Cystic fibrosis transmembrane regulator (CFTR) is reported to be preferenti
ally regulated by membrane-bound protein kinase A (PKAII). We tested for cl
ose physical and functional association of PKA with CFTR in inside-out memb
rane patches excised from Calu-3 cells. In the presence of MgATP, 8-(4-chlo
rophenylthio)adenosine 3',5'-cyclic monophosphate (CPT-cAMP) increased the
product of CFTR channel number and open probability (from 0.36 +/- 0.12 to
1.23 +/- 0.57, n = 20, P < 0.0025), and this stimulation was abolished by P
KI. Thus Calu-3 membrane isolated from cells retains PKA holoenzyme that is
functionally coupled to CFTR. PKAII is anchored at specific subcellular si
tes by A kinase anchoring proteins (AKAPs). Exposure of excised patches to
HT-31, a peptide that disrupts the association of PKAII and AKAPs, prevente
d CPT-cAMP stimulation of CFTR. Therefore, PKA holoenzyme in isolated membr
ane patches is bound to AKAPs. In whole cell voltage-clamp studies, intrace
llular dialysis of Calu-3 cells with HT-31 blocked the activation of CFTR b
y extracellular adenosine. These results suggest that AKAPs mediate PKA com
partmentalization with CFTR and are required for activation of CFTR by phys
iological regulators.