RT Journal Article SR Electronic T1 Folding–function relationship of the most common cystic fibrosis–causing CFTR conductance mutants JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e201800172 DO 10.26508/lsa.201800172 VO 2 IS 1 A1 Marcel van Willigen A1 Annelotte M Vonk A1 Hui Ying Yeoh A1 Evelien Kruisselbrink A1 Bertrand Kleizen A1 Cornelis K van der Ent A1 Maarten R Egmond A1 Hugo R de Jonge A1 Ineke Braakman A1 Jeffrey M Beekman A1 Peter van der Sluijs YR 2019 UL https://www.life-science-alliance.org/content/2/1/e201800172.abstract AB Cystic fibrosis is caused by mutations in the CFTR gene, which are subdivided into six classes. Mutants of classes III and IV reach the cell surface but have limited function. Most class-III and class-IV mutants respond well to the recently approved potentiator VX-770, which opens the channel. We here revisited function and folding of some class-IV mutants and discovered that R347P is the only one that leads to major defects in folding. By this criterion and by its functional response to corrector drug VX-809, R347P qualifies also as a class-II mutation. Other class-IV mutants folded like wild-type CFTR and responded similarly to VX-809, demonstrating how function and folding are connected. Studies on both types of defects complement each other in understanding how compounds improve mutant CFTR function. This provides an attractive unbiased approach for characterizing mode of action of novel therapeutic compounds and helps address which drugs are efficacious for each cystic fibrosis disease variant.