Molecular Determinants and Therapeutic Targeting of Stop Codon Readthrough in Eukaryotic Translation

Wojciech Teodorowicz1, Oliver Mühlemann2

  • 1Department of Chemistry, Biochemistry and Pharmaceutical Sciences, University of Bern, Bern, Switzerland; Graduate School for Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland.

Insights

Translational readthrough can suppress premature stop codons (PTCs) caused by genetic mutations, restoring full-length protein synthesis. This process, influenced by context, offers a therapeutic strategy for genetic diseases.

Area of Science:

  • Molecular Biology
  • Genetics
  • Biochemistry

Background:

  • Accurate translation termination is crucial for proteome integrity, involving release factors eRF1 and eRF3.
  • Premature termination codons (PTCs) lead to truncated proteins and nonsense-mediated mRNA decay (NMD), causing numerous genetic diseases.
  • Translational readthrough, decoding stop codons with near-cognate tRNAs, can bypass PTCs to restore protein synthesis.

Purpose of the Study:

  • To review the molecular determinants of stop codon recognition and readthrough efficiency.
  • To emphasize the role of nucleotide context in readthrough.
  • To discuss small molecules that promote PTC readthrough and their clinical development for genetic diseases.

Main Methods:

  • Examination of molecular mechanisms governing stop codon recognition.
  • Analysis of cis-acting sequence elements and trans-acting factors influencing readthrough.
  • Review of small molecule compounds that induce readthrough and their therapeutic potential.

Main Results:

  • Readthrough efficiency is highly context-dependent, varying across transcripts, tissues, and developmental stages.
  • Nucleotide context significantly impacts stop codon recognition and readthrough.
  • Small molecules targeting PTC readthrough are under clinical development for genetic disorders.

Conclusions:

  • Translational readthrough is a regulated biological process with therapeutic potential for genetic diseases caused by nonsense mutations.
  • Understanding the molecular determinants of readthrough, particularly nucleotide context, is key to developing effective therapies.
  • Readthrough-inducing compounds represent a promising therapeutic avenue for a range of genetic disorders.

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