The cystic fibrosis gene encodes a chloride channel, CFTR (cystic fibrosis
transmembrane conductance regulator), that regulates salt and water transpo
rt across epithelial tissues. Phosphorylation of the cytoplasmic regulatory
(R) domain by protein kinase A activates CFTR by an unknown mechanism. The
amino-terminal cytoplasmic tail of CFTR was found to control protein kinas
e A-dependent channel gating through a physical interaction with the R doma
in. This regulatory activity mapped to a cluster of acidic residues in the
NH2-terminal tail; mutating these residues proportionately inhibited R doma
in binding and CFTR channel function. CFTR activity appears to be governed
by an interdomain interaction involving the amino-terminal tail, which is a
potential target for physiologic and pharmacologic modulators of this ion
channel.