The ribosome is a ribonucleoprotein complex that translates messenger RNA (mRNA) sequences into polypeptide chains. Ribosome biogenesis is a highly complex process with a pivotal role in many cellular processes, including proliferation, differentiation, apoptosis, development, and malignant transformation. Nonsense mutation introduces premature termination codons (PTCs), resulting in early termination of translation and synthesis of truncated proteins. Readthrough therapy aims to enhance suppression and consequently restore the production of full-length proteins. This approach has yielded considerable success over the years and has shown promising outcomes in many disorders associated with nonsense mutations; however, applying this approach to treat skin diseases remains challenging. This review summarizes current investigations on nonsense suppression strategies pertaining to epidermolysis bullosa. We focus on aminoglycosides that induce PTC readthrough, the small molecule PTC124 (ataluren), and inhibitors of nonsense-mediated mRNA decay. We also examine some emerging compounds that target the translational machinery and may become relevant for future nonsense mutation suppression therapy.
REFERENCES(107)
1.
Abbas W, Kumar A, Herbein G. 2015. The eEF1A proteins: at the crossroads of oncogenesis, apoptosis, and viral infections. Front Oncol. 5: 75. https://doi.org/10.3389/fonc.2....
Advani VM, Dinman JD. 2016. Reprogramming the genetic code: the emerging role of ribosomal frameshifting in regulating cellular gene expression. BioEssays News Rev Mol Cell Dev Biol. 38: 21–26. https://doi.org/10.1002/bies.2....
Atanasova VS, Jiang Q, Prisco M, Gruber C, Piñón Hofbauer J, Chen M, Has C, Bruckner-Tuderman L, McGrath JA, Uitto J, South AP. 2017. Amlexanox enhances premature termination codon read-through in COL7A1 and expression of full length type VII collagen: potential therapy for recessive dystrophic epidermolysis bullosa. J Invest Dermatol. 137: 1842–1849. https://doi.org/10.1016/j.jid.....
Baradaran-Heravi A, Niesser J, Balgi AD, Choi K, Zimmerman C, South AP, Anderson HJ, Strynadka NC, Bally MB, Roberge M. 2017. Gentamicin B1 is a minor gentamicin component with major nonsense mutation suppression activity. Proc Natl Acad Sci U S A 114: 3479–3484. https://doi.org/10.1073/pnas.1....
Bordeleau ME, Matthews J, Wojnar JM, Lindqvist L, Novac O, Jankowsky E, Sonenberg N, Northcote P, Teesdale-Spittle P, Pelletier J. 2005. Stimulation of mammalian translation initiation factor eIF4A activity by a small molecule inhibitor of eukaryotic translation. Proc Natl Acad Sci U S A 102: 10460–10465. https://doi.org/10.1073/pnas.0....
Campofelice A, Lentini L, Di Leonardo A, Melfi R, Tutone M, Pace A, Pibiri I. 2019. Strategies against nonsense: oxadiazoles as translational readthrough-inducing drugs (TRIDs). Int J Mol Sci. 20: 3329. https://doi.org/10.3390/ijms20....
Carelli JD, Sethofer SG, Smith GA, Miller HR, Simard JL, Merrick WC, Jain RK, Ross NT, Taunton J. 2015. Ternatin and improved synthetic variants kill cancer cells by targeting the elongation factor-1A ternary complex. eLife 4: e10222. https://doi.org/10.7554/eLife.....
Chamorro C, Mencía A, Almarza D, Duarte B, Büning H, Sallach J, Hausser I, Del Río M, Larcher F, Murillas R. 2016. Gene editing for the efficient correction of a recurrent COL7A1 mutation in recessive dystrophic epidermolysis bullosa keratinocytes. Mol Ther Nucleic Acids. 5: e307. https://doi.org/10.1038/mtna.2....
Cogan J, Weinstein J, Wang X, Hou Y, Martin S, South AP, Woodley DT, Chen M. 2014. Aminoglycosides restore full-length type VII collagen by overcoming premature termination codons: therapeutic implications for dystrophic epidermolysis bullosa. Mol Ther J Am Soc Gene Ther. 22: 1741–1752. https://doi.org/10.1038/mt.201....
Dabrowski M, Bukowy-Bieryllo Z, Zietkiewicz E. 2018. Advan-ces in therapeutic use of a drug-stimulated translational readthrough of premature termination codons. Mol Med. 24: 25. https://doi.org/10.1186/s10020....
