 1067





A1067G
C to G at 3332
17b
Ala to Gly at 1067





A1067P
G to C at 3331
17b
Ala en Pro at 1067





A1067T
G to A at 3331
17b
Ala to Thr at 1067





A1067V
C to T at 3332
17b
Ala to Val at 1067





A107G
C to G at 452
 4
Ala to Gly at 107





A1081P
G to C at 3373
17b
Ala to Pro at 1081





A1087P
G to C at 3391
17b
Ala to Pro at AS 1087





A1136T
G to A at 3538
18
Ala to Thr at 1136





A120T
G to A at 490
 4
Ala to Thr at 120





A120V
C to T at 491
 4
Ala to Val at 120





A1319E
C to A at 4088
21
Ala to Glu at 1319





A1364V
C to T at 4223
22
Ala to Val at 1364 CBAVD





A141D
C to A at 554
 4
Ala to Asp at 141





A155P
G to C at 595
 4
Ala to Pro at 155





A198P
G to C at 724
 6a
Ala to Pro at 198





A209S
G to T at 757
 6a
Ala to Ser at 209





A238V
C to T at 845
 6a
Ala to Val at 238





A299T
G to A at 1027
 7
Ala to Thr at 299





A309A (1059C/G)
C or G at 1059
 7
sequence variation





A309D
C to A at 1058
 7
Ala to Asp at 309





A309G
C to G at 1058
 7
Ala to Gly at 309





A309T
G to A at 1057
 7
Ala to Thr at 309





A309V
C to T at 1058
 7
Ala to Val at 309





A349V
C to T at 1178
 7
Ala to Val at 349





A399D
C to A at 1328
 8
Ala to Asp at 399





A399V
C to T at 1328
 8
Ala to Val at 399





A455E
C to A at 1496
 9
Ala to Glu at 455





A46D
C to A at 269
 2
Ala to Asp at 46





A534E
C to A at 1733
11
Ala to Glu at 534





A559E
C to A at 1808
11
Ala to Glu at 559





A559T
G to A at 1807
11
Ala to Thr at 559





A559V
C to T at 1808
11
Ala to Val at 559





A561E
C to A at 1814
12
Ala to Glu at 561





A566T
G to A at 1828
12
Ala to Thr at 566





A613T
G to A at 1969
13
Ala to Thr at 613





A72D
C to A at 347
 3
Ala to Asp at 72





A72T
G to A at 346
 3
Ala to Thr at 72





A800G
C to G at 2531
13
Ala to Gly at 800





A959V
C to T at 3008
15
Ala to Val at 959





A96E
C to A at 419
 4
Ala to Glu at 96





C225R
T to C at 805
 6a
Cys to Arg at 225





C225X
T to A at 807
 6a
Cys to Stop at 225





C276X
C to A at 960
 6b
Cys to Stop at 276





C491R
T to C at 1603
10
Cys to Arg at 491





C524X
C to A at 1704
10
Cys to Stop at 524





C866R
T to G at 2728
14a
Cys to Arg at 866





C866S
T to A at 2728
14a
Cys to Ser at 866





C866Y
G to A at 2729
14a
Cys to Tyr at 866





CF25kbdel
Complex deletion/
intron 3




rearrangement







CFTR40kbdel
deletion of exons
4, 5, 6a,
large deletion from



4- 10
6b, 7, 8,
intron 3 to intron 10




9, 10






CFTR40kbdel
deletion of exons
4, 5, 6a,
large deletion from



4- 10
6b, 7, 8,
intron 3 to intron 10




9, 10






CFTR50kbdel
complex deletion
4, 5, 6a,
complex deletion



involving exons
6b, 7, 11,




4- 7 and 11- 18
12, 13,





14a, 14b,





15, 16,





17a, 17b,





18






CFTRdele1
Deletion of exon 1
 1
A small peptide of 17 



from nucleotide 136

residues if translation



(codons 2- 18) to

starts at the same ATG



intron 1 nucleotide +

or another protein 



69 and insertion of

(possibly CFTR-like)



an inverted and

if another ATG is 



complementary sequence

choosen.



of intron 1 (nucleotide





185+ 4191 to + 4488)





and addition of a G





at the junction.







CFTRdele11- 16Ins35bp
Gross deletion of
11, 12,
The in-frame deletion



47.5 kb going from
13, 14a,
of exons 11 to 16 was



IVS10+ 12 to IVS16+

predicted to result in 



403 that removed
14b, 15,
a protein lacking amino



exons 11 to 16
16
acids 529 to 996; this



inclusive, together

includes the carboxy



with an

terminal end of NBD1,



insertion of 35 bp

the entire regulatory R





domain and transmembrane-





spanning regions TM7





and TM8.





CFTRdele1- 24
deletion of the
1, 2, 3, 4,
absence of CFTR expression.



whole CFTR gene
5, 6a, 6b,





7, 8, 9,





10, 11,





12, 13,





14a, 14b,





15, 16,





17a, 17b,





18, 19,





20, 21,





22, 23,





24






CFTRdele14a
deletion of >=1.2 kb
14a
aberrant mRNA splicing



including exon 14a







CFTRdele14b- 17b
9890 bp deletion
14b, 15,
Removes 5 coding exons




16, 17a,





17b






CFTRdele14b- 18
deletion of 20 kb from 
14b, 15,
deletion of amino acids 874-



exons 14b through 18
16, 17a,
1156




17b, 18






CFTR- dele 16- 17a- 17b
3040+ 1085_3499+
16, 17a,
Large in frame deletion



260del7201
17b
removing exons 16,





17a, 17b





CFTRdele16- 17b
deletion of 7 kb
16, 17a,
large deletion from



starting at intron 15
17b
intron 15 to intron 17b





CFTRdele17b18
deletion of exons
17b, 18
frameshift



17b and 18







CFTRdele19
deletion of 5.3 kb,
19




removing exon 19







CFTRdele1Ins299bp
This indel involved
 1




the deletion of





119 bp extending from 





coding position 4 (A 





of the ATG- translation





initiation codon being





defined as 1) to IVS1+ 69 





that removed nearly the 





entire coding sequence





of exon 1, and the





insertion of 299 bp 





at the deletion junction







CFTRdele1 or
136_185+
1, intron
Deletion of exon 1 from


136del119ins299
69del119bpins299bp
1
nucleotide 136 (codons





2-18) to intron 1 





nucleotide +69 and





insertion of an inverted and





complementary sequence of





intron 1 (nucleotide 185+ 4191





to +4488) and addition of a G





at the junction. A small 





peptide of 17 residues





if translation starts 





at the same ATG or





another protein (possibly





CFTR-like) if another ATG is





choosen.





CFTRdele2
deletion of exon 2
 2
frameshift





CFTR- dele2
186- 1161_296+
 2
Large in frame deletion



1603del2875

removing exon2





CFTRdele21
deletion of exon 21
21
large deletion from exon 21





CFTRdele2- 10
deletion of 95.7 kb
2, 3, 4, 5,
frameshift



starting in intron 1
6a, 6b, 7,





8, 9, 10






CFTRdele22, 23
This deletion extends
22, 23
The loss of exons 22 and 23



from nucleotide -

was in-frame and was



78 of intron 

predicted to result in a CFTR



21 (the end of intron

protein lacking amino acids



21 being defined as -

1322 to 1414; this constitutes



1) to nucleotide +

the carboxy terminal end of



577 of intron 23

the newly defined nucleotide-



(the beginning of

binding domain (NBD) 2 of the



intron 23 being defined

protein



as + 1) with a loss





of 1532 nucelotides







CFTRdele2, 3
deletion of exons
2, 3
frameshift



2 and 3







CFTRdele3- 10, 14b- 16
Complex deletion
3, 4, 5,
Complex deletion



involving exons
6a, 6b, 7,




3- 10 and 14b- 16
8, 9, 10,





14b, 15,





16






CFTRdele3- 10, 14b- 16
Complex deletion
3, 4, 5,
Complex deletion



involving exons
6a, 6b, 7,




3- 10 and 14b- 16
8, 9, 10,





14b, 15,





16






CFTRdele4- 6aIns6bp
Deletion of 18, 654 
4, 5, 6a
This large deletion disrupted



bp encompassing exons 

the reading frame of the



4, 5, and 6a,

protein



together with an 





insertion of 6 bp







CFTRdele4Ins41bp
Gross deletion
 4
This deletion was in-frame and



of 8, 165 bp

was predicted to lead to the



spanning exon 4, 

synthesis of a protein lacking



together with an

amino acids 92-163, a stretch



insertion of 41 bp

that includes a part of TM1





and the the entire TM2





CFTRdup10_18
Duplication of
10, 11,
The position and orientation of



exons 10 to 18
12, 13,
the duplicated region have not




14a, 14b,
been determined. However,




15, 16,
given the classical CF




17a, 17b,
phenotype, it is hypothesized




18
that it is located inside the





CFTR gene.





CFTRdup11_13
Duplication of
11, 12,
The position and orientation of



exons 11 to 13
13
the duplicated region have not





been determined.





CFTRdup1-3
Duplication of
1, 2, 3
Large rearrangement. The



exons 1 to 3

break points and orientation





are being assessed





CFTRdup4-8
Duplication of
4, 5, 6, 7,
Complex rearrangement. The



exons 4 to 8
8
position and orientation of the





duplicated region is not





determined so far. However,





given the classical CF





phenotype, it is hypothesized





that it is located inside the





CFTR gene.





Complex repeats

intron
sequence variation




17b






D110E
C to A at 462
 4
Asp to Glu at 110





D110H
G to C at 460
 4
Asp to His at 110





D110N
G to A at 460
 4
Asp to Asn at 110





D110Y
G to T at 460
 4
Asp to Tyr at 110





D1152H
G to C at 3586
18
Asp to His at 1152





D1154G
A to G at 3593
18
Asp to Gly at 1154 (CBAVD)





D1154Y
G to T at 3592
18
Asp to Tyr at 1154





D1168G
A to G at 3635
19
Asp to Gly at 1168





D1270N
G to A at 3940
20
Asp to Asn at 1270





D1270Y
G to T at 3940
20
Asp to Tyr at 1270





D1305E
T to A at 4047
21
Asp to Glu at 1305





D1312G
A to G at 4067
21
Asp to Gly at 1312





D1377H
G to C at 4261
22
Asp to His at 1377





D1445N
G to A at 4465
24
Asp to Asn at 1445





D192G
A to G at 707
 5
Asp to Gly at 192





D192N
G to A at 706
 5
Asp to Asn at 192





D36N
G to A at 238
 2
Asp to Asn at 36





D373E
T to G at 1251
 8
Asp to Glu a 373





D443Y
G to T at 1459
 9
Asp to Tyr at 443





D44G
A to G at 263
 2
Asp to Gly at 44





D513G
A to G at 1670
10
Asp to Gly at 513 (CBAVD)





D529G
A to G at 1718
11
Asp to Gly at 529





D529H
G to C at 1717
11
Asp to His at 529





D537E
C to A or C to
11
Asp to Glu at 537



G at 1743







D565G
A to G at 1826
12
Asp to Gly at 565





D572N
G to A at 1846
12
Asp to Asn at 572





D579A
A to C at 1868
12
Asp to Ala at 579





D579G
A to G at 1868
12
Asp to Gly at 579





D579Y
G to T at 1867
12
Asp to Tyr at 579





D585
A to G at 305
 3
Asp to Gly at 58





D58N
G to A at 304
 3
Asp to Asn at 58





D614G
A to G at 1973
13
Asp to Gly at 614





D614Y
G to T at 1972
13
Asp to Tyr at 614





D639Y
G to T at 2047
13
Asp to Tyr at 639





D651H
G to C at 2083
13
Asp to His at 651





D651N
G to A at 2083
13
Asp to Asn at 651





D674V
A to T at 2153
13
Asp to Val at 674





D806G
A to G at 2549
13
Asp to Gly at 806





D828G
A to G at 2615
13
Asp to Gly at 828





D836Y
G to T at 2638
14a
Asp to Tyr at 836





D891G
A to G at 2804
15
Asp to Gly at 891





D924N
G to A at 2902
15
Asp to Asn at 924





D979A
A to C at 3068
16
Asp to Ala at 979 (CBAVD)





D979V
A to T at 3068
16
Asp to Val at 979





D985H
G to C at 3085
16
Asp to His at 985





D985Y
G to T at 3085
16
Asp to Tyr at 985





D993G
A to G at 3110
16
Asp to Gly at 993





D993Y
G to T at 3109
16
Asp to Tyr at 993





delePr- 3
Large deletion
promoter,





1, 2, 3






delEx2- 6b
185+ 2909_1002-
2, intron
The deletion of exons 2 to 6b



1620del55429ins17
2, 3,
is in frame and would lead to



((insertion of
intron 3,
remove 272 residues.



GTACTCAACAGCTCTAG 
4, intron




(SEQ ID NO: 11))
4, 5,





intron 5,





6a, intron





6a, 6b,





intron 6b






delEx2- 9
c.53+ 9?711_1392+
1, intron
Large deletion of exons 2-9



2?670del61?634
1,2,
(intron 1 to intron 9), out of




intron 2,
frame




3, intron





3, 4,





intron 4,





5, intron





5, 6a,





intron 6a,





6b, intron





6b, 7,





intron 7,





8, intron





8, 9,





intron 9






Del exon 17a- 17b
Deletion of exons
17a, 17b
Truncation of CFTR protein in



17a- 17b

TM2.





Del exon 17a- 17b- 18
Deletion of exons
17a, 17b,
in-frame deletion, joining of



17a- 18
18
exons 16 to 19; deletion of





terminal domain of TM2.





Del exon 22- 23
Deletion of exons
22, 23
In-frame deletion that is



22- 23

predicted to remove the





terminal part of NBD2





Del exon 22- 24
Deletion of Exons
22, 23,
Predicted Removal of terminal



22, 23, 24
24
portion of CFTR protein





Del exon 2- 3
Deletion of exons
2, 3
Predicted truncation of the



2, 3

CFTR Protein





Del exon 4- 6a
Deletion of exons
4, 5, 6a
Predicted truncation of the



4, 5, 6a

CFTR protein in TM1.





Del Pr- Ex1
Deletion of Promoter,
promotor,
Predicted Removal of CFTR



Exon 1
1
gene expression and ATG





start Codon.





Del Pr- Ex1- Ex2
Deletion of Promoter,
promotor,
Predicted Removal of CFTR



Exon 1, Exon 2
1, 2
gene expression and ATG





start Codon.





[delta]D192
deletion of TGA or 
 5
deletion of Asp at 192



GAT from 706 or 707







[delta]E115
3 bp deletion of 
 4
deletion of Glu at 115



475- 477







[delta]F311
deletion of 3 bp
 7
deletion of Phe 310, 311 or



between 1059 and

312



1069







[delta]F508
deletion of 3 bp
10
deletion of Phe at 508



between 1652 and





1655







[delta]I507
deletion of 3 bp 
10
deletion of Ile 506 or Ile 507



between 1648 and





1653







[delta]L1260
deletion of ACT
20
deletion of Leu at 1260 or



from either 3909

1261



or 3912







[delta]L453
deletion of 3 bp
 9
deletion of Leu at 452 or 454



between 1488 and





1494







[delta]M1140
deletion of 3 bp
18
deletion of Met at 1140



between 3550 and





3553







[delta]T339
deletion of 3 bp
 7
deletion of Thr at 1140



between 1148 and





1150







dup1716+ 51- >61
duplication of 11
intron 10
sequence variation



bp at 1716+ 51







Dup ex 6b- 10 (gIVS6a+
A duplication of
6b, 7, 8,
Out-of-frame fusion of exon 10


415_IVS10+
exons 6b- 10. The
9, 10
to exon 6b


2987Dup26817bp)
duplication





is 26817 bp long.







E1104X
G to T at 3442
17b
Glu to Stop at 1104





E1123del
Deletion of AAG
18
deletion of Glu at 1123



at 3503 - 3505







E116K
G to A at 478
 4
Glu to Lys at 116





E116Q
G to C at 478
 4
Glu to Gln at 116





E1228G
A to G at 3815
19
Glu to Gly at 1228





E1308X
G to T at 4054
21
Glu to Stop at 1308





E1321Q
G to C at 4093
21
Glu to Gln at 1321





E1371X
G to T at 4243
22
Glu to Stop at 1371





E1401G
A to G at 4334
23
Glu to Gly at 1401





E1401K
G to A at 4333
23
Glu to Lys at 1401





E1401X
G to T at 4333
23
Glu to Stop at 1401





E1409K
G to A at 4357
23
Glu to Lys at 1409





E1409V
A to T at 4358
23
Glu to Val at 1409





E1418X
G to T at 4384
24
Glu to Stop at 1418



(GAG->TAG)







E1473X
G to T at 4549
24
Glu to Stop at 1473





E193K
G to A at 709
 5
Glu to Lys at 193





E193X
G to T at 709
 5
Glu to Stop at 193





E217G
A to G at 782
 6a
Glu to Gly at 217





E278del
deletion of AAG
 6b
deletion of Glu at 278



from 965







E279D
A to T at 969
 6b
Glu to Asp at 279





E279D
A to T at 969
 6b
Glu to Asp at 279





E292K
G to A at 1006
 7
Glu to Lys at 292





E379K
G to A at 1267
 8
Glu to Lys at 379





E379X
G to T at 1267
 8
Glu to Stop at 379





E403D
G to C at 1341
 8
Glu to Asp at 403





E407V
A to T at 1352
 9
Glu to Val at 407





E474K
G to A at 1552
10
Glu to Lys at 474





E479X
G to T at 1567
10
Glu to Stop at 479





E504Q
G to C at 1642
10
Glu to Gln at 504





E504X
G to T at 1642
10
Glu to Stop at 504





E527G
A to G at 1712
10
Glu to Gly at 527





E527Q
G to C at 1711
10
Glu to Gln at 527





E528D
G to T at 1716
10
Glu to Asp at 528 (splice





mutation)





E528K
G to A at 1714
10
Glu to Lys at 528





E56K
G to A at 298
 3
Glu to Lys at 56





E585X
G to T at 1885
12
Glu to Stop at 585





E588V
A to T at 1895
12
Glu to Val at 588





E608G
A to G at 1955
13
Glu to Gly at 608





E60K
G to A at 310
 3
Glu to Lys at 60





E60X
G to T at 310
 3
Glu to Stop at 60





E656X
G to T at 2098
13
Glu to Stop at 656





E664X
G to T at 2122
13
Glu to Stop at 664





E672del
deletion of 3 bp 
13
deletion of Glu at 672



between 2145-2148







E692X
G to T at 2206
13
Glu to Stop at 692





E725K
G to A at 2305
13
Glu to Lys at 725





E730X
G to T at 2320
13
Glu to Stop at 730





E7X
G to T at 151
 1
Glu to Stop at 7





E822K
G to A at 2596
13
Glu to Lys at 822





E822X
G to T at 2596
13
Glu to Stop at 822





E823X
G to T at 2599
13
Glu to Stop at 823





E826K
G to A at 2608
13
Glu to Lys at 826





E827X
G to T at 2611
13
Glu to Stop at 827





E831X
G to T at 2623
14a
Glu to Stop at 831





E92D
A to T at 408
 4
Gly to Asp at 92



(GAA->GAT)







E92K
G to A at 406
 4
Glu to Lys at 92





E92X
G to T at 406
 4
Glu to Stop at 92





F1016S
T to C at 3179
17a
Phe to Ser at 1016





F1052V
T to G at 3286
17b
Phe to Val at 1052





F1074L
T to A at 3354
17b
Phe to Leu at 1074





F1166C
T to G at 3629
19
Phe to Cys at 1166





F1257L
T to G at 3903
20
Phe to Leu at 1257





F1286S
T to C at 3989
20
Phe to Ser at 1286





F1300L
T to C at 4030
21
Phe to Leu at 1300





F1337V
T to G at 4141
22
Phe to Val at 1337 (CBAVD)





F200I
T to A at 730
 6a
Phe to Ile at 200





F305V
T to G at 1045
 7
Phe 305 Val





F311L
C to G at 1065
 7
Phe to Leu at 311





F316L
T to G at 1080
 7
Phe to Leu at 316





F508C
T to G at 1655
10
Phe to Cys at 508





F508S
T to C at 1655
10
Phe to Ser at 508





F587I
T to A at 1891
12
Phe to Ile at 587





F693L(CTT)
T to C at 2209
13
Phe to Leu at 693





F693L(TTG)
T to G at 2211
13
Phe to Leu at 693





F87L
T to C at 391
 3
Phe to Leu at 87





F932S
T to C at 2927
15
Phe to Ser at 932





F994C
T to G at 3113
16
Phe to Cys at 994





G1003E
G to A at 3140
17a
Gly to Glu at 1003





G1003X
G to T at 3139
17a
Gly to Stop at 1003





G103X
G to T at 439
 4
Gly to Stop at 103





G1047D
G to A at 3272
17b
Gly to Asp at 1047 and mRNA





splicing defect (CBAVD)





G1047R
G to C at 3271
17a
Gly to Arg at 1047





G1061R
G to C at 3313
17b
Gly to Arg at 1061





G1069R
G to A at 3337
17b
Gly to Arg at 1069





G1123R
G to Cat 3499
17b
Gly to Arg at 1123 mRNA





splicing defect





G1127E
G to A at 3512
18
Gly to Glu at 1127





G1130A
G to C at 3521
18
Gly to Ala at 1130





G1237S
G to A at 3841
19
Gly to Ser at 1237





G1244E
G to A at 3863
20
Gly to Glu at 1244





G1244R
G to A at 3862
20
Gly to Arg at 1244





G1244V
G to T at 3863
20
Gly to Val at 1244





G1247R(G->A)
G to A at 3871
20
Gly to Arg at 1247





G1247R(G->C)
G to C at 3871
20
Gly to Arg at 1247





G1249E
G to A at 3878
20
Gly to Glu at 1249





G1249R
G to A at 3877
20
Gly to Arg at 1249





G126D
G to A at 509
 4
Gly to Asp at 126





G1349D
G to A at 4178
22
Gly to Asp at 1349





G1349S
G to A at 4177
22
Gly to Ser at 1349





G149R
G to A at 577
 4
Gly to Arg at 149





G149V
G to T at 578
 4
Gly to Val at 149





G178E
G to A at 665
 5
Gly to Glu at 178





G178R
G to A at 664
 5
Gly to Arg at 178





G194R
G to A at 712
 6a
Gly to Arg at 194





G194V
G to T at 713
 6a
Gly to Val at 194





G213V
G to T at 771
 6a
Gly to Val at 213





G239R
G to A at 847
 6a
Gly to Arg at 239





G241R
G to A at 853
 6a
Gly to Arg at 241





G27E
G to A at 212
 2
Gly to Glu at 27





G27R
G to A at 211
 6b
Gly to Arg at 27





G27R(211G to C)
G to C at 211
 2
Gly to Arg at 27





G27X
G to T at 211
 2
Gly to Stop at 27





G314E
G to A at 1073
 7
Gly to Glu at 314





G314R
G to C at 1072
 7
Gly to Arg at 314





G314V
G to T at 1073
 7
Gly to Val at 314





G330X
G to T at 1120
 7
Gly to Stop at 330





G424S
G to A at 1402
 9
Gly to Ser at 424





G458V
G to T at 1505
 9
Gly to Val at 458





G480C
G to T at 1570
10
Gly to Cys at 480





G480D
G to A at 1571
10
Gly to Asp at 480





G480S
G to A at 1570
10
Gly to Ser at 480





G486X
G to T at 1588
10
Gly to Stop at 486





G542X
G to T at 1756
11
Gly to Stop at 542





G544S
G to A at 1762
11
Gly to Ser at 544





G544V
G to T at 1763
11
Gly to Val at 544 (CBAVD)





G550R
G to A at 1780
11
Gly to Arg at 550





G550X
G to T at 1780
11
Gly to Stop at 550





G551D
G to A at 1784
11
Gly to Asp at 551





G551S
G to A at 1783
11
Gly to Ser at 551





G576A
G to C at 1859
12
Gly to Ala at 576 (CAVD)





G576X
G to T at 1858
12
Gly to Stop at 576





G622D
G to A at 1997
13
Gly to Asp at 622





(oligospermia)





G628R(G->A)
G to A at 2014
13
Gly to Arg at 628





G628R(G->C)
G to C at 2014
13
Gly to Arg at 628





G673X
G to T at 2149
13
Gly to Stop at 673





G723V
G to T at 2300
13
Gly to Val at 723





G745X(Gly745X)
G to T at 2365
13
Non-sense mutation





G85E
G to A at 386
 3
Gly to Glu at 85





G85V
G to T at 386
 3
Gly to Val at 85





G91R
G to A at 403
 3
Gly to Arg at 91





G970D
G to A at 3041
16
Gly to Asp at 970





G970R
G to C at 3040
15
Gly to Arg at 970





G970S
G to A at 3040
15
Gly to Ser at 970





H1054D
C to G at 3292
17b
His to Asp at 1054





H1054L
A to T at 3293
17b
His to Leu at 1054





H1054R
A to G at 3293
17b
His to Arg at 1054





H1079P
A to C at 3368
17b
His to Pro at 1079





H1085R
A to G at 3386
17b
His to Arg at 1085





H1375P
A to C at 4256
22
His to Pro at 1375





H139L
A to T at 548
 4
His to Leu at 139





H139R
A to G at 548
 4
His to Arg at 139





H146R
A to G at 569
 4
His to Arg at 146 (CBAVD)





H199Q
T to G at 729
 6a
His to Gln at 199





H199R
A to G at 728
 6a
His to Arg at 199





H199Y
C to T at 727
 6a
His to Tyr at 199





H484R
A to G at 1583
10
His to Arg at 484





H484Y
C to T at 1582
10
His to Tyr at 484 (CBAVD)





H609L
A to T at 1958
13
His to Leu at 609





H609R
A to G at 1958
13
His to Arg at 609





H620P
A to C at 1991
13
His to Pro at 620





H620Q
T to G at 1992
13
His to Gln at 620





H939D
C to G at 2947
15
His to Asp at 939





H939R
A to G at 2948
15
His to Arg at 939





H949L
A to T at 2978
15
His to Leu at 949





H949R
A to G at 2978
15
His to Are at 949





H949Y
C to T at 2977
15
His to Tyr at 949





I1005R
T to G at 3146
17a
Ile to Arg at 1005





I1027T
T to C at 3212
17a
Ile to Thr at 1027





I1051V
A to G at 3283
17b
Ile to Val at 1051





I105N
T to A at 446
 4
Ile to Asn at 105





I1139V
A to G at 3547
18
Ile to Val at 1139





I119V
A to G at 487
 4
Iso to Val at 119





I1230T
T to C at 3821
19
Ile to Thr at 1230





I1234L
A to C at 3832
19
sequence variation





I1234V
A to G at 3832
19
Ile to Val at 1234





I125T
T to C at 506
 4
Ile to Thr at 125





I1269N
T to A at 3938
20
Ile to Asn at 1269





I1328T
T to C at 4115
22
Ile to Thr at 1328





I132M
T to G at 528
 4
Ile to Met at 132 (sequence





variation)





I1366T
T to C at 4229
22
Ile to Thr at 1366





I1398S
T to G at 4325
23
Ile to Ser at 1398





I148N
T to A at 575
 4
Ile to Asn at 148





I148T
T to C at 575
 4
Ile to Thr at 148





I175V
A to G at 655
 5
Ile to Val at 175





I177T
T to C at 662
 5
Ile to Thr at 177





I203M
C to G at 741
 6a
Ile to Met at 203





I285F
A to T at 985
 6b
Ile to Phe at 285





I331N
T to A at 1124
 7
Ile to Asn at 331





I336K
T to A at 1139
 7
Ile to Lys at 336





I340N
T to A at 1151
 7
Ile to Asn at 340





I444S
T to G at 1463
 9
Ile to Ser at 444





I444T
T to C at 1463
 9
Ile to Thr at 444





I497V
A to G at 1621
10
Ile to Val at 497





I502N
T to A at 1637
10
Ile to Asn at 502





I502T
T to C at 1637
10
Ile to Thr at 502





I506L
A to C at 1648
10
Ile to Leu at 506





I506S
T to G at 1649
10
Ile to Ser at 506





I506T
T to C at 1649
10
Ile to Thr at 506





I506V (1648A/G)
A or G at 1648
10
Ile or Val at 506





I539T
T to C at 1748
11
Ile to Thr at 539





I556V
A to G at 1798
11
Ile to Val at 556 (mutation)





