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Updated: Sep 25, 2025

Removal of an Internal Translational Start Site from mRNA While Retaining Expression of the Full-Length Protein
Published on: March 16, 2022
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.
Abstract:
Approximately 10% of cystic fibrosis patients harbor nonsense mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene which can generate nonsense codons in the CFTR mRNA and subsequently activate the nonsense-mediated decay (NMD) pathway resulting in rapid mRNA degradation. However, it is not known which NMD branches govern the decay of CFTR mRNAs containing nonsense codons. Here we utilize antisense oligonucleotides targeting NMD factors to evaluate the regulation of nonsense codon-containing CFTR mRNAs by the NMD pathway. We observe that CFTR mRNAs with nonsense codons G542X, R1162X, and W1282X, but not Y122X, require UPF2 and UPF3 for NMD. Furthermore, we demonstrate that all evaluated CFTR mRNAs harboring nonsense codons are degraded by the SMG6-mediated endonucleolytic pathway rather than the SMG5-SMG7-mediated exonucleolytic pathway. Finally, we show that upregulation of all evaluated CFTR mRNAs with nonsense codons by NMD pathway inhibition improves outcomes of translational readthrough therapy.
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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