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    <admin composite_map="true">
        <current_status>
            <date>2026-09-16</date>
            <code>REL</code>
            <processing_site>RCSB</processing_site>
        </current_status>
        <revision_history>
            <revision version="1.0" date="2026-09-16">
                <change_list>
                    <model>
                        <revision_type>INITIAL_RELEASE</revision_type>
                        <provider>REPOSITORY</provider>
                    </model>
                    <metadata>
                        <revision_type>INITIAL_RELEASE</revision_type>
                        <provider>REPOSITORY</provider>
                    </metadata>
                </change_list>
            </revision>
        </revision_history>
        <sites>
            <deposition>RCSB</deposition>
            <last_processing>RCSB</last_processing>
        </sites>
        <key_dates>
            <deposition>2025-09-03</deposition>
            <header_release>2026-09-16</header_release>
            <map_release>2026-09-16</map_release>
            <update>2026-09-16</update>
        </key_dates>
        <grant_support>
            <grant_reference>
                <funding_body>Cystic Fibrosis Foundation</funding_body>
                <code>HUNT13XX0, HUNT18G0, HUNT20G0, 004400G222-Hunt, 007997G224-Hunt, FRANK16XX0, FRANK18G0</code>
                <country>United States</country>
            </grant_reference>
        </grant_support>
        <title>V-shaped (channel-formed), ATP-bound, VX809-bound conformation of wild-type human CFTR (composite map from PHENIX based on consensus and local refinement maps from cryoSPARC)</title>
        <authors_list>
            <author ORCID="0000-0003-0034-5167">Hunt JF</author>
            <author ORCID="0000-0002-6372-604X">Paige AS</author>
            <author ORCID="0009-0000-9706-3419">Baranwal J</author>
            <author ORCID="0009-0008-7521-451X">Cohen BM</author>
            <author ORCID="0000-0002-3081-3294">Goldberg PM</author>
            <author ORCID="0009-0008-7430-3043">Wang C</author>
            <author ORCID="0000-0002-7586-2815">Loughlin BJ</author>
            <author ORCID="0000-0002-8981-9105">Kappes JC</author>
            <author ORCID="0000-0001-7015-1232">Yang Z</author>
            <author ORCID="0000-0003-3218-3262">Jiang F</author>
            <author ORCID="0009-0003-7490-9946">Govaerts C</author>
            <author ORCID="0000-0003-1439-7259">Overtus M</author>
            <author>Rich Z</author>
        </authors_list>
        <keywords>cystic fibrosis, CFTR, nanobody, protein folding, MEMBRANE PROTEIN</keywords>
    </admin>
    <crossreferences>
        <citation_list>
            <primary_citation>
                <journal_citation published="false">
                    <author ORCID="0000-0003-0034-5167" order="1">Hunt JF</author>
                    <author ORCID="0000-0002-6372-604X" order="2">Paige AS</author>
                    <author ORCID="0000-0002-1018-9893" order="3">Baranwal J</author>
                    <author ORCID="0009-0000-9706-3419" order="4">Cohen BM</author>
                    <author ORCID="0009-0008-7521-451X" order="5">Goldberg PM</author>
                    <author ORCID="0000-0002-3081-3294" order="6">Wang C</author>
                    <author ORCID="0009-0008-7430-3043" order="7">Loughlin BJ</author>
                    <author ORCID="0000-0002-7586-2815" order="8">Kappes JC</author>
                    <author ORCID="0000-0002-8981-9105" order="9">Yang Z</author>
                    <author ORCID="0000-0001-7015-1232" order="10">Jiang F</author>
                    <author ORCID="0000-0003-3218-3262" order="11">Govaerts C</author>
                    <author ORCID="0009-0003-7490-9946" order="12">Overtus M</author>
                    <author ORCID="0000-0003-1439-7259" order="13">Rich Z</author>
                    <title>Nanobody-Driven Stabilization Synergistically Rescues F508del-CFTR
and Reveals an Alternative Active State of the Channel</title>
                    <journal_abbreviation>To Be Published</journal_abbreviation>
                    <external_references type="CSD">0353</external_references>
                </journal_citation>
            </primary_citation>
        </citation_list>
        <emdb_list>
            <emdb_reference>
                <emdb_id>EMD-72496</emdb_id>
                <relationship>
                    <other>consensus EM volume</other>