I586V
A to G at 1888
12
Ile to Val at 586





I601F
A to T at 1933
13
Ile to Phe at 601





I618T
T to C at 1985
13
Ile to Thr at 618





I752S
T to G at 2387
13
Ileu to Ser at 752



(ATC->AGC)







I807M
A or G at 2553
13
sequence variation





I807V
A to G at 2551
13
Ile to Val at 807





I840T
T to C at 2651
14a
Ile to Thr at 840





I918M
T to G at 2886
15
Ile to Met at 918





I980K
T to A at 3071
16
Ile to Lys at 980





I980M
A to G at 3072
16
Ile to Met at 980





I991V
A to G at 3103
16
Ile to Val at 991





IVS14a+ 17del5
5 by deletion
intron
sequence variation



between 2751+ 17
14a




and 2751+ 24







K1060T
A to C at 3311
17b
Lys to Thr at 1060





K1080R
A to G at 3371
17b
Lys to Arg at 1080





K114X
A to T at 472
 4
Lys to Stop at 114





K1177R
A to G at 3662
19
Lys to Arg at 1177





K1177X
A to T at 3661
19
Lys to Stop at 1177





(premature termination)





K1302R
A to G at 4037
 4
Lys to Arg at 1302



(AAA->AGA)







K1351E
A to G at 4183
22
Lys to Glu at 1351 (CBAVD)





K14X
Ato T at 172
 1
Lys to Stop at 14





K162E
Ato G at 616
 4
Lys to Glu at 162





K166Q
A to G at 628
 5
Lys to Gln at 166





K464N
G to Tat 1524
 9
Lys to Asn at 464; mRNA





splicing defect





K536X
A to T at 1738
11
Lys to Stop codon at 536





K598X
A to T at 1924
13
Lys to Stop at 598





K64E
A to G at 322
 3
Lys to Glu at 64





K683R
A to G at 2180
13
Lys to Arg at 683





K688X
A to T at 2194
13
Lys to Stop at 688





K68E
A to G at 334
 3
Lys to Glu at 68





K68N
A to T at 336
 3
Lys to Asn at 68





K710X
A to T at 2260
13
Lys to Stop at 710





K716X
AA to GT at
13
Lys to Stop at 716



2277 and 2278







K830X
A to T at 2620
13
Lys to Stop at 830





K946X
A to T at 2968
15
Lys to Stop at 946





L101S
T to C at 434
 4
Leu to Ser at 101





L101X
T to G at 434
 4
Leu to Stop at 101





L102P
T to C at 437
 4
Leu to Pro at 102





L102R
T to G at 437
 4
Leu to Arg at 102





L1059L (3309A/G)
A or G at 3309
17b
sequence variation





L1059X
T to G at 3308
17b
Leu to Stop at 1059





L1065F
C to T at 3325
17b
Leu to Phe at 1065





L1065P
T to C at 3326
17b
Leu to Pro at 1065





L1065R
T to G at 3326
17b
Leu to Arg at 1065





L1077P
T to C at 3362
17b
Leu to Pro at 1077





L1093P
T to C at 3410
17b
Leu to Pro at 1093





L1096R
T to G at 3419
17b
Leu to Arg at 1096





L1156F
G to T at 3600
18
Leu to Phe at 1156





L1227S
T to C at 3812
19
Leu to Ser at 1227





L1254X
T to G at 3893
20
Leu to Stop at 1254





L126OR
T to G at 3911
20
Leu to Arg at 1260





L127X
T to G at 512
 4
Leu to Stop at 127





L130V
C to G at 520
 4
Leucine to Valine at 130





L1324P
T to C at 4103
22
Leu to Pro at 1324





L1335F
C to T at 4135
22
Leu to Phe at 1335





L1335P
T to C at 4136
22
Leu to Pro at 1335





L1339F
C to T at 4147
22
Leu to Phe at 1339





L137H
T to A at 542
 4
Leu to His at 137





L137P
T to C at 542
 4
Leu to Pro at 137 (sequence





variation)





L137R
T to G at 542
 4
Leu to Arg at 137





L1388Q
T to A at 4295
23
Leu to Gln at 1388 (CBAVD)





L1388V
C to G at 4294
23
Leu to Val at 1388





L138ins
insertion of CTA,
 4
insertion of leucine at 138



TAC or ACT at





nucleotide 544,





545 or 546







L1414S
T to C at 4373
23
Leu to Ser at 1414





L145H
T to A at 566
 4
Leu to His at 145





L1480P
T to C at 4571
24
Leu to Pro a 1480





L159S
T to C at 608
 4
Leu to Ser at 159





L159X
T to A at 608
 4
Leu to Stop at 159





L15P
T to C at 176
 1
Leu to Pro at 15





L165S
T to C at 626
 5
Leu to Ser at 165





L1831
C to A at 679
 5
Leu to Ile at 183





L206F
G to T at 750
 6a
Leu to Phe at 206





L206W
T to G at 749
 6a
Leu to Trp at 206





L210P
T to C at 761
 6a
Leu to Pro at 210





L218X
T to A at 785
 6a
Leu to Stop at 218





L227R
T to G at 812
 6a
Leu to Arg at 227





L24F
G to C at 204
 2
Leu to Phe at 24





L293M
C to A at 1009
 7
Leu to Met at 293





L320F
A to T at 1092
 7
Leu to Phe at 320





L320V
T to G at 1090
 7
Leu to Val at 320 CAVD





L320X
T to A at 1091
 7
Leu to Stop at 320





L327R
T to G at 1112
 7
Leu to Arg at 327





L346P
T to C at 1169
 7
Leu to Pro at 346





L365P
T to C at 1226
 7
Leu to Pro at 365





L375F
A to C at 1257
 8
Leu to Phe at 375 (CUAVD)





L383L (1281G/A)
G or A at 1281
 8
sequence variation





L383S
T to C at 1280
 8
Leu to Ser at 383





L468P
T to C at 1535
10
Leu to Pro at 468





L548Q
T to A at 1775
11
Leu to Gln at 548





L558S
T to C at 1805
11
Leu to Ser at 558





L568F
G to T at 1836
12
Leu to Phe at 568 (CBAVD)





L568X
T to A at 1835
12
Leu to Stop at 568





L571S
T to C at 1844
12
Leu to Ser at 571





L594P
T to C at 1913
13
Leu to Pro at 594





L610S
T to C at 1961
13
Leu to Ser at 610





L619S
T to C at 1988
13
Leu to Ser at 619





L61P
T to C at 314
 3
Leucine to Proline at position





61





L633I
C to A at 2029
13
Leu to Ile at 633





L633P
T to C at 2030
13
Leu to Pro at 633





L636P
T to C at 2039
13
Leu to Pro at 636





L719X
T to A at 2288
13
Leu to Stop at 719





L732X
T to G at 2327
13
Leu to Stop at 732





L829L (2619A/G)
A or G at 2619
13
sequence variation





L867X
T to A at 2732
14a
Leu to Stop at 867





L88S
T to C at 395
 3
Leu to Ser at 88





L88X(T->A)
T to A at 395
 3
Leu to Stop at 88





L88X(T->G)
T to G at 395
 3
Leu to Stop at 88





L90S
T to C at 401
 3
Leu to Ser at 90





L927P
T to C at 2912
15
Leu to Pro at 927





L967S
T to C at 3032
15
Leu to Ser at 967





(oligospermia)





L973F
TC to AT at
16
Leu to Phe at 973 (BAVD)



3048 and 3049







L973H
T to A at 3050
16
Leu to His at 973





L973P
T to C at 3050
16
Leu to Pro at 973





L997F
G or C at 3123
17a
Leu or Phe at 997 (sequence





variation)





M1028I
G to T at 3216
17a
Met to Ile at 1028





M1028R
T to G at 3215
17a
Met to Arg at 1028





M1101K
T to A at 3434
17b
Met to Lys at 1101





M1101R
T to G at 3434
17b
Met to Arg at 1101





M1105R
T to G at 3446
17b
Met to Arg at 1105





M1137R
T to G at 3542
18
Met to Arg at 1137





M1137T
T to C at 3542
18
Met to Thr at 1137





M1137V
A to G at 3541
18
Met to Val at 1137





M1140K
T to A at 3551
18
Met to Lys at 1140





M1210I
G to A at 3762
19
Met to Ile at 1210





M1210K
T to A at 3761
19
Met to Lys at 1210





M1407T
T to C at 4352
23
Met to Thr at 1407





M152L
A to T at 586
 4
Met to Leu at 152





M152R
T to G at 587
 4
Met to Arg at 152





M152V
A to G at 586
 4
Met to Val at 152 (mutation)





M1I(ATA)
G to A at 135
 1
no translation initiation





M1I(ATT)
G to T at 135
 1
no translation initiation





M1K
T to A at 134
 1
no translation initiation





M1L
A to C at 133
 1
Met to Leu at 1





M1T
T to C at 134
 1
Met to Thr at 1





M1V
A to G at 133
 1
no translation initiation





M243L
A to C at 859
 6a
Met to Leu at 243 (ATG to





CTG)





M244K
T to A at 863
 6a
Met to Lys at 244





M265R
T to G at 926
 6b
Met to Arg at 265





M281T
T to C at 974
 6b
Met to Thr at 281





M348K
T to A at 1175
 7
Met to Lys at 348





M348T
T to C at 1175
 7
Met to Thr at 348





M348V
A to G at 1174
 7
Met to Val at AS 348





M394R
T to G at 1313
 8
Met to Arg at 394





M469V
A to G 1537
10
Met to Val at 469





M470V
A or G at 1540
10
sequence variation





M498I
G to C at 1626
10
Met (ATG) to Ileu (ATC) at





498





M595I
G to A at 1917
13
Met to Ile at 595





M595T
T to C at 1916
13
Met to Thr at 595





M82V
A to G at 376
 3
Met to Val at 82





M952I
G to C at 2988
15
Met to Ile at 952 CBAVD





mutation





M952T
T to C at 2987
15
Met to Thr at 952





M961I
G to T at 3015
15
Met to Ile at 961





N1088D
A to G at 3394
17b
Asn to Asp at 1088





N113I
A to T at 470
4
Asn to Ile





N1148K
C to A at 3576
18
Asn to Lys at 1148





N1148S
A to G at 3575
18
Asn to Ser at 1148





N1195T
A to C at 3716
19
Asn to Thr at 1195





N1303H
A to C at 4039
21
Asn to His at 1303





N1303I
A to T at 4040
21
Asn to Ile at 1303





N1303K
C to G at 4041
21
Asn to Lys at 1303





N1432K
C to G at 4428
24
sequence variation





N186K
C to A at 690
 5
Asn to Lys at 186





N187K
C to A at 693
 5
Asn to Lys at 187





N189K
C to A at 699
 5
Asn to Lys at 189





N189S
A to G at 698
 5
Asn to Ser at 189





N287Y
A to T at 991
 6b
Asn to Tyr at 287





N369Y
A to T at 1318
 8
Asn to Tyr at 396





N416S
A to G at 1379
 9
Asn to Ser at 416





N418S
A to G at 1385
 9
Asn to Ser at 418





N66S
A to G at 329
 3
Asn to Ser at 66





N782K
C to A at 2478
13
Asn to Lys at 782





N900T
A to C at 2831
15
Asn to Thr at 900





P1013H
C to A at 3170
17a
Pro to His at 1013





P1013L
C to T at 3170
17a
Pro to Leu at 1013





P1021A
C to G at 3193
17a
Pro to Ala at 1021





P1021S
C to T at 3193
17a
Pro to Ser at 1021 (CBAVD)





P1072L
C to T at 3347
17b
Pro to Leu at 1072





P111A
C to G at 463
 4
Pro to Ala at 111





P111L
C to T at 464
 4
Pro to Leu at 111





P1290P (4002A/G)
A or G at 4002
20
sequence variation





P1290S
C to T at 4000
20
Pro to Ser at 1290





P1290T
C to A at 4000
20
Pro to Thr at 1290





P1306P (4050C/T)
C or T at 4050
21
sequence variation





P1372L
C to T at 4247
22
Pro to Leu at 1732





P1372T
C to A 4246
22
Pro to Thr at 1372





P140L
C to T at 551
 4
Pro to Leu at 140





P140S
C to T at 550
 4
Pro to Ser at 140





P205R
C to G at 746
 6a
Pro to Arg at 205





P205S
C to T at 745
 6a
Pro to Ser at 205





P324L
C to T at 1103
 7
Pro to Leu at 324





P355S
C to T at 1195
 7
Pro to Ser at 355





P439S
C to T at 1447
 9
Pro to Ser at 439





P499A
C to G at 1627
10
Pro to Ala at 499 (CBAVD)





P574H
C to A at 1853
12
Pro to His at 574





P574S
C to T at 1852
12
Pro to Ser at 574





P5L
C to T at 146
 1
Pro to Leu at 5





P67L
C to T at 332
 3
Pro to Leu at 67





P750L
C to T at 2381
13
Pro to Leu at 750





P841R
C to G at 2654
14a
Pro to Arg at 841





P99L
C to T at 428
 4
Pro to Leu at 99





poly-T tract
variable number 
intron 8
sequence variation (3 variants


variations
(5T, 7T, 9T) of

of which IVS8-5T is affecting



thymidines at the

splicing of exon 9)



poly-T tract





starting at





position 1342-6







Q1035X
C to T at 3235
17a
Nonsense mutation





Q1042X
C to T at 3256
17a
Gln to Stop at 1042





Q1071H
G to T at 3345
17b
Gln to His at 1071





Q1071P
A to C at 3344
17b
Gln to Pro at 1071





Q1071X
C to T at 3343
17b
Gln to Stop at 1071





Q1100P
A to C at 3431
17b
Gln to Pro at 1100





Q1144X
C to T at 3562
18
Gln to Stop at 1144





Q1186Q (3690A/G)
A or G at 3690
19
sequence variation





Q1186X
C to T at 3688
19
Gln to Stop at 1186





Q1238R
A to G at 3845
19
Gln to Arg at 1238





Q1238X
C to T at 3844
19
Gln to Stop at 1238





Q1268R
A to G at 3935
20
Gln to Arg at 1268





Q1281X
C to T at 3973
20
Gln to Stop at 1281





Q1291H
G to C at 4005
20
Gln to His at 1291; mRNA





splicing defect





Q1291R
A to G at 4004
20
Gln to Arg at 1291





Q1291X
C to T at 4003
20
Gln to Stop at 1291





Q1309H
G to T at 4059
21
Gln to His at 1309





Q1313K
C to A at 4069
21
Gln to Lys at 1313





Q1313X
C to T at 4069
21
Gln to Stop at 1313





Q1352E
C to G at 4186
22
Gln to Glu at 1352





Q1352H(G->C)
G to C at 4188
22
Gln to His at 1352





Q1352H(G->T)
G to T at 4188
22
Gln to His at 1352





Q1382X
C to T at 4276
23
Gln to Stop at 1382





Q1390X
4300C>T
23
Gln to stop at 1390





Q1411X
C to T at 4363
23
Gln to Stop at 1411





Q1412X
C to T at 4366
23
Gln to Stop at 1412





Q1463H
G to T at 4521
24
Gln to His a 1463





Q1476X
C to T at 4558
24
Gln to Stop at 1476





Q151K
C to A at 583
 4
Gln to Lys at 151



(CAG->AAG)







Q151X
C to T at 583
 4
Gln to Stop at 151





Q179K
C to A at 667
 5
Gln to Lys at 179





Q207X
C to T at 751
 6a
Gln to Stop at 207





Q220R
A to G at 791
 6a
Gln to Arg at 220





Q220X
C to T at 790
 6a
Gln to Stop at 220





Q237E
C to G at 841
 6a
Gln to Glu at 237





Q290X
C to T at 1000
 6b
Gln to Stop at 290





Q2X (together with
C to T at 136 and
 1
Gln to Stop at codon 2 and


R3W)
A to T at 139

Arg to Trp at codon 3





Q30X
C to T at 220
 2
Gln to Stop at 30





Q353H
A to C at 1191
 7
Gln to His at 353





Q353X
C to T at 1189
 7
Gln to Stop at 353





Q359K/T360K
C to A at 1207 and
 7
Glu to Lys at 359 and Thr to



C to A at 1211

Lys at 360





Q359R
A to G at 1208
 7
Gln to Arg at 359





Q378R
A to G at 1265
 8
Gln to Arg at 378





Q39X
C to T at 247
 2
Gln to Stop at 39





Q414X
C to T at 1372
 9
Gln to Stop at 414





Q452P
A to C at 1487
 9
Gln to Pro at 452





Q493P
A to C at 1610
10
Gln to Pro at 493





Q493R
A to G at 1610
10
Gln to Arg at 493





Q493X
C to T at 1609
10
Gln to Stop at 493





Q525X
C to T at 1705
10
Gln to Stop at 525





Q552K
C to A at 1786
11
Gln to Lys at 552





Q552X
C to T at 1786
11
Gln to Stop at 552





Q634X
C to T at 2032
13
Gln to Stop at 634





Q637X
C to T at 2041
13
Gln to Stop at 637





Q685X
C to T at 2185
13
Gln to Stop at 685





Q689X
C to T at 2197
13
Gln to Stop at 689





Q715X
C to T at 2275
13
Gln to Stop at 715





Q720X
C to T at 2290
13
Gln to Stop at 720





Q781X
C to T at 2473
13
Gln to Stop at 781





Q814X
C to T at 2572
13
Gln to Stop at 814





Q890R
A to G at 2801
15
Gln to Arg at 890





Q890X
C to T at 2800
15
Gln to Stop at 890





Q98P
A to C at 425
 4
Gln to Pro at 98





Q98R
A to G at 425
 4
Gln to Arg at 98





Q98X
C to T at 424
 4
Gln to Stop at 98 (Pakistani





specific)





R1048G
A to G at 3274
17b
Arg to Gly a 1048





R1066C
C to T at 3328
17b
Arg to Cys at 1066





R1066H
G to A at 3329
17b
Arg to His at 1066





R1066L
G to T at 3329
17b
Arg to Leu at 1066





R1066S
C to A at 3328
17b
Arg to Ser at 1066





R1070P
G to C at 3341
17b
Arg to Pro at 1070





R1070Q
G to A at 3341
17b
Arg to Gln at 1070





R1070W
C to T at 3340
17b
Arg to Trp at 1070





R1102X
A to T at 3436
17b
Arg to Stop at 1102





R1128X
A to T at 3514
18
Arg to Stop at 1128





R1158X
C to T at 3604
19
Arg to Stop at 1158





R1162X
C to T at 3616
19
Arg to Stop at 1162





R117C
C to T at 481
 4
Arg to Cys at 117





R117G
C to G at 481
 4
Arg to Gly at 117





R117H
G to A at 482
 4
Arg to His at 117





R117L
G to T at 482
 4
Arg to Leu at 117





R117P
G to C at 482
 4
Arg to Pro at 117





R1239S
G to C at 3849
19
Arginine to Serine at 1239





R1283K
G to A at 3980
20
Arg to Lys at 1283





R1283M
G to T at 3980
20
Arg to Met at 1283





R1358S
A to T at 4206
22
Arg to Ser at 1358





R1422W
C to T at 4396
24
Arg to Trp at 1422





R1438W
C to T at 4444
24
Arg to Try at 1438





R1453W
C to T at 4489
24
Arg to Trp at 1453





R170C
C to T at 640
 5
Arg to Cys at 170





R170G
C to G at 640
 5
Arg to Gly at 170





R170H
G to A at 641
 5
Arg to His at 170





R248T
G to C at 875
 6a
Arg to Thr at 248 (CBAVD)





R258G
A to G at 904
 6b
Arg to Gly at 258





R297Q
G to A at 1022
 7
Arg to Gln at 297





R297W
C to T at 1021
 7
Arg to Trp at 297





R31C
C to T at 223
 2
Arg to Cys at 31





R31L
G to T at 224
 2
Arg to Leu at 31





R334L
G to T at 1133
 7
Arg to Leu at 334





R334Q
G to A at 1133
 7
Arg to Gln at 334





R334W
C to T at 1132
 7
Arg to Trp at 334





R347C
C to T at 1171
 7
Arg to Cys at 347





R347H
G to A at 1172
 7
Arg to His at 347





R347L
G to T at 1172
 7
Arg to Leu at 347





R347P
G to C at 1172
 7
Arg to Pro at 347





R352G
C to G at 1186
 7
Arg to Gly at 352





R352Q
G to A at 1187
 7
Arg to Gln at 352





R352W
C to T at 1186
 7
Arg to Trp at 352





R516G
A to G at 1678
10
Arg to Gly at 516





R553G
C to G at 1789
11
Arg to Gly at 553





R553Q
G to A at 1790
11
Arg to Gln at 553 (associated





with [delta]F508;





R553X
C to T at 1789
11
Arg to Stop at 553





R555G
A to G at 1795
11
Arg to Gly at 555





R55K
G to A at 296
 2
Arg to Lys at 55





R560G
A to G at 1810
11
Ala to Gly at 560





R560K
G to A at 1811
11
Arg to Lys at 560





R560S
A to C at 1812
12
Arg to Ser at 560





R560T
G to C at 1811
11
Arg to Thr at 560; mRNA





splicing defect





R600G
A to G at 1930
13
Arg to Gly at 600





R668C
C or T at 2134
13
sequence variation





R709Q
G to A at 2258
13
Arg to Gln at 709





R709X
C to T at 2257
13
Arg to Stop at 709





R735K
G to A at 2336
13
Arg to Lys at 735





R74Q
G to A at 353
 3
Arg to Gln at 74





R74W
C to T at 352
 3
Arg to Trp at 74





R751P
G to C at 2384
13
Arg to Pro at 751





R75L
G to T at 356
 3
Arg to Leu at 75





R75Q
G or A at 356
 3
sequence variation





R75X
C to T at 355
 3
Arg to Stop at 75





R764X
C to T at 2422
13
Arg to Stop at 764





R766M
G to T at 2429
13
Arg to Met at 766





R785X
C to T at 2485
13
Arg to Stop at 785





R792G
C to G at 2506
13
Arg to Gly at 792





R792X
C to T at 2506
13
Arg to Stop at 792





R810G
A to G at 2560
13
Arg to Gly at 810





R851L
G to T at 2684
14a
Arg to Leu at 851





R851X
C to T at 2683
14a
Arg to Stop at 851





R933G
A to G at 2929
15
Arg to Gly at 933





R933S
A to T at 2931
15
Arg to Ser at 933 (CBAVD)





S108F
C to T at 455
 4
Ser to Phe at 108





S10R
A to C at 160
 1
Ser to Arg at 10





S1118C
C to G at 3485
17b
Ser to Cys at 1118





S1118F
C to T at 3485
17b
Ser to Phe at 1118





S1159F
C to T at 3608
19
Ser to Phe at 1159





S1159P
T to C at 3607
19
Ser to Pro at 1159





S1161R
A to C at 3613 
19
Ser to Arg at 1161



or C to G at 3615







S1196X
C to G at 3719
19
Ser to Stop at 1196





S1206X
C to G at 3749
19
Ser to Stop at 1206





S1206X(C>A)
C to A at 3749
19
Ser to Stop at 1206





S1235R
T to G at 3837
19
Ser to Arg at 1235





S1251N
G to A 3884
20
Ser to Asn at 1251





S1255L
C to T at 3896
20
Ser to Leu at 1255





S1255P
T to C at 3895
20
Ser to Pro at 1255





S1255X
C to A at 3896
20
Ser to Stop at 1255 and Ile to



and A to G at

Val at 1203



3739 in exon 19







S1311R
A to C at 4063
21
Ser to Arg at 1311



or T to A 





or G at 4065







S13F
C to T at 170
 1
Ser to Phe at 13





S1426F
C to T at 4409
24
Ser to Phe at 1426





S1426P
T to C at 4408
24
Ser to Pro at 1426





S1455X
C to G at 4496
24
Ser to Stop at 1455





S158N
G to A at 605
 4
Ser to Asn at 158





S158R
A to C at 604
 4
Ser to Arg at 158





S158T
G to C at 605
 4
Ser to Thr at 158





S18G
A to G at 184
 1
Ser to Gly at 18





S307N
G to A at 1052
 7
Ser to Asn at 307





S313X
C to A at 1070
 7
Ser to Stop





S321P
T to C at 1093
 7
Ser to Pro at 321





S341P
T to C at 1153
 7
Ser to Pro at 341





S364P
T to C at 1222
 7
Ser to Pro at 364





S42F
C to T at 257
 2
Ser to Phe at 42





S431G
A to G at 1423
 9
Ser to Gly a 431





S434X
C to G at 1433
 9
Ser to Stop at 434





S466L
C to T at 1529
10
Ser to Leu at 466 (CBAVD)





S466X(TAA)
C to A at 1529
10
Ser to Stop at 466





S466X(TAG)
C to G at 1529
10
Ser to Stop at 466





S485C
A to T at 1585
10
Ser to Cys at 485





S489X
C to A at 1598
10
Ser to Stop at 489





S492F
C to T at 1607
10
Ser to Phe at 492





S4X
C to A at 143
 1
Ser to Stop at 4





S50P
T to C at 280
 2
Ser to Pro at 50





S50Y
C to A at 281
 2
Ser to Tyr at 50 (CBAVD)





S519G
A to G at 1687
10
Ser to Gly at 519





S549I
G to T at 1778
11
Ser to Ile at 549





S549N
G to A at 1778
11
Ser to Asn at 549





S549R(A->C)
A to C at 1777
11
Ser to Arg at 549





S549R(T->G)
T to G at 1779
11
Ser to Arg at 549





S573C
C to G at 1850
12
Ser to Cys at 573





S589I
G to T at 1898
12
Ser to Ile at 589 (splicing)





S589N
G to A at 1898
12
Ser to Asn at 589 (mRNA





splicing defect)





S660T
T to A at 2110
13
Ser to Thr a 660





S686Y
C to A at 2189
13
Ser to Tyr at 686





S712C
C to G at 2267
13
Ser to Cys at 712





S737F
C to T at 2342
13
missense





S737F
C to T at 2342
13
Ser to Phe at 737





S753R
C to G at
13
Serine to arginine at 753



position 2391







S776X
C to G at 2459
13
Ser to Stop at 776





S813P
T to C at 2569
13
Ser to Pro at 813





S895T
G to C at 2816
15
Ser to Thr at 895





S902R
C to G at 2838
15
Ser to Arg at 902





S911R
A to C at 2863
15
Ser to Arg at 911



or T to A or





T to G at 2865







S912L
C to T at 2867
15
Ser to Leu at 912





S912X
C to A at 2867
15
Ser to Stop at 912





S945L
C to T at 2966
15
Ser to Leu at 945





S977F
C to T at 3062
16
Ser to Phe at 977





S977P
T to C at 3061
16
Ser to Pro at 977





T1053I
C to T at 3290
17b
Thr to Ile at 1053 (CBAVD)





T1057A
A to G at 3301
17b
Thr to Ala at 1057





T1086A
A to G at 3388
17b
Thr to Ala at 1086





T1086I
C to T at 3389
17b
Thr to Ile at 1086





T1142I
C to T at 3557
18
Thr to Ile at 1142





T1246I
C to T at 3869
20
Thr to Ile at 1246 (mutation)





T1252P
A to C at 3886
20
Thr to Pro at 1252





T1263A
A to G at 3919
20
Thr to Ala at 1263





T1263I
C to T at 3920
20
Thr to Ile at 1263





T1299I
C to T at 4028
21
Thr to Ile at 1299





T338A
A to G at 1144
 7
Thr to Ala at 338





T338I
C to T at 1145
 7
Thr to Ile at 338





T351I
C to T at 1184
 7
Thr to Ile at 351





T351S
C or G at 1184
 7
sequence variation





T360R
C to G at 1211
 7
sequence variation (Thr to Arg





at 360)





