NMD

NMD
  • 文章类型: Journal Article
    最近对遗传稳健性的研究表明,转录适应(TA)是生物体可以通过同源基因的激活来补偿基因突变的一种机制。这里,我们发现基因突变,在淀粉样前体蛋白-b(appb)基因中引入过早终止密码子(PTC),激活了另外两个应用程序家庭成员的TA,斑马鱼中的appa和淀粉样前体样蛋白2(aplp2)。观察到的appa和aplp2的转录反应需要突变体mRNA的降解,并且不依赖于Appb蛋白水平。此外,在人神经元祖细胞(hNPC)中观察到淀粉样前体蛋白(APP)家族成员之间的TA,然而,补偿仅在早期神经元分化期间存在,并且在分化更高的神经元阶段或成年斑马鱼大脑中无法检测到。使用击倒和化学抑制,我们表明,无义介导的mRNA衰变(NMD)参与突变mRNA的降解,Upf1和Upf2,NMD途径中的关键蛋白,调节APA的内源性转录水平,appb,aplp1和aplp2总之,我们的研究结果表明,App家族成员的表达水平受NMD通路的调控,使app/APPmRNA失稳的突变可通过TA在斑马鱼和人类神经元祖细胞中诱导其他家族成员的遗传补偿.显著性陈述增加APP水平的遗传变异与阿尔茨海默病(AD)病理生理学相关。因此,理解调节APP表达水平的机制是关键的兴趣。这里,我们确定转录适应是APP家族成员可以调节同一家族中基因表达水平以补偿另一个家族基因缺失的一种机制。在引入PTC后,补偿是通过NMD途径中介导mRNA衰减的因素驱动的。有趣的是,我们的数据还表明,即使在生理条件下,NMD监测机制也是微调APP家族成员mRNA水平的重要方面。因此,我们的发现为APP成员之间的薪酬提供了见解,并揭示了可以监管APP的新目标。
    Studies on genetic robustness recently revealed transcriptional adaptation (TA) as a mechanism by which an organism can compensate for genetic mutations through activation of homologous genes. Here, we discovered that genetic mutations, introducing a premature termination codon (PTC) in the amyloid precursor protein-b (appb) gene, activated TA of two other app family members, appa and amyloid precursor-like protein-2 (aplp2), in zebrafish. The observed transcriptional response of appa and aplp2 required degradation of mutant mRNA and did not depend on Appb protein level. Furthermore, TA between amyloid precursor protein (APP) family members was observed in human neuronal progenitor cells; however, compensation was only present during early neuronal differentiation and could not be detected in a more differentiated neuronal stage or adult zebrafish brain. Using knockdown and chemical inhibition, we showed that nonsense-mediated mRNA decay (NMD) is involved in degradation of mutant mRNA and that Upf1 and Upf2, key proteins in the NMD pathway, regulate the endogenous transcript levels of appa, appb, aplp1, and aplp2 In conclusion, our results suggest that the expression level of App family members is regulated by the NMD pathway and that mutations destabilizing app/APP mRNA can induce genetic compensation by other family members through TA in both zebrafish and human neuronal progenitors.
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  • 文章类型: Journal Article
    转录后mRNA调控塑造基因表达,然而,顺式元件和mRNA翻译界面如何调节mRNA的稳定性却知之甚少。我们发现翻译启动的力量,上游开放阅读框架(uORF)内容,密码子最优性,AU丰富的元素,microRNA结合位点,和开放阅读框(ORF)长度组合功能以调节mRNA的稳定性。机器学习分析确定ORF长度是调节mRNA衰变的最重要的保守特征。我们发现Upf1绑定翻译不好和未翻译的ORF,它们与更高的衰变率有关,包括具有uORF的mRNA和终止密码子后具有暴露ORF的mRNA。我们的研究强调了Upf1在监控具有翻译不良的暴露ORF的mRNA中的融合作用,例如具有长ORF的mRNA,ORF-like3\'UTR,和含有uORF的mRNA。我们建议Upf1调节不良/未翻译的ORF提供了一种统一的监测机制,可以调节外显子连接复合物(EJC)独立的无义介导的衰变(NMD)途径中的mRNA稳定性和稳态,我们将其称为ORF介导的衰变(OMD)。
    Post-transcriptional mRNA regulation shapes gene expression, yet how cis-elements and mRNA translation interface to regulate mRNA stability is poorly understood. We find that the strength of translation initiation, upstream open reading frame (uORF) content, codon optimality, AU-rich elements, microRNA binding sites, and open reading frame (ORF) length function combinatorially to regulate mRNA stability. Machine-learning analysis identifies ORF length as the most important conserved feature regulating mRNA decay. We find that Upf1 binds poorly translated and untranslated ORFs, which are associated with a higher decay rate, including mRNAs with uORFs and those with exposed ORFs after stop codons. Our study emphasizes Upf1\'s converging role in surveilling mRNAs with exposed ORFs that are poorly translated, such as mRNAs with long ORFs, ORF-like 3\' UTRs, and mRNAs containing uORFs. We propose that Upf1 regulation of poorly/untranslated ORFs provides a unifying mechanism of surveillance in regulating mRNA stability and homeostasis in an exon-junction complex (EJC)-independent nonsense-mediated decay (NMD) pathway that we term ORF-mediated decay (OMD).
