A small molecule that induces translational readthrough of CFTR nonsense mutations by eRF1 depletion

Nat Commun. 2021 Jul 16;12(1):4358. doi: 10.1038/s41467-021-24575-x.

Abstract

Premature termination codons (PTCs) prevent translation of a full-length protein and trigger nonsense-mediated mRNA decay (NMD). Nonsense suppression (also termed readthrough) therapy restores protein function by selectively suppressing translation termination at PTCs. Poor efficacy of current readthrough agents prompted us to search for better compounds. An NMD-sensitive NanoLuc readthrough reporter was used to screen 771,345 compounds. Among the 180 compounds identified with readthrough activity, SRI-37240 and its more potent derivative SRI-41315, induce a prolonged pause at stop codons and suppress PTCs associated with cystic fibrosis in immortalized and primary human bronchial epithelial cells, restoring CFTR expression and function. SRI-41315 suppresses PTCs by reducing the abundance of the termination factor eRF1. SRI-41315 also potentiates aminoglycoside-mediated readthrough, leading to synergistic increases in CFTR activity. Combining readthrough agents that target distinct components of the translation machinery is a promising treatment strategy for diseases caused by PTCs.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aminoglycosides / metabolism
  • Codon, Nonsense / antagonists & inhibitors*
  • Codon, Nonsense / metabolism
  • Cystic Fibrosis Transmembrane Conductance Regulator / genetics*
  • Cystic Fibrosis Transmembrane Conductance Regulator / metabolism
  • Epithelial Cells / drug effects*
  • Epithelial Cells / metabolism
  • Genes, Reporter
  • Gentamicins / pharmacology
  • HEK293 Cells
  • Humans
  • Microsomes, Liver / drug effects
  • Nonsense Mediated mRNA Decay*
  • Peptide Chain Termination, Translational / drug effects*
  • Peptide Termination Factors / genetics
  • Peptide Termination Factors / metabolism*
  • Proteasome Endopeptidase Complex / drug effects
  • Proteasome Endopeptidase Complex / metabolism
  • RNA Interference
  • Ribosomes / metabolism
  • Structure-Activity Relationship

Substances

  • Aminoglycosides
  • CFTR protein, human
  • Codon, Nonsense
  • ETF1 protein, human
  • Gentamicins
  • Peptide Termination Factors
  • Cystic Fibrosis Transmembrane Conductance Regulator
  • antibiotic G 418
  • Proteasome Endopeptidase Complex