T388M
C to T at 1295
 8
Thr to Met at 388 (sequence





variation)





T388X
AC to TA at 1294
 8
Thr to Stop at 388





T501A
A to G at 1633
10
Thr to Ala at 501





T582I
C to T at 1877
12
Thr to Ile at 582





T582R
C to G at 1877
12
Thr to Arg at 582





T582S
A to T at 1876
12
Thr to Ser at 582





T599T (1929T/A)
T or A at 1929
13
sequence variation





T604I
C to T at 1943
13
Thr to Ile at 604





T604S
C to G at 1943
13
Thr to Ser at 604





T665S
A to T at 2125
13
Thr to Ser at 665





T760M
C to T at 2411
13
Thr to Met at 760





T788I
C to T at 2495
13
Thr to Ile at 788





T896I
C to T at 2819
15
Thr to Ile at 896





T908N
C to A at 2855
15
Thr to Asn at 908





TAAA repeats
9 or 11 repeats of TAAA 
intron 9
sequence variation



(SEQ. ID NO: 12) at







TTGA repeats
5-7 copies of repeat
intron 6a
sequence variation



at around 876-31







V1008D
T to A at 3155
17a
Val to Asp at 1008





V1020E
T to A at 3191
17a
Val to Glu at 1020





V1108L
G to C at 3454
17b
Val to Leu at 1108





V1129G
3518T>G
18
Val to Gly at 1129





V1147I
G to A at 3571
18
Val to Ile at 1147





V1153E
T to A at 3590
18
Val to Glu at 1153 (CBAVD)





V1190D
T to A at 3701
19
Val to Asp at 1190





V1212I
G to A at 3766
19
Val to Ile at 1212





V1240G
T to G at 3851
20
Val to Gly at 1240





V1293I
G to A at 4009
21
Val to Ile at 1293





V1318A
T to C at 4085
21
Val to Ala at 1318





V1397E
T to A at 4322
23
Val to Glu at 1397





V201M
G to A at 733
 6a
Val to Met at 201





V232D
T to A at 827
 6a
Val to Asp at 232 (CBAVD)





V317A
T to C at 1082
 7
Val to Ala at 317





V322A
T to C at 1097
 7
Val to Ala at 322 (mutation)





V322M (1096(G/A))
G or A at 1096
 7
sequence variation





V392A
T to C at 1307
 8
Val to Ala at 392 CAVD





V392G
T to G at 1307
 8
Val to Gly at 392





V456A
T to C at 1499
 9
Val to Ala at 456 (sequence





variation)





V456F
G to T at 1498
 9
Val to Phe at 456





V520F
G to T at 1690
10
Val to Phe at 520





V520I
G to A at 1690
10
Val to Ile at 520





V562I
G to A at 1816
12
Val to Ile at 562





V562L
G to C at 1816
12
Val to Leu at 562





V603F
G to T at 1939
13
Val to Phe at 603





V754M
G to A at 2392
13
Val to Met at 754





V855I
G to A at 2695
14a
Val to Ile at 855 (sequence





variation)





V920L
G to T at 2890
15
Val to Leu at 920





V920M
G to A at 2890
15
Val to Met at 920





V922L
G to C at 2896
15
Val to Leu at 922





V938G
T to G at 2945
15
Val to Gly at 938 (CAVD)





V938L
G to C at 2944
15
Val to Leu at 938





W1063X
G to A at 3321
17b
Trp to Stop at 1063





W1089X
G to A at 3398
17b
Trp to Stop at 1089





W1098L
G to T at 3425
17b
Trp to Leu at 1098





W1098R
T to C at 3424
17b
Trp to Arg at 1098





W1098X(TAG)
G to A at 3425
17b
Trp to Stop at 1098





W1098X(TGA)
G to A at 3426
17b
Trp to Stop at 1098





W1145X
G to A at 3567
18
Trp to Stop at 1154





W1204X(3743G->A)
G to A at 3743
19
Trp to Stop at 1204





W1204X(3744G->A)
G to A at 3744
19
Trp to Stop at 1204





W1274X
G to A at 3954
20
Trp to Stop at 1274





W1282C
G to T at 3978
20
Trp to Cys at 1282





W1282G
T to G at 3976
20
Trp to Gly at 1282





W1282R
T to C at 3976
20
Trp to Arg at 1282





W1282X
G to A at 3978
20
Trp to Stop at 1282





W1310X
G to A at 4061
21
Trp to Stop at 1310





W1316X
G to A at 4079
21
Trp to Stop at 1316





W19C
G to T at 189
 2
Trp to Cys at 19





W19X
G to A at 189
 2
Trp to Stop at 19





W202X
G to A at 738
 6a
Try to Stop at 202





W216C
G to T at 780
 6a
Trp to Cys at 216





W216X
G to A at 779
 6a
Trp to Stop at 216





W277R
T to A at 961
 6b
Trp to Arg at 277





W356S
G to C at 1199
 7
Tryptophan to Serine at codon





356





W356X
G to A at 1200
 7
Trp to Stop at 356





W361R(T->A)
T to A at 1213
 7
Trp to Arg at 361





W361R(T->C)
T to C at 1213
 7
Trp to Arg at 361





W401X(TAG)
G to A at 1334
 8
Trp to Stop at 401





W401X(TGA)
G to A at 1335
 8
Tip to Stop at 401





W496X
G to A at 1619
10
Trp to Stop at 496





W57G
T to G at 301
 3
Trp to Gly at 57





W57R
T to C at 301
 3
Trp to Arg at 57





W57X(TAG)
G to A at 302
 3
Trp to Stop at 57





W57X(TGA)
G to A at 303
 3
Trp to Stop at 57





W679X
G to A at 2168
13
Trp to Stop at 679





W79R
T to C at 367
 3
Trp to Arg at 79





W79X
G to A at 368
 3
Trp to Stop at 79





W846X
G to A at 2669
14a
Trp to Stop at 846





W846X
G to A at 2670
14a
Trp to Stop at 846


(2670TGG>TGA)








W882X
G to A at 2777
14b
Trp to Stop at 882





Y1014C
A to G at 3173
17a
Tyr to Cys at 1014





Y1032C
A to G at 3227
17a
Tyr to Cys at 1032 (CBAVD)





Y1032N
T to A at 3226
17a
Tyr to Asn at 1032





Y1073C
A to G at 3350
17b
Tyr to Cys at 1073





Y1092C
A to G at 3407
17b
Tyr to Cys at 1092





Y1092H
T to C at 3406
17b
Tyr to His at 1092





Y1092X(C->A)
C to A at 3408
17b
Tyr to Stop at 1092





Y1092X(C->G)
C to G at 3408
17b
Tyr to Stop at 1092





Y109C
A to G at 458
 4
Tyr to Cys at 109





Y109N
T to A at 457
 4
Tyr to Asn at 109





Y109X
T to A at 459
 4
Tyr to Stop at 109





Y1182X
C to G at 3678
19
Tyr to Stop at 1182





Y122C
A to G at 497
 4
Tyr to Cys at 122





Y122H
T to C at 496
 4
Tyr to His at 122





Y122X
T to A at 498
 4
Tyr to Stop at 122





Y1307C
A to G at 4052
21
Tyr to Cys at 1307





Y1307X
T to A at 4053
21
Tyr to Stop at 1307





Y1381H
T to C at 4273
23
Tyr to His at 1381





Y1381X
C to A at 4275
23
Tyr to Stop at 1381





Y161D
T to G at 613
 4
Tyr to Asp at 161





Y161N
T to A at 613
 4
Tyr to Asn at 161





Y161S
A to C at 614 (together with
 4
Tyr to Ser at 161



612T/A)







Y247X
C to G at 873
 6a
Tyr to Stop at 247





Y301C
A to G at 1034
 7
Tyr to Cys at 301





Y304X
C to G at 1044
 7
Tyr to Stop at 304





Y515H
T to C at 1675
10
Tyr to His at 515





Y517C
A to G at 1682
10
Tyr to Cys at 517





Y563C
A to G at 1820
12
Tyr to Cys at 563





Y563D
T to G at 1819
12
Tyr to Asp at 563





Y563N
T to A at 1819
12
Tyr to Asn at 563





Y569C
A to G at 1838
12
Tyr to Cys at 569





Y569D
T to G at 1837
12
Tyr to Asp at 569





Y569H
T to C at 1837
12
Tyr to His at 569





Y569X
T to A at 1839
12
Tyr to Stop at 569





Y577F
A to T at 1862
12
Tyr to Phe at 577





Y577Y (1863C/T)
C or T at 1863
12
sequence variation (Tyr at 577





no change)





Y849X
C to A at 2679
14a
Tyr to Stop at 849





Y84H
T to C at 382
 3
Tyr to His at 84





Y852X
T to G at 2688
14a
Tyr to stop at 852 (Premature





termination)





Y89C
A to G at 398
 3
Tyr to Cys at 89





Y913C
A to G at 2870
15
Tyr to Cys at 913





Y913X
T to A at 2871
15
Tyr to Stop at 913





Y914C
A to G at 2873
15
Tyr to Cys at 914





Y917C
A to G at 2882
15
Tyr to Cys at 917





Y917D
T to G at 2881
15
Tyr to Asp at 917





Y919C
A to G at 2888
15
Tyr to Cys at 919





*Unless otherwise indicated, the numbers listed herein refer to exon numbers.













TABLE 2







CFTR Mutants and Their Disease Association.


(CF: cystic fibrosis; CBAVD: congenital


bilateral absence of the vas deferens.)













SWISS-PROT



Length

Feature Table


Position(s)
(aa)
Description and disease association
Identifier













31
1
R → L in CF. Ref. 44
VAR_000103


42
1
S → F in CF. Ref. 48
VAR_000104


44
1
D → G in CF.
VAR_000105


50
1
S → Y in CBAVD. Ref. 54
VAR_000107


57
1
W → G in CF. Ref. 42
VAR_000108


67
1
P → L in CF.
VAR_000109


74
1
R → W in CF.
VAR_000110


85
1
G → E in CF. Ref. 58
VAR_000112


87
1
F → L in CF. Ref. 39
VAR_000113


91
1
G → R in CF.
VAR_000114


92
1
E → K in CF. Ref. 26 Ref. 29
VAR_000115


98
1
Q → R in CF. Ref. 46
VAR_000116


105
1
I → S in CF.
VAR_000117


109
1
Y → C in CF. Ref. 37
VAR_000118


110
1
D → H in CF.
VAR_000119


111
1
P → L in CBAVD. Ref. 69
VAR_000120


117
1
R → C in CF. Ref. 26 Ref. 48
VAR_000121




Ref. 58 Ref. 65



117
1
R → H in CF and CBAVD.
VAR_000122


117
1
R → L in CF. Ref. 26 Ref. 48
VAR_000123




Ref. 58 Ref. 65



117
1
R → P in CF. Ref. 26 Ref. 48
VAR_000124




Ref. 58 Ref. 65



120
1
A → T in CF. Ref. 38
VAR_000125


139
1
H → R in CF. Ref. 48
VAR_000126


141
1
A → D in CF. Ref. 56
VAR_000127


148
1
I → T in CF. dbSNP rs35516286.
VAR_000128


149
1
G → R in CBAVD. Ref. 40
VAR_000129


178
1
G → R in CF.
VAR_000130


192
1
Missing in CF. Ref. 65
VAR_000131


193
1
E → K in CBAVD and CF.
VAR_000132


199
1
H → Q in CF. Ref. 34
VAR_ 000133


199
1
H → Y in CF. Ref. 34
VAR_000134


205
1
P → S in CF. Ref. 30
VAR_000135


206
1
L → W in CF. Ref. 43
VAR_000136


225
1
C → R in CF.
VAR_000137


244
1
M → K in CBAVD. Ref. 69
VAR_000138


258
1
R → G in CBAVD. Ref. 40
VAR_000139


287
1
N → Y in CF. Ref. 58
VAR_000140


297
1
R → Q in CF.
VAR_000141


301
1
Y → C in CF.
VAR_000142


307
1
S → N in CF.
VAR_000143


311
1
F → L in CF. Ref. 59
VAR_000144


311
1
Missing in CF. Ref. 59
VAR_000145


314
1
G → E in CF. Ref. 50
VAR_000146


314
1
G → R in CF. Ref. 50
VAR_000147


334
1
R → W in CF; mild.
VAR_000148


336
1
I → K in CF.
VAR_000150


338
1
T → I in CF; mild; isolated
VAR_000151




hypotonic dehydration.





Ref. 47 Ref. 64



346
1
L → P in CF; dominant
VAR_000152




mutation but mild phenotype.





Ref. 33



347
1
R → H in CF.
VAR_000153


347
1
R → L in CF.
VAR_000154


347
1
R → P in CF; MILD.
VAR_000155


352
1
R → Q in CF.
VAR_000156


359
1
Q → K in CF.
VAR_000157


359-360
2
QT → KK in CF.
VAR_000158


370
1
K → KNK in CF.
VAR_000159


455
1
A → E in CF. Ref. 58
VAR_000160


456
1
V → F in CF.
VAR_000161


458
1
G → V in CF.
VAR_000162


480
1
G → C in CF.
VAR_000165


492
1
S → F in CF.
VAR_000166


504
1
E → Q in CF.
VAR_000167


507
1
Missing in CF.
VAR_000170


508
1
Missing in CF and CBAVD;
VAR_000171




most common mutation;





72% of the CF patients;





CFTR fails to be properly





delivered to plasma membrane.



513
1
D → G in CBAVD. Ref. 68
VAR_000173


520
1
V → F in CF. Ref. 23
VAR_000174


544
1
G → V in CBAVD. Ref. 69
VAR_000175


549
1
S → N in CF.
VAR_000176


549
1
S → I in CF.
VAR_000177


549
1
S → R in CF.
VAR_000178


551
1
G → D in CF. Ref. 58
VAR_000179


551
1
G → S in CF. Ref. 58
VAR_000180


553
1
R → Q in CF.
VAR_000181


558
1
L → S in CF.
VAR_000182


559
1
A → T in CF.
VAR_000183


560
1
R → K in CF. Ref. 63
VAR_000184


560
1
R → S in CF. Ref. 63
VAR_000185


560
1
R → T in CF. Ref. 63
VAR_000186


562
1
V → L in CF. Ref. 53
VAR_000188


563
1
Y → N in CF.
VAR_000189


569
1
Y → C in CF. Ref. 51 Ref. 63
VAR_000190


569
1
Y → D in CF. Ref. 51 Ref. 63
VAR_000191


569
1
Y → H in CF. Ref. 51 Ref. 63
VAR_000192


571
1
L → S in CF.
VAR_000193


572
1
D → N in CF. Ref. 45
VAR_000194


574
1
P → H in CF.
VAR_000195


579
1
D → G in CF. Ref. 42 Ref. 70
VAR_000197


601
1
I → F in CF.
VAR_000198


610
1
L → S in CF.
VAR_000199


613
1
A → T in CF.
VAR_000200


614
1
D → G in CF.
VAR_000201


618
1
I → T in CF.
VAR_000202


619
1
L → S in CF. Ref. 34
VAR_000203


620
1
H → P in CF.
VAR_000204


620
1
H → Q in CF.
VAR_000205


622
1
G → D in oligospermia.
VAR_000206


628
1
G → R in CF.
VAR_000207


633
1
L → P in CF.
VAR_000208


648
1
D → V in CF.
VAR_000209


651
1
D → N in CF.
VAR_000210


665
1
T → S in CF. Ref. 49
VAR_000211


754
1
V → M in CF.
VAR_000214


766
1
R → M in CBAVD.
VAR_000215


792
1
R → G in CBAVD.
VAR_000216


800
1
A → G in CBAVD. Ref. 40
VAR_000217


807
1
I → M in CBAVD.
VAR_000218




dbSNP rs1800103.



822
1
E → K in CF.
VAR_000219


826
1
E → K in thoracic sarcoidosis.
VAR_000220


866
1
C → Y in CF.
VAR_000221


912
1
S → L Ref. 32
VAR_000222


913
1
Y → C in CF.
VAR_000223


917
1
Y → C in CF.
VAR_000224


949
1
H → Y in CF. Ref. 32
VAR_000225


952
1
M → I in CF.
VAR_000226


997
1
L → F in CF. dbSNP rs1800111.
VAR_000227


1005
1
I → R in CF. Ref. 34
VAR_000228


1006
1
A → E in CF. Ref. 48
VAR_000229


1013
1
P → L in CF. Ref. 60
VAR_000230


1028
1
M → I in CF. Ref. 60
VAR_000231


1052
1
F → V in CF. Ref. 28
VAR_000232


1061
1
G → R in CF. Ref. 28 Ref. 52
VAR_000233


1065
1
L → P in CF. Ref. 32 Ref. 66
VAR_000234


1065
1
L → R in CF. Ref. 32 Ref. 66
VAR_000235


1066
1
R → C in CF. Ref. 28 Ref. 57
VAR_000236


1066
1
R → H in CF. Ref. 28 Ref. 57
VAR_000237


1066
1
R → L in CF. Ref. 28 Ref. 57
VAR_000238


1067
1
A → T in CF.
VAR_000239


1070
1
R → Q in CF. Ref. 28 Ref. 58
VAR_000241


1070
1
R → P in CF. Ref. 28 Ref. 58
VAR_000242


1071
1
Q → P in CF. Ref. 32
VAR_000243


1072
1
P → L in CF.
VAR_000244


1077
1
L → P in CF.
VAR_000245


1085
1
H → R in CF. Ref. 28
VAR_000246


1098
1
W → R in CF. Ref. 44
VAR_000247


1101
1
M → K in CF. Ref. 27 Ref. 28
VAR_000248


1137
1
M → V in CF.
VAR_000249


1140
1
Missing in CF. Ref. 55
VAR_000250


1152
1
D → H in CF.
VAR_000251


1234
1
I → V in CF.
VAR_000254


1235
1
S → R in CF.
VAR_000255


1244
1
G → E in CF.
VAR_000256


1249
1
G → E in CF. Ref. 35
VAR_000257


1251
1
S → N in CF.
VAR_000258


1255
1
S → P in CF. Ref. 25
VAR_000259


1270
1
D → N in CF. dbSNP rs119711167.
VAR_000260


1282
1
W → R in CF.
VAR_000261


1283
1
R → M in CF. Ref. 24
VAR_000262


1286
1
F → S in CF.
VAR_000263


1291
1
Q → H in CF. Ref. 23 Ref. 34
VAR_000264


1291
1
Q → R in CF. Ref. 23 Ref. 34
VAR_000265


1303
1
N → H in CF. Ref. 58
VAR_000266


1303
1
N → K in CF. Ref. 58
VAR_000267


1349
1
G → D in CF.
VAR_000268


1364
1
A → V in CBAVD. Ref. 69
VAR_000269


1397
1
V → E in CF. Ref. 36
VAR_000270


1070
1
R → W in CBAVD.
VAR_011564


1101
1
M → R in CF. Ref. 27 Ref. 28
VAR_011565









References in Table 2:



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In other aspects, the invention provides methods of making and using the novel cells and cell lines expressing CFTR (e.g., wild type or mutant CFTR). In other aspects, the cells and cell lines of the invention can be used to screen for modulators of CFTR function, including modulators that are specific for a particular form (e.g., mutant form) of CFTR, e.g., modulators that affect CFTR's chloride ion conductance function or CFTR's response to forskolin. These modulators are useful as therapeutics that target, for example, mutant CFTRs in disease states or tissues. CFTR-associated diseases and conditions include, without limitation, cystic fibrosis, lung diseases (e.g., chronic obstructive pulmonary and pulmonary edema), gastrointestinal conditions (e.g., CF pathologies, bowel cleaning, irritable bowel syndrome, constipation, diarrhea, cholera, viral gastroenteritis, malabsorption syndromes, and short bowel syndrome), endocrinal conditions (e.g., pancreatic dysfunction in CF patients), infertility (e.g., sperm motility and sperm capacitation problems and hostile cervical mucus), dry mouth, dry eye, glaucoma, and other deficiencies in regulation of mucosal and/or epithelial fluid absorption and secretion.


In various embodiments, the cell or cell line of the invention expresses CFTR at a consistent level of expression for at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 110, 120, 130, 140, 150, 160, 170, 180, 190, 200 days or over 200 days, where consistent expression refers to a level of expression that does not vary by more than: 1%, 2%, 3%, 4%, 5%, 6%, 7%, 8% 9% or 10% over 2 to 4 days of continuous cell culture; 2%, 4%, 6%, 8%, 10% or 12% over 5 to 15 days of continuous cell culture; 2%, 4%, 6%, 8%, 10%, 12%, 14%, 16%, 18% or 20% over 16 to 20 days of continuous cell culture; 2%, 4%, 6%, 8%, 10%, 12%, 14%, 16%, 18%, 20%, 22%, 24% over 21 to 30 days of continuous cell culture; 2%, 4%, 6%, 8%, 10%, 12%, 14%, 16%, 18%, 20%, 22%, 24%, 26%, 28% or 30% over 30 to 40 days of continuous cell culture; 2%, 4%, 6%, 8%, 10%, 12%, 14%, 16%, 18%, 20%, 22%, 24%, 26%, 28% or 30% over 41 to 45 days of continuous cell culture; 2%, 4%, 6%, 8%, 10%, 12%, 14%, 16%, 18%, 20%, 22%, 24%, 26%, 28% or 30% over 45 to 50 days of continuous cell culture; 2%, 4%, 6%, 8%, 10%, 12%, 14%, 16%, 18%, 20%, 22%, 24%, 26%, 28%, 30% or 35% over 45 to 50 days of continuous cell culture, 2%, 4%, 6%, 8%, 10%, 12%, 14%, 16%, 18%, 20%, 22%, 24%, 26%, 28% or 30% over 50 to 55 days of continuous cell culture, 2%, 4%, 6%, 8%, 10%, 12%, 14%, 16%, 18%, 20%, 22%, 24%, 26%, 28%, 30% or 35% over 50 to 55 days of continuous cell culture; 1%, 2%, 3%, 4%, 5%, 10%, 15%, 20%, 25%, 30%, 35% or 40% over 55 to 75 days of continuous cell culture; 1%, 2%, 3%, 4%, 5%, 6%, 10%, 15%, 20%, 25%, 30%, 35%, 40% or 45% over 75 to 100 days of continuous cell culture; 1%, 2%, 3%, 4%, 5%, 6%, 10%, 15%, 20%, 25%, 30%, 35%, 40% or 45% over 101 to 125 days of continuous cell culture; 1%, 2%, 3%, 4%, 5%, 6%, 10%, 15%, 20%, 25%, 30%, 35%, 40% or 45% over 126 to 150 days of continuous cell culture; 1%, 2%, 3%, 4%, 5%, 6%, 10%, 15%, 20%, 25%, 30%, 35%, 40% or 45% over 151 to 175 days of continuous cell culture; 1%, 2%, 3%, 4%, 5%, 6%, 10%, 15%, 20%, 25%, 30%, 35%, 40% or 45% over 176 to 200 days of continuous cell culture; 1%, 2%, 3%, 4%, 5%, 6%, 10%, 15%, 20%, 25%, 30%, 35%, 40% or 45% over more than 200 days of continuous cell culture.


In some embodiments, the cells and cell lines of the invention express a CFTR wherein one or more physiological properties of the cells/cell lines remain(s) substantially constant over time. A physiological property includes any observable, detectable or measurable property of cells or cell lines apart from the expression of the CFTR.


In some embodiments, the expression of CFTR can alter one or more physiological properties. Alteration of a physiological property includes any change of the physiological property due to the expression of CFTR, e.g., a stimulation, activation, or increase of the physiological property, or an inhibition, blocking, or decrease of the physiological property. In these embodiments, the one or more constant physiological properties can indicate that the functional expression of the CFTR also remains constant.


The invention provides a method for culturing a plurality of cells or cell lines expressing a CFTR under constant culture conditions, wherein cells or cell lines can be selected that have one or more desired properties, such as stable expression of a CFTR and/or one or more substantially constant physiological properties.


In some embodiments where a physiological property can be measured, the physiological property is determined as an average of the physiological property measured in a plurality of cells or a plurality of cells of a cell line. In certain embodiments, a physiological property is measured over at least 10; 100; 1,000; 10,000; 100,000; 1,000,000; or at least 10,000,000 cells and the average remains substantially constant over time. In some embodiments, the average of a physiological property is determined by measuring the physiological property in a plurality of cells or a plurality of cells of a cell line wherein the cells are at different stages of the cell cycle. In other embodiments, the cells are synchronized with respect to cell cycle.


In some embodiments, a physiological property is observed, detected, measured or monitored on a single cell level. In certain embodiments, the physiological property remains substantially constant over time on a single cell level.


In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 12 hours. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 1 day. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 2 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 5 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 10 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 20 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 30 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 40 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 50 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 60 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 70 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%; 30%, 35%, 40%, 45%, or 50% over 80 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over 90 days. In certain embodiments, a physiological property remains substantially constant over time if it does not vary by more than 0.1%, 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, or 50% over the course of 1 passage, 2 passages, 3 passages, 5 passages, 10 passages, 25 passages, 50 passages, or 100 passages.


Examples of cell physiological properties include, but are not limited to: growth rate, size, shape, morphology, volume; profile or content of DNA, RNA, protein, lipid, ion, carbohydrate or water; endogenous, engineered, introduced, gene-activated or total gene, RNA or protein expression or content; propensity or adaptability to growth in adherent, suspension, serum-containing, serum-free, animal-component free, shaken, stationary or bioreactor growth conditions; propensity or adaptability to growth in or on chips, arrays, microarrays, slides, dishes, plates, multiwell plates, high density multiwell plates, flasks, roller bottles, bags or tanks; propensity or adaptability to growth using manual or automated or robotic cell culture methodologies; abundance, level, number, amount or composition of at least one cell organelle, compartment or membrane; including, but not limited to cytoplasm, nucleoli, nucleus, ribosomes, rough endoplasmic reticulum, Golgi apparatus, cytoskeleton, smooth endoplasmic reticulum, mitochondria, vacuole, cytosol, lysosome, centrioles, chloroplasts, cell membrane, plasma cell membrane, nuclear membrane, nuclear envelope, vesicles (e.g., secretory vesicles), or membrane of at least one organelle; having acquired or having the capacity or propensity to acquire at least one functional or gene expression profile (of one or more genes) shared by one or more specific cell types or differentiated, undifferentiated or dedifferentiated cell types, including, but not limited to: a stem cell, a pluripotent cell, an omnipotent cell or a specialized or tissue specific cell including one of the liver, lung, skin, muscle (including but not limited to: cardiac muscle, skeletal muscle, striatal muscle), pancreas, brain, testis, ovary, blood, immune system, nervous system, bone, cardiovascular system, central nervous system, gastro-intestinal tract, stomach, thyroid, tongue, gall bladder, kidney, nose, eye, nail, hair, taste bud cell or taste cell, neuron, skin, pancreas, blood, immune, red blood cell, white blood cell, killer T-cell, enteroendocrine cell, secretory cell, kidney, epithelial cell, endothelial cell, a human, animal or plant cell; ability to or capacity to uptake natural or synthetic chemicals or molecules including, but not limited to: nucleic acids, RNA, DNA, protein, small molecules, probes, dyes, oligonucleotides (including modified oligonucleotides) or fluorogenic oligonucleotides; resistance to or capacity to resist negative or deleterious effects of chemicals or substances that negatively affect cell growth, function or viability, including, but not limited to: resistance to infection, drugs, chemicals, pathogens, detergents, UV, adverse conditions, cold, hot, extreme temperatures, shaking, perturbation, vortexing, lack of or low levels of oxygen, lack of or low levels of nutrients, toxins, venoms, viruses or compound, treatment or agent that has an adverse effect on cells or cell growth; suitability for use in in vitro tests, cell based assays, biochemical or biological tests, implantation, cell therapy or secondary assays, including, but not limited to: large scale cell culture, miniaturized cell culture, automated cell culture, robotic cell culture, standardized cell culture, drug discovery, high throughput screening, cell based assay, functional cell based assay (including but not limited to membrane potential assays, calcium flux assays, reporter assays, G-protein reporter assays), ELISA, in vitro assays, in vivo applications, secondary testing, compound testing, binding assays, panning assays, antibody panning assays, phage display, imaging studies; microscopic imaging assays, immunofluorescence studies, RNA, DNA, protein or biologic production or purification, vaccine development, cell therapy, implantation into an organism, animal, human or plant, isolation of factors secreted by the cell, preparation of cDNA libraries, or infection by pathogens, viruses or other agent; and other observable, measurable, or detectable physiological properties such as: biosynthesis of at least one metabolite, lipid, DNA, RNA or protein; chromosomal silencing, activation, heterochromatization, euchromoatinization or recombination; gene expression, gene silencing, gene splicing, gene recombination or gene-activation; RNA production, expression, transcription, processing splicing, transport, localization or modification; protein production, expression, secretion, folding, assembly, transport, localization, cell surface presentation, secretion or integration into a cell or organelle membrane; protein modification including but not limited to post-translational modification, processing, enzymatic modification, proteolysis, glycosylation, phosphorylation, dephosphorylation; cell division including mitosis, meiosis or fission or cell fusion; high level RNA or protein production or yield.


