Rescue of nonsense mutations by amlexanox in human cells

Sara Gonzalez-Hilarion1, Terence Beghyn, Jieshuang Jia

  • 1Université Lille Nord de France, IFR142, Lille, France.

Abstract

Insights

Amlexanox, an existing drug, can restore full-length functional protein production from nonsense-mutated genes by blocking nonsense-mediated mRNA decay (NMD). This dual action offers a potential therapeutic strategy for genetic diseases and cancers caused by these mutations.

Area of Science:

  • Molecular Biology
  • Genetics
  • Pharmacology

Background:

  • Nonsense mutations frequently cause genetic diseases and cancers.
  • Nonsense-mediated mRNA decay (NMD) often prevents protein expression from mutated genes.
  • Therapeutic strategies include NMD inhibition and nonsense mutation readthrough.

Purpose of the Study:

  • To identify molecules that inhibit nonsense-mediated mRNA decay (NMD).
  • To evaluate the effect of a selected molecule on nonsense-containing mRNA levels and protein synthesis in patient-derived cell lines.

Main Methods:

  • A screening system was employed to identify NMD-blocking molecules.
  • Three patient-derived cell lines with nonsense mutations were utilized.
  • Assays measured nonsense-containing mRNA levels and full-length protein synthesis.

Main Results:

  • Amlexanox, an established drug, was identified as an NMD inhibitor.
  • Amlexanox increased nonsense-containing mRNA levels.
  • Amlexanox efficiently induced the synthesis of functional full-length proteins from mutant mRNAs.

Conclusions:

  • Amlexanox demonstrates dual activity: increasing mutant mRNA levels and enabling functional protein production.
  • Amlexanox shows promise as a therapeutic agent for diseases stemming from nonsense mutations.