Protein kinase-independent activation of CFTR by phosphatidylinositol phosphates

The cystic fibrosis transmembrane conductance regulator (CFTR) is a chloride channel that is expressed in many epithelia and in the heart. Phosphorylation of CFTR by protein kinases is thought to be an absolute prerequisite for the opening of CFTR channels. In addition, nucleoside triphosphates were shown to regulate the opening of phosphorylated CFTR. Here, we report that phosphatidylinositol 4,5-bisphosphate (PIP₂) activates human CFTR, resulting in ATP responsiveness of PIP₂-treated CFTR. PIP₂ alone is not sufficient to open CFTR, but ATP opens nonphosphorylated CFTR after application of PIP₂. The effect of PIP₂ is independent of protein kinases, as PIP₂ activates CFTR in the complete absence of Mg. Phosphatidylinositol and phosphatidylinositol monophosphate activate CFTR less efficiently than PIP₂. PIP₂ application to phosphorylated CFTR may inhibit the CFTR chloride current. We suggest that regulation of CFTR by PIP₂ is a previously unrecognized, alternative mechanism to control chloride conductance.