Physiological properties may be observed, detected or measured using routine assays known in the art, including but not limited to tests and methods described in reference guides and manuals such as the Current Protocols series. This series includes common protocols in various fields and is available through the Wiley Publishing House. The protocols in these reference guides are illustrative of the methods that can be used to observe, detect or measure physiological properties of cells. The skilled worker would readily recognize any one or more of these methods may be used to observe, detect or measure the physiological properties disclosed herein.


Many markers, dyes or reporters, including protein markers expressed as fusion proteins comprising an autofluorescent protein, that can be used to measure the level, activity or content of cellular compartments or organelles including but not limited to ribosomes, mitochondria, ER, rER, golgi, TGN, vesicles, endosomes and plasma membranes in cells are compatible with the testing of individual viable cells. In some embodiments fluorescence activated cell sorting or a cell sorter can be used. In some embodiments, cells or cell lines isolated or produced to comprise a CFTR can be tested using these markers, dyes or reporters at the same time, subsequent, or prior to isolation, testing or production of the cells or cell lines comprising a CFTR. In some embodiments, the level, activity or content of one or more of the cellular compartments or organelles can be correlated with improved, increased, native, non-cytotoxic, viable or optimal expression, function, activity, folding, assembly modification, post-translational modification, secretion, cell surface presentation, membrane integration, pharmacology, yield or physiology of a CFTR. In some embodiments, cells or cell lines comprising the level, activity or content of at least one cellular compartment or organelle that is correlated with improved, increased, native, non-cytotoxic, viable or optimal expression, function, activity, folding, assembly modification, post-translational modification, secretion, cell surface presentation, membrane integration, pharmacology, yield or physiology of a CFTR can be isolated. In some embodiments, cells or cell lines comprising the CFTR and the level, activity or content of at least one cellular compartment or organelle that is correlated with improved, increased, native, non-cytotoxic, viable or optimal expression, function, activity, folding, assembly modification, post-translational modification, secretion, cell surface presentation, membrane integration, pharmacology, yield or physiology of the CFTR can be isolated. In some embodiments the isolation of the cells is performed using cell sorting or fluorescence activated cell sorting.


The nucleic acid encoding the CFTR can be genomic DNA or cDNA. In some embodiments, the nucleic acid encoding the CFTR comprises one or more substitutions, mutations, or deletions, as compared to a wild type CFTR (SEQ ID NO: 1), that may or may not result in an amino acid substitution. In some embodiments, the nucleic acid is a fragment of the nucleic acid sequence provided. Such CFTR that are fragments or have such modifications retain at least one biological property of a CFTR, e.g., its ability to conduct chloride ions or be modulated by forskolin. The invention encompasses cells and cell lines stably expressing a CFTR-encoding nucleotide sequence that is at least about 85% identical to a sequence disclosed herein. In some embodiments, the CFTR-encoding sequence identity is at least 85%, 90%, 95%, 96%, 97%, 98%, 99% or higher compared to a CFTR sequence provided herein. The invention also encompasses cells and cell lines wherein a nucleic acid encoding a CFTR hybridizes under stringent conditions to a nucleic acid provided herein encoding the CFTR.


In some embodiments, the cell or cell line comprises a CFTR-encoding nucleic acid sequence comprising a substitution compared to a sequence provided herein by at least one but less than 10, 20, 30, or 40 nucleotides, up to or equal to 1%, 5%, 10% or 20% of the nucleotide sequence or a sequence substantially identical thereto (e.g., a sequence at least 85%, 90%, 95%, 96%, 97%, 98%, 99% or higher identical thereto, or that is capable of hybridizing under stringent conditions to the sequences disclosed). Such substitutions include single nucleotide polymorphisms (SNPs) and other allelic variations. In some embodiments, the cell or cell line comprises a CFTR-encoding nucleic acid sequence comprising an insertion into or deletion from the sequences provided herein by less than 10, 20, 30, or 40 nucleotides up to or equal to 1%, 5%, 10% or 20% of the nucleotide sequence or from a sequence substantially identical thereto.


In some embodiments, where the nucleic acid substitution or modification results in an amino acid change, such as an amino acid substitution, the native amino acid may be replaced by a conservative or non-conservative substitution (e.g., SEQ ID NO: 7). In some embodiments, the sequence identity between the original and modified polypeptide sequence can differ by about 1%, 5%, 10% or 20% of the polypeptide sequence or from a sequence substantially identical thereto (e.g., a sequence at least 85%, 90%, 95%, 96%, 97%, 98%, 99% or higher identical thereto). Those of skill in the art will understand that a conservative amino acid substitution is one in which the amino acid side chains are similar in structure and/or chemical properties and the substitution should not substantially change the structural characteristics of the parent sequence. In embodiments comprising a nucleic acid comprising a mutation, the mutation may be a random mutation or a site-specific mutation.


Conservative modifications will produce CFTRs having functional and chemical characteristics similar to those of the unmodified CFTR. A “conservative amino acid substitution” is one in which an amino acid residue is substituted by another amino acid residue having a side chain R group with similar chemical properties to the parent amino acid residue (e.g., charge or hydrophobicity). In general, a conservative amino acid substitution will not substantially change the functional properties of a protein. In cases where two or more amino acid sequences differ from each other by conservative substitutions, the percent sequence identity or degree of similarity may be adjusted upwards to correct for the conservative nature of the substitution. Means for making this adjustment are well-known to those of skill in the art. See, e.g., Pearson, Methods Mol. Biol. 243:307-31 (1994).


Examples of groups of amino acids that have side chains with similar chemical properties include 1) aliphatic side chains: glycine, alanine, valine, leucine, and isoleucine; 2) aliphatic-hydroxyl side chains: serine and threonine; 3) amide-containing side chains: asparagine and glutamine; 4) aromatic side chains: phenylalanine, tyrosine, and tryptophan; 5) basic side chains: lysine, arginine, and histidine; 6) acidic side chains: aspartic acid and glutamic acid; and 7) sulfur-containing side chains: cysteine and methionine. Preferred conservative amino acids substitution groups are: valine-leucine-isoleucine, phenylalanine-tyrosine, lysine-arginine, alanine-valine, glutamate-aspartate, and asparagine-glutamine. Alternatively, a conservative amino acid substitution is any change having a positive value in the PAM250 log-likelihood matrix disclosed in Gonnet et al., Science 256:1443-45 (1992). A “moderately conservative” replacement is any change having a nonnegative value in the PAM250 log-likelihood matrix.


The invention encompasses cells or cell lines that comprise a mutant form of CFTR. More than 1,000 CFTR mutations have been identified, and the cells or cell lines of the invention may comprise any of these mutants of CFTRs. Such cells, cell lines, and collections of cell lines are useful to determine the activity of a mutant CFTR and the differential activity of a modulator on different mutant CFTRs.


The invention further comprises cells or cell lines that co-express other proteins with CFTR. Such other proteins may be integrated into the host cell's genome, or gene-activated, or induced. They may be expressed sequentially (before or after) with respect to CFTR or co-transfected with CFTR on the same or different vectors. In some embodiments, the co-expressed protein may be any of the following: genetic modifiers of CFTR (e.g., al-antitrypsin, glutathione S-transferase, mannose binding lectin 2 (MBL2), nitric oxide synthase 1 (NOS1), glutamine-cysteine ligase gene (GCLC), FCgamma receptor II (FCγRII)); AMP activated protein kinase (AMPK), which phosphorylates and inhibits CFTR and may be important for airway inflammation and ischemia; transforming growth factor β1 (TGF-β1), which downregulates CFTR expression such that coexpression of TGF β1 and CFTR may allow for identifying modulators of this interaction; tumor necrosis factor α (TNF-α), which downregulates CFTR expression such that coexpression TNF-α and CFTR may allow for identifying blockers of this interaction; β adrenergic receptor, which colocalizes with CFTR at the apical membrane and the stimulation of a subtype of β adrenergic receptor (β2) increases CFTR activity; syntaxin 1a, which inhibits CFTR chloride channels by means of direct and domain-specific protein-protein interactions and may have therapeutic uses; synaptosome-associated protein 23, which physically associates with and inhibits CFTR; an epithelial sodium ion channel (ENaC), i.e., SCNN1A, SCNN1B or SCNN1G, to study binding interactions that stabilize CFTR at the cell surface; PDZK1 (PDZ domain containing 1) (also referred as CFTR-associated protein of 70 kDa (CAP70)), which potentiates CFTR chloride current; the endocytic complex AP2, which interacts with CFTR and facilitates efficient entry of CFTR into clathrin-coated vesicles; cyclic guanosine monophosphate(cGMP)-dependent protein kinase 2 (PRKG2), which is an upstream cGMP dependent kinase that phosphorylates and activates CFTR; protein kinase A and protein kinase C; protein phosphatase 2 (PP2A); guanine nucleotide binding protein (G protein), beta polypeptide 2-like 1 (RACK1); Rho family of GTPases; Rab G TPases, SNARE proteins; potassium channel proteins (e.g., ROMK1 and ROMK2); guanylyl cyclase c (GC-C or GUCY2C), which interacts with CFTR; chloride channel 2 (CLCN2 or CLC2), which is proposed to cause net C1-efflux in gut such that coexpression of both CLCN2 and CFTR may allow for screens demonstrating maximal fluid efflux; solute carrier family 9 isoform A3 (NHE3-SLC9A3/sodium-hydrogen exchanger) or solute carrier family 26 isoform A3 (DRA-SLC26A3/sodium-hydrogen exchanger), to construct a rheostat biosensor for sodium intake/chloride efflux; cyclic nucleotide gated channel (CNGA2), which may be used as a HTS platform with a calcium readout; or a yellow fluorescent protein (YFP or variants thereof such as YFP H148Q/I152L) for usage in YFP halide quench assays.


In some embodiments, the CFTR-encoding nucleic acid sequence further comprises a tag. Such tags may encode, for example, a HIS tag, a myc tag, a hemagglutinin (HA) tag, protein C, VSV-G, FLU, yellow fluorescent protein (YFP), mutant YFP (meYFP), green fluorescent protein (GFP), FLAG, BCCP, maltose binding protein tag, Nus-tag, Softag-1, Softag-2, Strep-tag, S-tag, thioredoxin, GST, V5, TAP or CBP. A tag may be used as a marker to determine CFTR expression levels, intracellular localization, protein-protein interactions, CFTR regulation, or CFTR function. Tags may also be used to purify or fractionate CFTR. One example of a tag is meYFP-H1480/1152L (SEQ ID NO: 5).


Host cells used to produce a cell or cell line of the invention may express endogenous CFTR in its native state or lack expression of any CFTR. The host cell may be a primary, germ, or stem cell, including but not being limited to an embryonic stem cell. The host cell may also be an immortalized cell. Primary or immortalized host cells may be derived from mesoderm, ectoderm or endoderm layers of eukaryotic organisms. The host cell may include but not be limited to endothelial, epidermal, mesenchymal, neural, renal, hepatic, hematopoietic, or immune cells. For example, the host cells may include but not be limited to intestinal crypt or villi cells, clara cells, colon cells, intestinal cells, goblet cells, enterochromafin cells, enteroendocrine cells. The host cells may include but not be limited to be eukaryotic, prokaryotic, mammalian, human, primate, bovine, porcine, feline, rodent, marsupial, murine or other cells. The host cells may also be nonmammalian, including but not being limited to yeast, insect, fungus, plant, lower eukaryotes and prokaryotes. Such host cells may provide backgrounds that are more divergent for testing CFTR modulators with a greater likelihood for the absence of expression products provided by the cell that may interact with the target. In preferred embodiments, the host cell is a mammalian cell. Examples of host cells that may be used to produce a cell or cell line of the invention include but are not limited to: Chinese hamster ovary (CHO) cells, established neuronal cell lines, pheochromocytomas, neuroblastomas fibroblasts, rhabdomyosarcomas, dorsal root ganglion cells, NSO cells, CV-1 (ATCC CCL 70), COS-1 (ATCC CRL 1650), COS-7 (ATCC CRL 1651), CHO-K1 (ATCC CCL 61), 3T3 (ATCC CCL 92), NIH/3T3 (ATCC CRL 1658), HeLa (ATCC CCL 2), C1271 (ATCC CRL 1616), BS-C-1 (ATCC CCL 26), MRC-5 (ATCC CCL 171), L-cells, HEK-293 (ATCC CRL1573) and PC12 (ATCC CRL-1721), HEK293T (ATCC CRL-11268), RBL (ATCC CRL-1378), SH-SY5Y (ATCC CRL-2266), MDCK (ATCC CCL-34), SJ-RH30 (ATCC CRL-2061), HepG2 (ATCC HB-8065), ND7/23 (ECACC 92090903), CHO (ECACC 85050302), Vero (ATCC CCL 81), Caco-2 (ATCC HTB 37), K562 (ATCC CCL 243), Jurkat (ATCC TIB-152), Per.C6 (Crucell, Leiden, The Netherlands), Huvec (ATCC Human Primary PCS 100-010, Mouse CRL 2514, CRL 2515, CRL 2516), HuH-7D12 (ECACC 01042712), 293 (ATCC CRL 10852), A549 (ATCC CCL 185), IMR-90 (ATCC CCL 186), MCF-7 (ATC HTB-22), U-2 OS (ATCC HTB-96), T84 (ATCC CCL 248), or any established cell line (polarized or nonpolarized) or any cell line available from repositories such as the American Type Culture Collection (ATCC, 10801 University Blvd. Manassas, Va. 20110-2209 USA) or European Collection of Cell Cultures (ECACC, Salisbury Wiltshire SP4 0JG England). Host cells used to produce a cell or cell line of the invention may be in suspension. For example, the host cells may be adherent cells adapted to suspension.


In certain embodiments, the methods described herein rely on the genetic variability and diversity in a population of cells, such as a cell line or a culture of immortalized cells. In particular, provided herein are cells, and methods for generating such cells, that express a CFTR endogenously, i.e., without the introduction of a nucleic acid encoding a CFTR. In certain embodiments, the isolated cell expressing the CFTR is represented by not more than 1 in 10, 1 in 100, 1 in 1000, 1 in 10,000, 1 in 100,000, 1 in 1,000,000 or 1 in Ser. No. 10/000,000 cells in a population of cells. The population of cells can be primary cells harvested from organisms. In certain embodiments, the population of cells is not known to express CFTR. In certain embodiments, genetic variability and diversity may also be increased using natural processes known to a person skilled in the art. Any suitable methods for creating or increasing genetic variability and/or diversity may be performed on host cells. In some cases, genetic variability may be due to modifications in regulatory regions of a gene encoding for CFTR. Cells expressing a particular CFTR can then be selected as described herein.


In other embodiments, genetic variability may be achieved by exposing a cell to UV light and/or x-rays (e.g., gamma-rays). In other embodiments, genetic variability may be achieved by exposing cells to EMS (ethyl methane sultonate). In some embodiments, genetic variability may be achieved by exposing cells to mutagens, carcinogens, or chemical agents. Non-limiting examples of such agents include deaminating agents such as nitrous acid, intercalating agents, and alkylating agents. Other non-limiting examples of such agents include bromine, sodium azide, and benzene. In specific embodiments, genetic variability may be achieved by exposing cells to growth conditions that are sub-optimal; e.g., low oxygen, low nutrients, oxidative stress or low nitrogen. In certain embodiments, enzymes that result in DNA damage or that decrease the fidelity of DNA replication or repair (e.g. mismatch repair) can be used to increase genetic variability. In certain embodiments, an inhibitor of an enzyme involved in DNA repair is used. In certain embodiments, a compound that reduces the fidelity of an enzyme involved in DNA replication is used. In certain embodiments, proteins that result in DNA damage and/or decrease the fidelity of DNA replication or repair are introduced into cells (co-expressed, injected, transfected, electroporated).


The duration of exposure to certain conditions or agents depend on the conditions or agents used. In some embodiments, seconds or minutes of exposure is sufficient. In other embodiments, exposure for a period of hours, days or months are necessary. The skilled artisan will be aware what duration and intensity of the condition can be used.


In some cases, a method that increases genetic variability may produce a mutation or alteration in a promoter region of a gene that leads to a change in the transcriptional regulation of the CFTR gene, e.g., gene activation, wherein the gene is more highly expressed than a gene with an unaltered promoter region. Generally, a promoter region includes a genomic DNA sequence upstream of a transcription start site that regulates gene transcription, and may include the minimal promoters and/or enhancers and/or repressor regions. A promoter region may range from about 20 basepairs (bps) to about 10,000 bps or more. In specific embodiments, a method that increases gene variability produces a mutation or alteration in an intron of a CFTR gene that leads to a change in the transcriptional regulation of the gene, e.g., gene activation wherein the gene is more highly expressed than gene with an unaltered intron. In certain embodiments, untranscribed genomic DNA is modified. For example, promoter, enhancer, modifier, or repressor regions can be added, deleted, or modified. In these cases, transcription of a CFTR transcript that is under control of the modified regulatory region can be used as a read-out. For example, if a repressor is deleted, the transcript of the CFTR gene that is repressed by the repressor is tested for increased transcription levels.


In certain embodiments, the genome of a cell or an organism can be mutated by site-specific mutagenesis or homologous recombination. In certain embodiments, oligonucleotide- or triplex-mediated recombination can be employed. See, e.g., Faruqi et al., 2000, Molecular and Cellular Biology 20:990-1000 and Schleifman et al., 2008, Methods Molecular Biology 435:175-90.


In certain embodiments, fluorogenic oligonucleotide probes or molecular beacons can be used to select cells in which the genetic modification has been successful, i.e., cells in which the transgene or the gene of interest is expressed. To identify cells in which a mutagenic or homologous recombination event has been successful, a fluorogenic oligonucleotide that specifically hybridizes to the mutagenized or recombined CFTR transcript can be used.


Once cells that endogenously express CFTR are isolated, these cells can be immortalized and cell lines generated. These cells or cell lines can be used with the assays and screening methods disclosed herein.


In one embodiment, the host cell is an embryonic stem cell that is then used as the basis for the generation of transgenic animals. Embryonic stem cells stably expressing CFTR, and preferably a functional introduced CFTR, may be implanted into organisms directly, or their nuclei may be transferred into other recipient cells and these may then be implanted, or they may be used to create transgenic animals.


As will be appreciated by those of skill in the art, any vector that is suitable for use with the host cell may be used to introduce a nucleic acid encoding CFTR into the host cell. Examples of vectors that may be used to introduce the CFTR encoding nucleic acids into host cells include but are not limited to plasmids, viruses, including retroviruses and lentiviruses, cosmids, artificial chromosomes and may include for example, pFN11A (BIND) Flexi®, pGL4.31, pFC14A (HaloTag® 7) CMV Flexi®, pFC14K (HaloTag® 7) CMV Flexi®, pFN24A (HaloTag® 7) CMVd3 Flexi®, pFN24K (HaloTag® 7) CMVd3 Flexi®, HaloTag™ pHT2, pACT, pAdVAntage™, pALTER®-MAX, pBIND, pCAT®3-Basic, pCAT®3-Control, pCAT®3-Enhancer, pCAT®3-Promoter, pCI,pCMVTNT™, pG5luc, pSI, pTARGET™, pTNT™, pF12A RM Flexi®, pF12K RM Flexi®, pReg neo, pYES2/GS, pAd/CMV/V5-DEST Gateway® Vector, pAd/PL-DEST™ Gateway® Vector, Gateway® pDEST™27 Vector,Gateway® pEF-DEST51 Vector, Gateway® pcDNA™-DEST47 vector, pCMV/Bsd Vector, pEF6/His A, B, & C, pcDNA™6.2-DEST, pLenti6/TR, pLP-AcGFP1-C, pLPS-AcGFP1-N, pLP-IRESneo, pLP-TRE2, pLP-RevTRE, pLP-LNCX, pLP-CMV-HA, pLP-CMV-Myc, pLP-RetroQ, pLP-CMVneo, pCMV-Script, pcDNA3.1 Hygro, pcDNA3.1neo, pcDNA3.1puro, pSV2neo, pIRES puro, and pSV2 zeo. In some embodiments, the vectors comprise expression control sequences such as constitutive or conditional promoters. One of ordinary skill in the art will be able to select such sequences. For example, suitable promoters include but are not limited to CMV, TK, SV40, and EF-1α. In some embodiments, the promoters are inducible, temperature regulated, tissue specific, repressible, heat-shock, developmental, cell lineage specific, eukaryotic, prokaryotic or temporal promoters or a combination or recombination of unmodified or mutagenized, randomized, shuffled sequences of any one or more of the above. In other embodiments, CFTR is expressed by gene activation or when a gene encoding a CFTR is episomal. Nucleic acids encoding CFTRs may preferably be constitutively expressed.


In some embodiments, the vector encoding CFTR lacks a selectable marker or drug resistance gene. In other embodiments, the vector optionally comprises a nucleic acid encoding a selectable marker such as a protein that confers drug or antibiotic resistance. If more than one of the drug resistance markers are the same, simultaneous selection may be achieved by increasing the level of the drug. Suitable markers will be well-known to those of skill in the art and include but are not limited to genes conferring resistance to any one of the following: Neomycin/G418, Puromycin, hygromycin, Zeocin, methotrexate and blasticidin. Although drug selection (or selection using any other suitable selection marker) is not a required step, it may be used to enrich the transfected cell population for stably transfected cells, provided that the transfected constructs are designed to confer drug resistance. If subsequent selection of cells expressing CFTR is accomplished using signaling probes, selection too soon following transfection can result in some positive cells that may only be transiently and not stably transfected. However, this can be minimized by allowing sufficient cell passage allowing for dilution of transient expression in transfected cells.


In some embodiments, the vector comprises a nucleic acid sequence encoding an RNA tag sequence. “Tag sequence” refers to a nucleic acid sequence that is an expressed RNA or portion of an RNA that is to be detected by a signaling probe. Signaling probes may detect a variety of RNA sequences. Any of these RNAs may be used as tags. Signaling probes may be directed against the RNA tag by designing the probes to include a portion that is complementary to the sequence of the tag. The tag sequence may be a 3′ untranslated region of the plasmid that is cotranscribed and comprises a target sequence for signaling probe binding. The RNA encoding the gene of interest may include the tag sequence or the tag sequence may be located within a 5′-untranslated region or 3′-untranslated region. In some embodiments, the tag is not with the RNA encoding the gene of interest. The tag sequence can be in frame with the protein-coding portion of the message of the gene or out of frame with it, depending on whether one wishes to tag the protein produced. Thus, the tag sequence does not have to be translated for detection by the signaling probe. The tag sequences may comprise multiple target sequences that are the same or different, wherein one signaling probe hybridizes to each target sequence. The tag sequences may encode an RNA having secondary structure. The structure may be a three-arm junction structure. Examples of tag sequences that may be used in the invention, and to which signaling probes may be prepared, include but are not limited to the RNA transcript of epitope tags such as, for example, a HIS tag, a myc tag, a hemagglutinin (HA) tag, protein C, VSV-G, FLU, yellow fluorescent protein (YFP), green fluorescent protein, FLAG, BCCP, maltose binding protein tag, Nus-tag, Softag-1, Softag-2, Strep-tag, S-tag, thioredoxin, GST, V5, TAP or CBP. As described herein, one of ordinary skill in the art could create his or her own RNA tag sequences.


In another aspect of the invention, cells and cell lines of the invention have enhanced stability as compared to cells and cell lines produced by conventional methods. To identify stable expression, a cell or cell line's expression of CFTR is measured over a time course and the expression levels are compared. Stable cell lines will continue expressing CFTR throughout the time course. In some aspects of the invention, the time course may be for at least one week, two weeks, three weeks, etc., or at least one month, or at least two, three, four, five, six, seven, eight or nine months, or any length of time in between. Isolated cells and cell lines can be further characterized, such as by qRT-PCR and single end-point RT-PCR to determine the absolute amounts and relative amounts of CFTR being expressed. In some embodiments, stable expression is measured by comparing the results of functional assays over a time course. The measurement of stability based on functional assay provides the benefit of identifying clones that not only stably express the mRNA of the gene of interest, but also stably produce and properly process (e.g., post-translational modification, and localization within the cell) the protein encoded by the gene of interest that functions appropriately.


Cells and cell lines of the invention have the further advantageous property of providing assays with high reproducibility as evidenced by their Z′ factor. See Zhang J H, Chung T D, Oldenburg K R, “A Simple Statistical Parameter for Use in Evaluation and Validation of High Throughput Screening Assays.” J. Biomol. Screen. 1999; 4(2):67-73. Z′ values pertain to the quality of a cell or cell line because it reflects the degree to which a cell or cell line will respond consistently to modulators. Z′ is a statistical calculation that takes into account the signal-to-noise range and signal variability (i.e., from well to well) of the functional response to a reference compound across a multiwell plate. Z′ is calculated using data obtained from multiple wells with a positive control and multiple wells with a negative control. The ratio of their summated standard deviations multiplied by a factor of three to the difference in their mean values is subtracted from one to give the Z′ factor, according the equation below:






Z′ factor=1−3σpositive control+3σnegative control)/(μpositive control−μnegative control))


The theoretical maximum Z′ factor is 1.0, which would indicate an ideal assay with no variability and limitless dynamic range. As used herein, a “high Z′” refers to a Z′ factor of Z′ of at least 0.6, at least 0.7, at least 0.75 or at least 0.8, or any decimal in between 0.6 and 1.0. A score less than 0 is undesirable because it indicates that there is overlap between positive and negative controls. In the industry, for simple cell-based assays, Z′ scores up to 0.3 are considered marginal scores, Z′ scores between 0.3 and 0.5 are considered acceptable, and Z′ scores above 0.5 are considered excellent. Cell-free or biochemical assays may approach higher Z′ scores, but Z′ factor scores for cell-based systems tend to be lower because cell-based systems are complex.


As those of ordinary skill in the art will recognize, historically, cell-based assays using cells expressing even a single chain protein do not typically achieve a Z′ higher than 0.5 to 0.6. Cells and cell lines of the invention, on the other hand, have high Z′ values and advantageously produce consistent results in assays. CFTR expression cells and cell lines of the invention provided the basis for high-throughput screening (HTS) compatible assays because they generally have Z′ factor factors at least 0.82. In some aspects of the invention, the cells and cell lines result in Z′ of at least 0.3, at least 0.4, at least 0.5, at least 0.6, at least 0.7, or at least 0.8. In other aspects of the invention, the cells and cell lines of the invention result in a Z′ of at least 0.7, at least 0.75 or at least 0.8 maintained for multiple passages, e.g., between 5-20 passages, including any integer in between 5 and 20. In some aspects of the invention, the cells and cell lines result in a Z′ of at least 0.7, at least 0.75 or at least 0.8 maintained for 1, 2, 3, 4 or 5 weeks or 2, 3, 4, 5, 6, 7, 8 or 9 months, including any period of time in between.