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  • 文章类型: Journal Article
    含有过早终止密码子的mRNA负责各种遗传疾病以及癌症。由于无义介导的mRNA衰变(NMD)途径,从这些异常mRNA合成的截短蛋白很少被检测到。这样的监测机制检测大多数这些异常的mRNA,并从mRNA池中迅速破坏它们。这里,我们实施了化学交联质谱(CLMS)技术来追踪NMD机制中由蛋白质-蛋白质相互作用(PPI)组成的新生物学.UPF2(无义转录物2的调节剂)之间的一组新颖的复杂网络,SMG1(丝氨酸/苏氨酸蛋白激酶SMG1),和来自NMD途径的SMG7被鉴定出来,其中UPF2被发现是SMG1和SMG7之间的连接桥。UPF2N端与SMG7形成了最多的相互作用,一组残基从MIF4G-I中出现,II,和III域与SMG1或SMG7对接。SMG1介导与UPF2初始残基的相互作用,而SMG7在该区域形成的相互作用很少。建模结构突出表明,UPF2和SMG1的PPI从定义明确的二级结构中出现,而SMG7从连接环中出现。比较癌症来源的突变对不同CLMS位点的影响揭示UPF2或SMG1的PPI中的变体具有显著的结构稳定性效应。我们的数据突出了SMG1,UPF2和SMG7基因的蛋白质-蛋白质界面,可用于潜在的治疗方法。阻断NMD途径可以增强新抗原或内部癌症疫苗的产生,这可以为设计潜在的基于肽的疫苗提供平台。
    mRNAs containing premature stop codons are responsible for various genetic diseases as well as cancers. The truncated proteins synthesized from these aberrant mRNAs are seldom detected due to the nonsense-mediated mRNA decay (NMD) pathway. Such a surveillance mechanism detects most of these aberrant mRNAs and rapidly destroys them from the pool of mRNAs. Here, we implemented chemical cross-linking mass spectrometry (CLMS) techniques to trace novel biology consisting of protein-protein interactions (PPIs) within the NMD machinery. A set of novel complex networks between UPF2 (Regulator of nonsense transcripts 2), SMG1 (Serine/threonine-protein kinase SMG1), and SMG7 from the NMD pathway were identified, among which UPF2 was found as a connection bridge between SMG1 and SMG7. The UPF2 N-terminal formed most interactions with SMG7, and a set of residues emerged from the MIF4G-I, II, and III domains docked with SMG1 or SMG7. SMG1 mediated interactions with initial residues of UPF2, whereas SMG7 formed very few interactions in this region. Modelled structures highlighted that PPIs for UPF2 and SMG1 emerged from the well-defined secondary structures, whereas SMG7 appeared from the connecting loops. Comparing the influence of cancer-derived mutations over different CLMS sites revealed that variants in the PPIs for UPF2 or SMG1 have significant structural stability effects. Our data highlights the protein-protein interface of the SMG1, UPF2, and SMG7 genes that can be used for potential therapeutic approaches. Blocking the NMD pathway could enhance the production of neoantigens or internal cancer vaccines, which could provide a platform to design potential peptide-based vaccines.
