The CFTR transporter functions as a:
Cystic fibrosis transmembrane conductance regulator CFTR, ABCC7, is an exceptional ABC protein that functions not as active pump but as cAMP-activated chloride channel gated by ATP. It contains two transmembrane domains each with six helices forming chloride-selective pore, two nucleotide-binding domains, and a unique cytosolic R domain with multiple PKA phosphorylation sites. Channel opening requires R domain phosphorylation by protein kinase A downstream of adenylate cyclase, followed by ATP binding and NBD dimerization stabilizing open state; ATP hydrolysis at NBD2 terminates open burst. In airway epithelium, sweat duct, pancreas and vas deferens, chloride secretion via CFTR drives water movement and keeps mucus hydrated and luminal pH regulated. Dysfunction leads to dehydrated airway surface liquid, thickened mucus, impaired mucociliary clearance, recurrent Pseudomonas infection, pancreatic insufficiency and elevated sweat chloride, hallmarks of cystic fibrosis. Its channel nature explains why modulators that improve gating rather than pumping restore function. Such detailed mechanistic insight is frequently examined in competitive tests including NEET, CUET, CSIR-NET and GATE where transporter classification, energetics and disease linkage are integrated into problem-solving questions.
Ref: Gadsby et al., Nature 2006, CFTR gating cycle; Lodish, Molecular Cell Biology, CFTR chloride channel.