                </relationship>
                <details>Consensus</details>
            </emdb_reference>
            <emdb_reference>
                <emdb_id>EMD-72495</emdb_id>
                <relationship>
                    <other>focused EM volume</other>
                </relationship>
                <details>CORE1</details>
            </emdb_reference>
            <emdb_reference>
                <emdb_id>EMD-72493</emdb_id>
                <relationship>
                    <other>focused EM volume</other>
                </relationship>
                <details>CORE2</details>
            </emdb_reference>
            <emdb_reference>
                <emdb_id>EMD-72356</emdb_id>
                <relationship>
                    <other>focused EM volume</other>
                </relationship>
                <details>AHD1</details>
            </emdb_reference>
            <emdb_reference>
                <emdb_id>EMD-72492</emdb_id>
                <relationship>
                    <other>focused EM volume</other>
                </relationship>
                <details>AHD2</details>
            </emdb_reference>
            <emdb_reference>
                <emdb_id>EMD-72494</emdb_id>
                <relationship>
                    <other>focused EM volume</other>
                </relationship>
                <details>WalkerB1</details>
            </emdb_reference>
            <emdb_reference>
                <emdb_id>EMD-72491</emdb_id>
                <relationship>
                    <other>focused EM volume</other>
                </relationship>
                <details>WalkerB2</details>
            </emdb_reference>
            <emdb_reference>
                <emdb_id>EMD-77407</emdb_id>
                <relationship>
                    <other>focused EM volume</other>
                </relationship>
                <details>NBD1</details>
            </emdb_reference>
            <emdb_reference>
                <emdb_id>EMD-77409</emdb_id>
                <relationship>
                    <other>focused EM volume</other>
                </relationship>
                <details>NBD2</details>
            </emdb_reference>
        </emdb_list>
        <pdb_list>
            <pdb_reference>
                <pdb_id>9y4t</pdb_id>
                <relationship>
                    <in_frame>FULLOVERLAP</in_frame>
                </relationship>
            </pdb_reference>
        </pdb_list>
        <other_db_list>
            <db_reference>
                <db_name>EMDB</db_name>
                <accession_id>EMD-72496</accession_id>
                <content_type>consensus EM volume</content_type>
                <details>Consensus</details>
            </db_reference>
            <db_reference>
                <db_name>EMDB</db_name>
                <accession_id>EMD-72495</accession_id>
                <content_type>focused EM volume</content_type>
                <details>CORE1</details>
            </db_reference>
            <db_reference>
                <db_name>EMDB</db_name>
                <accession_id>EMD-72493</accession_id>
                <content_type>focused EM volume</content_type>
                <details>CORE2</details>
            </db_reference>
            <db_reference>
                <db_name>EMDB</db_name>
                <accession_id>EMD-72356</accession_id>
                <content_type>focused EM volume</content_type>
                <details>AHD1</details>
            </db_reference>
            <db_reference>
                <db_name>EMDB</db_name>
                <accession_id>EMD-72492</accession_id>
                <content_type>focused EM volume</content_type>
                <details>AHD2</details>
            </db_reference>
            <db_reference>
                <db_name>EMDB</db_name>
                <accession_id>EMD-72494</accession_id>
                <content_type>focused EM volume</content_type>
                <details>WalkerB1</details>
            </db_reference>
            <db_reference>
                <db_name>EMDB</db_name>
                <accession_id>EMD-72491</accession_id>
                <content_type>focused EM volume</content_type>
                <details>WalkerB2</details>
            </db_reference>
            <db_reference>
                <db_name>EMDB</db_name>
                <accession_id>EMD-72497</accession_id>
                <content_type>associated EM volume</content_type>