Also according to the invention, cells and cell lines that express a form of a naturally occurring wild type CFTR or mutant CFTR can be characterized for chloride ion conductance. In some embodiments, the cells and cell lines of the invention express CFTR with “physiologically relevant” activity. As used herein, physiological relevance refers to a property of a cell or cell line expressing a CFTR whereby the CFTR conducts chloride ions as a naturally occurring CFTR of the same type and responds to modulators in the same ways that naturally occurring CFTR of the same type is modulated by the same modulators. CFTR-expressing cells and cell lines of this invention preferably demonstrate comparable function to cells that normally express native CFTR in a suitable assay, such as a membrane potential assay or a YFP halide quench assay using chloride or iodide as the ion conducted by CFTR, electrophysiology (e.g., patch clamp or Ussing), or by activation with forskolin. Such comparisons are used to determine a cell or cell line's physiological relevance.


In some embodiments, the cells and cell lines of the invention have increased sensitivity to modulators of CFTR. Cells and cell lines of the invention respond to modulators and conduct chloride ions with physiological range EC50 or IC50 values for CFTR. As used herein, EC50 refers to the concentration of a compound or substance required to induce a half-maximal activating response in the cell or cell line. As used herein, IC50 refers to the concentration of a compound or substance required to induce a half-maximal inhibitory response in the cell or cell line. EC50 and IC50 values may be determined using techniques that are well-known in the art, for example, a dose-response curve that correlates the concentration of a compound or substance to the response of the CFTR-expressing cell line. For example, the EC50 for forskolin in a cell line of the invention is about 250 nM, and the EC50 for forskolin in a stable CFTR-expressing fisher rat thyroid cell line disclosed in Galietta et al., Am J Physiol Cell Physiol. 281(5): C1734-1742 (2001).is between 250 nM and 500 nM.


A further advantageous property of the CFTR-expressing cells and cell lines of the inventions, flowing from the physiologically relevant function of the CFTR is that modulators identified in initial screening are functional in secondary functional assays, e.g., membrane potential assay, electrophysiology assay, YFP halide quench assay, radioactive iodine flux assay, rabbit intestinal-loop fluid secretion measurement assay, animal fecal output testing and measuring assay, or Ussing chamber assays. As those of ordinary skill in the art will recognize, compounds identified in initial screening assays typically must be modified, such as by combinatorial chemistry, medicinal chemistry or synthetic chemistry, for their derivatives or analogs to be functional in secondary functional assays. However, due to the high physiological relevance of the present CFTR cells and cell lines, many compounds identified therewith are functional without “coarse” tuning.


In some embodiments, properties of the cells and cell lines of the invention, such as stability, physiological relevance, reproducibility in an assay (Z′), or physiological EC50 or IC50 values, are achievable under specific culture conditions. In some embodiments, the culture conditions are standardized and rigorously maintained without variation, for example, by automation. Culture conditions may include any suitable conditions under which the cells or cell lines are grown and may include those known in the art. A variety of culture conditions may result in advantageous biological properties for any of the bitter receptors, or their mutants or allelic variants.


In other embodiments, the cells and cell lines of the invention with desired properties, such as stability, physiological relevance, reproducibility in an assay (Z′), or physiological EC50 or IC50 values, can be obtained within one month or less. For example, the cells or cell lines may be obtained within 2, 3, 4, 5, or 6 days, or within 1, 2, 3 or 4 weeks, or any length of time in between.


One aspect of the invention provides a collection or panel of cells and cell lines, each expressing a different form of CFTR (e.g., wild type, allelic variants, mutants, fragment, spliced variants etc.). The collection may include, for example, cells or cell lines expressing CFTR, CFTR ΔF508 and various other known mutant CFTRs. In some embodiment, the collections or panels include cells expressing other ion channel proteins. The collections or panels may additional comprise cells expressing control proteins. The collections or panels of the invention can be used for compound screening or profiling, e.g., to identify modulators that are active on some or all.


When collections or panels of cells or cell lines are produced, e.g., for drug screening, the cells or cell lines in the collection or panel may be derived from the same host cells and may further be matched such that they are the same (including substantially the same) with regard to one or more selective physiological properties. The “same physiological property” in this context means that the selected physiological property is similar enough amongst the members in the collection or panel such that the cell collection or panel can produce reliable results in drug screening assays; for example, variations in readouts in a drug screening assay will be due to, e.g., the different biological activities of test compounds on cells expressing different forms of CFTR, rather than due to inherent variations in the cells. For example, the cells or cell lines may be matched to have the same growth rate, i.e., growth rates with no more than one, two, three, four, or five hours difference amongst the members of the cell collection or panel. This may be achieved by, for example, binning cells by their growth rate into five, six, seven, eight, nine, or ten groups, and creating a panel using cells from the same binned group. Methods of determining cell growth rate are well known in the art. The cells or cell lines in a panel also can be matched to have the same Z′ factor (e.g., Z′ factors that do not differ by more than 0.1), CFTR expression level (e.g., CFTR expression levels that do not differ by more than 5%, 10%, 15%, 20%, 25%, or 30%), adherence to tissue culture surfaces, and the like. Matched cells and cell lines can be grown under identical conditions, achieved by, e.g., automated parallel processing, to maintain the selected physiological property.


Matched cell panels of the invention can be used to, for example, identify modulators with defined activity (e.g., agonist or antagonist) on CFTR; to profile compound activity across different forms of CFTR; to identify modulators active on just one form of CFTR; and to identify modulators active on just a subset of CFTRs. The matched cell panels of the invention allow high throughput screening. Screenings that used to take months to accomplish can now be accomplished within weeks.


To make cells and cell lines of the invention, one can use, for example, the technology described in U.S. Pat. No. 6,692,965 and International Patent Publication WO/2005/079462. Both of these documents are incorporated herein by reference in their entirety for all purposes. This technology provides real-time assessment of millions of cells such that any desired number of clones (from hundreds to thousands of clones) may be selected. Using cell sorting techniques, such as flow cytometric cell sorting (e.g., with a FACS machine), magnetic cell sorting (e.g., with a MACS machine), or other fluorescence plate readers, including those that are compatible with high-throughput screening, one cell per well may be automatically deposited with high statistical confidence in a culture vessel (such as a 96 well culture plate). The speed and automation of the technology allows multigene cell lines to be readily isolated.


In some embodiments, the invention provides a panel of cell lines comprising at least 3, 5, 10, 25, 50, 100, 250, 500, 750, or 1000 cells or cell lines, each expressing a different CFTR mutant selected from the CFTR mutants set forth in Table 1 or Table 2. In certain embodiments, such a panel comprises at least 3, 5, 10, 25, 50, or 75 cells or cell lines, each expressing a different CFTR mutant selected from the CFTR mutants set forth in Table 2. For example, the panel may comprise a CFTR-ΔF508 expressing cell line. In certain embodiments, the panel comprises at least 3, 5, 10, 25, 50, or 100 cells or cell lines, each expressing a different CFTR mutant, wherein each CFTR mutant is a missense, nonsense, frameshift or RNA splicing mutation. In certain embodiments, such a panel comprises at least 3, 5, 10, 25, 50, or 100 cells or cell lines, each expressing a different CFTR mutant, wherein each CFTR mutant is associated with cystic fibrosis. In certain embodiments, such a panel comprises at least 3, 5, 10, 25, 50, or 100 cells or cell lines each expressing a different CFTR mutant, wherein each CFTR mutant is associated with congenital bilateral absence of the vas deferens. Such panels can be used for parallel high-throughput screening and cross-comparative characterization of small molecules with efficacy against the various isoforms of the CFTR protein. In certain embodiments, such a panel also comprises one or more cells or cell lines engineered or selected to express a protein of interest other than CFTR or CFTR mutant.


Using the technology, the RNA sequence for CFTR may be detected using a signaling probe, also referred to as a molecular beacon or fluorogenic probe. As described in, e.g., U.S. Pat. No. 6,692,965, a molecular beacon typically is a nucleic acid probe that recognizes and reports the presence of a specific nucleic acid sequence. The probes may be hairpin-shaped sequences with a central stretch of nucleotides complementary to the target sequence, and termini comprising short mutually complementary sequences. One terminus is covalently bound to a fluorophore and the other to a quenching moiety. When in their native state with hybridized termini, the proximity of the fluorophore and the quencher is such that no fluorescence is produced. The beacon undergoes a spontaneous fluorogenic conformational change when hybridized to its target nucleic acid. In some embodiments, the molecular beacon (or fluorogenic probe) recognizes a target tag sequence as described above. In another embodiment, the molecular beacon (or fluorogenic probe) recognizes a sequence within CFTR itself. Signaling probes may be directed against the RNA tag or CFTR sequence by designing the probes to include a portion that is complementary to the RNA sequence of the tag or the CFTR, respectively.


Nucleic acids comprising a sequence encoding a CFTR, or the sequence of a CFTR and a tag sequence, and optionally a nucleic acid encoding a selectable marker may be introduced into selected host cells by well known methods. The methods include but are not limited to transfection, viral delivery, protein or peptide mediated insertion, coprecipitation methods, lipid based delivery reagents (lipofection), cytofection, lipopolyamine delivery, dendrimer delivery reagents, electroporation or mechanical delivery. Examples of transfection reagents are GENEPORTER, GENEPORTER2, LIPOFECTAMINE™, LIPOFECTAMINE™ 2000, FUGENE® 6, FUGENE® HD, TFX™-10, TFX™-20, TFX™-50, OLIGOFECTAMINE, TRANSFAST, TRANSFECTAM, GENESHUTTLE, TROJENE, GENESILENCER, X-TREMEGENE, PERFECTIN, CYTOFECTIN, SIPORT, UNIFECTOR, SIFECTOR, TRANSIT-LT1, TRANSIT-LT2, TRANSIT-EXPRESS, IFECT, RNAI SHUTTLE, METAFECTENE, LYOVEC, LIPOTAXI, GENEERASER, GENEJUICE, CYTOPURE, JETSI, JETPEI, MEGAFECTIN, POLYFECT, TRANSMESSANGER, RNAiFECT, SUPERFECT, EFFECTENE, TF-PEI-KIT, CLONFECTIN, AND METAFECTINE.


Following introduction of the CFTR coding sequences or the CFTR activation sequences into host cells and optional subsequent drug selection, molecular beacons (e.g., fluorogenic probes) are introduced into the cells and cell sorting is used to isolate cells positive for their signals. Multiple rounds of sorting may be carried out, if desired. In one embodiment, the flow cytometric cell sorter is a FACS machine. MACS (magnetic cell sorting) or laser ablation of negative cells using laser-enabled analysis and processing can also be used. Other fluorescence plate readers, including those that are compatible with high-throughput screening can also be used. According to this method, cells expressing CFTR are detected and recovered. The CFTR sequence may be integrated at different locations of the genome in the cell. The expression level of the introduced genes encoding the CFTR may vary based upon integration site. The skilled worker will recognize that sorting can be gated for any desired expression level. Further, stable cell lines may be obtained wherein one or more of the introduced genes encoding a CFTR is episomal or results from gene activation.


Signaling probes useful in this invention are known in the art and generally are oligonucleotides comprising a sequence complementary to a target sequence and a signal emitting system so arranged that no signal is emitted when the probe is not bound to the target sequence and a signal is emitted when the probe binds to the target sequence. By way of non-limiting illustration, the signaling probe may comprise a fluorophore and a quencher positioned in the probe so that the quencher and fluorophore are brought together in the unbound probe. Upon binding between the probe and the target sequence, the quencher and fluorophore separate, resulting in emission of signal. International publication WO/2005/079462, for example, describes a number of signaling probes that may be used in the production of the cells and cell lines of this invention.


Nucleic acids encoding signaling probes may be introduced into the selected host cell by any of numerous means that will be well-known to those of skill in the art, including but not limited to transfection, coprecipitation methods, lipid based delivery reagents (lipofection), cytofection, lipopolyamine delivery, dendrimer delivery reagents, electroporation or mechanical delivery. Examples of transfection reagents are GENEPORTER, GENEPORTER2, LIPOFECTAMINE, LIPOFECTAMINE 2000, FUGENE 6, FUGENE HD, TFX-10, TFX-20, TFX-50, OLIGOFECTAMINE, TRANSFAST, TRANSFECTAM, GENESHUTTLE, TROJENE, GENESILENCER, X-TREMEGENE, PERFECTIN, CYTOFECTIN, SIPORT, UNIFECTOR, SIFECTOR, TRANSIT-LT1, TRANSIT-LT2, TRANSIT-EXPRESS, IFECT, RNAI SHUTTLE, METAFECTENE, LYOVEC, LIPOTAXI, GENEERASER, GENEJUICE, CYTOPURE, JETSI, JETPEI, MEGAFECTIN, POLYFECT, TRANSMESSANGER, RNAiFECT, SUPERFECT, EFFECTENE, TF-PEI-KIT, CLONFECTIN, AND METAFECTINE.


In one embodiment, the signaling probes are designed to be complementary to either a portion of the RNA encoding a CFTR or to portions of their 5′ or 3′ untranslated regions. Even if the signaling probe designed to recognize a messenger RNA of interest is able to detect spuriously endogenously existing target sequences, the proportion of these in comparison to the proportion of the sequence of interest produced by transfected cells is such that the sorter is able to discriminate the two cell types.


The expression level of CFTR may vary from cell or cell line to cell or cell line. The expression level in a cell or cell line also may decrease over time due to epigenetic events such as DNA methylation and gene silencing and loss of transgene copies. These variations can be attributed to a variety of factors, for example, the copy number of the transgene taken up by the cell, the site of genomic integration of the transgene, and the integrity of the transgene following genomic integration. One may use FACS or other cell sorting methods (i.e., MACS) to evaluate expression levels. Additional rounds of introducing signaling probes may be used, for example, to determine if and to what extent the cells remain positive over time for any one or more of the RNAs for which they were originally isolated.


In another embodiment of the invention, adherent cells can be adapted to suspension before or after cell sorting and isolating single cells. In other embodiments, isolated cells may be grown individually or pooled to give rise to populations of cells. Individual or multiple cell lines may also be grown separately or pooled. If a pool of cell lines is producing a desired activity or has a desired property, it can be further fractionated until the cell line or set of cell lines having this effect is identified. Pooling cells or cell lines may make it easier to maintain large numbers of cell lines without the requirements for maintaining each separately. Thus, a pool of cells or cell lines may be enriched for positive cells. An enriched pool may have at least 50%, at least 60%, at least 70%, at least 80%, at least 90% or 100% are positive for the desired property or activity.


In a further aspect, the invention provides a method for producing the cells and cell lines of the invention. In one embodiment, the method comprises the steps of:

    • a) providing a plurality of cells that express mRNA encoding CFTR;
    • b) dispersing cells individually into individual culture vessels, thereby providing a plurality of separate cell cultures
    • c) culturing the cells under a set of desired culture conditions using automated cell culture methods characterized in that the conditions are substantially identical for each of the separate cell cultures, during which culturing the number of cells in each separate cell culture is normalized, and wherein the separate cultures are passaged on the same schedule;


d) assaying the separate cell cultures for at least one desired characteristic of CFTR at least twice; and

    • e) identifying a separate cell culture that has the desired characteristic in both assays.


According to the method, the cells are cultured under a desired set of culture conditions. The conditions can be any desired conditions. Those of skill in the art will understand what parameters are comprised within a set of culture conditions. For example, culture conditions include but are not limited to: the media (Base media (DMEM, MEM, RPMI, serum-free, with serum, fully chemically defined, without animal-derived components), mono and divalent ion (sodium, potassium, calcium, magnesium) concentration, additional components added (amino acids, antibiotics, glutamine, glucose or other carbon source, HEPES, channel blockers, modulators of other targets, vitamins, trace elements, heavy metals, co-factors, growth factors, anti-apoptosis reagents), fresh or conditioned media, with HEPES, pH, depleted of certain nutrients or limiting (amino acid, carbon source)), level of confluency at which cells are allowed to attain before split/passage, feeder layers of cells, or gamma-irradiated cells, CO2, a three gas system (oxygen, nitrogen, carbon dioxide), humidity, temperature, still or on a shaker, and the like, which will be well known to those of skill in the art.


The cell culture conditions may be chosen for convenience or for a particular desired use of the cells. Advantageously, the invention provides cells and cell lines that are optimally suited for a particular desired use. That is, in embodiments of the invention in which cells are cultured under conditions for a particular desired use, cells are selected that have desired characteristics under the condition for the desired use.


By way of illustration, if cells will be used in assays in plates where it is desired that the cells are adherent, cells that display adherence under the conditions of the assay may be selected. Similarly, if the cells will be used for protein production, cells may be cultured under conditions appropriate for protein production and selected for advantageous properties for this use.


In some embodiments, the method comprises the additional step of measuring the growth rates of the separate cell cultures. Growth rates may be determined using any of a variety of techniques means that will be well known to the skilled worker. Such techniques include but are not limited to measuring ATP, cell confluency, light scattering, optical density (e.g., OD 260 for DNA). Preferably growth rates are determined using means that minimize the amount of time that the cultures spend outside the selected culture conditions.


In some embodiments, cell confluency is measured and growth rates are calculated from the confluency values. In some embodiments, cells are dispersed and clumps removed prior to measuring cell confluency for improved accuracy. Means for monodispersing cells are well-known and can be achieved, for example, by addition of a dispersing reagent to a culture to be measured. Dispersing agents are well-known and readily available, and include but are not limited to enzymatic dispering agents, such as trypsin, and EDTA-based dispersing agents. Growth rates can be calculated from confluency date using commercially available software for that purpose such as HAMILTON VECTOR. Automated confluency measurement, such as using an automated microscopic plate reader is particularly useful. Plate readers that measure confluency are commercially available and include but are not limited to the CLONE SELECT IMAGER (Genetix). Typically, at least 2 measurements of cell confluency are made before calculating a growth rate. The number of confluency values used to determine growth rate can be any number that is convenient or suitable for the culture. For example, confluency can be measured multiple times over e.g., a week, 2 weeks, 3 weeks or any length of time and at any frequency desired.


When the growth rates are known, according to the method, the plurality of separate cell cultures are divided into groups by similarity of growth rates. By grouping cultures into growth rate bins, one can manipulate the cultures in the group together, thereby providing another level of standardization that reduces variation between cultures. For example, the cultures in a bin can be passaged at the same time, treated with a desired reagent at the same time, etc. Further, functional assay results are typically dependent on cell density in an assay well. A true comparison of individual clones is only accomplished by having them plated and assayed at the same density. Grouping into specific growth rate cohorts enables the plating of clones at a specific density that allows them to be functionally characterized in a high throughput format.


The range of growth rates in each group can be any convenient range. It is particularly advantageous to select a range of growth rates that permits the cells to be passaged at the same time and avoid frequent renormalization of cell numbers. Growth rate groups can include a very narrow range for a tight grouping, for example, average doubling times within an hour of each other. But according to the method, the range can be up to 2 hours, up to 3 hours, up to 4 hours, up to 5 hours or up to 10 hours of each other or even broader ranges. The need for renormalization arises when the growth rates in a bin are not the same so that the number of cells in some cultures increases faster than others. To maintain substantially identical conditions for all cultures in a bin, it is necessary to periodically remove cells to renormalize the numbers across the bin. The more disparate the growth rates, the more frequently renormalization is needed.


In step d) the cells and cell lines may be tested for and selected for any physiological property including but not limited to: a change in a cellular process encoded by the genome; a change in a cellular process regulated by the genome; a change in a pattern of chromosomal activity; a change in a pattern of chromosomal silencing; a change in a pattern of gene silencing; a change in a pattern or in the efficiency of gene activation; a change in a pattern or in the efficiency of gene expression; a change in a pattern or in the efficiency of RNA expression; a change in a pattern or in the efficiency of RNAi expression; a change in a pattern or in the efficiency of RNA processing; a change in a pattern or in the efficiency of RNA transport; a change in a pattern or in the efficiency of protein translation; a change in a pattern or in the efficiency of protein folding; a change in a pattern or in the efficiency of protein assembly; a change in a pattern or in the efficiency of protein modification; a change in a pattern or in the efficiency of protein transport; a change in a pattern or in the efficiency of transporting a membrane protein to a cell surface change in growth rate; a change in cell size; a change in cell shape; a change in cell morphology; a change in % RNA content; a change in % protein content; a change in % water content; a change in % lipid content; a change in ribosome content; a change in mitochondrial content; a change in ER mass; a change in plasma membrane surface area; a change in cell volume; a change in lipid composition of plasma membrane; a change in lipid composition of nuclear envelope; a change in protein composition of plasma membrane; a change in protein; composition of nuclear envelope; a change in number of secretory vesicles; a change in number of lysosomes; a change in number of vacuoles; a change in the capacity or potential of a cell for: protein production, protein secretion, protein folding, protein assembly, protein modification, enzymatic modification of protein, protein glycosylation, protein phosphorylation, protein dephosphorylation, metabolite biosynthesis, lipid biosynthesis, DNA synthesis, RNA synthesis, protein synthesis, nutrient absorption, cell growth, mitosis, meiosis, cell division, to dedifferentiate, to transform into a stem cell, to transform into a pluripotent cell, to transform into a omnipotent cell, to transform into a stem cell type of any organ (i.e., liver, lung, skin, muscle, pancreas, brain, testis, ovary, blood, immune system, nervous system, bone, cardiovascular system, central nervous system, gastro-intestinal tract, stomach, thyroid, tongue, gall bladder, kidney, nose, eye, nail, hair, taste bud), to transform into a differentiated any cell type (i.e., muscle, heart muscle, neuron, skin, pancreatic, blood, immune, red blood cell, white blood cell, killer T-cell, enteroendocrine cell, taste, secretory cell, kidney, epithelial cell, endothelial cell, also including any of the animal or human cell types already listed that can be used for introduction of nucleic acid sequences), to uptake DNA, to uptake small molecules, to uptake fluorogenic probes, to uptake RNA, to adhere to solid surface, to adapt to serum-free conditions, to adapt to serum-free suspension conditions, to adapt to scaled-up cell culture, for use for large scale cell culture, for use in drug discovery, for use in high throughput screening, for use in a functional cell based assay, for use in membrane potential assays, for use in reporter cell based assays, for use in ELISA studies, for use in in vitro assays, for use in vivo applications, for use in secondary testing, for use in compound testing, for use in a binding assay, for use in panning assay, for use in an antibody panning assay, for use in imaging assays, for use in microscopic imaging assays, for use in multiwell plates, for adaptation to automated cell culture, for adaptation to miniaturized automated cell culture, for adaptation to large-scale automated cell culture, for adaptation to cell culture in multiwell plates (6, 12, 24, 48, 96, 384, 1536 or higher density), for use in cell chips, for use on slides, for use on glass slides, for microarray on slides or glass slides, for immunofluorescence studies, for use in protein purification, and for use in biologics production. Those of skill in the art will readily recognize suitable tests for any of the above-listed properties.


Tests that may be used to characterize cells and cell lines of the invention and/or matched panels of the invention include but are not limited to: amino acid analysis, DNA sequencing, protein sequencing, NMR, a test for protein transport, a test for nucelocytoplasmic transport, a test for subcellular localization of proteins, a test for subcellular localization of nucleic acids, microscopic analysis, submicroscopic analysis, fluorescence microscopy, electron microscopy, confocal microscopy, laser ablation technology, cell counting and Dialysis. The skilled worker would understand how to use any of the above-listed tests.


According to the method, cells may be cultured in any cell culture format so long as the cells or cell lines are dispersed in individual cultures prior to the step of measuring growth rates. For example, for convenience, cells may be initially pooled for culture under the desired conditions and then individual cells separated one cell per well or vessel. Cells may be cultured in multi-well tissue culture plates with any convenient number of wells. Such plates are readily commercially available and will be well knows to a person of skill in the art. In some cases, cells may preferably be cultured in vials or in any other convenient format, the various formats will be known to the skilled worker and are readily commercially available.


In embodiments comprising the step of measuring growth rate, prior to measuring growth rates, the cells are cultured for a sufficient length of time for them to acclimate to the culture conditions. As will be appreciated by the skilled worker, the length of time will vary depending on a number of factors such as the cell type, the chosen conditions, the culture format and may be any amount of time from one day to a few days, a week or more.


Preferably, each individual culture in the plurality of separate cell cultures is maintained under substantially identical conditions a discussed below, including a standardized maintenance schedule. Another advantageous feature of the method is that large numbers of individual cultures can be maintained simultaneously, so that a cell with a desired set of traits may be identified even if extremely rare. For those and other reasons, according to the invention, the plurality of separate cell cultures are cultured using automated cell culture methods so that the conditions are substantially identical for each well. Automated cell culture prevents the unavoidable variability inherent to manual cell culture.


Any automated cell culture system may be used in the method of the invention. A number of automated cell culture systems are commercially available and will be well-known to the skilled worker. In some embodiments, the automated system is a robotic system. Preferably, the system includes independently moving channels, a multichannel head (e.g., a 96-tip head) and a gripper or cherry-picking arm and a HEPA filtration device to maintain sterility during the procedure. The number of channels in the pipettor should be suitable for the format of the culture. Convenient pipettors have, e.g., 96 or 384 channels. Such systems are known and are commercially available. For example, a MICROLAB START™ instrument (Hamilton) may be used in the method of the invention. The automated system should be able to perform a variety of desired cell culture tasks. Such tasks will be known by a person of skill in the art. They include but are not limited to: removing media, replacing media, adding reagents, cell washing, removing wash solution, adding a dispersing agent, removing cells from a culture vessel, adding cells to a culture vessel an the like.


The production of a cell or cell line of the invention may include any number of separate cell cultures. However, the advantages provided by the method increase as the number of cells increases. There is no theoretical upper limit to the number of cells or separate cell cultures that can be utilized in the method. According to the invention, the number of separate cell cultures can be two or more but more advantageously is at least 3, 4, 5, 6, 7, 8, 9, 10 or more separate cell cultures, for example, at least 12, at least 15, at least 20, at least 24, at least 25, at least 30, at least 35, at least 40, at least 45, at least 48, at least 50, at least 75, at least 96, at least 100, at least 200, at least 300, at least 384, at least 400, at least 500, at least 1000, at least 10,000, at least 100,000, at least 500,000 or more.


A further advantageous property of the CFTR cells and cell lines of the invention is that they stably express CFTR in the absence of selective pressure. Selection pressure is applied in cell culture to select cells with desired sequences or traits, and is usually achieved by linking the expression of a polypeptide of interest with the expression of a selection marker that imparts to the cells resistance to a corresponding selective agent or pressure. Antibiotic selection includes, without limitation, the use of antibiotics (e.g., puromycin, neomycin, G418, hygromycin, bleomycin and the like). Non-antibiotic selection includes, without limitation, the use of nutrient deprivation, exposure to selective temperatures, exposure to mutagenic conditions and expression of fluorescent markers where the selection marker may be e.g., glutamine synthetase, dihydrofolate reductase (DHFR), oabain, thymidine kinase (TK), hypoxanthine guanine phosphororibosyltransferase (HGPRT) or a fluorescent protein such as GFP. Thus, in some embodiments, cells and cell lines of the invention are maintained in culture without any selective pressure. In further embodiments, cells and cell lines are maintained without any antibiotics. As used herein, cell maintenance refers to culturing cells after they have been selected as described above for their CFTR expression. Maintenance does not refer to the optional step of growing cells in a selective drug (e.g., an antibiotic) prior to cell sorting where drug resistance marker(s) introduced into the cells allow enrichment of stable transfectants in a mixed population.


