1. Emerging Personalized Opportunities for Enhancing Translational Readthrough in Rare Genetic Diseases and Beyond.
- Author
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Wagner RN, Wießner M, Friedrich A, Zandanell J, Breitenbach-Koller H, and Bauer JW
- Subjects
- Animals, Humans, Breast Neoplasms genetics, Breast Neoplasms therapy, Cystic Fibrosis genetics, Cystic Fibrosis therapy, Epidermolysis Bullosa genetics, Epidermolysis Bullosa therapy, Nephritis, Hereditary genetics, Nephritis, Hereditary therapy, Nonsense Mediated mRNA Decay, Retinitis Pigmentosa genetics, Retinitis Pigmentosa therapy, Shwachman-Diamond Syndrome genetics, Shwachman-Diamond Syndrome therapy, Peptide Chain Termination, Translational drug effects, Aminoglycosides pharmacology, Codon, Nonsense genetics, Genetic Diseases, Inborn genetics, Genetic Diseases, Inborn therapy, Peptide Chain Elongation, Translational drug effects, Precision Medicine methods, Precision Medicine trends, Rare Diseases genetics, Rare Diseases therapy, Suppression, Genetic drug effects, Suppression, Genetic genetics
- Abstract
Nonsense mutations trigger premature translation termination and often give rise to prevalent and rare genetic diseases. Consequently, the pharmacological suppression of an unscheduled stop codon represents an attractive treatment option and is of high clinical relevance. At the molecular level, the ability of the ribosome to continue translation past a stop codon is designated stop codon readthrough (SCR). SCR of disease-causing premature termination codons (PTCs) is minimal but small molecule interventions, such as treatment with aminoglycoside antibiotics, can enhance its frequency. In this review, we summarize the current understanding of translation termination (both at PTCs and at cognate stop codons) and highlight recently discovered pathways that influence its fidelity. We describe the mechanisms involved in the recognition and readthrough of PTCs and report on SCR-inducing compounds currently explored in preclinical research and clinical trials. We conclude by reviewing the ongoing attempts of personalized nonsense suppression therapy in different disease contexts, including the genetic skin condition epidermolysis bullosa.
- Published
- 2023
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