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  • 文章类型: Journal Article
    尽管被预测缺乏编码潜力,细胞质长非编码(lnc)RNA可以与核糖体结合。然而,lncRNAs翻译的景观和生物学相关性仍然缺乏研究。在酵母中,细胞质Xrn1敏感的lncRNAs(XUTs)被无义介导的mRNA衰减(NMD)靶向,这表明了一个依赖于翻译的退化过程。这里,我们报告说,XUT被普遍翻译,影响它们的衰变。我们表明,XUT在翻译延伸抑制时全局积累,但不是当初始核糖体负载受损时。Ribo-Seq证实核糖体与XUT结合,并鉴定出积极翻译的5'近端小ORF。机械上,XUT的NMD敏感性主要取决于3'非翻译区的长度。最后,我们表明,由NMD敏感的XUT报告基因翻译产生的肽存在于NMD感受态细胞中。我们的工作强调了翻译在XUT转录后代谢中的作用。我们建议XUT衍生的肽可以暴露于自然选择,而NMD限制XUT水平。
    Despite being predicted to lack coding potential, cytoplasmic long noncoding (lnc)RNAs can associate with ribosomes. However, the landscape and biological relevance of lncRNA translation remain poorly studied. In yeast, cytoplasmic Xrn1-sensitive unstable transcripts (XUTs) are targeted by nonsense-mediated mRNA decay (NMD), suggesting a translation-dependent degradation process. Here, we report that XUTs are pervasively translated, which impacts their decay. We show that XUTs globally accumulate upon translation elongation inhibition, but not when initial ribosome loading is impaired. Ribo-seq confirmed ribosomes binding to XUTs and identified ribosome-associated 5\'-proximal small ORFs. Mechanistically, the NMD-sensitivity of XUTs mainly depends on the 3\'-untranslated region length. Finally, we show that the peptide resulting from the translation of an NMD-sensitive XUT reporter exists in NMD-competent cells. Our work highlights the role of translation in the posttranscriptional metabolism of XUTs. We propose that XUT-derived peptides could be exposed to natural selection, while NMD restricts XUT levels.
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  • 文章类型: Journal Article
    背景:报道新发现的具有家族性渗出性玻璃体视网膜病变(FEVR)独特形式的TSPAN12突变,并找出TSPAN12中重复的新型内含子变异导致FEVR的可能机制。
    结果:通过基于面板的NGS检测到9个具有独特形式的FEVR的TSPAN12突变。MINI-Gene分析显示mRNA的两种剪接模式,处理两个不同的条带A和B,和突变型显示与Exon11跳跃的剪接模式的替换。野生型和突变型TSPAN12载体的构建显示过早终止密码子(PTC)的出现。体外表达检测显示,与野生型组相比,用突变载体转染的细胞中TSPAN12mRNA和蛋白质的表达水平显着下调。相反,翻译抑制剂CHX和UPF1的小干扰RNA(si-UPF1)显着增加了用突变载体转染的细胞中TSPAN12的mRNA或蛋白质表达。
    结论:在9例FEVR患者中报道了TSPAN12基因的9个突变,这些患者具有一系列独特的眼部异常。三个新的TSPAN12突变触发NMD会导致参与微纤维生物合成和组装的TSPAN12蛋白的减少,这可能会导致FEVR,并表明内含子序列分析可能是遗传咨询和产前诊断的重要工具。
    BACKGROUND: To report newly found TSPAN12 mutations with a unique form of familial exudative vitreoretinopathy (FEVR) and find out the possible mechanism of a repeated novel intronic variant in TSPAN12 led to FEVR.
    RESULTS: Nine TSPAN12 mutations with a unique form of FEVR were detected by panel-based NGS. MINI-Gene assay showed two splicing modes of mRNA that process two different bands A and B, and mutant-type shows replacement with the splicing mode of Exon11 hopping. Construction of wild-type and mutant TSPAN12 vector showed the appearance of premature termination codons (PTC). In vitro expression detection showed significant down-regulated expression level of TSPAN12 mRNAs and proteins in cells transfected with mutant vectors compared with in wild-type group. On the contrary, translation inhibitor CHX and small interfering RNA of UPF1 (si-UPF1) significantly increased mRNA or protein expression of TSPAN12 in cells transfected with the mutant vectors.
    CONCLUSIONS: Nine mutations in TSPAN12 gene are reported in 9 FEVR patients with a unique series of ocular abnormalities. The three novel TSPAN12 mutations trigger NMD would cause the decrease of TSPAN12 proteins that participate in biosynthesis and assembly of microfibers, which might lead to FEVR, and suggest that intronic sequence analysis might be a vital tool for genetic counseling and prenatal diagnoses.
