HEADER ATP-BINDING PROTEIN 15-SEP-22 8EIO TITLE THE COMPLEX OF PHOSPHORYLATED HUMAN DELTA F508 CYSTIC FIBROSIS TITLE 2 TRANSMEMBRANE CONDUCTANCE REGULATOR (CFTR) WITH ELEXACAFTOR (VX-445), TITLE 3 LUMACAFTOR (VX-809) AND ATP/MG CAVEAT 8EIO COMPND MOL_ID: 1; COMPND 2 MOLECULE: CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR; COMPND 3 CHAIN: A; COMPND 4 SYNONYM: CFTR,ATP-BINDING CASSETTE SUB-FAMILY C MEMBER 7,CHANNEL COMPND 5 CONDUCTANCE-CONTROLLING ATPASE,CAMP-DEPENDENT CHLORIDE CHANNEL; COMPND 6 EC: 5.6.1.6; COMPND 7 ENGINEERED: YES; COMPND 8 MUTATION: YES; COMPND 9 OTHER_DETAILS: EXPRESSED CONSTRUCT IS HUMAN CFTR WITH F508 DELETION COMPND 10 AND E1371Q SUBSTITUTION; COMPND 11 MOL_ID: 2; COMPND 12 MOLECULE: CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR; COMPND 13 CHAIN: B; COMPND 14 EC: 5.6.1.6; COMPND 15 ENGINEERED: YES; COMPND 16 MUTATION: YES; COMPND 17 OTHER_DETAILS: R-DOMAIN OF DEL508CFTR (UNP:P13569). EXPRESSED COMPND 18 CONSTRUCT IS HUMAN CFTR WITH F508 DELETION AND E1371Q SUBSTITUTION. SOURCE MOL_ID: 1; SOURCE 2 ORGANISM_SCIENTIFIC: HOMO SAPIENS; SOURCE 3 ORGANISM_COMMON: HUMAN; SOURCE 4 ORGANISM_TAXID: 9606; SOURCE 5 GENE: CFTR, ABCC7; SOURCE 6 EXPRESSION_SYSTEM: HOMO SAPIENS; SOURCE 7 EXPRESSION_SYSTEM_TAXID: 9606; SOURCE 8 MOL_ID: 2; SOURCE 9 ORGANISM_SCIENTIFIC: HOMO SAPIENS; SOURCE 10 ORGANISM_COMMON: HUMAN; SOURCE 11 ORGANISM_TAXID: 9606; SOURCE 12 GENE: CFTR, ABCC7; SOURCE 13 EXPRESSION_SYSTEM: HOMO SAPIENS; SOURCE 14 EXPRESSION_SYSTEM_TAXID: 9606 KEYWDS ABC TRANSPORTER, ION CHANNEL, FOLDING CORRECTION, MEMBRANE PROTEIN, KEYWDS 2 ATP-BINDING PROTEIN EXPDTA ELECTRON MICROSCOPY AUTHOR K.FIEDORCZUK,J.CHEN REVDAT 3 19-JUN-24 8EIO 1 REMARK REVDAT 2 23-NOV-22 8EIO 1 JRNL REVDAT 1 19-OCT-22 8EIO 0 JRNL AUTH K.FIEDORCZUK,J.CHEN JRNL TITL MOLECULAR STRUCTURES REVEAL SYNERGISTIC RESCUE OF DELTA 508 JRNL TITL 2 CFTR BY TRIKAFTA MODULATORS. JRNL REF SCIENCE V. 378 284 2022 JRNL REFN ESSN 1095-9203 JRNL PMID 36264792 JRNL DOI 10.1126/SCIENCE.ADE2216 REMARK 2 REMARK 2 RESOLUTION. 2.80 ANGSTROMS. REMARK 3 REMARK 3 REFINEMENT. REMARK 3 SOFTWARE PACKAGES : NULL REMARK 3 RECONSTRUCTION SCHEMA : NULL REMARK 3 REMARK 3 EM MAP-MODEL FITTING AND REFINEMENT REMARK 3 PDB ENTRY : NULL REMARK 3 REFINEMENT SPACE : NULL REMARK 3 REFINEMENT PROTOCOL : NULL REMARK 3 REFINEMENT TARGET : NULL REMARK 3 OVERALL ANISOTROPIC B VALUE : NULL REMARK 3 REMARK 3 FITTING PROCEDURE : NULL REMARK 3 REMARK 3 EM IMAGE RECONSTRUCTION STATISTICS REMARK 3 NOMINAL PIXEL SIZE (ANGSTROMS) : NULL REMARK 3 ACTUAL PIXEL SIZE (ANGSTROMS) : NULL REMARK 3 EFFECTIVE RESOLUTION (ANGSTROMS) : 2.800 REMARK 3 NUMBER OF PARTICLES : 41548 REMARK 3 CTF CORRECTION METHOD : PHASE FLIPPING AND AMPLITUDE REMARK 3 CORRECTION REMARK 3 REMARK 3 EM RECONSTRUCTION MAGNIFICATION CALIBRATION: NULL REMARK 3 REMARK 3 OTHER DETAILS: NULL REMARK 4 REMARK 4 8EIO COMPLIES WITH FORMAT V. 3.30, 13-JUL-11 REMARK 100 REMARK 100 THIS ENTRY HAS BEEN PROCESSED BY RCSB ON 16-SEP-22. REMARK 100 THE DEPOSITION ID IS D_1000267950. REMARK 245 REMARK 245 EXPERIMENTAL DETAILS REMARK 245 RECONSTRUCTION METHOD : SINGLE PARTICLE REMARK 245 SPECIMEN TYPE : NULL REMARK 245 REMARK 245 ELECTRON MICROSCOPE SAMPLE REMARK 245 SAMPLE TYPE : PARTICLE REMARK 245 PARTICLE TYPE : POINT REMARK 245 NAME OF SAMPLE : THE COMPLEX OF PHOSPHORYLATED REMARK 245 HUMAN DELTA F508 CYSTIC REMARK 245 FIBROSIS TRANSMEMBRANE REMARK 245 CONDUCTANCE REGULATOR (CFTR) REMARK 245 WITH ELEXACAFTOR (VX-445), REMARK 245 LUMACAFTOR (VX-809) AND