                <details>V-shaped (channel-formed), ATP-bound, VX809-bound conformation of wild-type human CFTR (composite map from PHENIX based on consensus and local refinement maps from cryoSPARC)</details>
            </db_reference>
            <db_reference>
                <db_name>EMDB</db_name>
                <accession_id>EMD-77407</accession_id>
                <content_type>focused EM volume</content_type>
                <details>NBD1</details>
            </db_reference>
            <db_reference>
                <db_name>EMDB</db_name>
                <accession_id>EMD-77409</accession_id>
                <content_type>focused EM volume</content_type>
                <details>NBD2</details>
            </db_reference>
        </other_db_list>
    </crossreferences>
    <sample>
        <name>Wild-type human CFTR solubilized in digitonin and cholesterol-hemisuccinate in the presence of 2 mM MgATP</name>
        <supramolecule_list>
            <complex_supramolecule supramolecule_id="1">
                <name>Wild-type human CFTR solubilized in digitonin and cholesterol-hemisuccinate in the presence of 2 mM MgATP</name>
                <parent>0</parent>
                <macromolecule_list>
                    <macromolecule>
                        <macromolecule_id>1</macromolecule_id>
                    </macromolecule>
                </macromolecule_list>
                <molecular_weight>
                    <theoretical units="MDa">0.1725</theoretical>
                </molecular_weight>
            </complex_supramolecule>
            <organelle_or_cellular_component_supramolecule supramolecule_id="2">
                <name>Wild type human Cystic Fibrosis Transmembrane Conductance Regulator (hCFTR)</name>
                <parent>1</parent>
                <macromolecule_list>
                    <macromolecule>
                        <macromolecule_id>1</macromolecule_id>
                    </macromolecule>
                </macromolecule_list>
                <natural_source database="NCBI">
                    <organism ncbi="9606">Homo sapiens</organism>
                </natural_source>
            </organelle_or_cellular_component_supramolecule>
        </supramolecule_list>
        <macromolecule_list>
            <protein_or_peptide macromolecule_id="1">
                <name>Cystic fibrosis transmembrane conductance regulator</name>
                <natural_source database="NCBI">
                    <organism ncbi="9606">Homo sapiens</organism>
                </natural_source>
                <molecular_weight>
                    <theoretical units="MDa">0.17273498399999998</theoretical>
                </molecular_weight>
                <details>The sequence assignment for residues 637-640, which was guided by an AlphaFold3 model, is tentative. The lipid model is based on inspection of density features exceeding the size of a water molecule at a 6.0 sigma contour level, which were modeled using the map at approximately a 4.5 sigma contour level. All those chemical and chemical fragment assignments are hypotheses guided by inspection of the density and the chemical environment, and none of them are supported by definitive evidence. The residue numbers of the modeled lipids are coded to indicate the confidence level of the chemical assignment and the extent of conservation between models for different hCFTR conformations. Residue numbers in the 4000, 5000, and 6000 series correspond to higher, lower, and lowest levels of confidence in the chemical assignments. Residue numbers in each of those series ending 1-299 designate sites at which binding of an equivalent lipid species is conserved in the model for at least one additional hCFTR conformation, while those ending 301-599 designate sites at which a different lipid species is bound in at least one additional hCFTR conformation. Residue numbers ending 601-899 designate sites not occupied by a lipid species in any other hCFTR conformations structurally characterized to date. Digitonin molecule L5001 is bound in a site at the C-terminus of NBD1 previously demonstrated to interact with hydrophobic drugs in a solution NMR study of the isolated domain (Hudson et al., 2017, Mol. Pharmacol. 