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  • 文章类型: Preprint
    无义介导的mRNA衰变(NMD)是一种质量控制机制,可通过降解具有过早终止密码子(PTC)的转录物来防止有害的截短蛋白质的积累。NMD效率在许多情况下都不同,但是影响这种变异性的因素仍然知之甚少。这里,与正常终止密码子(NTC)之前的Gly密码子缺失相比,我们发现常见无义变体中PTC之前的甘氨酸(Gly)密码子富集。与丙氨酸-PTC环境相比,Gly-PTC环境具有更高的NMD活性,这种效应在具有长3个UTR的NMD底物上更强。我们使用大规模平行报告子试验来测试-2和-1密码子的所有可能组合,PTC,和+4个核苷酸,以全面评估PTC序列上下文如何影响NMD效率。随机森林分类器显示,翻译终止过程中的肽基-tRNA水解速率是区分高NMD活性和低NMD活性的最重要特征。我们通过体外生化测定表明,与其他密码子相比,Gly-TC上下文的终止率最慢。此外,Gly-PTC富集在耐受功能丧失变体的基因中最为明显,这表明Gly-PTC背景下增强的NMD塑造了PTC的演变。基于这些发现,我们认为NMD效率受肽基tRNA水解速率提供的“机会窗口”调节,因此,翻译终止动力学。
    Nonsense variants underlie many genetic diseases. The phenotypic impact of nonsense variants is determined by Nonsense-mediated mRNA decay (NMD), which degrades transcripts with premature termination codons (PTCs). NMD activity varies across transcripts and cellular contexts via poorly understood mechanisms. Here, by leveraging human genetic datasets, we uncover that the amino acid preceding the PTC dramatically affects NMD activity in human cells. We find that glycine codons in particular support high levels of NMD and are enriched before PTCs but depleted before normal termination codons (NTCs). Gly-PTC enrichment is most pronounced in human genes that tolerate loss-of-function variants. This suggests a strong biological impact for Gly-PTC in ensuring robust elimination of potentially toxic truncated proteins from non-essential genes. Biochemical assays revealed that the peptide release rate during translation termination is highly dependent on the identity of the amino acid preceding the stop codon. This release rate is the most critical feature determining NMD activity across our massively parallel reporter assays. Together, we conclude that NMD activity is significantly modulated by the \"window of opportunity\" offered by translation termination kinetics. Integrating the window of opportunity model with the existing framework of NMD would enable more accurate nonsense variant interpretation in the clinic.
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  • 文章类型: Journal Article
    基因3'末端附近的蛋白质截断变体(PTV)可能会逃脱无义介导的衰变(NMD)。NMD逃逸区(PTVess)中的PTV可引起孟德尔病,但由于它们对蛋白质功能的不同影响,因此难以解释。以前,在癫痫队列中评估PTVesc负担,但是没有大规模的分析在罕见疾病中系统地评估这些变异。我们对29,031个神经发育障碍(NDD)亲本-后代三重奏进行了回顾性分析,用于临床外显子组测序,以鉴定PTVesc新生突变(DNM)。我们鉴定了1,376个PTVescDNM和133个显著富集的基因(二项p<0.001)。富含PTVesc的基因包括先前描述的导致显性孟德尔疾病的PTVesc基因(例如,SEMA6B,PPM1D,和DAGLA)。我们注释了PTVescs的ClinVar变体,并鉴定了948个具有至少一个高置信度致病性变体的基因。22个已知的富含孟德尔PTVesc的基因没有PTVesc相关疾病的先前证据。我们发现了另外22个富含PTVesc的基因,这些基因与孟德尔疾病相关,其中一些显示在同一基因中携带PTVesc变体的个体之间的表型相似性。RAB1A中具有PTVesc突变的四个个体具有相似的表型,包括NDD和痉挛。在两个个体中发现了IRF2BP1中的PTVesc突变,每个个体在NDD中表现出严重的免疫缺陷。LDB1中PTVesc突变的三名个体均患有NDD和多种先天性异常。使用大规模,对DNM的系统分析,我们扩展了已知孟德尔疾病相关基因的突变谱,并鉴定了潜在的新疾病相关基因.