ATP/MG REMARK 245 SAMPLE CONCENTRATION (MG ML-1) : 5.00 REMARK 245 SAMPLE SUPPORT DETAILS : NULL REMARK 245 SAMPLE VITRIFICATION DETAILS : NULL REMARK 245 SAMPLE BUFFER : NULL REMARK 245 PH : 7.40 REMARK 245 SAMPLE DETAILS : NULL REMARK 245 REMARK 245 DATA ACQUISITION REMARK 245 DATE OF EXPERIMENT : NULL REMARK 245 NUMBER OF MICROGRAPHS-IMAGES : NULL REMARK 245 TEMPERATURE (KELVIN) : NULL REMARK 245 MICROSCOPE MODEL : FEI TITAN KRIOS REMARK 245 DETECTOR TYPE : GATAN K3 (6K X 4K) REMARK 245 MINIMUM DEFOCUS (NM) : 800.00 REMARK 245 MAXIMUM DEFOCUS (NM) : 1800.00 REMARK 245 MINIMUM TILT ANGLE (DEGREES) : NULL REMARK 245 MAXIMUM TILT ANGLE (DEGREES) : NULL REMARK 245 NOMINAL CS : NULL REMARK 245 IMAGING MODE : BRIGHT FIELD REMARK 245 ELECTRON DOSE (ELECTRONS NM**-2) : 6560.00 REMARK 245 ILLUMINATION MODE : FLOOD BEAM REMARK 245 NOMINAL MAGNIFICATION : NULL REMARK 245 CALIBRATED MAGNIFICATION : NULL REMARK 245 SOURCE : FIELD EMISSION GUN REMARK 245 ACCELERATION VOLTAGE (KV) : 300 REMARK 245 IMAGING DETAILS : NULL REMARK 247 REMARK 247 ELECTRON MICROSCOPY REMARK 247 THE COORDINATES IN THIS ENTRY WERE GENERATED FROM ELECTRON REMARK 247 MICROSCOPY DATA. PROTEIN DATA BANK CONVENTIONS REQUIRE REMARK 247 THAT CRYST1 AND SCALE RECORDS BE INCLUDED, BUT THE VALUES REMARK 247 ON THESE RECORDS ARE MEANINGLESS EXCEPT FOR THE CALCULATION REMARK 247 OF THE STRUCTURE FACTORS. REMARK 300 REMARK 300 BIOMOLECULE: 1 REMARK 300 SEE REMARK 350 FOR THE AUTHOR PROVIDED AND/OR PROGRAM REMARK 300 GENERATED ASSEMBLY INFORMATION FOR THE STRUCTURE IN REMARK 300 THIS ENTRY. THE REMARK MAY ALSO PROVIDE INFORMATION ON REMARK 300 BURIED SURFACE AREA. REMARK 350 REMARK 350 COORDINATES FOR A COMPLETE MULTIMER REPRESENTING THE KNOWN REMARK 350 BIOLOGICALLY SIGNIFICANT OLIGOMERIZATION STATE OF THE REMARK 350 MOLECULE CAN BE GENERATED BY APPLYING BIOMT TRANSFORMATIONS REMARK 350 GIVEN BELOW. BOTH NON-CRYSTALLOGRAPHIC AND REMARK 350 CRYSTALLOGRAPHIC OPERATIONS ARE GIVEN. REMARK 350 REMARK 350 BIOMOLECULE: 1 REMARK 350 AUTHOR DETERMINED BIOLOGICAL UNIT: DIMERIC REMARK 350 APPLY THE FOLLOWING TO CHAINS: A, B REMARK 350 BIOMT1 1 1.000000 0.000000 0.000000 0.00000 REMARK 350 BIOMT2 1 0.000000 1.000000 0.000000 0.00000 REMARK 350 BIOMT3 1 0.000000 0.000000 1.000000 0.00000 REMARK 465 REMARK 465 MISSING RESIDUES REMARK 465 THE FOLLOWING RESIDUES WERE NOT LOCATED IN THE REMARK 465 EXPERIMENT. (M=MODEL NUMBER; RES=RESIDUE NAME; C=CHAIN REMARK 465 IDENTIFIER; SSSEQ=SEQUENCE NUMBER; I=INSERTION CODE.) REMARK 465 REMARK 465 M RES C SSSEQI REMARK 465 GLU A 403 REMARK 465 GLY A 404 REMARK 465 PHE A 405 REMARK 465 GLY A 406 REMARK 465 GLU A 407 REMARK 465 LEU A 408 REMARK 465 PHE A 409 REMARK 465 GLU A 410 REMARK 465 LYS A 411 REMARK 465 ALA A 412 REMARK 465 LYS A 413 REMARK 465 GLN A 414 REMARK 465 ASN A 415 REMARK 465 ASN A 416 REMARK 465 ASN A 417 REMARK 465 ASN A 418 REMARK 465 ARG A 419 REMARK 465 LYS A 420 REMARK 465 THR A 421 REMARK 465 SER A 422 REMARK 465 ASN A 423 REMARK 465 GLY A 424 REMARK 465 ASP A 425 REMARK 465 ASP A 426 REMARK 465 SER A 427 REMARK 465 LEU A 428 REMARK 465 PHE A 429 REMARK 465 PHE A 430 REMARK 465 SER A 431 REMARK 465 ASN A 432 REMARK 465 PHE A 433 REMARK 465 SER A 434 REMARK 465 LEU A 435 REMARK 465 LEU A 436 REMARK 465 GLN A 637 REMARK 465 PRO A 638 REMARK 465 ASP A 639 REMARK 465 PHE A 640 REMARK 465 SER A 641 REMARK 465 SER A 642 REMARK 465 LYS A 643 REMARK 465 LEU A 644 REMARK 465 MET A 645 REMARK 465 GLY A 646 REMARK 465 CYS A 647 REMARK 465 ASP A 648 REMARK 465 