Drug-free cell maintenance provides a number of advantages. For examples, drug-resistant cells do not always express the co-transfected transgene of interest at adequate levels, because the selection relies on survival of the cells that have taken up the drug resistant gene, with or without the transgene. Further, selective drugs are often mutagenic or otherwise interfere with the physiology of the cells, leading to skewed results in cell-based assays. For example, selective drugs may decrease susceptibility to apoptosis (Robinson et al., Biochemistry, 36(37):11169-11178 (1997)), increase DNA repair and drug metabolism (Deffie et al., Cancer Res. 48(13):3595-3602 (1988)), increase cellular pH (Thiebaut et al., J Histochem Cytochem. 38(5):685-690 (1990); Roepe et al., Biochemistry. 32(41):11042-11056 (1993); Simon et al., Proc Natl Acad Sci USA. 91(3):1128-1132 (1994)), decrease lysosomal and endosomal pH (Schindler et al., Biochemistry. 35(9):2811-2817 (1996); Altan et al., J Exp Med. 187(10):1583-1598 (1998)), decrease plasma membrane potential (Roepe et al., Biochemistry. 32(41):11042-11056 (1993)), increase plasma membrane conductance to chloride (Gill et al., Cell. 71(1):23-32 (1992)) and ATP (Abraham et al., Proc Natl Acad Sci USA. 90(1):312-316 (1993)), and increase rates of vesicle transport (Altan et al., Proc Natl Acad Sci USA. 96(8):4432-4437 (1999)). GFP, a commonly used non-antibiotic selective marker, may cause cell death in certain cell lines (Hanazono et al., Hum Gene Ther. 8(11):1313-1319 (1997)). Thus, the cells and cell lines of this invention allow screening assays that are free from any artifact caused by selective drugs or markers. In some preferred embodiments, the cells and cell lines of this invention are not cultured with selective drugs such as antibiotics before or after cell sorting, so that cells and cell lines with desired properties are isolated by sorting, even when not beginning with an enriched cell population.


In another aspect, the invention provides methods of using the cells and cell lines of the invention. The cells and cell lines of the invention may be used in any application for which functional CFTR or mutant CFTRs are needed. The cells and cell lines may be used, for example, but not limited to, in an in vitro cell-based assay or an in vivo assay where the cells are implanted in an animal (e.g., a non-human mammal) to, e.g., screen for CFTR (e.g., CFTR mutant) modulators; produce protein for crystallography and binding studies; and investigate compound selectivity and dosing, receptor/compound binding kinetic and stability, and effects of receptor expression on cellular physiology (e.g., electrophysiology, protein trafficking, protein folding, and protein regulation). The cells and cell lines of the invention also can be used in knock down studies to study the roles of mutant CFTRs.


Cells and cell lines expressing different forms of CFTR can be used separately or together to identify CFTR modulators, including those specific for a particular mutant CFTR and to obtain information about the activities of individual mutant CFTRs. The present cells and cell lines may be used to identify the roles of different forms of CFTR in different CFTR pathologies by correlating the identity of in vivo forms of mutant CFTR with the identify of known forms of CFTR based on their response to various modulators. This allows selection of disease- or tissue-specific CFTR modulators for highly targeted treatment of such CFTR-related pathologies.


Modulators include any substance or compound that alters an activity of a CFTR. Modulators help identifying the relevant mutant CFTRs implicated in CFTR pathologies (i.e., pathologies related to ion conductance through various CFTR channels), and selecting tissue specific compounds for the selective treatment of such pathologies or for the development of related compounds useful in those treatments. In other aspects, a modulator may change the ability of another modulator to affect the function of a CFTR. For example, a modulator of a mutant CFTR that is not activated by forskolin may render that form of CFTR susceptible to activation by forskolin.


Stable cell lines expressing a CFTR mutant and panels of such cell lines (see above) can be used to screen modulators (including agonists, antagonists, potentiators and inverse agonists), e.g., in high-throughput compatible assays. Modulators so identified can then be assayed against other CFTR alleles to identify specific modulators specific for given CFTR mutants.


In some embodiments, the present invention provides a method for generating an in-vitro-correlate (“IVC”) for an in vivo physiological property of interest. An IVC is generated by establishing the activity profile of a compound with an in vivo physiological property on different CFTR mutants, e.g., a profile of the effect of a compound on the physiological property of different CFTR mutants. This can be accomplished by using a panel of cells or cell lines as disclosed above. This activity profile is representative of the in vivo physiological property and thus is an IVC of a fingerprint for the physiological property. In some embodiments, the in-vitro-correlate is an in-vitro-correlate for a negative side effect of a drug. In other embodiments, the in-vitro-correlate is an in-vitro-correlate for a beneficial effect of a drug.


In some embodiments, the IVC can be used to predict or confirm one or more physiological properties of a compound of interest. The compound may be tested for its activity against different CFTR mutants and the resulting activity profile is compared to the activity profile of IVCs that are generated as described herein. The physiological property of the IVC with an activity profile most similar to the activity profile of a compound of interest is predicted to be and/or confirmed to be a physiological property of the compound of interest.


In some embodiments, an IVC is established by assaying the activities of a compound against different CFTR mutants, or combinations thereof. Similarly, to predict or confirm the physiological activity of a compound, the activities of the compound can be tested against different CFTR mutants.


In some embodiments, the methods of the invention can be used to determine and/or predict and/or confirm to what degree a particular physiological effect is caused by a compound of interest. In certain embodiments, the methods of the invention can be used to determine and/or predict and/or confirm the tissue specificity of a physiological effect of a compound of interest.


In more specific embodiments, the activity profile of a compound of interest is established by testing the activity of the compound in a plurality of in vitro assays using cell lines that are engineered to express different CFTR mutants (e.g., a panel of cells expressing different CFTR mutants). In some embodiments, testing of candidate drugs against a panel of CFTR mutants can be used to correlate specific targets to adverse or undesired side-effects or therapeutic efficacy observed in the clinic. This information may be used to select well defined targets in high-throughput screening or during development of drugs with maximal desired and minimal off-target activity.


In certain embodiments, the physiological parameter is measured using functional magnetic resonance imaging (“fMRI”). Other imaging methods can also be used, for example, computed tomography (CT); computed axial tomography (CAT) scanning; diffuse optical imaging (DOI); diffuse optical tomography (DOT); event-related optical signal (EROS); near infrared spectroscopy (NIRS); magnetic resonance imaging (MRI); magnetoencephalography (MEG); positron emission tomography (PET) and single photon emission computed tomography (SPECT).


In certain embodiments, if the IVC represents an effect of the compound on the central nervous system (“CNS”), an IVC may be established that correlates with an fMRI pattern in the CNS. IVCs may be generated that correlate with activity of compounds in various tests and models, including human and animal testing models. Human diseases and disorders are listed, e.g., in The Merck Manual, 18th Edition (Hardcover), Mark H. Beers (Author), Robert S. Porter (Editor), Thomas V. Jones (Editor). Mental diseases and disorders are listed, in e.g., Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) Fourth Edition (Text Revision), by American Psychiatric Association.


IVCs using CFTR can also be generated for the following properties: regulation, secretion, quality, clearance, production, viscosity, or thickness of mucous, water absorption, retention, balance, passing, or transport across epithelial tissues (especially of lung, kidney, vascular tissues, eye, gut, small intestine, large intestine); sensory or taste perception of compounds; neuronal firing or CNS activity in response to active compounds; pulmonary indications; gastrointestinal indications such as bowel cleansing, Irritable Bowel Syndrome (IBS), drug-induced (i.e. opioid) constipation, constipation/CIC of bedridden patients, acute infectious diarrhea, E. coli, cholera, viral gastroenteritis, rotavirus, modulation of malabsorption syndromes, pediatric diarrhea (viral, bacterial, protozoan), HIV, or short bowel syndrome; fertility indications such as sperm motility or sperm capacitation; female reproductive indications, cervical mucus/vaginal secretion viscosity (i.e. hostile cervical mucus); contraception, such as compounds that negatively affect sperm motility or cervical mucous quality relevant for sperm motility; dry mouth, dry eye, glaucoma, runny nose; or endocrine indications, i.e. pancreatic function in CF patients.


To identify a CFTR modulator, one can expose a novel cell or cell line of the invention to a test compound under conditions in which the CFTR would be expected to be functional and then detect a statistically significant change (e.g., p<0.05) in CFTR activity compared to a suitable control, e.g., cells that are not exposed to the test compound. Positive and/or negative controls using known agonists or antagonists and/or cells expressing different mutant CFTRs may also be used. In some embodiments, the CFTR activity to be detected and/or measured is membrane depolarization, change in membrane potential, or fluorescence resulting from such membrane changes. One of ordinary skill in the art would understand that various assay parameters may be optimized, e.g., signal to noise ratio.


In some embodiments, one or more cells or cell lines of the invention are exposed to a plurality of test compounds, for example, a library of test compounds. A library of test compounds can be screened using the cell lines of the invention to identify one or more modulators. The test compounds can be chemical moieties including small molecules, polypeptides, peptides, peptide mimetics, antibodies or antigen-binding portions thereof. In the case of antibodies, they may be non-human antibodies, chimeric antibodies, humanized antibodies, or fully human antibodies. The antibodies may be intact antibodies comprising a full complement of heavy and light chains or antigen-binding portions of any antibody, including antibody fragments (such as Fab, Fab′, F(ab′)2, Fd, Fv, dAb, and the like), single chain antibodies (scFv), single domain antibodies, all or an antigen-binding portion of a heavy chain or light chain variable region.


In some embodiments, prior to exposure to a test compound, the cells or cell lines of the invention may be modified by pretreatment with, for example, enzymes, including mammalian or other animal enzymes, plant enzymes, bacterial enzymes, enzymes from lysed cells, protein modifying enzymes, lipid modifying enzymes, and enzymes in the oral cavity, gastrointestinal tract, stomach or saliva. Such enzymes can include, for example, kinases, proteases, phosphatases, glycosidases, oxidoreductases, transferases, hydrolases, lyases, isomerases, ligases and the like. Alternatively, the cells and cell lines may be exposed to the test compound first followed by treatment to identify compounds that alter the modification of the CFTR by the treatment.


In some embodiments, large compound collections are tested for CFTR modulating activity in a cell-based, functional, high-throughput screen (HTS), e.g., using a 96-well, 384-well, 1536-well or higher density well format. In some embodiments, a test compound or multiple test compounds including a library of test compounds may be screened using more than one cell or cell line of the invention. If multiple cells or cell lines, each expressing a different non-mutant CFTR or mutant CFTR are used, one can identify modulators that are effective on multiple forms of CFTR or alternatively, modulators that are specific for a particular mutant or non-mutant CFTR and that do not modulate other mutant CFTRs. In the case of a cell or cell line of the invention that expresses a human CFTR, one can expose the cells to a test compound to identify a compound that modulates CFTR activity (either increasing or decreasing) for use in the treatment of disease or condition characterized by undesired CFTR activity, or the decrease or absence of desired CFTR activity.


In certain embodiments, an assay for CFTR activity is performed using a cell or cell line expressing a CFTR mutant (see, e.g., Table 1 and Table 2), or a panel of mutants. In one embodiment, the panel also includes a cell or cell line that expresses wild type CFTR. In certain embodiments, a protein trafficking corrector is added to the assay. Such protein trafficking correctors include, but are not limited to: 1) Glycerol (see, e.g., Brown C R et al., Cell Stress and Chaperones (1996) v1(2):117-125); 2) DMSO (see, e.g., Brown C R et al., Cell Stress and Chaperones (1996) v1(2):117-125); 3) Deuterated water (D20) (see, e.g., Brown C R et al., Cell Stress and Chaperones (1996) v1(2):117-125); 4) Methylamines such as Trimethylamine Oxide (TMAO)(see, e.g., Brown C R et al., Cell Stress and Chaperones (1996) v1(2):117-125); 5) Adamantyl sulfogalactosyl ceramide (adaSGC)(see, e.g., Park H J et al., Chemistry and Biology (2009) v16: 461-470); 6) Vasoactive intestinal peptide (VIP)(see, e.g., Journal of Biological Chemistry (1999) v112: 887-894); 7) Sodium Phenyl Butyrate (S-PBA)(see, e.g., Singh O V et al., Molecular and Cellular Proteomics (2008) v7:1099-1110); 8) VRT-325 (see, e.g., Wang Y et al., Journal of Biological Chemistry (2007) v282(46): 33247-33257); 9) VRT-422 (see, e.g., Van Goor F et al., American Journal of Physiology Lung Cell Molecular Physiology (2006) v290: L1117-1130); 10) Corrector 2b (see, e.g., Wang Y et al., Journal of Biological Chemistry (2007) v282(46): 33247-33257); 11) Corrector 3a (see, e.g., Wang Y et al., Journal of Biological Chemistry (2007) v282(46): 33247-33257); 12) Corrector 4a (see, e.g., Wang Y et al., Journal of Biological Chemistry (2007) v282(46): 33247-33257); 13) Curcumin (see, e.g., Robert R et al., Molecular Pharmacology (2008) v73: 478-489); 14) Sildenafil analog (KM11060)(see, Robert R et al., e.g., Molecular Pharmacology (2008) v73: 478-489); 15) Alanine, Glutamic Acid, Proline, GABA, Taruine, Sucrose, Trehalose, Myo-inositol, Arabitol, Mannitol, Mannose, Sucrose, Betaine, Glycerophosphorylcholine, Sarcosine (see, e.g., Welch W J et al., Cell Stress and Chaperones (1996) v1(2): 109-115); and 16) N-{2-[(2-methoxyphenyl)amino]-4′-methyl-4,5′-bi-1,3-thiazol-2′-yl}benzamide hydrobromide with the formula of




embedded image


In certain embodiments, panels of cells or cell lines as described above can be used to test protein trafficking correctors. In certain embodiments, panels of cells or cell lines as described above can be used to screen for protein trafficking correctors.


In other embodiments, the assay of CFTR activity on a CFTR mutant is performed in the absence of a protein trafficking corrector. In some cases, the sensitivity of the CFTR activity assay is the same with or without the use of a protein trafficking Corrector.


These and other embodiments of the invention may be further illustrated in the following non-limiting Examples.


EXAMPLES
Example 1
Generating a Stable CFTR-Expressing Cell Line
Generating Expression Constructs

Plasmid expression vectors that allowed streamlined cloning were generated based on pCMV-SCRIPT (Stratagene) and contained various necessary components for transcription and translation of a gene of interest, including: CMV and SV40 eukaryotic promoters; SV40 and HSV-TK polyadenylation sequences; multiple cloning sites; Kozak sequences; and drug resistance cassettes (i.e., puromycin). Ampicillin or neomycin resistance cassettes can also be used to substitute puromycin. A tag sequence (SEQ ID NO: 8) was then inserted into the multiple cloning site of the plasmid. A cDNA cassette encoding a human CFTR was then subcloned into the multiple cloning site upstream of the tag sequence, using Asc1 and Pac1 restriction endonucleases.


Generating Cell Lines
Step 1: Transfection

CHO cells were transfected with a plasmid encoding a human CFTR (SEQ ID NO: 1) using standard techniques. (Examples of reagents that may be used to introduce nucleic acids into host cells include, but are not limited to, LIPOFECTAMINE™, LIPOFECTAMINE™ 2000, OLIGOFECTAMINE™, TFX™ reagents, FUGENE® 6, DOTAP/DOPE, Metafectine or FECTURIN™.)


Although drug selection is optional to produce the cells or cell lines of this invention, we included one drug resistance marker in the plasmid (i.e., puromycin). The CFTR sequence was under the control of the CMV promoter. An untranslated sequence encoding a Target Sequence for detection by a signaling probe was also present along with the sequence encoding the drug resistance marker. The target sequence utilized was Target Sequence 2 (SEQ ID NO: 8), and in this example, the CFTR gene-containing vector comprised Target Sequence 2 (SEQ ID NO: 8).


Step 2: Selection

Transfected cells were grown for 2 days in Ham's F12-FBS media (Sigma Aldrich, St Louis, Mo.) without antibiotics, followed by 10 days in 12.5 μg/ml puromycin-containing Ham's F12-FBS media. The cells were then transferred to Ham's F12-FBS media without antibiotics for the remainder of the time, prior to the addition of the signaling probe.


Step 3: Cell Passaging

Following enrichment on antibiotic, cells were passaged 5-14 times in the absence of antibiotic selection to allow time for expression that was not stable over the selected period of time to subside.


Step 4: Exposure of Cells to Fluorogenic Probes

Cells were harvested and transfected with Signaling Probe 2 (SEQ ID NO: 9) using standard techniques. (Examples of reagents that may be used to introduce nucleic acids into host cells include, but are not limited to, LIPOFECTAMINE™, LIPOFECTAMINE™ 2000, OLIGOFECTAMINE™, TFX™ reagents, FUGENE® 6, DOTAP/DOPE, Metafectine or FECTURIN™.) Signaling Probe 2 (SEQ ID NO: 9) bound Target Sequence 2 (SEQ ID NO: 8). The cells were then collected for analysis and sorted using a fluorescence activated cell sorter.


Target Sequence Detected by Signaling Probe

Target Sequence 2











(SEQ ID NO: 8)



5′-GAAGTTAACCCTGTCGTTCTGCGAC-3′






Signaling Probe

Signaling Probe 2 (supplied as 100 μM stock)









(SEQ ID NO: 9)


5′-CY5.5 GCGAGTCGCAGAACGACAGGGTTAACTTCCTCGC BHQ2-3′






BHQ2 in Signaling Probe 2 can be substituted with BHQ3 or a gold particle.


Target Sequence 2 and Signaling Probe 2 can be replaced by Target Sequence 1 and Signaling Probe 1, respectively.


Target Sequence 1











(SEQ ID NO: 3)



5′-GTTCTTAAGGCACAGGAACTGGGAC-3′






Signaling Probe 1 (supplied as 100 μM stock)









5′-Cy5 GCCAGTCCCAGTTCCTGTGCCTTAAGAACCTCGC BHQ2-3′






(SEQ ID NO: 6)

BHQ2 in Signaling Probe 1 can be substituted with BHQ3 or a gold particle.


In addition, a similar probe using a Quasar® Dye (BioSearch) with spectral properties similar to Cy5 is used in certain experiments against Target Sequence 1.


In some experiments, 5-MedC and 2-amino dA mixmers are used rather than DNA probes.


A non-targeting FAM labeled probe is also used as a loading control.


Step 5: Isolation of Positive Cells

The cells were dissociated and collected for analysis and sorting using a fluorescence activated cell sorter (Beckman Coulter, Miami, Fla.). Standard analytical methods were used to gate cells fluorescing above background and to isolate individual cells falling within the gate into bar-coded 96-well plates. The following gating hierarchy was used:


coincidence gate→singlets gate→live gate→Sort gate in plot FAM vs. Cy5.5: 0.1-0.4% of cells according to standard procedures in the field.


Step 6: Additional Cycles of Steps 1-5 and/or 3-5


Steps 1-5 and/or 3-5 were repeated to obtain a greater number of cells. Two rounds of steps 1-5 were performed, and for each of these rounds, two internal cycles of steps 3-5 were performed.


Step 7: Estimation of Growth Rates for the Populations of Cells

The plates were transferred to a Microlab Star (Hamilton Robotics). Cells were incubated for 9 days in 100 μl of 1:1 mix of fresh complete growth media and 2 to 3 day-conditioned growth media, supplemented with 100 units/ml penicillin and 0.1 mg/ml streptomycin. Then the cells were dispersed by trypsinization once or twice to minimize clumps and later transferred to new 96-well plates. Plates were imaged to determine confluency of wells (Genetix). Each plate was focused for reliable image acquisition across the plate. Reported confluencies of greater than 70% were not relied upon. Confluency measurements were obtained on consecutive days between days 1 and 10 post-dispersal and used to calculate growth rates.


Step 8: Binning Populations of Cells According to Growth Rate Estimates

Cells were binned (independently grouped and plated as a cohort) according to growth rate less than two weeks following the dispersal step in step 7. Each of the three growth bins was separated into individual 96 well plates; some growth bins resulted in more than one 96 well plate. Bins were calculated by considering the spread of growth rates and bracketing a high percentage of the total number of populations of cells. Bins were calculated to capture 12-16 hour differences in growth rate.


Cells can have doubling times from less than 1 day to more than 2 week. In order to process the most diverse clones that at the same time can be reasonably binned according to growth rate, it may be preferable to use 3-9 bins with a 0.25 to 0.7 day difference among the bins. One skilled in the art will appreciate that the tightness of the bins and number of bins can be adjusted for the particular situation and that the tightness and number of bins can be further adjusted if cells are synchronized for their cell cycle.


Step 9: Replica Plating to Speed Parallel Processing and Provide Stringent Quality Control

The plates were incubated under standardized and fixed conditions (i.e., Ham's F12-FBS media, 37° C./5% CO2) without antibiotics. The plates of cells were split to produce 4 sets of 96 well plates (3 sets for freezing, 1 set for assay and passage). Distinct and independent tissue culture reagents, incubators, personnel, and carbon dioxide sources were used for each of the sets of the plates. Quality control steps were taken to ensure the proper production and quality of all tissue culture reagents: each component added to each bottle of media prepared for use was added by one designated person in one designated hood with only that reagent in the hood while a second designated person monitored to avoid mistakes. Conditions for liquid handling were set to eliminate cross contamination across wells. Fresh tips were used for all steps or stringent tip washing protocols were used. Liquid handling conditions were set for accurate volume transfer, efficient cell manipulation, washing cycles, pipetting speeds and locations, number of pipetting cycles for cell dispersal, and relative position of tip to plate.


Step 10: Freezing Early Passage Stocks of Populations of Cells

Three sets of plates were frozen at −70 to −80° C. Plates in the set were first allowed to attain confluencies of 70 to 100%. Medium was aspirated and 90% FBS and 10% DMSO was added. The plates were individually sealed with Parafilm, individually surrounded by 1 to 5 cm of foam, and then placed into a −80° C. freezer.


Step 11: Methods and Conditions for Initial Transformative Steps to Produce Viable, Stable and Functional (VSF) Cell Lines

The remaining set of plates was maintained as described in step 9. All cell splitting was performed using automated liquid handling steps, including media removal, cell washing, trypsin addition and incubation, quenching and cell dispersal steps.


Step 12: Normalization Methods to Correct any Remaining Variability of Growth Rates

The consistency and standardization of cell and culture conditions for all populations of cells was controlled. Differences across plates due to slight differences in growth rates were controlled by normalization of cell numbers across plates and occurred every 8 passages after the rearray. Populations of cells that were outliers were detected and eliminated.


Step 13: Characterization of Population of Cells

The cells were maintained for 6 to 10 weeks post rearray in culture. During this time, we observed size, morphology, tendency towards microconfluency, fragility, response to trypsinization and average circularity post-trypsinization, or other aspects of cell maintenance such as adherence to culture plate surfaces and resistance to blow-off upon fluid addition as part of routine internal quality control to identify robust cells. Such benchmarked cells were then admitted for functional assessment.


Step 14: Assessment of Potential Functionality of Populations of Cells Under VSF Conditions

Populations of cells were tested using functional criteria. Membrane potential dye kits (Molecular Devices, MDS) were used according to manufacturer's instructions.


Cells were tested at varying densities in 384-well plates (i.e., 12.5×103 to 20×103 cells/per well) and responses were analyzed. Time between cell plating and assay read was tested. Dye concentration was also tested. Dose response curves and Z′ scores were both calculated as part of the assessment of potential functionality.


The following steps (i.e., steps 15-18) can also be conducted to select final and back-up viable, stable, and functional cell lines.


Step 15:

The functional responses from experiments performed at low and higher passage numbers are compared to identify cells with the most consistent responses over defined periods of time (e.g., 3-9 weeks). Other characteristics of the cells that change over time are also noted.


Step 16:

Populations of cells meeting functional and other criteria are further evaluated to determine those most amenable to production of viable, stable and functional cell lines. Selected populations of cells are expanded in larger tissue culture vessels and the characterization steps described above are continued or repeated under these conditions. At this point, additional standardization steps, such as different cell densities; time of plating, length of cell culture passage; cell culture dishes format and coating; fluidics optimization, including speed and shear force; time of passage; and washing steps, are introduced for consistent and reliable passages.


In addition, viability of cells at each passage is determined. Manual intervention is increased and cells are more closely observed and monitored. This information is used to help identify and select final cell lines that retain the desired properties. Final cell lines and back-up cell lines are selected that show appropriate adherence/stickiness, growth rate, and even plating (lack of microconfluency) when produced following this process and under these conditions.


Step 17: Establishment of Cell Banks

The low passage frozen stocks corresponding to the final cell line and back-up cell lines are thawed at 37° C., washed two times with Ham's F12-FBS and then incubated in Ham's F12-FBS. The cells are then expanded for a period of 2 to 4 weeks. Cell banks of clones for each final and back-up cell line are established, with 25 vials for each clonal cells being cryopreserved.


Step 18:

At least one vial from the cell bank is thawed and expanded in culture. The resulting cells are tested to determine if they meet the same characteristics for which they are originally selected.


Example 2
Characterizing Stable Cell Lines for Native CFTR Function

We used a high-throughput compatible fluorescence membrane potential assay to characterize native CFTR function in the produced stable CFTR-expressing cell lines.


CHO cell lines stably expressing CFTR were maintained under standard cell culture conditions in Ham's F12 medium supplemented with 10% fetal bovine serum and glutamine. On the day before assay, the cells were harvested from stock plates and plated into black clear-bottom 384 well assay plates at a density that is sufficient to attain 90% confluency on the day of the assay. The assay plates were maintained in a 37° C. cell culture incubator under 5% CO2 for 22-24 hours. The media was then removed from the assay plates and blue membrane potential dye (Molecular Devices Inc.) diluted in loading buffer (137 mM NaCl, 5 mM KCl, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) was added and allowed to incubate for 1 hour at 37° C. The assay plates were then loaded on a fluorescent plate reader (Hamamatsu FDSS) and a cocktail of forskolin and IBMX dissolved in compound buffer (137 mM sodium gluconate, 5 mM potassium gluconate, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) was added.


Representative data from the fluorescence membrane potential assay is presented in FIGS. 1A and 1B. The ion flux attributable to functional CFTR in stable CFTR-expressing CHO cell lines (cell line 1, M11, J5, E15, and 015) were all higher than control cells lacking CFTR as indicated by the assay response.


The ion flux attributable to functional CFTR in stable CFTR-expressing CHO cell lines (cell line 1, M11, J5, E15, and 015) were also all higher than transiently CFTR-transfected CHO cells (FIGS. 1A and 1B). The transiently CFTR-transfected cells were generated by plating CHO cells at 5-16 million per 10 cm tissue culture dish and incubating them for 18-20 hours before transfection. A transfection complex consisting of lipid transfection reagent and plasmids encoding CFTR was directly added to each dish. The cells were then incubated at 37° C. in a CO2 incubator for 6-12 hours. After incubation, the cells were lifted, plated into black clear-bottom 384 well assay plates, and assayed for function using the above-described fluorescence membrane potential assay.


For forskolin dose-response experiments, cells of the produced stable CFTR-expressing cell lines, plated at a density of 15,000 cells/well in a 384-well plate were challenged with increasing concentration of forskolin, a known CFTR agonist. The cellular response as a function of changes in cell fluorescence was monitored over time by a fluorescent plate reader (Hamamatsu FDSS). Data were then plotted as a function of forskolin concentration and analyzed using non-linear regression analysis using GraphPad Prism 5.0 software, resulting in an EC50 of 256 nM (FIG. 2). The produced CFTR-expressing cell line shows a EC50 value of forskolin within the ranges of EC50 of forskolin previously reported in other cell lines (between 250 and 500 nM) (Galietta et al., Am J Physiol Cell Physiol. 281(5): C1734-1742 (2001)), indicating the potency of the clone.


Example 3
Determination of Z′ Value for CFTR Cell-Based Assay

Z′ value for the produced stable CFTR-expressing cell line was calculated using a high-throughput compatible fluorescence membrane potential assay. The fluorescence membrane potential assay protocol was performed substantially according to the protocol in Example 2. Specifically for the Z′ assay, 24 positive control wells in a 384-well assay plate (plated at a density of 15,000 cells/well) were challenged with a CFTR activating cocktail of forskolin and IBMX. An equal number of wells were challenged with vehicle alone and containing DMSO (in the absence of activators). Cell responses in the two conditions were monitored using a fluorescent plate reader (Hamamatsu FDSS). Mean and standard deviations in the two conditions were calculated and Z′ was computed using the method disclosed in Zhang et al., J Biomol Screen, 4(2): 67-73, (1999). The Z′ value of the produced stable CFTR-expressing cell line was determined to be higher than or equal to 0.82.