92:124). This tentative assignment is supported by the observation of convincing density for digitonin at the same site in NBD-associated hCFTR structures, although the density in this structure, which exceeds the size of a water molecule at 6.5 sigma contour level, only approximately matches digitonin. All density features exceeding the size of a water molecule at a 6.0 sigma contour level have been modeled except for thirteen features proximal to the Alpha Helical Subdomains in NBD1 and NBD2 and the C-terminus of NBD1; these features exceed the size of a water molecule at contour levels from 6.0-8.5 sigma. The features proximal to the C-terminus of NBD1 likely represents residual density from partially ordered conformations of residues 641-668 at the N-terminus of the R Region. This inference is based on the observation that filtering the map to low resolution shows continuous density at this site that matches the shape of an alpha-helical hairpin formed by this protein segment in AlphaFold3 models. The features proximal to the Alpha Helical Subdomains in NBD1 and NBD2 seem likely to represent a combination of residual density from other disordered segments of hCFTR and noise from the local refinement algorithm used to generate the final composite map used for modeling.</details>
                <number_of_copies>1</number_of_copies>
                <recombinant_expression database="NCBI">
                    <recombinant_organism ncbi="10029">Cricetulus griseus</recombinant_organism>
                </recombinant_expression>
                <enantiomer>LEVO</enantiomer>
                <sequence>
                    <string>MQRSPLEKASVVSKLFFSWTRPILRKGYRQRLELSDIYQIPSVDSADNLSEKLEREWDRELASKKNPKLINALRRCFFWR
FMFYGIFLYLGEVTKAVQPLLLGRIIASYDPDNKEERSIAIYLGIGLCLLFIVRTLLLHPAIFGLHHIGMQMRIAMFSLI
YKKTLKLSSRVLDKISIGQLVSLLSNNLNKFDEGLALAHFVWIAPLQVALLMGLIWELLQASAFCGLGFLIVLALFQAGL
GRMMMKYRDQRAGKISERLVITSEMIENIQSVKAYCWEEAMEKMIENLRQTELKLTRKAAYVRYFNSSAFFFSGFFVVFL
SVLPYALIKGIILRKIFTTISFCIVLRMAVTRQFPWAVQTWYDSLGAINKIQDFLQKQEYKTLEYNLTTTEVVMENVTAF
WEEGFGELFEKAKQNNNNRKTSNGDDSLFFSNFSLLGTPVLKDINFKIERGQLLAVAGSTGAGKTSLLMMIMGELEPSEG
KIKHSGRISFCSQFSWIMPGTIKENIIFGVSYDEYRYRSVIKACQLEEDISKFAEKDNIVLGEGGITLSGGQRARISLAR
AVYKDADLYLLDSPFGYLDVLTEKEIFESCVCKLMANKTRILVTSKMEHLKKADKILILHEGSSYFYGTFSELQNLQPDF
SSKLMGCDSFDQFSAERRNSILTETLHRFSLEGDAPVSWTETKKQSFKQTGEFGEKRKNSILNPINSIRKFSIVQKTPLQ
MNGIEEDSDEPLERRLSLVPDSEQGEAILPRISVISTGPTLQARRRQSVLNLMTHSVNQGQNIHRKTTASTRKVSLAPQA
NLTELDIYSRRLSQETGLEISEEINEEDLKECFFDDMESIPAVTTWNTYLRYITVHKSLIFVLIWCLVIFLAEVAASLVV
LWLLGNTPLQDKGNSTHSRNNSYAVIITSTSSYYVFYIYVGVADTLLAMGFFRGLPLVHTLITVSKILHHKMLHSVLQAP
MSTLNTLKAGGILNRFSKDIAILDDLLPLTIFDFIQLLLIVIGAIAVVAVLQPYIFVATVPVIVAFIMLRAYFLQTSQQL
KQLESEGRSPIFTHLVTSLKGLWTLRAFGRQPYFETLFHKALNLHTANWFLYLSTLRWFQMRIEMIFVIFFIAVTFISIL
TTGEGEGRVGIILTLAMNIMSTLQWAVNSSIDVDSLMRSVSRVFKFIDMPTEGKPTKSTKPYKNGQLSKVMIIENSHVKK
DDIWPSGGQMTVKDLTAKYTEGGNAILENISFSISPGQRVGLLGRTGSGKSTLLSAFLRLLNTEGEIQIDGVSWDSITLQ
QWRKAFGVIPQKVFIFSGTFRKNLDPYEQWSDQEIWKVADEVGLRSVIEQFPGKLDFVLVDGGCVLSHGHKQLMCLARSV
LSKAKILLLDEPSAHLDPVTYQIIRRTLKQAFADCTVILCEHRIEAMLECQQFLVIEENKVRQYDSIQKLLNERSLFRQA
ISPSDRVKLFPHRNSSKCKSKPQIAALKEETEEEVQDTRLLEENLYFQGGGGSGGSWSHPQFEKAAAGGGSGGGSWSHPQ
FEK</string>
                    <external_references type="UNIPROTKB">P13569</external_references>
                </sequence>
                <ec_number>5.6.1.6</ec_number>
            </protein_or_peptide>
            <ligand macromolecule_id="2">
                <name>Digitonin</name>
                <natural_source database="NCBI">
                    <organism ncbi="9606">Homo sapiens</organism>
                </natural_source>
                <molecular_weight>
                    <theoretical units="MDa">0.0012293119999999998</theoretical>
                </molecular_weight>
                <details>The lipid model is based on inspection of density features in the transmembrane region exceeding the size of a water molecule at a 5.5 sigma contour level, which were modeled using the map at a 4.0 sigma contour level. The chemical and chemical fragment assignments at these sites are hypotheses guided by inspection of the density and the chemical environment. These assignments are not supported by any other experimental evidence, and they should all be considered placeholders for significant density features. Modeled lipids and lipid fragments were given residue numbers encoding to the confidence level of the chemical assignment (5000 series for high, 6000 series for medium, and 7000 series for low). A putative digitonin molecule modeled as residue 8001 is located in an extramembranous cavity on the surface of NBD1 that was previously shown by NMR to interact with hydrophobic drugs (https://pubmed.ncbi.nlm.nih.gov/28546419/). This prominent density feature was modeled because a similar feature is generally observed at the same site in maps for other conformations of human CFTR that have well-defined density for NBD1. Five smaller density features proximal to the surfaces of the NBDs that exceeded the 5.5 sigma threshold were not modeled because similar features are not observed in other conformations, and they likely represent noise in the local refinements of the subdomains of the NBDs that were used to generate the composite map used for modeling. A density feature proximal to the protein surface modeled as peptide chain P seems likely to represent a segment of the disordered glycosylated extracellular surface loop spanning residues 887-910.</details>