    Protein-truncating variants (PTVs) near the 3\' end of genes may escape nonsense-mediated decay (NMD). PTVs in the NMD-escape region (PTVescs) can cause Mendelian disease but are difficult to interpret given their varying impact on protein function. Previously, PTVesc burden was assessed in an epilepsy cohort, but no large-scale analysis has systematically evaluated these variants in rare disease. We performed a retrospective analysis of 29,031 neurodevelopmental disorder (NDD) parent-offspring trios referred for clinical exome sequencing to identify PTVesc de novo mutations (DNMs). We identified 1,376 PTVesc DNMs and 133 genes that were significantly enriched (binomial p < 0.001). The PTVesc-enriched genes included those with PTVescs previously described to cause dominant Mendelian disease (e.g., SEMA6B, PPM1D, and DAGLA). We annotated ClinVar variants for PTVescs and identified 948 genes with at least one high-confidence pathogenic variant. Twenty-two known Mendelian PTVesc-enriched genes had no prior evidence of PTVesc-associated disease. We found 22 additional PTVesc-enriched genes that are not well established to be associated with Mendelian disease, several of which showed phenotypic similarity between individuals harboring PTVesc variants in the same gene. Four individuals with PTVesc mutations in RAB1A had similar phenotypes including NDD and spasticity. PTVesc mutations in IRF2BP1 were found in two individuals who each had severe immunodeficiency manifesting in NDD. Three individuals with PTVesc mutations in LDB1 all had NDD and multiple congenital anomalies. Using a large-scale, systematic analysis of DNMs, we extend the mutation spectrum for known Mendelian disease-associated genes and identify potentially novel disease-associated genes.
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  • 文章类型: Journal Article
    简介:RNA序列分析可以有效地用于识别异常剪接,考虑到其功能丧失机制,肿瘤抑制基因是适当的靶标。Sanger测序是RNA序列分析最简单的方法;然而,由于其在无义介导的mRNA衰减(NMD)的情况下的敏感性不足,建议使用具有NMD抑制作用的培养标本,阻碍其广泛采用。方法:回顾性分析对潜在的抑癌基因剪接变异体进行无NMD抑制的外周血RNASanger测序的结果。对于负面情况,在成绩单中没有发现任何变化,通过对最新文献的回顾,评估了NMD导致假阴性的可能性.结果:回顾了各种抑癌基因的11种潜在剪接变体。基于通过SangerRNA测序鉴定的无效效应,将六种变体分类为致病性或可能致病性。由于鉴定的框内变化或两个等位基因的正常表达,四个变体仍然是不确定意义的变体。在回顾了最近的一项研究后,一种变体的结果被怀疑是由NMD引起的假阴性,该研究报告了相同的变体对受影响的转录物产生了无效作用。结论:尽管在大多数病例中发现的RNA变化有望通过规范规则进行NMD,大多数病例(10/11)可通过SangerRNA测序解释而无NMD抑制,这是由于NMD效率不完全或等位基因特异性表达,尽管NMD效率很高.
    Introduction: RNA sequence analysis can be effectively used to identify aberrant splicing, and tumor suppressor genes are adequate targets considering their loss-of-function mechanisms. Sanger sequencing is the simplest method for RNA sequence analysis; however, because of its insufficient sensitivity in cases with nonsense-mediated mRNA decay (NMD), the use of cultured specimens with NMD inhibition has been recommended, hindering its wide adoption. Method: The results of Sanger sequencing of peripheral blood RNA without NMD inhibition performed on potential splicing variants of tumor suppressor genes were retrospectively reviewed. For negative cases, in which no change was identified in the transcript, the possibility of false negativity caused by NMD was assessed through a review of the up-to-date literature. Results: Eleven potential splice variants of various tumor suppressor genes were reviewed. Six variants were classified as pathogenic or likely pathogenic based on the nullifying effect identified by Sanger RNA sequencing. Four variants remained as variants of uncertain significance because of identified in-frame changes or normal expression of both alleles. The result of one variant was suspected to be a false negative caused by NMD after reviewing a recent study that reported the same variant as causing a nullifying effect on the affected transcript. Conclusion: Although RNA changes found in the majority of cases were expected to undergo NMD by canonical rules, most cases (10/11) were interpretable by Sanger RNA sequencing without NMD inhibition due to incomplete NMD efficiency or allele-specific expression despite highly efficient NMD.