SER A 649 REMARK 465 PHE A 650 REMARK 465 ASP A 651 REMARK 465 GLN A 652 REMARK 465 PHE A 653 REMARK 465 SER A 654 REMARK 465 ALA A 655 REMARK 465 GLU A 656 REMARK 465 ARG A 657 REMARK 465 ARG A 658 REMARK 465 ASN A 659 REMARK 465 SER A 660 REMARK 465 ILE A 661 REMARK 465 LEU A 662 REMARK 465 THR A 663 REMARK 465 GLU A 664 REMARK 465 THR A 665 REMARK 465 LEU A 666 REMARK 465 HIS A 667 REMARK 465 ARG A 668 REMARK 465 PHE A 669 REMARK 465 SER A 670 REMARK 465 LEU A 671 REMARK 465 GLU A 672 REMARK 465 GLY A 673 REMARK 465 ASP A 674 REMARK 465 ALA A 675 REMARK 465 PRO A 676 REMARK 465 VAL A 677 REMARK 465 SER A 678 REMARK 465 TRP A 679 REMARK 465 THR A 680 REMARK 465 GLU A 681 REMARK 465 THR A 682 REMARK 465 LYS A 683 REMARK 465 LYS A 684 REMARK 465 GLN A 685 REMARK 465 SER A 686 REMARK 465 PHE A 687 REMARK 465 LYS A 688 REMARK 465 GLN A 689 REMARK 465 THR A 690 REMARK 465 GLY A 691 REMARK 465 GLU A 692 REMARK 465 PHE A 693 REMARK 465 GLY A 694 REMARK 465 GLU A 695 REMARK 465 LYS A 696 REMARK 465 ARG A 697 REMARK 465 LYS A 698 REMARK 465 ASN A 699 REMARK 465 SER A 700 REMARK 465 ILE A 701 REMARK 465 LEU A 702 REMARK 465 ASN A 703 REMARK 465 PRO A 704 REMARK 465 ILE A 705 REMARK 465 ASN A 706 REMARK 465 SER A 707 REMARK 465 ILE A 708 REMARK 465 ARG A 709 REMARK 465 LYS A 710 REMARK 465 PHE A 711 REMARK 465 SER A 712 REMARK 465 ILE A 713 REMARK 465 VAL A 714 REMARK 465 GLN A 715 REMARK 465 LYS A 716 REMARK 465 THR A 717 REMARK 465 PRO A 718 REMARK 465 LEU A 719 REMARK 465 GLN A 720 REMARK 465 MET A 721 REMARK 465 ASN A 722 REMARK 465 GLY A 723 REMARK 465 ILE A 724 REMARK 465 GLU A 725 REMARK 465 GLU A 726 REMARK 465 ASP A 727 REMARK 465 SER A 728 REMARK 465 ASP A 729 REMARK 465 GLU A 730 REMARK 465 PRO A 731 REMARK 465 LEU A 732 REMARK 465 GLU A 733 REMARK 465 ARG A 734 REMARK 465 ARG A 735 REMARK 465 LEU A 736 REMARK 465 SER A 737 REMARK 465 LEU A 738 REMARK 465 VAL A 739 REMARK 465 PRO A 740 REMARK 465 ASP A 741 REMARK 465 SER A 742 REMARK 465 GLU A 743 REMARK 465 GLN A 744 REMARK 465 GLY A 745 REMARK 465 GLU A 746 REMARK 465 ALA A 747 REMARK 465 ILE A 748 REMARK 465 LEU A 749 REMARK 465 PRO A 750 REMARK 465 ARG A 751 REMARK 465 ILE A 752 REMARK 465 SER A 753 REMARK 465 VAL A 754 REMARK 465 ILE A 755 REMARK 465 SER A 756 REMARK 465 THR A 757 REMARK 465 GLY A 758 REMARK 465 PRO A 759 REMARK 465 THR A 760 REMARK 465 LEU A 761 REMARK 465 GLN A 762 REMARK 465 ALA A 763 REMARK 465 ARG A 764 REMARK 465 ARG A 765 REMARK 465 ARG A 766 REMARK 465 GLN A 767 REMARK 465 SER A 768 REMARK 465 VAL A 769 REMARK 465 LEU A 770 REMARK 465 ASN A 771 REMARK 465 LEU A 772 REMARK 465 MET A 773 REMARK 465 THR A 774 REMARK 465 HIS A 775 REMARK 465 SER A 776 REMARK 465 VAL A 777 REMARK 465 ASN A 778 REMARK 465 GLN A 779 REMARK 465 GLY A 780 REMARK 465 GLN A 781 REMARK 465 ASN A 782 REMARK 465 ILE A 783 REMARK 465 HIS A 784 REMARK 465 ARG A 785 REMARK 465 LYS A 786 REMARK 465 THR A 787 REMARK 465 THR A 788 REMARK 465 ALA A 789 REMARK 465 SER A 790 REMARK 465 THR A 791 REMARK 465 ARG A 792 REMARK 465 LYS A 793 REMARK 465 VAL A 794 REMARK 465 SER A 795 REMARK 465 LEU A 796 REMARK 465 ALA A 797 REMARK 465 PRO A 798 REMARK 465 GLN A 799 REMARK 465 ALA A 800 REMARK 465 ASN A 801 REMARK 465 LEU A 802 REMARK 465 THR A 803 REMARK 465 GLU A 804 REMARK 465 LEU A 805 REMARK 465 ASP A 806 REMARK 465 ILE A 807 REMARK 465 TYR A 808 REMARK 465 SER A 809 REMARK 465 ARG A 810 REMARK 465 ARG A 811 REMARK 465 LEU A 812 REMARK 465 SER A 813 REMARK 465 GLN A 814 REMARK 465 GLU A 815 REMARK 465 