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Updated: Dec 13, 2025

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Published on: November 5, 2019
A pan-cancer analysis reveals nonstop extension mutations causing SMAD4 tumour suppressor degradation
Sonam Dhamija1,2, Chul Min Yang1, Jeanette Seiler2
1Division of Cancer Research, Department of Thoracic Surgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, German Cancer Consortium (DKTK) Partner Site Freiburg, Freiburg, Germany.
Abstract:
Nonstop or stop-loss mutations convert a stop into a sense codon, resulting in translation into the 3' untranslated region as a nonstop extension mutation to the next in-frame stop codon or as a readthrough mutation into the poly-A tail. Nonstop mutations have been characterized in hereditary diseases, but not in cancer genetics. In a pan-cancer analysis, we curated and analysed 3,412 nonstop mutations from 62 tumour entities, generating a comprehensive database at http://NonStopDB.dkfz.de. Six different nonstop extension mutations affected the tumour suppressor SMAD4, extending its carboxy terminus by 40 amino acids. These caused rapid degradation of the SMAD4 mutants via the ubiquitin-proteasome system. A hydrophobic degron signal sequence of ten amino acids within the carboxy-terminal extension was required to induce complete loss of the SMAD4 protein. Thus, we discovered that nonstop mutations can be functionally important in cancer and characterize their loss-of-function impact on the tumour suppressor SMAD4.
Insights
Nonstop mutations, previously found in hereditary diseases, are now identified as functionally important in cancer genetics. These mutations lead to the loss-of-function of tumor suppressors like SMAD4.
Area of Science:
- Genetics
- Molecular Biology
- Cancer Research
Background:
- Nonstop mutations alter gene expression by changing stop codons to sense codons, leading to protein extensions.
- While known in hereditary diseases, the role of nonstop mutations in cancer genetics remained largely unexplored.
Purpose of the Study:
- To investigate the prevalence and functional impact of nonstop mutations across various cancer types.
- To establish a comprehensive database of nonstop mutations in cancer.
Main Methods:
- A pan-cancer analysis was conducted, curating and analyzing 3,412 nonstop mutations from 62 tumor entities.
- The study generated a comprehensive database (http://NonStopDB.dkfz.de) for public access.
Main Results:
- Six distinct nonstop extension mutations were identified in the tumor suppressor SMAD4, resulting in a 40-amino acid extension of its carboxy terminus.
- These SMAD4 extensions triggered rapid degradation of the mutant proteins via the ubiquitin-proteasome system.
- A specific 10-amino acid hydrophobic degron sequence within the extension was crucial for complete SMAD4 protein loss.
Conclusions:
- Nonstop mutations can play a significant role in cancer development.
- These mutations contribute to a loss-of-function mechanism for tumor suppressors, exemplified by SMAD4.
- The findings highlight a novel mechanism of tumor suppressor inactivation in cancer genetics.
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