                <number_of_copies>2</number_of_copies>
                <formula>AJP</formula>
            </ligand>
            <ligand macromolecule_id="3">
                <name>CHOLESTEROL</name>
                <molecular_weight>
                    <theoretical units="MDa">0.000386654</theoretical>
                </molecular_weight>
                <number_of_copies>10</number_of_copies>
                <formula>CLR</formula>
            </ligand>
            <ligand macromolecule_id="4">
                <name>O-[(R)-{[(2R)-2,3-bis(octadecanoyloxy)propyl]oxy}(hydroxy)phosphoryl]-L-serine</name>
                <molecular_weight>
                    <theoretical units="MDa">0.000792075</theoretical>
                </molecular_weight>
                <number_of_copies>2</number_of_copies>
                <formula>P5S</formula>
            </ligand>
            <ligand macromolecule_id="5">
                <name>PHOSPHATIDYLETHANOLAMINE</name>
                <molecular_weight>
                    <theoretical units="MDa">0.0007340389999999999</theoretical>
                </molecular_weight>
                <number_of_copies>2</number_of_copies>
                <formula>PTY</formula>
            </ligand>
            <ligand macromolecule_id="6">
                <name>OLEIC ACID</name>
                <molecular_weight>
                    <theoretical units="MDa">0.000282461</theoretical>
                </molecular_weight>
                <number_of_copies>1</number_of_copies>
                <formula>OLA</formula>
            </ligand>
            <ligand macromolecule_id="7">
                <name>PENTADECANE</name>
                <molecular_weight>
                    <theoretical units="MDa">0.00021241499999999998</theoretical>
                </molecular_weight>
                <number_of_copies>1</number_of_copies>
                <formula>MYS</formula>
            </ligand>
            <ligand macromolecule_id="8">
                <name>PALMITIC ACID</name>
                <molecular_weight>
                    <theoretical units="MDa">0.00025642399999999994</theoretical>
                </molecular_weight>
                <number_of_copies>1</number_of_copies>
                <formula>PLM</formula>
            </ligand>
            <ligand macromolecule_id="9">
                <name>DODECANE</name>
                <molecular_weight>
                    <theoretical units="MDa">0.000170335</theoretical>
                </molecular_weight>
                <number_of_copies>2</number_of_copies>
                <formula>D12</formula>
            </ligand>
            <ligand macromolecule_id="10">
                <name>1-PALMITOYL-2-LINOLEOYL-SN-GLYCERO-3-PHOSPHOCHOLINE</name>
                <molecular_weight>
                    <theoretical units="MDa">0.00075806</theoretical>
                </molecular_weight>
                <number_of_copies>1</number_of_copies>
                <formula>CPL</formula>
            </ligand>
            <ligand macromolecule_id="11">
                <name>N-OCTANE</name>
                <molecular_weight>
                    <theoretical units="MDa">0.000114229</theoretical>
                </molecular_weight>
                <number_of_copies>1</number_of_copies>
                <formula>OCT</formula>
            </ligand>
            <ligand macromolecule_id="12">
                <name>HEXANE</name>
                <molecular_weight>
                    <theoretical units="MDa">8.6175e-05</theoretical>
                </molecular_weight>
                <number_of_copies>1</number_of_copies>
                <formula>HEX</formula>
            </ligand>
            <ligand macromolecule_id="13">
                <name>ADENOSINE-5'-TRIPHOSPHATE</name>
                <molecular_weight>
                    <theoretical units="MDa">0.000507181</theoretical>
                </molecular_weight>
                <number_of_copies>2</number_of_copies>