THR A 816 REMARK 465 GLY A 817 REMARK 465 LEU A 818 REMARK 465 GLU A 819 REMARK 465 ILE A 820 REMARK 465 SER A 821 REMARK 465 GLU A 822 REMARK 465 GLU A 823 REMARK 465 ILE A 824 REMARK 465 ASN A 825 REMARK 465 GLU A 826 REMARK 465 GLU A 827 REMARK 465 ASP A 828 REMARK 465 LEU A 829 REMARK 465 LYS A 830 REMARK 465 GLU A 831 REMARK 465 CYS A 832 REMARK 465 PHE A 833 REMARK 465 PHE A 834 REMARK 465 ASP A 835 REMARK 465 ASP A 836 REMARK 465 MET A 837 REMARK 465 GLU A 838 REMARK 465 SER A 839 REMARK 465 ILE A 840 REMARK 465 PRO A 841 REMARK 465 ALA A 842 REMARK 465 VAL A 843 REMARK 465 THR A 844 REMARK 465 THR A 845 REMARK 465 ASN A 886 REMARK 465 THR A 887 REMARK 465 PRO A 888 REMARK 465 LEU A 889 REMARK 465 GLN A 890 REMARK 465 ASP A 891 REMARK 465 LYS A 892 REMARK 465 GLY A 893 REMARK 465 ASN A 894 REMARK 465 SER A 895 REMARK 465 THR A 896 REMARK 465 HIS A 897 REMARK 465 SER A 898 REMARK 465 ARG A 899 REMARK 465 ASN A 900 REMARK 465 ASN A 901 REMARK 465 LYS A 1174 REMARK 465 PRO A 1175 REMARK 465 THR A 1176 REMARK 465 LYS A 1177 REMARK 465 SER A 1178 REMARK 465 THR A 1179 REMARK 465 LYS A 1180 REMARK 465 PRO A 1181 REMARK 465 TYR A 1182 REMARK 465 LYS A 1183 REMARK 465 ASN A 1184 REMARK 465 GLY A 1185 REMARK 465 GLN A 1186 REMARK 465 LEU A 1187 REMARK 465 SER A 1188 REMARK 465 LYS A 1189 REMARK 465 VAL A 1190 REMARK 465 MET A 1191 REMARK 465 ILE A 1192 REMARK 465 ILE A 1193 REMARK 465 GLU A 1194 REMARK 465 ASN A 1195 REMARK 465 SER A 1196 REMARK 465 HIS A 1197 REMARK 465 VAL A 1198 REMARK 465 LYS A 1199 REMARK 465 LYS A 1200 REMARK 465 ASP A 1201 REMARK 465 ASP A 1202 REMARK 465 HIS A 1452 REMARK 465 ARG A 1453 REMARK 465 ASN A 1454 REMARK 465 SER A 1455 REMARK 465 SER A 1456 REMARK 465 LYS A 1457 REMARK 465 CYS A 1458 REMARK 465 LYS A 1459 REMARK 465 SER A 1460 REMARK 465 LYS A 1461 REMARK 465 PRO A 1462 REMARK 465 GLN A 1463 REMARK 465 ILE A 1464 REMARK 465 ALA A 1465 REMARK 465 ALA A 1466 REMARK 465 LEU A 1467 REMARK 465 LYS A 1468 REMARK 465 GLU A 1469 REMARK 465 GLU A 1470 REMARK 465 THR A 1471 REMARK 465 GLU A 1472 REMARK 465 GLU A 1473 REMARK 465 GLU A 1474 REMARK 465 VAL A 1475 REMARK 465 GLN A 1476 REMARK 465 ASP A 1477 REMARK 465 THR A 1478 REMARK 465 ARG A 1479 REMARK 465 LEU A 1480 REMARK 470 REMARK 470 MISSING ATOM REMARK 470 THE FOLLOWING RESIDUES HAVE MISSING ATOMS (M=MODEL NUMBER; REMARK 470 RES=RESIDUE NAME; C=CHAIN IDENTIFIER; SSEQ=SEQUENCE NUMBER; REMARK 470 I=INSERTION CODE): REMARK 470 M RES CSSEQI ATOMS REMARK 470 THR A 382 OG1 CG2 REMARK 470 LEU A 383 CG CD1 CD2 REMARK 470 GLU A 384 CG CD OE1 OE2 REMARK 470 TYR A 385 CG CD1 CD2 CE1 CE2 CZ OH REMARK 470 ASN A 386 CG OD1 ND2 REMARK 470 LEU A 387 CG CD1 CD2 REMARK 470 THR A 388 OG1 CG2 REMARK 470 THR A 389 OG1 CG2 REMARK 500 REMARK 500 GEOMETRY AND STEREOCHEMISTRY REMARK 500 SUBTOPIC: TORSION ANGLES REMARK 500 REMARK 500 TORSION ANGLES OUTSIDE THE EXPECTED RAMACHANDRAN REGIONS: REMARK 500 (M=MODEL NUMBER; RES=RESIDUE NAME; C=CHAIN IDENTIFIER; REMARK 500 SSEQ=SEQUENCE NUMBER; I=INSERTION CODE). REMARK 500 REMARK 500 STANDARD TABLE: REMARK 500 FORMAT:(10X,I3,1X,A3,1X,A1,I4,A1,4X,F7.2,3X,F7.2) REMARK 500 REMARK 500 EXPECTED VALUES: GJ KLEYWEGT AND TA JONES (1996). PHI/PSI- REMARK 500 CHOLOGY: RAMACHANDRAN REVISITED. STRUCTURE 4, 1395 - 1400 REMARK 500 REMARK 500 M RES CSSEQI PSI PHI REMARK 500 LYS A 536 -83.22 68.44 REMARK 500 PRO A1013 46.90 -79.04 REMARK 500 GLU A1126 -123.94 59.30 REMARK 500 CYS A1395 159.16 73.58 REMARK 500 REMARK 500 REMARK: NULL REMARK 620 REMARK 620 METAL