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  • 文章类型: Journal Article
    已知mRNA和翻译它们的机制在整个细胞质中分布不均匀。因此,一些基因的表达定位于细胞的特定部分,这使得有可能进行重要的活动,比如增长和信号,在三维空间中。然而,局部基因表达的功能尚未完全了解,并且在许多情况下尚未确定实现局部表达的潜在机制。可以帮助解决这些挑战的一个考虑因素是监测翻译核糖体的质量控制(QC)机制的作用。在全球范围内,QC通路对于检测异常翻译事件至关重要,比如翻译时停滞的核糖体,并通过激活应激途径和在分子水平上解决有问题的核糖体和mRNA来做出反应。然而,目前还不清楚这些途径是如何,即使在整个细胞中均匀活跃,影响本地翻译。重要的是,据报道,一些QC途径本身在特定细胞器附近富集,但这种局部活性的程度仍然很大程度上未知。在这里,我们描述了主要的QC途径,并回顾了已经开始探索它们在本地化翻译中的作用的研究。鉴于这方面的数据有限,我们还对QC通路如何促进细胞中局部基因表达的可能性和局限性提出了广泛的问题,目的是为未来的实验提供思路.
    It is known that mRNAs and the machinery that translates them are not uniformly distributed throughout the cytoplasm. As a result, the expression of some genes is localized to particular parts of the cell and this makes it possible to carry out important activities, such as growth and signaling, in three-dimensional space. However, the functions of localized gene expression are not fully understood, and the underlying mechanisms that enable localized expression have not been determined in many cases. One consideration that could help in addressing these challenges is the role of quality control (QC) mechanisms that monitor translating ribosomes. On a global level, QC pathways are critical for detecting aberrant translation events, such as a ribosome that stalls while translating, and responding by activating stress pathways and resolving problematic ribosomes and mRNAs at the molecular level. However, it is unclear how these pathways, even when uniformly active throughout the cell, affect local translation. Importantly, some QC pathways have themselves been reported to be enriched in the proximity of particular organelles, but the extent of such localized activity remains largely unknown. Here, we describe the major QC pathways and review studies that have begun to explore their roles in localized translation. Given the limited data in this area, we also pose broad questions about the possibilities and limitations for how QC pathways could facilitate localized gene expression in the cell with the goal of offering ideas for future experimentation.
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  • 文章类型: Journal Article
    无义介导的RNA衰变(NMD)降解携带过早终止密码子的转录本。NMD被认为可以防止有毒的截短蛋白质的合成。然而,NMD的丢失是否会导致截短蛋白的广泛产生尚不清楚.一种人类遗传病,面肩肱肌营养不良(FSHD),特征NMD在致病转录因子表达时急性抑制,DUX4.使用基于细胞的FSHD模型,我们显示了从生理NMD靶标产生截短的蛋白质,并发现RNA结合蛋白富含异常截短。一种RNA结合蛋白的NMD亚型,SRSF3,翻译产生稳定的截短的蛋白质,在FSHD患者来源的肌管中检测到。截短的SRSF3的异位表达赋予毒性,它的下调是细胞保护的。我们的结果描述了NMD损失的基因组规模影响。这种潜在有害的截短蛋白的广泛产生对FSHD生物学以及NMD被治疗性调节的其他遗传疾病具有影响。
    Nonsense-mediated RNA decay (NMD) degrades transcripts carrying premature termination codons. NMD is thought to prevent the synthesis of toxic truncated proteins. However, whether loss of NMD results in widespread production of truncated proteins is unclear. A human genetic disease, facioscapulohumeral muscular dystrophy (FSHD), features acute inhibition of NMD upon expression of the disease-causing transcription factor, DUX4. Using a cell-based model of FSHD, we show production of truncated proteins from physiological NMD targets and find that RNA-binding proteins are enriched for aberrant truncations. The NMD isoform of one RNA-binding protein, SRSF3, is translated to produce a stable truncated protein, which is detected in FSHD patient-derived myotubes. Ectopic expression of truncated SRSF3 confers toxicity, and its downregulation is cytoprotective. Our results delineate the genome-scale impact of NMD loss. This widespread production of potentially deleterious truncated proteins has implications for FSHD biology as well as other genetic diseases where NMD is therapeutically modulated.
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