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Updated: Feb 14, 2026

Engineering Oncogenic Heterozygous Gain-of-Function Mutations in Human Hematopoietic Stem and Progenitor Cells
Published on: March 10, 2023
Loss-of-function uORF mutations in human malignancies
Julia Schulz1, Nancy Mah2, Martin Neuenschwander3
1Max-Delbrueck-Center for Molecular Medicine, Robert-Roessle-Str. 10, 13125, Berlin, Germany.
Abstract:
Ribosome profiling revealed widespread translational activity at upstream open reading frames (uORFs) and validated uORF-mediated translational control as a commonly repressive mechanism of gene expression. Translational activation of proto-oncogenes through loss-of-uORF mutations has been demonstrated, yet a systematic search for cancer-associated genetic alterations in uORFs is lacking. Here, we applied a PCR-based, multiplex identifier-tagged deep sequencing approach to screen 404 uORF translation initiation sites of 83 human tyrosine kinases and 49 other proto-oncogenes in 308 human malignancies. We identified loss-of-function uORF mutations in EPHB1 in two samples derived from breast and colon cancer, and in MAP2K6 in a sample of colon adenocarcinoma. Both mutations were associated with enhanced translation, suggesting that loss-of-uORF-mediated translational induction of the downstream main protein coding sequence may have contributed to carcinogenesis. Computational analysis of whole exome sequencing datasets of 464 colon adenocarcinomas subsequently revealed another 53 non-recurrent somatic mutations functionally deleting 22 uORF initiation and 31 uORF termination codons, respectively. These data provide evidence for somatic mutations affecting uORF initiation and termination codons in human cancer. The insufficient coverage of uORF regions in current whole exome sequencing datasets demands for future genome-wide analyses to ultimately define the contribution of uORF-mediated translational deregulation in oncogenesis.
Insights
Mutations in upstream open reading frames (uORFs) can activate proto-oncogenes. This study found loss-of-function uORF mutations in human cancers, suggesting a role in oncogenesis.
Area of Science:
- Molecular Biology
- Genetics
- Oncology
Background:
- Upstream open reading frames (uORFs) regulate gene expression, often repressively.
- Loss-of-function mutations in uORFs can activate proto-oncogenes, but systematic cancer-associated uORF mutation analysis is lacking.
Purpose of the Study:
- To systematically screen for cancer-associated genetic alterations in uORFs of human tyrosine kinases and proto-oncogenes.
- To investigate the functional impact of identified uORF mutations on gene translation and their potential role in carcinogenesis.
Main Methods:
- Utilized a PCR-based, multiplex identifier-tagged deep sequencing approach to screen uORF translation initiation sites.
- Analyzed whole exome sequencing datasets to identify somatic mutations affecting uORF initiation and termination codons.
Main Results:
- Identified loss-of-function uORF mutations in EPHB1 (breast and colon cancer) and MAP2K6 (colon adenocarcinoma), associated with enhanced translation.
- Discovered 53 additional non-recurrent somatic mutations affecting uORF initiation and termination codons in colon adenocarcinomas.
- Provided evidence for somatic mutations impacting uORF initiation and termination codons in human cancer.
Conclusions:
- Loss-of-uORF mutations can lead to translational induction of downstream coding sequences, potentially contributing to cancer development.
- Somatic mutations affecting uORFs are present in human cancers, highlighting their role in oncogenesis.
- Future genome-wide analyses are needed to fully define the contribution of uORF deregulation in cancer.
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