COORDINATION REMARK 620 (M=MODEL NUMBER; RES=RESIDUE NAME; C=CHAIN IDENTIFIER; REMARK 620 SSEQ=SEQUENCE NUMBER; I=INSERTION CODE): REMARK 620 REMARK 620 COORDINATION ANGLES FOR: M RES CSSEQI METAL REMARK 620 MG A1501 MG REMARK 620 N RES CSSEQI ATOM REMARK 620 1 THR A 465 OG1 REMARK 620 2 GLN A 493 OE1 99.4 REMARK 620 3 ATP A1503 O3G 134.3 101.5 REMARK 620 4 ATP A1503 O2B 72.3 162.1 75.5 REMARK 620 N 1 2 3 REMARK 620 REMARK 620 COORDINATION ANGLES FOR: M RES CSSEQI METAL REMARK 620 MG A1502 MG REMARK 620 N RES CSSEQI ATOM REMARK 620 1 SER A1251 OG REMARK 620 2 GLN A1291 OE1 94.5 REMARK 620 3 ATP A1504 O2B 78.3 171.7 REMARK 620 4 ATP A1504 O3G 168.1 97.4 89.8 REMARK 620 N 1 2 3 REMARK 900 REMARK 900 RELATED ENTRIES REMARK 900 RELATED ID: EMD-28160 RELATED DB: EMDB REMARK 900 THE COMPLEX OF PHOSPHORYLATED HUMAN DELTA F508 CYSTIC FIBROSIS REMARK 900 TRANSMEMBRANE CONDUCTANCE REGULATOR (CFTR) WITH ELEXACAFTOR (VX-445) REMARK 900 , LUMACAFTOR (VX-809) AND ATP/MG DBREF 8EIO A 1 1480 UNP P13569 CFTR_HUMAN 1 1480 DBREF 8EIO B 1 17 PDB 8EIO 8EIO 1 17 SEQADV 8EIO A UNP P13569 PHE 508 DELETION SEQADV 8EIO GLN A 1371 UNP P13569 GLU 1371 ENGINEERED MUTATION SEQRES 1 A 1479 MET GLN ARG SER PRO LEU GLU LYS ALA SER VAL VAL SER SEQRES 2 A 1479 LYS LEU PHE PHE SER TRP THR ARG PRO ILE LEU ARG LYS SEQRES 3 A 1479 GLY TYR ARG GLN ARG LEU GLU LEU SER ASP ILE TYR GLN SEQRES 4 A 1479 ILE PRO SER VAL ASP SER ALA ASP ASN LEU SER GLU LYS SEQRES 5 A 1479 LEU GLU ARG GLU TRP ASP ARG GLU LEU ALA SER LYS LYS SEQRES 6 A 1479 ASN PRO LYS LEU ILE ASN ALA LEU ARG ARG CYS PHE PHE SEQRES 7 A 1479 TRP ARG PHE MET PHE TYR GLY ILE PHE LEU TYR LEU GLY SEQRES 8 A 1479 GLU VAL THR LYS ALA VAL GLN PRO LEU LEU LEU GLY ARG SEQRES 9 A 1479 ILE ILE ALA SER TYR ASP PRO ASP ASN LYS GLU GLU ARG SEQRES 10 A 1479 SER ILE ALA ILE TYR LEU GLY ILE GLY LEU CYS LEU LEU SEQRES 11 A 1479 PHE ILE VAL ARG THR LEU LEU LEU HIS PRO ALA ILE PHE SEQRES 12 A 1479 GLY LEU HIS HIS ILE GLY MET GLN MET ARG ILE ALA MET SEQRES 13 A 1479 PHE SER LEU ILE TYR LYS LYS THR LEU LYS LEU SER SER SEQRES 14 A 1479 ARG VAL LEU ASP LYS ILE SER ILE GLY GLN LEU VAL SER SEQRES 15 A 1479 LEU LEU SER ASN ASN LEU ASN LYS PHE ASP GLU GLY LEU SEQRES 16 A 1479 ALA LEU ALA HIS PHE VAL TRP ILE ALA PRO LEU GLN VAL SEQRES 17 A 1479 ALA LEU LEU MET GLY LEU ILE TRP GLU LEU LEU GLN ALA SEQRES 18 A 1479 SER ALA PHE CYS GLY LEU GLY PHE LEU ILE VAL LEU ALA SEQRES 19 A 1479 LEU PHE GLN ALA GLY LEU GLY ARG MET MET MET LYS TYR SEQRES 20 A 1479 ARG ASP GLN ARG ALA GLY LYS ILE SER GLU ARG LEU VAL SEQRES 21 A 1479 ILE THR SER GLU MET ILE GLU ASN ILE GLN SER VAL LYS SEQRES 22 A 1479 ALA TYR CYS TRP GLU GLU ALA MET GLU LYS MET ILE GLU SEQRES 23 A 1479 ASN LEU ARG GLN THR GLU LEU LYS LEU THR ARG LYS ALA SEQRES 24 A 1479 ALA TYR VAL ARG TYR PHE ASN SER SER ALA PHE PHE PHE SEQRES 25 A 1479 SER GLY PHE PHE VAL VAL PHE LEU SER VAL LEU PRO TYR SEQRES 26 A 1479 ALA LEU ILE LYS GLY ILE ILE LEU ARG LYS ILE PHE THR SEQRES 27 A 1479 THR ILE SER PHE CYS ILE VAL LEU ARG MET ALA VAL THR SEQRES 28 A 1479 ARG GLN PHE PRO TRP ALA VAL GLN THR TRP TYR ASP SER SEQRES 29 A 1479 LEU GLY ALA ILE ASN LYS ILE GLN ASP PHE LEU GLN LYS SEQRES 30 A 1479 GLN GLU TYR LYS THR LEU GLU TYR ASN LEU THR THR THR SEQRES 31 A 1479 GLU VAL VAL MET GLU ASN VAL THR ALA PHE TRP GLU GLU SEQRES 32 A 1479 GLY PHE GLY GLU LEU PHE GLU LYS ALA LYS GLN ASN ASN SEQRES 33 A 1479 ASN ASN ARG LYS THR SER ASN GLY ASP ASP SER LEU PHE SEQRES 34 A 1479 PHE SER ASN PHE SER LEU LEU GLY THR PRO VAL LEU LYS SEQRES 35 