CFTR mRNAs with nonsense codons are degraded by the SMG6-mediated endonucleolytic decay pathway

Edward J Sanderlin1, Melissa M Keenan1, Martin Mense2

  • 1Ionis Pharmaceuticals, Inc., Carlsbad, CA, USA.

Nature Communications
|April 29, 2022
PubMed

Insights

Nonsense mutations in cystic fibrosis (CF) patients trigger mRNA decay via the nonsense-mediated decay (NMD) pathway. Inhibiting NMD enhances CFTR mRNA levels, improving readthrough therapy outcomes for CFTR-related disorders.

Area of Science:

  • Molecular Biology
  • Genetics
  • Biochemistry

Background:

  • Approximately 10% of cystic fibrosis (CF) patients have CFTR gene nonsense mutations.
  • Nonsense mutations lead to premature stop codons in CFTR mRNA, triggering nonsense-mediated decay (NMD) and rapid mRNA degradation.
  • The specific NMD pathways regulating CFTR mRNA decay remain unclear.

Purpose of the Study:

  • To investigate the NMD branches responsible for degrading CFTR mRNA containing nonsense codons.
  • To assess the impact of NMD pathway inhibition on CFTR mRNA levels and translational readthrough therapy outcomes.

Main Methods:

  • Utilized antisense oligonucleotides to target and inhibit specific NMD factors.
  • Evaluated the requirement of UPF2, UPF3, SMG6, and SMG5-SMG7 pathways in CFTR mRNA decay.
  • Assessed the efficacy of NMD inhibition in conjunction with translational readthrough therapy.

Main Results:

  • CFTR mRNAs with G542X, R1162X, and W1282X nonsense codons require UPF2 and UPF3 for NMD.
  • All evaluated nonsense codon-containing CFTR mRNAs are degraded via the SMG6-mediated endonucleolytic pathway, not SMG5-SMG7.
  • Inhibiting the NMD pathway significantly upregulates nonsense codon-containing CFTR mRNAs.

Conclusions:

  • Specific NMD factors (UPF2, UPF3) and the SMG6 pathway are crucial for CFTR nonsense mRNA decay.
  • NMD pathway inhibition is a promising strategy to enhance CFTR mRNA levels.
  • This approach improves the effectiveness of translational readthrough therapy for cystic fibrosis patients with nonsense mutations.

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