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Kozak sequence libraries for systematically characterizing transgenes across expression levels
Nidhi Shukla1, Nisha D Kamath1, John C Snell1
1Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106, United States.
Nucleic Acids Research
|July 20, 2026
Summary
Researchers used the Kozak sequence to control protein levels, enabling a 100-fold expression range. This method links protein sequence, abundance, and cellular function, aiding disease gene variant analysis.
Area of Science:
- Molecular Biology
- Genetics
- Biochemistry
Background:
- Mammalian overexpression systems lack control over protein expression levels and abundance.
- Interpreting how protein sequence and expression affect cellular phenotypes is challenging.
- Systematic modulation of protein abundance is crucial for understanding gene function.
Purpose of the Study:
- To explore the translation initiation sequence (Kozak sequence) for modulating protein steady-state abundance and cellular function.
- To establish a method for linking protein sequence, expression levels, and functional outcomes.
- To identify disease-associated gene variants affecting protein expression.
Main Methods:
- Performed sort-seq on a randomized library of 4042 Kozak sequences preceding the start codon.
- Integrated a single sequence at a shared genomic site in HEK 293T cells for controlled expression.
- Quantified protein steady-state abundances across a range of Kozak sequences.
Main Results:
- Demonstrated a ~100-fold range of protein steady-state abundances by manipulating the Kozak sequence.
- Identified human germline variants with predicted expression-reducing Kozak substitutions in disease genes.
- Showcased modulation of ACE2 cell surface abundance to control SARS-like coronavirus pseudotyped particle infection rates.
Conclusions:
- The Kozak sequence serves as a powerful tool for systematically controlling protein abundance.
- This approach provides a methodological foundation for connecting protein sequence, abundance, and cellular function.
- The findings have implications for understanding disease mechanisms and developing targeted therapies.