A 1479 ASP ILE ASN PHE LYS ILE GLU ARG GLY GLN LEU LEU ALA SEQRES 36 A 1479 VAL ALA GLY SER THR GLY ALA GLY LYS THR SER LEU LEU SEQRES 37 A 1479 MET VAL ILE MET GLY GLU LEU GLU PRO SER GLU GLY LYS SEQRES 38 A 1479 ILE LYS HIS SER GLY ARG ILE SER PHE CYS SER GLN PHE SEQRES 39 A 1479 SER TRP ILE MET PRO GLY THR ILE LYS GLU ASN ILE ILE SEQRES 40 A 1479 GLY VAL SER TYR ASP GLU TYR ARG TYR ARG SER VAL ILE SEQRES 41 A 1479 LYS ALA CYS GLN LEU GLU GLU ASP ILE SER LYS PHE ALA SEQRES 42 A 1479 GLU LYS ASP ASN ILE VAL LEU GLY GLU GLY GLY ILE THR SEQRES 43 A 1479 LEU SER GLY GLY GLN ARG ALA ARG ILE SER LEU ALA ARG SEQRES 44 A 1479 ALA VAL TYR LYS ASP ALA ASP LEU TYR LEU LEU ASP SER SEQRES 45 A 1479 PRO PHE GLY TYR LEU ASP VAL LEU THR GLU LYS GLU ILE SEQRES 46 A 1479 PHE GLU SER CYS VAL CYS LYS LEU MET ALA ASN LYS THR SEQRES 47 A 1479 ARG ILE LEU VAL THR SER LYS MET GLU HIS LEU LYS LYS SEQRES 48 A 1479 ALA ASP LYS ILE LEU ILE LEU HIS GLU GLY SER SER TYR SEQRES 49 A 1479 PHE TYR GLY THR PHE SER GLU LEU GLN ASN LEU GLN PRO SEQRES 50 A 1479 ASP PHE SER SER LYS LEU MET GLY CYS ASP SER PHE ASP SEQRES 51 A 1479 GLN PHE SER ALA GLU ARG ARG ASN SER ILE LEU THR GLU SEQRES 52 A 1479 THR LEU HIS ARG PHE SER LEU GLU GLY ASP ALA PRO VAL SEQRES 53 A 1479 SER TRP THR GLU THR LYS LYS GLN SER PHE LYS GLN THR SEQRES 54 A 1479 GLY GLU PHE GLY GLU LYS ARG LYS ASN SER ILE LEU ASN SEQRES 55 A 1479 PRO ILE ASN SER ILE ARG LYS PHE SER ILE VAL GLN LYS SEQRES 56 A 1479 THR PRO LEU GLN MET ASN GLY ILE GLU GLU ASP SER ASP SEQRES 57 A 1479 GLU PRO LEU GLU ARG ARG LEU SER LEU VAL PRO ASP SER SEQRES 58 A 1479 GLU GLN GLY GLU ALA ILE LEU PRO ARG ILE SER VAL ILE SEQRES 59 A 1479 SER THR GLY PRO THR LEU GLN ALA ARG ARG ARG GLN SER SEQRES 60 A 1479 VAL LEU ASN LEU MET THR HIS SER VAL ASN GLN GLY GLN SEQRES 61 A 1479 ASN ILE HIS ARG LYS THR THR ALA SER THR ARG LYS VAL SEQRES 62 A 1479 SER LEU ALA PRO GLN ALA ASN LEU THR GLU LEU ASP ILE SEQRES 63 A 1479 TYR SER ARG ARG LEU SER GLN GLU THR GLY LEU GLU ILE SEQRES 64 A 1479 SER GLU GLU ILE ASN GLU GLU ASP LEU LYS GLU CYS PHE SEQRES 65 A 1479 PHE ASP ASP MET GLU SER ILE PRO ALA VAL THR THR TRP SEQRES 66 A 1479 ASN THR TYR LEU ARG TYR ILE THR VAL HIS LYS SER LEU SEQRES 67 A 1479 ILE PHE VAL LEU ILE TRP CYS LEU VAL ILE PHE LEU ALA SEQRES 68 A 1479 GLU VAL ALA ALA SER LEU VAL VAL LEU TRP LEU LEU GLY SEQRES 69 A 1479 ASN THR PRO LEU GLN ASP LYS GLY ASN SER THR HIS SER SEQRES 70 A 1479 ARG ASN ASN SER TYR ALA VAL ILE ILE THR SER THR SER SEQRES 71 A 1479 SER TYR TYR VAL PHE TYR ILE TYR VAL GLY VAL ALA ASP SEQRES 72 A 1479 THR LEU LEU ALA MET GLY PHE PHE ARG GLY LEU PRO LEU SEQRES 73 A 1479 VAL HIS THR LEU ILE THR VAL SER LYS ILE LEU HIS HIS SEQRES 74 A 1479 LYS MET LEU HIS SER VAL LEU GLN ALA PRO MET SER THR SEQRES 75 A 1479 LEU ASN THR LEU LYS ALA GLY GLY ILE LEU ASN ARG PHE SEQRES 76 A 1479 SER LYS ASP ILE ALA ILE LEU ASP ASP LEU LEU PRO LEU SEQRES 77 A 1479 THR ILE PHE ASP PHE ILE GLN LEU LEU LEU ILE VAL ILE SEQRES 78 A 1479 GLY ALA ILE ALA VAL VAL ALA VAL LEU GLN PRO TYR ILE SEQRES 79 A 1479 PHE VAL ALA THR VAL PRO VAL ILE VAL ALA PHE ILE MET SEQRES 80 A 1479 LEU ARG ALA TYR PHE LEU GLN THR SER GLN GLN LEU LYS SEQRES 81 A 1479 GLN LEU GLU SER GLU GLY ARG SER PRO ILE PHE THR HIS SEQRES 82 A 1479 LEU VAL THR SER LEU LYS GLY LEU TRP THR LEU ARG ALA SEQRES 83 A 1479 PHE GLY ARG GLN PRO TYR PHE GLU THR LEU PHE HIS LYS SEQRES 84 A 1479 ALA LEU ASN LEU HIS THR ALA ASN TRP PHE LEU TYR LEU SEQRES 85 A 1479 SER THR LEU ARG TRP PHE GLN MET ARG ILE GLU MET ILE