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Updated: Mar 8, 2026

Quantitative Structure-Activity Relationship, Activity Prediction, and Molecular Dynamics of Non-nucleotide Reverse Transcriptase Inhibitors
Published on: May 9, 2025
The nucleoside analog clitocine is a potent and efficacious readthrough agent
Westley J Friesen1, Christopher R Trotta2, Yuki Tomizawa2
1PTC Therapeutics, Inc., South Plainfield, New Jersey 07080, USA wfriesen@ptcbio.com.
Abstract:
Nonsense mutations resulting in a premature stop codon in an open reading frame occur in critical tumor suppressor genes in a large number of the most common forms of cancers and are known to cause or contribute to the progression of disease. Low molecular weight compounds that induce readthrough of nonsense mutations offer a new means of treating patients with genetic disorders or cancers resulting from nonsense mutations. We have identified the nucleoside analog clitocine as a potent and efficacious suppressor of nonsense mutations. We determined that incorporation of clitocine into RNA during transcription is a prerequisite for its readthrough activity; the presence of clitocine in the third position of a premature stop codon directly induces readthrough. We demonstrate that clitocine can induce the production of p53 protein in cells harboring p53 nonsense-mutated alleles. In these cells, clitocine restored production of full-length and functional p53 as evidenced by induced transcriptional activation of downstream p53 target genes, progression of cells into apoptosis, and impeded growth of nonsense-containing human ovarian cancer tumors in xenograft tumor models. Thus, clitocine induces readthrough of nonsense mutations by a previously undescribed mechanism and represents a novel therapeutic modality to treat cancers and genetic diseases caused by nonsense mutations.
Insights
Clitocine, a nucleoside analog, effectively suppresses nonsense mutations by inducing premature stop codon readthrough. This novel therapeutic approach restores functional protein production, offering a new treatment for cancers and genetic diseases.
Area of Science:
- Molecular Biology
- Genetics
- Pharmacology
Background:
- Nonsense mutations in tumor suppressor genes are prevalent in many cancers.
- These mutations lead to premature stop codons, contributing to disease progression.
- Readthrough-inducing compounds offer a potential therapeutic strategy.
Purpose of the Study:
- To identify and characterize compounds that can induce readthrough of nonsense mutations.
- To evaluate the therapeutic potential of clitocine in cancer treatment.
Main Methods:
- Identified clitocine as a nucleoside analog with nonsense mutation readthrough activity.
- Investigated clitocine's mechanism of action, focusing on RNA incorporation.
- Assessed clitocine's ability to restore p53 protein production and function in cancer cells.
- Evaluated clitocine's efficacy in xenograft tumor models of ovarian cancer.
Main Results:
- Clitocine incorporation into RNA during transcription is essential for readthrough.
- Clitocine directly induces readthrough when present in the third position of a premature stop codon.
- Clitocine restored full-length, functional p53 protein in cells with p53 nonsense mutations.
- This restoration led to transcriptional activation, apoptosis, and impeded tumor growth in vivo.
Conclusions:
- Clitocine represents a novel therapeutic agent for genetic disorders and cancers caused by nonsense mutations.
- It acts through a previously undescribed mechanism to induce nonsense mutation readthrough.
- Clitocine holds promise as a new treatment modality for various diseases.
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