Example 4
High-Throughput Screening and Identification of CFTR Modulators

A high-throughput compatible fluorescence membrane potential assay is used to screen and identify CFTR modulator. On the day before assay, the cells are harvested from stock plates into growth media without antibiotics and plated into black clear-bottom 384 well assay plates. The assay plates are maintained in a 37° C. cell culture incubator under 5% CO2 for 19-24 hours. The media is then removed from the assay plates and blue membrane potential dye (Molecular Devices Inc.) diluted in load buffer (137 mM NaCl, 5 mM KCl, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) is added and the cells are incubated for 1 hr at 37° C. Test compounds are solubilized in dimethylsulfoxide, diluted in assay buffer (137 mM sodium gluconate, 5 mM potassium gluconate, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) and then loaded into 384 well polypropylene micro-titer plates. The cell and compound plates are loaded into a fluorescent plate reader (Hamamatsu FDSS) and run for 3 minutes to identify test compound activity. The instrument adds a forskolin solution at a concentration of 300 nM-1 μM to the cells to allow either modulator or blocker activity of the previously added compounds to be observed. The activity of the compound is determined by measuring the change in fluorescence produced following the addition of the test compounds to the cells and/or following the subsequent agonist addition.


Example 5
Characterizing Stable CFTR-Expressing Cell Lines for Native CFTR Function Using Short-Circuit Current Measurements

Ussing chamber experiments are performed 7-14 days after plating CFTR-expressing cells (primary or immortalized epithelial cells including but not limited to lung and intestinal) on culture inserts (Snapwell, Corning Life Sciences). Cells on culture inserts are rinsed, mounted in an Ussing type apparatus (EasyMount Chamber System, Physiologic Instruments) and bathed with continuously gassed Ringer solution (5% CO2 in O2, pH 7.4) maintained at 37° C. containing 120 mM NaCl, 25 mM NaHCO3, 3.3 mM KH2PO4, 0.8 mM K2HPO4, 1.2 mM CaCl2, 1.2 mM MgCl2, and 10 mM glucose. The hemichambers are connected to a multichannel voltage and current clamp (VCC-MC8 Physiologic Instruments). Electrodes [agar bridged (4% in 1 M KCl) Ag—AgCl] are used and the inserts are voltage clamped to 0 mV. Transepithelial current, voltage and resistance are measured every 10 seconds for the duration of the experiment. Membranes with a resistance of <200 mΩs are discarded.


Example 6
Characterizing Stable CFTR-Expressing Cell Lines for Native CFTR Function Using Electrophysiological Assay

While both manual and automated electrophysiology assays have been developed and both can be applied to assay the native CFTR function, described below is the protocol for manual patch clamp experiments.


Cells are seeded at low densities and are used 2-4 days after plating. Borosilicate glass pipettes are fire-polished to obtain tip resistances of 2-4 mega Ω. Currents are sampled and low pass filtered. The extracellular (bath) solution contains: 150 mM NaCl, 1 mM CaCl2, 1 mM MgCl2, 10 mM glucose, 10 mM mannitol, and 10 mM TES, pH 7.4. The pipette solution contains: 120 mM CsCl, 1 mM MgCl2, 10 mM TEA-Cl, 0.5 mM EGTA, 1 mM Mg-ATP, and 10 mM HEPES (pH 7.3). Membrane conductances are monitored by alternating the membrane potential between −80 mV and −100 mV. Current-voltage relationships are generated by applying voltage pulses between −100 mV and +100 mV in 20-mV steps.


Example 7
Generating a Stable CFTR-ΔF508 Expressing Cell Line
Generating Expression Constructs

Plasmid expression vectors that allowed streamlined cloning were generated based on pCMV-SCRIPT (Stratagene) and contained various necessary components for transcription and translation of a gene of interest, including: CMV and SV40 eukaryotic promoters; SV40 and HSV-TK polyadenylation sequences; multiple cloning sites; Kozak sequences; and drug resistance cassettes (i.e., puromycin). Ampicillin or neomycin resistance cassettes can also be used to substitute puromycin. A tag sequence (SEQ ID NO: 8) was then inserted into the multiple cloning site of the plasmid. A cDNA cassette encoding a human CFTR was then subcloned into the multiple cloning site upstream of the tag sequence, using Asc1 and Pac1 restriction endonucleases. A site-directed mutagenesis (Stratagene) was then used to delete a single phenylalanine amino-acid at position 508 to generate plasmid encoding human CFTR-ΔF508 (SEQ ID NO: 7). The above-described mutagenesis method is compatible with high-throughput generation of any number of various CFTR alleles (either currently known or as may become known in the future).


Generating Cell Lines
Step 1: Transfection

CHO cells were transfected with a plasmid encoding a human CFTR-ΔF508 (SEQ ID NO: 7) using standard techniques. (Examples of reagents that may be used to introduce nucleic acids into host cells include, but are not limited to, LIPOFECTAMINE™, LIPOFECTAMINE™ 2000, OLIGOFECTAMINE™, TFX™ reagents, FUGENE® 6, DOTAP/DOPE, Metafectine or FECTURIN™.)


Although drug selection is optional to produce the cells or cell lines of this invention, we included one drug resistance marker in the plasmid (i.e., puromycin). The CFTR-ΔF508 sequence was under the control of the CMV promoter. An untranslated sequence encoding a Target Sequence for detection by a signaling probe was also present along with the sequence encoding the drug resistance marker. The target sequence utilized was Target Sequence 2 (SEQ ID NO: 8), and in this example, the CFTR-ΔF508-containing vector comprised Target Sequence 2 (SEQ ID NO: 8).


Step 2: Selection

Transfected cells were grown for 2 days in Ham's F12-FBS media (Sigma Aldrich, St. Louis, Mo.) without antibiotics, followed by 10 days in 12.5 μg/ml puromycin-containing Ham's F12-FBS media. The cells were then transferred to Ham's F12-FBS media without antibiotics for the remainder of the time, prior to the addition of the signaling probe.


Step 3: Cell Passaging

Following enrichment on antibiotic, cells were passaged 5-14 times in the absence of antibiotic selection to allow time for expression that was not stable over the selected period of time to subside.


Step 4: Exposure of Cells to Fluorogenic Probes

Cells were harvested and transfected with Signaling Probe 2 (SEQ ID NO: 9) using standard techniques. (Examples of reagents that may be used to introduce nucleic acids into host cells include, but are not limited to, LIPOFECTAMINE™, LIPOFECTAMINE™ 2000, OLIGOFECTAMINE™, TFX™ reagents, FUGENE® 6, DOTAP/DOPE, Metafectine or FECTURIN™.) Signaling Probe 2 (SEQ ID NO: 9) bound Target Sequence 2 (SEQ ID NO: 8). The cells were then collected for analysis and sorted using a fluorescence activated cell sorter.


Target Sequence Detected by Signaling Probe

Target Sequence 2











(SEQ ID NO: 8)



5′-GAAGTTAACCCTGTCGTTCTGCGAC-3′






Signaling Probe

Signaling Probe 2 (supplied as 100 μM stock)









(SEQ ID NO: 9)


5′-CY5.5 GCGAGTCGCAGAACGACAGGGTTAACTTCCTCGC BHQ2-3′






BHQ2 in Signaling Probe 2 can be substituted with BHQ3 or a gold particle.


Target Sequence 2 and Signaling Probe 2 can be replaced by Target Sequence 1 and Signaling Probe 1, respectively.


Target Sequence 1











(SEQ ID NO: 3)



5′-GTTCTTAAGGCACAGGAACTGGGAC-3′






Signaling Probe 1 (supplied as 100 μM stock)









5′-Cy5 GCCAGTCCCAGTTCCTGTGCCTTAAGAACCTCGC BHQ2-3′






(SEQ ID NO: 6)

BHQ2 in Signaling Probe 1 can be substituted with BHQ3 or a gold particle.


In addition, a similar probe using a Quasar® Dye (BioSearch) with spectral properties similar to Cy5 is used in certain experiments against Target Sequence 1.


In some experiments, 5-MedC and 2-amino dA mixmers are used rather than DNA probes.


A non-targeting FAM labeled probe is also used as a loading control.


Step 5: Isolation of Positive Cells

The cells were dissociated and collected for analysis and sorting using a fluorescence activated cell sorter (Beckman Coulter, Miami, Fla.). Standard analytical methods were used to gate cells fluorescing above background and to isolate individual cells falling within the gate into bar-coded 96-well plates. The following gating hierarchy was used:


coincidence gateΘsinglets gate→live gate→Sort gate in plot FAM vs. Cy5.5: 0.1-0.5% of cells according to standard procedures in the field.


Step 6: Additional Cycles of Steps 1-5 and/or 3-5


Steps 1-5 and/or 3-5 were repeated to obtain a greater number of cells. Two rounds of steps 1-5 were performed, and for each of these rounds, two internal cycles of steps 3-5 were performed.


Step 7: Estimation of Growth Rates for the Populations of Cells

The plates were transferred to a Microlab Star (Hamilton Robotics). Cells were incubated for 9 days in 100 μl of 1:1 mix of fresh complete growth media and 2 to 3 day-conditioned growth media, supplemented with 100 units/ml penicillin and 0.1 mg/ml streptomycin. Then the cells were dispersed by trypsinization once or twice to minimize clumps and later transferred to new 96-well plates. Plates were imaged to determine confluency of wells (Genetix). Each plate was focused for reliable image acquisition across the plate. Reported confluencies of greater than 70% were not relied upon. Confluency measurements were obtained on consecutive days between days 1 and 10 post-dispersal and used to calculate growth rates.


Step 8: Binning Populations of Cells According to Growth Rate Estimates

Cells were binned (independently grouped and plated as a cohort) according to growth rate less than two weeks following the dispersal step in step 7. Each of the three growth bins was separated into individual 96 well plates; some growth bins resulted in more than one 96 well plate. Bins were calculated by considering the spread of growth rates and bracketing a high percentage of the total number of populations of cells. Bins were calculated to capture 12-16 hour differences in growth rate.


Cells can have doubling times from less than 1 day to more than 2 week. In order to process the most diverse clones that at the same time can be reasonably binned according to growth rate, it may be preferable to use 3-9 bins with a 0.25 to 0.7 day doubling time per bin. One skilled in the art will appreciate that the tightness of the bins and number of bins can be adjusted for the particular situation and that the tightness and number of bins can be further adjusted if cells are synchronized for their cell cycle.


Step 9: Replica Plating to Speed Parallel Processing and Provide Stringent Quality Control

The plates were incubated under standardized and fixed conditions (i.e., Ham's F12-FBS media, 37° C./5% CO2) without antibiotics. The plates of cells were split to produce 2 sets of 96 well plates (1 set for freezing, 1 set for assay and passage). Distinct and independent tissue culture reagents, incubators, personnel, and carbon dioxide sources were used for each of the sets of the plates. Quality control steps were taken to ensure the proper production and quality of all tissue culture reagents: each component added to each bottle of media prepared for use was added by one designated person in one designated hood with only that reagent in the hood while a second designated person monitored to avoid mistakes. Conditions for liquid handling were set to eliminate cross contamination across wells. Fresh tips were used for all steps or stringent tip washing protocols were used. Liquid handling conditions were set for accurate volume transfer, efficient cell manipulation, washing cycles, pipetting speeds and locations, number of pipetting cycles for cell dispersal, and relative position of tip to plate.


Step 10: Freezing Early Passage Stocks of Populations of Cells

One set of plate was frozen at −70 to −80° C. Plates were first allowed to attain confluencies of 70 to 100%. Medium was aspirated and 90% FBS and 10% DMSO was added. The plates were individually sealed with Parafilm, individually surrounded by 1 to 5 cm of foam, and then placed into a −80° C. freezer.


Step 11: Methods and Conditions for Initial Transformative Steps to Produce Viable, Stable and Functional (VSF) Cell Lines

The remaining set of plates was maintained as described in step 9. All cell splitting was performed using automated liquid handling steps, including media removal, cell washing, trypsin addition and incubation, quenching and cell dispersal steps.


Step 12: Normalization Methods to Correct any Remaining Variability of Growth Rates

The consistency and standardization of cell and culture conditions for all populations of cells are controlled. Differences across plates due to slight differences in growth rates are controlled by normalization of cell numbers across plates and occurred every 8 passages after the re-array. Populations of cells that are outliers are detected and eliminated.


Step 13: Characterization of Population of Cells

The cells were maintained for 6 to 10 weeks post rearray in the culture. During this time, we observed size, morphology, tendency towards microconfluency, fragility, response to trypsinization and average circularity post-trypsinization, or other aspects of cell maintenance such as adherence to culture plate surfaces and resistance to blow-off upon fluid addition as part of routine internal quality control to identify robust cells. Such benchmarked cells were then admitted for functional assessment.


Step 14: Assessment of Potential Functionality of Populations of Cells Under VSF Conditions

Populations of cells were tested for receptor function using a high throughput compatible fluorescence based membrane potential dye kit (Molecular Devices, MDS) according to manufacturer's instructions.


Population of CHO cells stably expressing CFTR-ΔF508 were maintained under standard cell culture conditions in Ham's F12 medium supplemented with 10% fetal bovine serum and glutamine. On the day before assay, the cells were harvested from stock plates. The cells were plated into black clear-bottom 384 well assay plates at a density that was sufficient to attain 90% confluency on the day of the assay, with or without a protein trafficking corrector, Chembridge compound #5932794 (Chembridge, San Diego, Calif.) (Yoo et al., (2008) Bioorganic & Medicinal Chemistry Letters; 18(8): 2610-2614). This compound is N-{2-[(2-methoxyphenyl)amino]-4′-methyl-4,5′-bi-1,3-thiazol-2′-yl}benzamide hydrobromide, and has the formula of




embedded image


The assay plates were maintained in a 37° C. cell culture incubator under 5% CO2 for 22-24 hours. The media was then removed from the assay plates and membrane potential dye diluted in loading buffer (137 mM NaCl, 5 mM KCl, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) (blue or AnaSpec, Molecular Devices Inc.) was added, with or without a quencher of the membrane potential dye, and was allowed to incubate for 1 hour at 37° C. The quencher can be any quencher well known in the art, e.g., Dipicrylamine (DPA), Acid Violet 17 (AV17), Diazine Black (DB), HLB30818, Trypan Blue, Bromophenol Blue, HLB30701, HLB30702, HLB30703, Nitrazine Yellow, Nitro Red, DABCYL (Molecular Probes), QSY (Molecular Probes), metal ion quenchers (e.g., Co2+, Ni2+, Cu2+), and iodide ion.


The assay plates were then loaded on a fluorescent plate reader (Hamamatsu FDSS) and a cocktail of forskolin and IBMX dissolved in compound buffer (137 mM sodium gluconate, 5 mM potassium gluconate, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) was added.


Representative data from the fluorescence membrane potential assay are presented in FIGS. 3A-3F. The ion flux attributable to functional CFTR-ΔF508 in stable CFTR-ΔF508 expressing CHO cell lines were identified by comparing the receptor's response to forskolin (30 μM)+IBMX (100 μM) cocktail against DMSO+Buffer controls (FIGS. 3A-3F) either in the presence or absence of the protein trafficking corrector—Chembridge compound #5932794. FIGS. 3A and 3B show responding and non-responding (control) clones assayed using blue membrane potential dye in the presence of the protein trafficking corrector (15-25 μM); FIGS. 3C and 3D show responding and non-responding (control) clones assayed using AnaSpec membrane potential dye in the presence of the protein trafficking corrector (15-25 μM). FIGS. 3E and 3F show responding and non-responding (control) clones assayed using AnaSpec membrane potential dye in the absence of the protein trafficking corrector.


Cells will be tested at varying densities in 384-well plates (i.e., 12.5×103 to 20×103 cells/per well) and responses will be analyzed. Time between cell plating and assay read will be tested. Dye concentration will also be tested. Dose response curves and Z′ scores can be calculated as part of the assessment of potential functionality.


The following steps (i.e., steps 15-18) can also be conducted to select final and back-up viable, stable, and functional cell lines.


Step 15:

The functional responses from experiments performed at low and higher passage numbers are compared to identify cells with the most consistent responses over defined periods of time (e.g., 3-9 weeks). Other characteristics of the cells that change over time are also noted.


Step 16:

Populations of cells meeting functional and other criteria will be further evaluated to determine those most amenable to production of viable, stable and functional cell lines. Selected populations of cells will be expanded in larger tissue culture vessels and the characterization steps described above will be continued or repeated under these conditions. At this point, additional standardization steps, such as different cell densities; time of plating, length of cell culture passage; cell culture dishes format—(note: not explored); fluidics optimization, including speed and shear force; time of passage; and washing steps, will be introduced for consistent and reliable passages.


In addition, viability of cells at each passage will be determined. Manual intervention will be increased and cells will be more closely observed and monitored. This information is used to help identify and select final cell lines that retain the desired properties. Final cell lines and back-up cell lines will be selected that show appropriate adherence/stickiness, growth rate, and even plating (lack of microconfluency) when produced following this process and under these conditions.


Step 17: Establishment of Cell Banks

The low passage frozen stocks corresponding to the final cell line and back-up cell lines will be thawed at 37° C., washed once with Ham's F12-FBS and then incubated in Ham's F12-FBS. The cells will be then expanded for a period of 2 to 4 weeks. Cell banks of clones for each final and back-up cell line will be established, with 25 vials for each clonal cells being cryopreserved.


Step 18:

At least one vial from the cell bank will be thawed and expanded in culture. The resulting cells will be tested to determine if they meet the same characteristics for which they are originally selected.


Example 8
Characterizing Stable Cell Lines for CFTR-ΔF508 Function

We will use a high-throughput compatible fluorescence membrane potential assay to characterize CFTR-ΔF508 function in the produced stable CFTR-ΔF508 expressing cell lines.


CHO cell lines stably expressing CFTR-ΔF508 will be maintained under standard cell culture conditions in Ham's F12 medium supplemented with 10% fetal bovine serum and glutamine. On the day before assay, the cells will be harvested from stock plates and plated into black clear-bottom 384 well assay plates in the presence or absence of a protein trafficking corrector (e.g., Chembridge compound #5932794, N-{2-[(2-methoxyphenyl)amino]-4′-methyl-4,5′-bi-1,3-thiazol-2′-yl}benzamide hydrobromide). The assay plates will be maintained in a 37° C. cell culture incubator under 5% CO2 for 22-24 hours. The media will be then removed from the assay plates and blue membrane potential dye (Molecular Devices Inc.) diluted in loading buffer (137 mM NaCl, 5 mM KCl, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) will be added and allowed to incubate for 1 hour at 37° C. The assay plates will be then loaded on a fluorescent plate reader (Hamamatsu FDSS) and a cocktail of forskolin and IBMX dissolved in compound buffer (137 mM sodium gluconate, 5 mM potassium gluconate, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) will be added. Stable cell-lines expressing CFTR-ΔF508 protein will be identified by measuring the change in fluorescence produced following the addition of the agonist cocktail.


Stable cell lines expressing the CFTR-ΔF508 protein will be then characterized with increasing doses of forskolin. For forskolin dose-response experiments, cells of the produced stable CFTR-ΔF508 expressing cell lines, plated at a density of 15,000 cells/well in a 384-well plate will be challenged with increasing concentrations of forskolin, a CFTR agonist. The cellular response as a function of changes in cell fluorescence will be monitored over time by a fluorescent plate reader (Hamamatsu FDSS). Data will be then plotted as a function of forskolin concentration and analyzed using non-linear regression analysis using GraphPad Prism 5.0 software to determine the EC50 value.


Example 9
Determination of Z′ Value for CFTR-ΔF508 Cell-Based Assay

Z′ value for the produced stable CFTR-ΔF508 expressing cell line will be calculated using a high-throughput compatible fluorescence membrane potential assay. The fluorescence membrane potential assay protocol will be performed substantially according to the protocol in Example 8. Specifically for the Z′ assay, 24 positive control wells in a 384-well assay plate (plated at a density of 15,000 cells/well) will be challenged with a CFTR activating cocktail of forskolin and IBMX. An equal number of wells will be challenged with vehicle alone and containing DMSO (in the absence of activators). The assay can be performed in the presence or absence of a protein trafficking corrector (e.g., Chembridge compound #5932794, N-{2-[(2-methoxyphenyl)amino]-4′-methyl-4,5′-bi-1,3-thiazol-2′-yl}benzamide hydrobromide). Cell responses in the two conditions will be monitored using a fluorescent plate reader (Hamamatsu FDSS). Mean and standard deviations in the two conditions will be calculated and Z′ was computed using the method disclosed in Zhang et al., J Biomol Screen, 4(2): 67-73 (1999).


Example 10
High-Throughput Screening and Identification of CFTR-ΔF508 Modulators

A high-throughput compatible fluorescence membrane potential assay will be used to screen and identify CFTR-ΔF508 modulator(s). Modulating compounds may either enhance protein trafficking to the cell surface or modulate CFTR-ΔF508 agonists (for example, Forskolin) by increasing or decreasing the agonist activity. On the day before assay, the cells will be harvested from stock plates into growth media without antibiotics and plated into black clear-bottom 384 well assay plates in the presence or absence of a protein trafficking corrector (e.g., Chembridge compound #5932794-N-{2-[(2-methoxyphenyl)amino]-4′-methyl-4,5′-bi-1,3-thiazol-2′-yl}benzamide hydrobromide). The assay plates will be maintained in a 37° C. cell culture incubator under 5% CO2 for 19-24 hours. The media will be then removed from the assay plates and blue membrane potential dye (Molecular Devices Inc.) diluted in load buffer (137 mM NaCl, 5 mM KCl, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) will be added and the cells will be incubated for 1 hr at 37° C. Test compounds will be solubilized in dimethylsulfoxide, diluted in assay buffer (137 mM sodium gluconate, 5 mM potassium gluconate, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) and then loaded into 384 well polypropylene micro-titer plates. The cell and compound plates will be loaded into a fluorescent plate reader (Hamamatsu FDSS) and run for 3 minutes to identify test compound activity. The instrument will then add a forskolin solution at a concentration of 300 nM-1 μM to the cells to allow either modulator or blocker activity of the previously added compounds to be observed. The activity of the compound will be determined by measuring the change in fluorescence produced following the addition of the test compounds to the cells and/or following the subsequent agonist addition.


For identification of compounds that may promote cell surface trafficking of the CFTR-ΔF508 protein on the day before assay, the cells will be harvested from stock plates into growth media without antibiotics and plated into black clear-bottom 384 well assay plates in the presence of the test compounds for a period of 24 hours. Some wells in the 384 well plate will not receive any test compound as negative controls, while others wells in the 384 well plates will receive a protein trafficking corrector (e.g., Chembridge compound #5932794, N-{2-[(2-methoxyphenyl)amino]-4′-methyl-4,5′-bi-1,3-thiazol-2′-yl}benzamide hydrobromide) and serve as positive controls. The assay plates will be maintained in a 37° C. cell culture incubator under 5% CO2 for 19-24 hours. The media will be then removed from the assay plates and blue membrane potential dye (Molecular Devices Inc.) diluted in load buffer (137 mM NaCl, 5 mM KCl, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) will be added and the cells will be incubated for 1 hr at 37° C. The assay plates will be then loaded on a fluorescent plate reader (Hamamatsu FDSS) and a cocktail of forskolin and IBMX dissolved in compound buffer (137 mM sodium gluconate, 5 mM potassium gluconate, 1.25 mM CaCl2, 25 mM HEPES, 10 mM glucose) will be added. The activity of the test compounds will be determined by measuring the change in fluorescence produced following the addition of the agonist cocktail (i.e. forskolin+IBMX).


Example 11
Characterizing Stable CFTR-ΔF508 Expressing Cell Lines for CFTR-ΔF508 Function Using Short-Circuit Current Measurements

Ussing chamber experiments will be performed 7-14 days after plating CFTR-ΔF508 expressing cells (e.g., primary or immortalized epithelial cells including but not limited to lung and intestinal cells) on culture inserts (Snapwell, Corning Life Sciences). Cells on culture inserts will be rinsed, mounted in an Ussing type apparatus (EasyMount Chamber System, Physiologic Instruments) and bathed with continuously gassed Ringer solution (5% CO2 in O2, pH 7.4) maintained at 37° C. containing 120 mM NaCl, 25 mM NaHCO3, 3.3 mM KH2PO4, 0.8 mM K2HPO4, 1.2 mM CaCl2, 1.2 mM MgCl2, and 10 mM glucose. The hemichambers will be connected to a multichannel voltage and current clamp (VCC-MC8 Physiologic Instruments). Electrodes [agar bridged (4% in 1 M KCl) Ag—AgCl] will be used and the inserts will be voltage clamped to 0 mV. Transepithelial current, voltage, and resistance will be measured every 10 seconds for the duration of the experiment. Membranes with a resistance of <200 mils will be discarded.


Example 12
Characterizing Stable CFTR-ΔF508 Expressing Cell Lines for CFTR-ΔF508 Function Using Electrophysiological Assay

While both manual and automated electrophysiology assays have been developed and both can be applied to characterize stable CFTR-ΔF508 expressing cell lines for CFTR-ΔF508 function, described below is the protocol for manual patch clamp experiments.


Cells are seeded at low densities and are used 2-4 days after plating. Borosilicate glass pipettes are fire-polished to obtain tip resistances of 2-4 mega Ω. Currents will be sampled and low pass filtered. The extracellular (bath) solution will contain: 150 mM NaCl, 1 mM CaCl2, 1 mM MgCl2, 10 mM glucose, 10 mM mannitol, and 10 mM TES, pH 7.4. The pipette solution will contain: 120 mM CsCl, 1 mM MgCl2, 10 mM TEA-C1, 0.5 mM EGTA, 1 mM Mg-ATP, and 10 mM HEPES (pH 7.3). Membrane conductances will be monitored by alternating the membrane potential between −80 mV and −100 mV. Current-voltage relationships will be generated by applying voltage pulses between −100 mV and +100 mV in 20-mV steps.