SEQRES 86 A 1479 PHE VAL ILE PHE PHE ILE ALA VAL THR PHE ILE SER ILE SEQRES 87 A 1479 LEU THR THR GLY GLU GLY GLU GLY ARG VAL GLY ILE ILE SEQRES 88 A 1479 LEU THR LEU ALA MET ASN ILE MET SER THR LEU GLN TRP SEQRES 89 A 1479 ALA VAL ASN SER SER ILE ASP VAL ASP SER LEU MET ARG SEQRES 90 A 1479 SER VAL SER ARG VAL PHE LYS PHE ILE ASP MET PRO THR SEQRES 91 A 1479 GLU GLY LYS PRO THR LYS SER THR LYS PRO TYR LYS ASN SEQRES 92 A 1479 GLY GLN LEU SER LYS VAL MET ILE ILE GLU ASN SER HIS SEQRES 93 A 1479 VAL LYS LYS ASP ASP ILE TRP PRO SER GLY GLY GLN MET SEQRES 94 A 1479 THR VAL LYS ASP LEU THR ALA LYS TYR THR GLU GLY GLY SEQRES 95 A 1479 ASN ALA ILE LEU GLU ASN ILE SER PHE SER ILE SER PRO SEQRES 96 A 1479 GLY GLN ARG VAL GLY LEU LEU GLY ARG THR GLY SER GLY SEQRES 97 A 1479 LYS SER THR LEU LEU SER ALA PHE LEU ARG LEU LEU ASN SEQRES 98 A 1479 THR GLU GLY GLU ILE GLN ILE ASP GLY VAL SER TRP ASP SEQRES 99 A 1479 SER ILE THR LEU GLN GLN TRP ARG LYS ALA PHE GLY VAL SEQRES 100 A 1479 ILE PRO GLN LYS VAL PHE ILE PHE SER GLY THR PHE ARG SEQRES 101 A 1479 LYS ASN LEU ASP PRO TYR GLU GLN TRP SER ASP GLN GLU SEQRES 102 A 1479 ILE TRP LYS VAL ALA ASP GLU VAL GLY LEU ARG SER VAL SEQRES 103 A 1479 ILE GLU GLN PHE PRO GLY LYS LEU ASP PHE VAL LEU VAL SEQRES 104 A 1479 ASP GLY GLY CYS VAL LEU SER HIS GLY HIS LYS GLN LEU SEQRES 105 A 1479 MET CYS LEU ALA ARG SER VAL LEU SER LYS ALA LYS ILE SEQRES 106 A 1479 LEU LEU LEU ASP GLN PRO SER ALA HIS LEU ASP PRO VAL SEQRES 107 A 1479 THR TYR GLN ILE ILE ARG ARG THR LEU LYS GLN ALA PHE SEQRES 108 A 1479 ALA ASP CYS THR VAL ILE LEU CYS GLU HIS ARG ILE GLU SEQRES 109 A 1479 ALA MET LEU GLU CYS GLN GLN PHE LEU VAL ILE GLU GLU SEQRES 110 A 1479 ASN LYS VAL ARG GLN TYR ASP SER ILE GLN LYS LEU LEU SEQRES 111 A 1479 ASN GLU ARG SER LEU PHE ARG GLN ALA ILE SER PRO SER SEQRES 112 A 1479 ASP ARG VAL LYS LEU PHE PRO HIS ARG ASN SER SER LYS SEQRES 113 A 1479 CYS LYS SER LYS PRO GLN ILE ALA ALA LEU LYS GLU GLU SEQRES 114 A 1479 THR GLU GLU GLU VAL GLN ASP THR ARG LEU SEQRES 1 B 17 UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK SEQRES 2 B 17 UNK UNK UNK UNK HET MG A1501 1 HET MG A1502 1 HET ATP A1503 31 HET ATP A1504 31 HET CLR A1505 28 HET D12 A1506 12 HET VX8 A1507 33 HET WJX A1508 41 HETNAM MG MAGNESIUM ION HETNAM ATP ADENOSINE-5'-TRIPHOSPHATE HETNAM CLR CHOLESTEROL HETNAM D12 DODECANE HETNAM VX8 LUMACAFTOR HETNAM WJX (6P)-N-(1,3-DIMETHYL-1H-PYRAZOLE-4-SULFONYL)-6-[3-(3,3, HETNAM 2 WJX 3-TRIFLUORO-2,2-DIMETHYLPROPOXY)-1H-PYRAZOL-1-YL]-2- HETNAM 3 WJX [(4S)-2,2,4-TRIMETHYLPYRROLIDIN-1-YL]PYRIDINE-3- HETNAM 4 WJX CARBOXAMIDE HETSYN VX8 3-(6-{[1-(2,2-DIFLUORO-2H-1,3-BENZODIOXOL-5-YL) HETSYN 2 VX8 CYCLOPROPANE-1-CARBONYL]AMINO}-3-METHYLPYRIDIN-2-YL) HETSYN 3 VX8 BENZOIC ACID; VX-809 HETSYN WJX ELEXACAFTOR FORMUL 3 MG 2(MG 2+) FORMUL 5 ATP 2(C10 H16 N5 O13 P3) FORMUL 7 CLR C27 H46 O FORMUL 8 D12 C12 H26 FORMUL 9 VX8 C24 H18 F2 N2 O5 FORMUL 10 WJX C26 H34 F3 N7 O4 S HELIX 1 AA1 SER A 4 ALA A 9 5 6 HELIX 2 AA2 SER A 10 PHE A 17 1 8 HELIX 3 AA3 THR A 20 GLN A 30 1 11 HELIX 4 AA4 PRO A 41 ASP A 44 5 4 HELIX 5 AA5 SER A 45 LYS A 64 1 20 HELIX 6 AA6 LYS A 68 VAL A 97 1 30 HELIX 7 AA7 VAL A 97 SER A 108 1 12 HELIX 8 AA8 ASN A 113 ILE A 119 1 7 HELIX 9 AA9 ILE A 119 LEU A 165 1 47 HELIX 10 AB1 SER A 168 ASP A 173 1 6 HELIX 11 AB2 SER A 176 ASN A 187 1 12 HELIX 12 AB3 ASN A 189 HIS A 199 1 11 HELIX 13 AB4 HIS A 199 LEU A 219 1 21 HELIX 14 AB5 SER A 222 ASN A 268 1 47 HELIX 15 AB6 ASN A 268 CYS A 276 1 9 HELIX 16 AB7 TRP A 277 LYS A 329 1 53 