Identification of the amino acids inserted during suppression of CFTR nonsense mutations and determination of their

Xiaojiao Xue1,2, Venkateshwar Mutyam2,3, Amita Thakerar4

  • 1Department of Biochemistry and Molecular Genetics.

Insights

Premature termination codons (PTCs) cause disease. PTC suppression therapy inserts amino acids at PTCs, but context matters. This study shows sequence context influences amino acid insertion during cystic fibrosis transmembrane conductance regulator (CFTR) W1282X PTC suppression.

Area of Science:

  • Molecular Biology
  • Genetics
  • Biochemistry

Background:

  • Premature termination codons (PTCs) represent a significant class of disease-causing mutations.
  • Nonsense suppression therapy aims to restore protein synthesis by suppressing translation termination at PTCs.
  • The identity of amino acids incorporated during PTC suppression and the influence of mRNA sequence context remain poorly understood in mammalian cells.

Purpose of the Study:

  • To investigate the amino acids inserted at the cystic fibrosis transmembrane conductance regulator (CFTR) W1282X PTC during G418-mediated suppression.
  • To determine the impact of local mRNA sequence context on amino acid incorporation at the W1282X PTC.
  • To assess the functional consequences of PTC suppression and the potential of combination therapy with CFTR modulators.

Main Methods:

  • Site-directed mutagenesis to create the CFTR W1282X PTC.
  • G418-mediated nonsense suppression in mammalian cells.
  • Analysis of amino acid incorporation at the PTC.
  • Assessment of CFTR protein maturation and activity.

Main Results:

  • Leucine, cysteine, and tryptophan were identified as the primary amino acids inserted during W1282X PTC suppression.
  • The proportions of inserted amino acids differed significantly from those observed in other CFTR PTCs, highlighting the role of sequence context.
  • Some PTC-suppressed CFTR variants showed reduced maturation and activity, but their function was enhanced by CFTR correctors and potentiators.

Conclusions:

  • Local mRNA sequence context critically influences near-cognate aminoacyl-tRNA selection during PTC suppression in mammalian cells.
  • PTC suppression therapy can generate functional CFTR variants, but protein maturation and activity are complex.
  • Combining PTC suppression with CFTR modulators may offer a promising therapeutic strategy for cystic fibrosis patients with PTCs.