                <formula>ATP</formula>
            </ligand>
            <ligand macromolecule_id="14">
                <name>MAGNESIUM ION</name>
                <molecular_weight>
                    <theoretical units="MDa">2.4305e-05</theoretical>
                </molecular_weight>
                <number_of_copies>2</number_of_copies>
                <formula>MG</formula>
            </ligand>
            <ligand macromolecule_id="15">
                <name>Lumacaftor</name>
                <molecular_weight>
                    <theoretical units="MDa">0.00045240699999999994</theoretical>
                </molecular_weight>
                <number_of_copies>1</number_of_copies>
                <formula>VX8</formula>
            </ligand>
        </macromolecule_list>
    </sample>
    <structure_determination_list>
        <structure_determination structure_determination_id="1">
            <method>singleParticle</method>
            <aggregation_state>particle</aggregation_state>
            <specimen_preparation_list>
                <single_particle_preparation preparation_id="1">
                    <concentration units="mg/mL">1.5</concentration>
                    <buffer>
                        <ph>7.5</ph>
                        <component>
                            <concentration units="mM">200.0</concentration>
                            <formula>NaCl</formula>
                            <name>Sodium Chloride</name>
                        </component>
                        <component>
                            <concentration units="mM">3.0</concentration>
                            <formula>MgCl2</formula>
                            <name>Magnesium Chloride</name>
                        </component>
                        <component>
                            <concentration units="mM">50.0</concentration>
                            <formula>C4H11NO3</formula>
                            <name>Tris buffer</name>
                        </component>
                        <component>
                            <concentration units="% (w/v)">0.06</concentration>
                            <formula>C56H92O29</formula>
                            <name>Digitonin</name>
                        </component>
                        <component>
                            <concentration units="mM">2.0</concentration>
                            <formula>C10H16N5O13P3</formula>
                            <name>ATP</name>
                        </component>
                    </buffer>
                    <grid>
                        <model>Quantifoil R0.6/1</model>
                        <material>GOLD</material>
                        <mesh>300</mesh>
                        <support_film film_type_id="1">
                            <film_material>GOLD</film_material>
                            <film_topology>HOLEY</film_topology>
                            <film_thickness>50.0</film_thickness>
                        </support_film>
                        <pretreatment>
                            <type>PLASMA CLEANING</type>
                            <time units="s">25</time>
                            <atmosphere>OTHER</atmosphere>
                        </pretreatment>
                        <details>The grid was treated in a Solarus Plasma Cleaner 950 (Gatan Inc., USA) for 25 sec with O2/H2 flow-rates of 27.5/6.4 sccm and 15 W cleaning power.</details>
                    </grid>
                    <vitrification>
                        <cryogen_name>ETHANE</cryogen_name>
                        <chamber_humidity units="percentage">100</chamber_humidity>
                        <chamber_temperature units="K">277</chamber_temperature>
                        <instrument>FEI VITROBOT MARK IV</instrument>
                    </vitrification>
                </single_particle_preparation>
            </specimen_preparation_list>
            <microscopy_list>
                <single_particle_microscopy microscopy_id="1">
                    <microscope>TFS KRIOS</microscope>
                    <illumination_mode>FLOOD BEAM</illumination_mode>
                    <imaging_mode>BRIGHT FIELD</imaging_mode>
                    <electron_source>FIELD EMISSION GUN</electron_source>
                    <acceleration_voltage units="kV">300</acceleration_voltage>
                    <c2_aperture_diameter units="µm">100.0</c2_aperture_diameter>
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