LISTING OF SEQUENCES
















Homo sapiens (H.s.) cystic fibrosis



transmembrane conductance regulator (CFTR)


nucleotide sequence (SEQ ID NO: 1):


atgcagaggtcgcctctggaaaaggccagcgttgtctccaaactttt





tttcagctggaccagaccaattttgaggaaaggatacagacagcgcc





tggaattgtcagacatataccaaatcccttctgttgattctgctgac





aatctatctgaaaaattggaaagagaatgggatagagagctggcttc





aaagaaaaatcctaaactcattaatgcccttcggcgatgttttttct





ggagatttatgttctatggaatctttttatatttaggggaagtcacc





aaagcagtacagcctctatactgggaagaatcatagcttcctatgac





ccggataacaaggaggaacgctctatcgcgatttatctaggcatagg





cttatgccttctctttattgtgaggacactgctcctacacccagcca





tttttggccttcatcacattggaatgcagatgagaatagctatgttt





agtttgatttataagaagactttaaagctgtcaagccgtgttctaga





taaaataagtattggacaacttgttagtctcctttccaacaacctga





acaaatttgatgaaggacttgcattggcacatttcgtgtggatcgct





cctttgcaagtggcactcctcatggggctaatctgggagttgttaca





ggcgtctgccttctgtggacttggtttcctgatagtccttgcccttt





ttcaggctgggctagggagaatgatgatgaagtacagagatcagaga





gctgggaagatcagtgaaagacttgtgattacctcagaaatgattga





aaatatccaatctgttaaggcatactgctgggaagaagcaatggaaa





aaatgattgaaaacttaagacaaacagaactgaaactgactcggaag





gcagcctatgtgagatacttcaatagctcagccttcttcttctcagg





gttctttgtggtgtttttatctgtgcttccctatgcactaatcaaag





gaatcatcctccggaaaatattcaccaccatctcattctgcattgtt





ctgcgcatggcggtcactcggcaatttccctgggctgtacaaacatg





gtatgactctatggagcaataaacaaaatacaggatttcttacaaaa





gcaagaatataagacattggaatataacttaacgactacagaagtag





tgatggagaatgtaacagcatctgggaggagggatttggggaattat





ttgagaaagcaaaacaaaacaataacaatagaaaaacttctaatggt





gatgacagcctcttcttcagtaatttctcacttcttggtactcctgt





cctgaaagatattaatttcaagatagaaagaggacagttgttggcgg





ttgctggatccactggagcaggcaagacttcacttctaatggtgatt





atgggagaactggagccttcagagggtaaaattaagcacagtggaag





aatttcattctgttctcagttttcctggattatgcctggcaccatta





aagaaaatatcatctttggtgtttcctatgatgaatatagatacaga





agcgtcatcaaagcatgccaactagaagaggacatctccaagtttgc





agagaaagacaatatagttcttggagaaggtggaatcacactgagtg





gaggtcaacgagcaagaatttctttagcaagagcagtatacaaagat





gctgatttgtatttattagactctcatttggatacctagatgtttta





acagaaaaagaaatatttgaaagctgtgtctgtaaactgatggctaa





caaaactaggattttggtcacttctaaaatggaacatttaaagaaag





ctgacaaaatattaattttgcatgaaggtagcagctatttttatggg





acattttcagaactccaaaatctacagccagactttagctcaaaact





catgggatgtgattctttcgaccaatttagtgcagaaagaagaaatt





caatcctaactgagaccttacaccgtttctcattagaaggagatgct





cctgtctcctggacagaaacaaaaaaacaatcttttaaacagactgg





agagtttggggaaaaaaggaagaattctattctcaatccaatcaact





ctatacgaaaattttccattgtgcaaaagactcccttacaaatgaat





ggcatcgaagaggattctgatgagcctttagagagaaggctgtcctt





agtaccagattctgagcagggagaggcgatactgcctcgcatcagcg





tgatcagcactggccccacgcttcaggcacgaaggaggcagtctgtc





ctgaacctgatgacacactcagttaaccaaggtcagaacattcaccg





aaagacaacagcatccacacgaaaagtgtcactggcccctcaggcaa





acttgactgaactggatatatattcaagaaggttatctcaagaaact





ggcttggaaataagtgaagaaattaacgaagaagacttaaaggagtg





cttttttgatgatatggagagcataccagcagtgactacatggaaca





cataccttcgatatattactgtccacaagagcttaatttttgtgcta





atttggtgcttagtaatttttctggcagaggtggctgcttctttggt





tgtgctgtggctccttggaaacactcctcttcaagacaaagggaata





gtactcatagtagaaataacagctatgcagtgattatcaccagcacc





agttcgtattatgtgttttacatttacgtgggagtagccgacacttt





gcttgctatgggattcttcagaggtctaccactggtgcatactctaa





tcacagtgtcgaaaattttacaccacaaaatgttacattctgttctt





caagcacctatgtcaaccctcaacacgttgaaagcaggtgggattct





taatagattctccaaagatatagcaattttggatgaccttctgcctc





ttaccatatttgacttcatccagttgttattaattgtgattggagct





atagcagttgtcgcagttttacaaccctacatctttgttgcaacagt





gccagtgatagtggcttttattatgttgagagcatatttcctccaaa





cctcacagcaactcaaacaactggaatctgaaggcaggagtccaatt





ttcactcatcttgttacaagcttaaaaggactatggacacttcgtgc





cttcggacggcagccttactttgaaactctgttccacaaagctctga





atttacatactgccaactggttatgtacctgtcaacactgcgctggt





tccaaatgagaatagaaatgatttttgtcatatcttcattgctgtta





ccttcatttccattttaacaacaggagaaggagaaggaagagttggt





attatcctgactttagccatgaatatcatgagtacattgcagtgggc





tgtaaactccagcatagatgtggatagcttgatgcgatctgtgagcc





gagtctttaagttcattgacatgccaacagaaggtaaacctaccaag





tcaaccaaaccatacaagaatggccaactctcgaaagttatgattat





tgagaattcacacgtgaagaaagatgacatctggccctcagggggcc





aaatgactgtcaaagatctcacagcaaaatacacagaaggtggaaat





gccatattagagaacatttccttctcaataagtectggccagagggt





gggcctcttgggaagaactggatcagggaagagtactttgttatcag





cttttttgagactactgaacactgaaggagaaatccagatcgatggt





gtgtcttgggattcaataactttgcaacagtggaggaaagcctttgg





agtgataccacagaaagtatttattttttctggaacatttagaaaaa





acttggatccctatgaacagtggagtgatcaagaaatatggaaagtt





gcagatgaggttgggctcagatctgtgatagaacagtttcctgggaa





gcttgactttgtccttgtggatgggggctgtgtcctaagccatggcc





acaagcagttgatgtgcttggctagatctgttctcagtaaggcgaag





atcttgctgcttgatgaacccagtgctcatttggatccagtaacata





ccaaataattagaagaactctaaaacaagcatttgctgattgcacag





taattctctgtgaacacaggatagaagcaatgctggaatgccaacaa





tttttggtcatagaagagaacaaagtgcggcagtacgattccatcca





gaaactgctgaacgagaggagcctcttccggcaagccatcagcccct





ccgacagggtgaagctctttccccaccggaactcaagcaagtgcaag





tctaagccccagattgctgctctgaaagaggagacagaagaagaggt





gcaagatacaaggctttga





H.s. CFTR amino acid sequence (SEQ ID NO: 2):


MQRSPLEKASVVSKLFFSWTRPILRKGYRQRLELSDIYQIPSVDSAD





NLSEKLEREWDRELASKKNPKLINALRRCFFWRFMFYGIFLYLGEVT





KAVQPLLLGRIIASYDPDNKEERSIAIYLGIGLCLLFIVRTLLLHPA





IFGLHHIGMQMRIAMFSLIYKKTLKLSSRVLDKISIGQLVSLLSNNL





NKFDEGLALAHFVWIAPLQVALLMGLIWELLQASAFCGLGFLIVLAL





FQAGLGRIVIMMKYRDQRAGKISERLVITSEMIENIQSVKAYCWEEA





MEKMIENLRQTELKLTRKAAYVRYFNSSAFFFSGFFVVFLSVLPYAL





IKGIILRKIFTTISFCIVLRMAVTRQFPWAVQTWYDSLGAINKIQDF





LQKQEYKTLEYNLTTTEVVMENVTAFWEEGFGELFEKAKQNNININR





KTSNGDDSLFFSNFSLLGTPVLKDINFKIERGQLLAVAGSTGAGKTS





LLMVIMGELEPSEGKIKHSGRISFCSQFSWIMPGTIKENIIFGVSYD





EYRYRSVIKACQLEEDISKFAEKDNIVLGEGGITLSGGQRARISLAR





AVYKDADLYLLDSPFGYLDVLTEKEIFESCVCKLMANKTRILVTSKM





EHLKKADKILILHEGSSYFYGTFSELQNLQPDFSSKLMGCDSFDQFS





AERRNSILTETLHRFSLEGDAPVSWTETKKQSFKQTGEFGEKRKNSI





LNPINSIRKFSIVQKTPLQMNGIEEDSDEPLERRLSLVPDSEQGEAI





LPRISVISTGPTLQARRRQSVLNLMTHSVNQGQNIHRKTTASTRKVS





LAPQANLTELDIYSRRLSQETGLEISEEINEEDLKECFFDDMESIPA





VTTWNTYLRYITVHKSLIFVLIWCLVIFLAEVAASLVVLWLLGNTPL





QDKGNSTHSRNNSYAVIITSTSSYYVFYIYVGVADTLLAMGFFRGLP





LVHTLITVSKILHHKMLHSVLQAPMSTLNTLKAGGILNRFSKDIAIL





DDLLPLTIFDFIQLLLIVIGAIAVVAVLQPYIFVATVPVIVAFIMLR





AYFLQTSQQLKQLESEGRSPIFTHLVTSLKGLWTLRAFGRQPYFETL





FHKALNLHTANWFLYLSTLRWFQMRIEMIFVIFFIAVTFISILTTGE





GEGRVGIILTLAMNIMSTLQWAVNSSIDVDSLMRSVSRVFKFIDMPT





EGKPTKSTKPYKNGQLSKVMIIENSHVKKDDIWPSGGQMTVKDLTAK





YTEGGNAILENISFSISPGQRVGLLGRTGSGKSTLLSAFLRLLNTEG





EIQIDGVSWDSITLQQWRKAFGVIPQKVFIFSGTFRKNLDPYEQWSD





QEIWKVADEVGLRSVIEQFPGKLDFVLVDGGCVLSHGHKQLMCLARS





VLSKAKILLLDEPSAHLDPVTYQIIRRTLKQAFADCTVILCEHRIEA





MLECQQFLVIEENKVRQYDSIQKLLNERSLFRQAISPSDRVKLFPHR





NSSKCKSKPQIAALKEETEEEVQDTRL





Target Sequence 1 (SEQ ID NO: 3):


5′-GTTCTTAAGGCACAGGAACTGGGAC-3′





H.s. CFTR mutant (ΔF508) nucleotide sequence


(SEQ ID NO: 4):


atgcagaggtcgcctctggaaaaggccagcgttgtctccaaacttat





ttcagctggaccagaccaattttgaggaaaggatacagacagcgcct





ggaattgtcagacatataccaaatcccttctgttgattctgctgaca





atctatctgaaaaattggaaagagaatgggatagagagctggcttca





aagaaaaatcctaaactcattaatgccatcggcgatgttttttctgg





agatttatgttctatggaatctttttatatttaggggaagtcaccaa





agcagtacagcctctatactgggaagaatcatagettcctatgaccc





ggataacaaggaggaacgctctatcgcgatttatctaggcataggct





tatgccttctctttattgtgaggacactgctcctacacccagccatt





tttggccttcatcacattggaatgcagatgagaatagctatgtttag





tttgatttataagaagactttaaagctgtcaagccgtgttctagata





aaataagtattggacaacttgttagtctectttccaacaacctgaac





aaatttgatgaaggacttgcattggcacatttcgtgtggatcgctcc





tttgcaagtggcactectcatggggctaatctgggagttgttacagg





cgtctgccttctgtggacttggtttcctgatagtccttgcccttttt





caggctgggctagggagaatgatgatgaagtacagagatcagagagc





tgggaagatcagtgaaagacttgtgattacctcagaaatgattgaaa





atatccaatctgttaaggcatactgctgggaagaagcaatggaaaaa





atgattgaaaacttaagacaaacagaactgaaactgactcggaaggc





agcctatgtgagatacttcaatagctcagccttcttcttctcagggt





tctttgtggtgtttttatctgtgcttccctatgcactaatcaaagga





atcatcctccggaaaatattcaccaccatctcattctgcattgttct





gcgcatggeggtcactcggcaatttccctgggctgtacaaacatggt





atgactctcttggagcaataaacaaaatacaggatttcttacaaaag





caagaatataagacattggaatataacttaacgactacagaagtagt





gatggagaatgtaacagccttctgggaggagggatttggggaattat





ttgagaaagcaaaacaaaacaataacaatagaaaaacttctaatggt





gatgacagcctcttcttcagtaatttctcacttcttggtactcctgt





cctgaaagatattaatttcaagatagaaagaggacagttgttggcgg





ttgctggatccactggagcaggcaagacttcacttctaatggtgatt





atgggagaactggagccttcagagggtaaaattaagcacagtggaag





aatttcattctgttctcagttttcctggattatgcctggcaccatta





aagaaaatatcatcggtgtttcctatgatgaatatagatacagaagc





gtcatcaaagcatgccaactagaagaggacatctccaagtttgcaga





gaaagacaatatagttcttggagaaggtggaatcacactgagtggag





gtcaacgagcaagaatttattagcaagagcagtatacaaagatgctg





atttgtatttattagactctccttttggatacctagatgttttaaca





gaaaaagaaatatttgaaagctgtgtctgtaaactgatggctaacaa





aactaggattttggtcacttctaaaatggaacatttaaagaaagctg





acaaaatattaattttgcatgaaggtagcagctatttttatgggaca





ttttcagaactccaaaatctacagccagactttagctcaaaactcat





gggatgtgattctttcgaccaatttagtgcagaaagaagaaattcaa





tcctaactgagaccttacaccgatctcattagaaggagatgctcctg





tctcctggacagaaacaaaaaaacaatcttttaaacagactggagag





tttggggaaaaaaggaagaattctattctcaatccaatcaactctat





acgaaaattttccattgtgcaaaagactcccttacaaatgaatggca





tcgaagaggattctgatgagcctttagagagaaggctgtccttagta





ccagattctgagcagggagaggcgatactgcctcgcatcagcgtgat





cagcactggccccacgcttcaggcacgaaggaggcagtctgtcctga





acctgatgacacactcagttaaccaaggtcagaacattcaccgaaag





acaacagcatccacacgaaaagtgtcactggcccacaggcaaacttg





actgaactggatatatattcaagaaggttatctcaagaaactggett





ggaaataagtgaagaaattaacgaagaagacttaaaggagtgctttt





ttgatgatatggagagcataccagcagtgactacatggaacacatac





cttcgatatattactgtccacaagagcttaatttttgtgctaatttg





gtgcttagtaatttttctggcagaggtggctgcttctttggttgtgc





tgtggctccttggaaacactcctcttcaagacaaagggaatagtact





catagtagaaataacagctatgcagtgattatcaccagcaccagttc





gtattatgtgttttacatttacgtgggagtagccgacactttgcttg





ctatgggattcttcagaggtctaccactggtgcatactctaatcaca





gtgtcgaaaattttacaccacaaaatgttacattctgttcttcaagc





acctatgtcaaccctcaacacgttgaaagcaggtgggattcttaata





gattctccaaagatatagcaattttggatgaccttctgcctcttacc





atatttgacttcatccagttgttattaattgtgattggagctatagc





agttgtcgcagttttacaaccctacatctttgttgcaacagtgccag





tgatagtggcttttattatgttgagagcatatttcctccaaacctca





cagcaactcaaacaactggaatctgaaggcaggagtccaattttcac





tcatcttgttacaagataaaaggactatggacacttcgtgccttcgg





acggcagccttactttgaaactctgttccacaaagctctgaatttac





atactgccaactggttcttgtacctgtcaacactgcgctggttccaa





atgagaatagaaatgatttttgtcatcttcttcattgctgttacctt





catttccattttaacaacaggagaaggagaaggaagagttggtatta





tcctgactttagccatgaatatcatgagtacattgcagtgggctgta





aactccagcatagatgtggatagcttgatgcgatctgtgagccgagt





ctttaagttcattgacatgccaacagaaggtaaacctaccaagtcaa





ccaaaccatacaagaatggccaactctcgaaagttatgattattgag





aattcacacgtgaagaaagatgacatctggccctcagggggccaaat





gactgtcaaagatctcacagcaaaatacacagaaggtggaaatgcca





tattagagaacatttccttctcaataagtcctggccagagggtgggc





ctatgggaagaactggatcagggaagagtactttgttatcagctttt





ttgagactactgaacactgaaggagaaatccagatcgatggtgtgtc





ttgggattcaataactttgcaacagtggaggaaagcctttggagtga





taccacagaaagtatttattttttctggaacatttagaaaaaacttg





gatccctatgaacagtggagtgatcaagaaatatggaaagttgcaga





tgaggttgggctcagatctgtgatagaacagtttcctgggaagcttg





actttgtccttgtggatgggggctgtgtcctaagccatggccacaag





cagttgatgtgcttggctagatctgttctcagtaaggcgaagatctt





gctgcttgatgaacccagtgctcatttggatccagtaacataccaaa





taattagaagaactctaaaacaagcatttgctgattgcacagtaatt





ctctgtgaacacaggatagaagcaatgctggaatgccaacaattttt





ggtcatagaagagaacaaagtgcggcagtacgattccatccagaaac





tgctgaacgagaggagcctatccggcaagccatcagccectccgaca





gggtgaagctctttccccaccggaactcaagcaagtgcaagtctaag





ccccagattgctgctctgaaagaggagacagaagaagaggtgcaaga





tacaaggctttga





YFP mutant (meYFP- H148Q/I152L) nucleotide


sequence (SEQ ID NO: 5):


atggtgagcaagggcgaggagctgttcaccggggtggtgcccatcct





ggtcgagctggacggcgacgtaaacggccacaagttcagcgtgtccg





gcgagggcgagggcgatgccacctacggcaagctgaccctgaagttc





atctgcaccaccggcaagctgcccgtgccctggcccaccctcgtgac





caccttcggctacggcctgcagtgcttcgcccgctaccccgaccaca





tgaagcagcacgacttcttcaagtccgccatgcccgaaggctacgtc





caggagcgcaccatcttcttcaaggacgacggcaactacaagacccg





cgccgaggtgaagttcgagggcgacaccctggtgaaccgcatcgagc





tgaagggcatcgacttcaaggaggacggcaacatcctggggcacaag





ctggagtacaactacaacagccaaaacgtctatctcatggccgacaa





gcagaagaacggcatcaaggtgaacttcaagatccgccacaacatcg





aggacggcagcgtgcagctcgccgaccactaccagcagaacaccccc





atcggcgacggccccgtgctgctgcccgacaaccactacctgagcta





ccagtccgccctgagcaaagaccccaacgagaagcgcgatcacatgg





tcctgctggagttcgtgaccgccgccgggatcactctcggcatggac





gagctgtacaagtaa





Signaling Probe 1 (SEQ ID NO: 6):


5′-Cy5 GCCAGTCCCAGTTCCTGTGCCTTAAGAACCT





CGC BHQ2-3′





H.s. CFTR mutant (ΔF508) amino acid sequence


(SEQ ID NO: 7):


MQRSPLEKASVVSKLFFSWTRPILRKGYRQRLELSDIYQIPSVDSAD





NLSEKLEREWDRELASKKNPKLINALRRCFFWRFMFYGIFLYLGEV





TKAVQPLLLGRILASYDPDNKEERSIAIYLGIGLCLLFIVRTLLLHP





AIFGLHHIGMQMRIAMFSLIYKKTLKLSSRVLDKISIGQLVSLLSNN





LNKFDEGLALAHFVWIAPLQVALLMGLIWELLQASAFCGLGFLIVLA





LFQAGLGRMMMKYRDQRAGKISERLVITSEMIENIQSVKAYCWEEAM





EKMIENLRQTELKLTRKAAYVRYFNSSAFFFSGFFVVFLSVLPYALI





KGIILRKIFTTISFCIVLRMAVTRQFPWAVQTWYDSLGAINKIQDFL





QKQEYKTLEYNLTTTEVVMENVTAFWEEGFGELFEKAKQNNNNRKTS





NGDDSLFFSNFSLLGTPVLKDINFKIERGQLLAVAGSTGAGKTSLLM





VIMGELEPSEGKIKHSGRISFCSQFSWIMPGTIKENIIGVSYDEYRY





RSVIKACQLEEDISKFAEKDNIVLGEGGITLSGGQRARISLARAVYK





DADLYLLDSPFGYLDVLTEKEIFESCVCKLMANKTRILVTSKMEHLK





KADKILILHEGSSYFYGTFSELQNLQPDFSSKLMGCDSFDQFSAERR





NSILTETLHRFSLEGDAPVSWTETKKQSFKQTGEFGEKRKNSILNPI





NSIRKFSIVQKTPLQMNGIEEDSDEPLERRLSLVPDSEQGEAILPRI





SVISTGPTLQARRRQSVLNLMTHSVNQGQNIHRKTTASTRKVSLAPQ





ANLTELDIYSRRLSQETGLEISEEINEEDLKECFFDDMESIPAVTTW





NTYLRYITVHKSLIFVLIWCLVIFLAEVAASLVVLWLLGNTPLQDKG





NSTHSRNNSYAVIITSTSSYYVFYIYVGVADTLLAMGFFRGLPLVHT





LITVSKILHHKMLHSVLQAPMSTLNTLKAGGILNRFSKDIAILDDLL





PLTIFDFIQLLLIVIGAIAVVAVLQPYIFVATVPVIVAFIMLRAYFL





QTSQQLKQLESEGRSPIFTHLVTSLKGLWTLRAFGRQPYFETLFHKA





LNLHTANWELYLSTLRWFQMRIEMIEVIFFIAVTFISILTTGEGEGR





VGIILTLAMNIMSTLQWAVNSSIDVDSLMRSVSRVFKFIDMPTEGKP





TKSTKPYKNGQLSKVMIIENSHVKKDDIWPSGGQMTVKDLTAKYTEG





GNAILENISFSISPGQRVGLLGRTGSGKSTLLSAFLRLLNTEGEIQI





DGVSWDSITLQQWRKAFGVIPQKVFIFSGTFRKNLDPYEQWSDQEIW





KVADEVGLRSVIEQFPGKLDFVLVDGGCVLSHGHKQLMCLARSVLSK





AKILLLDEPSAHLDPVTYQIIRRTLKQAFADCTVILCEHRIEAMLEC





QQFLVIEENKVRQYDSIQKLLNERSLFRQAISPSDRVKLFPHRNSSK





CKSKPQIAALKEETEEEVQDTRL





Target Sequence 2 (SEQ ID NO: 8)


5′-GAAGTTAACCCTGTCGTTCTGCGAC-3′





Signaling Probe 2 (SEQ ID NO: 9)


5′-CY5.5 GCGAGTCGCAGAACGACAGGGTTAACTTCCT





CGC BHQ2-3′








Claims
  • 1. A cell line engineered to stably express cystic fibrosis transmembrane conductance regulator (CFTR), wherein the cell line produces a Z′ factor of at least 0.7 in a cell-based assay; or a cell from the cell line.
  • 2-3. (canceled)
  • 4. The cell or cell line of claim 1, which a) is eukaryotic;b) is mammalian;c) does not express endogenous CFTR; ord) is any combination of (a), (b) and (c).
  • 5-7. (canceled)
  • 8. The cell or cell line of claim 1, which produces a Z′ factor of at least 0.75, 0.8, or 0.85 in the cell-based assay.
  • 9. The cell or cell line of claim 1, which is grown or maintained in the absence of selective pressure.
  • 10. The cell or cell line of claim 1, wherein an auto-fluorescent protein is not expressed in the cell or cell line, or wherein the CFTR does not comprise any polypeptide tag.
  • 11-14. (canceled)
  • 15. The cell or cell line of claim 1, wherein the CFTR is selected from the group consisting of: a) a CFTR polypeptide comprising the amino acid sequence set forth in SEQ ID NO: 2;b) a CFTR polypeptide comprising an amino acid sequence that is at least 95% identical to SEQ ID NO: 2;c) a CFTR polypeptide encoded by a nucleic acid that hybridizes under stringent condition to SEQ ID NO: 1;d) a CFTR polypeptide encoded by a nucleic acid that is an allelic variant of SEQ ID NO: 1;e) a CFTR polypeptide comprising the amino acid sequence set forth in SEQ ID NO: 7; andf) a CFTR polypeptide encoded by a nucleic acid sequence comprising SEQ ID NO: 4.
  • 16. (canceled)
  • 17. The cell or cell line of claim 1, wherein the CFTR is encoded by a nucleic acid selected from the group consisting of: a) a nucleic acid comprising the sequence set forth in SEQ ID NO: 1;b) a nucleic acid that hybridizes to a nucleic acid comprising the nucleotide sequence of SEQ ID NO: 1 under stringent conditions;c) a nucleic acid that encodes a polypeptide comprising the amino acid sequence of SEQ ID NO: 2;d) a nucleic acid comprising a nucleotide sequence that is at least 95% identical to SEQ ID NO: 1;e) a nucleic acid that is an allelic variant of SEQ ID NO: 1;f) a nucleic acid comprising the sequence set forth in SEQ ID NO: 4; andg) a nucleic acid that encodes a polypeptide comprising the amino acid sequence of SEQ ID NO: 7.
  • 18. (canceled)
  • 19. A collection of the cell or cell line of claim 1, wherein the cells or cell lines in the collection express different forms or mutants of CFTR.
  • 20. (canceled)
  • 21. The collection of claim 19, wherein the cells or cell lines are matched to share the same physiological property to allow parallel processing.
  • 22-26. (canceled)
  • 27. A method for producing the cell or cell line of claim 1, comprising the steps of: a) introducing into host cells a nucleic acid encoding CFTR or one or more nucleic acids that activate expression of endogenous CFTR;b) introducing into the host cells a molecular beacon that detects the expression of CFTR;c) isolating a cell that expresses CFTR;d) assaying the Z′ factor of the cell or cell line in a cell-based assay; ande) selecting the cell or cell line that produces a Z′ factor of at least 0.7 in the cell-based assay.
  • 28-29. (canceled)
  • 30. The method of claim 27, wherein the host cells: a) are eukaryotic cells;b) are mammalian cells;c) do not express endogenous CFTR endogenously; ord) are any combination of (a), (b) and (c).
  • 31. The method of claim 27, wherein the CFTR comprises the amino acid sequence set forth in SEQ ID NO: 2 or SEQ ID NO: 7.
  • 32. The method of claim 27, where in the CFTR is encoded by a nucleic acid selected from the group consisting of: a) a nucleic acid comprising the sequence of SEQ ID NO: 1;b) a nucleic acid that hybridizes to the nucleotide sequence of SEQ ID NO: 1 under stringent conditions;c) a nucleic acid that encodes a polypeptide comprising the amino acid sequence of SEQ ID NO: 2;d) a nucleic acid comprising a nucleotide sequence that is at least 95% identical to SEQ ID NO: 1;e) a nucleic acid that is an allelic variant of SEQ ID NO: 1; andf) a nucleic acid comprising the sequence of SEQ ID NO: 4.
  • 33-35. (canceled)
  • 36. The method of claim 27, wherein the cells or cell lines of the collection are produced in parallel.
  • 37. (canceled)
  • 38. A method for identifying a modulator of a CFTR function comprising the steps of a) exposing the cell of claim 1 or the collection of claim 19 to a test compound; anddetecting in the cell a change in a CFTR function, wherein the change indicates that the test compound is a CFTR modulator.
  • 39-40. (canceled)
  • 41. The method of claim 38, wherein the CFTR is: a) a CFTR mutant selected from Table 1 or Table 2;b) the CFTR encoded by a nucleic acid comprising SEQ ID NO: 4; orc) the CFTR polypeptide comprising the amino acid sequence set forth in SEQ ID NO: 7.
  • 42-43. (canceled)
  • 44. The method of claim 38, wherein the test compound is in a library of small molecules, chemical moieties, polypeptides, antibodies or antibody fragments.
  • 45-46. (canceled)
  • 47. A collection of cells engineered to stably express CFTR at a consistent level over time, wherein the collection of cells produces a Z′ factor of at least 0.7 in a cell-based assay, wherein the collection of cells is made by a method comprising the steps of: a) providing a plurality of cells that express mRNA(s) encoding the CFTR;b) dispersing the cells individually into individual culture vessels, thereby providing a plurality of separate cell cultures;c) culturing the cells under a set of desired culture conditions using automated cell culture methods characterized in that the conditions are substantially identical for each of the separate cell cultures, during which culturing the number of cells per separate cell culture is normalized, and wherein the separate cultures are passaged on the same schedule;d) assaying the separate cell cultures to measure expression of the CFTR at least twice and to measure the Z′ factor in the cell-based assay; ande) identifying a separate cell culture that expresses the CFTR at a consistent level in both assays and produces a Z′ factor of at least 0.7, thereby obtaining said collection of cells.
  • 48-50. (canceled)
Parent Case Info

This application claims the benefit of U.S. Provisional Application 61/149,312, filed Feb. 2, 2009, the contents of which are incorporated herein by reference in their entirety.

Provisional Applications (1)
Number Date Country
61149312 Feb 2009 US
Continuations (1)
Number Date Country
Parent 13147327 Aug 2011 US
Child 14552192 US