HELIX 17 AB8 LEU A 333 ARG A 352 1 20 HELIX 18 AB9 ARG A 352 GLN A 376 1 25 HELIX 19 AC1 GLY A 463 MET A 472 1 10 HELIX 20 AC2 ILE A 502 ILE A 507 1 6 HELIX 21 AC3 ASP A 513 CYS A 524 1 12 HELIX 22 AC4 LEU A 526 SER A 531 1 6 HELIX 23 AC5 SER A 549 LYS A 564 1 16 HELIX 24 AC6 ASP A 579 CYS A 590 1 12 HELIX 25 AC7 LYS A 606 LYS A 611 1 6 HELIX 26 AC8 THR A 629 LEU A 636 1 8 HELIX 27 AC9 ASN A 847 THR A 854 1 8 HELIX 28 AD1 HIS A 856 LEU A 884 1 29 HELIX 29 AD2 TYR A 913 LEU A 927 1 15 HELIX 30 AD3 GLY A 930 ALA A 959 1 30 HELIX 31 AD4 PRO A 960 THR A 966 1 7 HELIX 32 AD5 LYS A 968 ASP A 985 1 18 HELIX 33 AD6 ASP A 985 GLN A 1012 1 28 HELIX 34 AD7 TYR A 1014 THR A 1019 1 6 HELIX 35 AD8 THR A 1019 GLY A 1047 1 29 HELIX 36 AD9 ARG A 1048 GLY A 1061 1 14 HELIX 37 AE1 GLY A 1061 GLY A 1069 1 9 HELIX 38 AE2 ARG A 1070 THR A 1122 1 53 HELIX 39 AE3 ARG A 1128 ASP A 1168 1 41 HELIX 40 AE4 GLY A 1249 LEU A 1258 1 10 HELIX 41 AE5 THR A 1278 LYS A 1284 1 7 HELIX 42 AE6 PHE A 1300 ASP A 1305 1 6 HELIX 43 AE7 SER A 1311 VAL A 1322 1 12 HELIX 44 AE8 LEU A 1324 GLN A 1330 1 7 HELIX 45 AE9 SER A 1347 LYS A 1363 1 17 HELIX 46 AF1 ASP A 1377 ALA A 1391 1 15 HELIX 47 AF2 ARG A 1403 LEU A 1408 5 6 HELIX 48 AF3 SER A 1426 GLU A 1433 1 8 HELIX 49 AF4 ARG A 1434 ALA A 1440 1 7 HELIX 50 AF5 SER A 1442 PHE A 1450 1 9 HELIX 51 AF6 UNK B 8 UNK B 17 1 10 SHEET 1 AA1 2 ILE A 331 ILE A 332 0 SHEET 2 AA1 2 VAL A 905 ILE A 906 1 O ILE A 906 N ILE A 331 SHEET 1 AA2 3 LEU A 441 ILE A 448 0 SHEET 2 AA2 3 VAL A 392 ALA A 399 -1 N MET A 394 O PHE A 446 SHEET 3 AA2 3 GLU A 479 LYS A 483 -1 O GLU A 479 N THR A 398 SHEET 1 AA3 6 ILE A 488 CYS A 491 0 SHEET 2 AA3 6 LEU A 568 LEU A 571 1 O LEU A 570 N SER A 489 SHEET 3 AA3 6 THR A 599 VAL A 603 1 O ILE A 601 N TYR A 569 SHEET 4 AA3 6 LEU A 453 GLY A 458 1 N LEU A 454 O LEU A 602 SHEET 5 AA3 6 LYS A 615 HIS A 620 1 O LEU A 617 N ALA A 457 SHEET 6 AA3 6 SER A 623 GLY A 628 -1 O GLY A 628 N ILE A 616 SHEET 1 AA4 2 GLY A 500 THR A 501 0 SHEET 2 AA4 2 VAL A 540 LEU A 541 -1 O LEU A 541 N GLY A 500 SHEET 1 AA5 3 LEU A1227 ILE A1234 0 SHEET 2 AA5 3 MET A1210 LYS A1218 -1 N VAL A1212 O PHE A1232 SHEET 3 AA5 3 ASN A1262 THR A1263 -1 O ASN A1262 N LYS A1218 SHEET 1 AA6 4 LEU A1227 ILE A1234 0 SHEET 2 AA6 4 MET A1210 LYS A1218 -1 N VAL A1212 O PHE A1232 SHEET 3 AA6 4 GLU A1266 ILE A1269 -1 O GLU A1266 N LYS A1213 SHEET 4 AA6 4 VAL A1272 SER A1273 -1 O VAL A1272 N ILE A1269 SHEET 1 AA7 6 PHE A1286 ILE A1289 0 SHEET 2 AA7 6 ILE A1366 LEU A1369 1 O LEU A1368 N GLY A1287 SHEET 3 AA7 6 THR A1396 LEU A1399 1 O THR A1396 N LEU A1367 SHEET 4 AA7 6 ARG A1239 GLY A1244 1 N VAL A1240 O VAL A1397 SHEET 5 AA7 6 GLN A1412 GLU A1417 1 O LEU A1414 N LEU A1243 SHEET 6 AA7 6 LYS A1420 TYR A1424 -1 O ARG A1422 N VAL A1415 SHEET 1 AA8 2 GLY A1298 THR A1299 0 SHEET 2 AA8 2 VAL A1338 LEU A1339 -1 O LEU A1339 N GLY A1298 LINK OG1 THR A 465 MG MG A1501 1555 1555 1.99 LINK OE1 GLN A 493 MG MG A1501 1555 1555 2.11 LINK OG SER A1251 MG MG A1502 1555 1555 2.05 LINK OE1 GLN A1291 MG MG A1502 1555 1555 2.32 LINK MG MG A1501 O3G ATP A1503 1555 1555 2.13 LINK MG MG A1501 O2B ATP A1503 1555 1555 2.46 LINK MG MG A1502 O2B ATP A1504 1555 1555 2.22 LINK MG MG A1502 O3G ATP A1504 1555 1555 2.00 CRYST1 1.000 1.000 1.000 90.00 90.00 90.00 P 1 ORIGX1 1.000000 0.000000 0.000000 0.00000 ORIGX2 0.000000 1.000000 0.000000 0.00000 ORIGX3 0.000000 0.000000 1.000000 0.00000 SCALE1 1.000000 0.000000 0.000000 0.00000 SCALE2 0.000000 1.000000 0.000000 0.00000 SCALE3 0.000000 0.000000 1.000000 0.00000