Dong HJ, Wang ZH, Meng W, Li CC, Hu YX, Zhou L, Wang XJ. 2018. The natural compound homoharringtonine presents broad antiviral activity in vitro and in vivo. Viruses 10: 601. https://doi.org/10.3390/v10110....
Fan A, Sharp PP. 2021. Inhibitors of eukaryotic translational machinery as therapeutic agents. J Med Chem. 64: 2436–2465. https://doi.org/10.1021/acs.jm....
Floquet C, Hatin I, Rousset JP, Bidou L. 2012. Statistical analysis of readthrough levels for nonsense mutations in mammalian cells reveals a major determinant of response to gentamicin. PLoS Genet. 8: e1002608. https://doi.org/10.1371/journa....
Friesen WJ, Johnson B, Sierra J, Zhuo J, Vazirani P, Xue X, Tomizawa Y, Baiazitov R, Morrill C, Ren H, et al. 2018. The minor gentamicin complex component, X2, is a potent premature stop codon readthrough molecule with therapeutic potential. PLoS One. 13: e0206158. https://doi.org/10.1371/journa....
Gandhi V, Plunkett W, Cortes JE, 2014. Omacetaxine: a protein translation inhibitor for treatment of chronic myelogenous leukemia. Clin Cancer Res. 20: 1735–1740. https://doi.org/10.1158/1078-0....
Garreau de Loubresse N, Prokhorova I, Holtkamp W, Rodnina MV, Yusupova G, Yusupov M. 2014. Structural basis for the inhibition of the eukaryotic ribosome. Nature 513: 517–522. https://doi.org/10.1038/nature....
Gerson-Gurwitz A, Young NP, Goel VK, Eam B, Stumpf CR, Chen J, Fish S, Barrera M, Sung E, Staunton J, Chiang GG, Webster KR, Thompson PA, 2021. Zotatifin, an eIF4A-selective inhibitor, blocks tumor growth in receptor tyrosine kinase driven tumors. Front Oncol. 11: 766298. https://doi.org/10.3389/fonc.2....
Gilles A, Frechin L, Natchiar K, Biondani G, Loeffelholz O, von Holvec S, Malaval JL, Winum JY, Klaholz BP, Peyron JF. 2020. Targeting the human 80S ribosome in cancer: from structure to function and drug design for innovative adjuvant therapeutic strategies. Cells 9: 629. https://doi.org/10.3390/cells9....
Goldmann T, Overlack N, Möller F, Belakhov V, Van Wyk M, Baasov T, Wolfrum U, Nagel-Wolfrum K, 2012. A comparative evaluation of NB30, NB54 and PTC124 in translational read-through efficacy for treatment of an USH1C nonsense mutation. EMBO Mol Med. 4: 1186–1199. https://doi.org/10.1002/emmm.2....
Gürel G, Blaha G, Steitz TA, Moore PB. 2009. Structures of triacetyloleandomycin and mycalamide A bind to the large ribosomal subunit of Haloarcula marismortui. Antimicrob Agents Chemother. 53: 5010–5014. https://doi.org/10.1128/AAC.00....
Hainrichson M, Nudelman I, Baasov T. 2008. Designer aminoglycosides: the race to develop improved antibiotics and compounds for the treatment of human genetic diseases. Org Biomol Chem. 6: 227–239. https://doi.org/10.1039/b71269....
Hammersen J, Has C, Naumann-Bartsch N, Stachel D, Kiritsi D, Söder S, Tardieu M, Metzler M, Bruckner-Tuderman L, Schneider H. 2016. Genotype, clinical course, and therapeutic decision making in 76 infants with severe generalized junctional epidermolysis bullosa. J Invest Dermatol. 136: 2150–2157. https://doi.org/10.1016/j.jid.....
Has C, Bauer JW, Bodemer C, Bolling MC, Bruckner-Tuderman L, Diem A, Fine JD, Heagerty A, Hovnanian A, Marinkovich MP, et al. 2020. Consensus reclassification of inherited epidermolysis bullosa and other disorders with skin fragility. Br J Dermatol. 183: 614–627. https://doi.org/10.1111/bjd.18....
Hirawat S, Welch EM, Elfring GL, Northcutt VJ, Paushkin S, Hwang S, Leonard EM, Almstead NG, Ju W, Peltz SW, Miller LL. 2007. Safety, tolerability, and pharmacokinetics of PTC124, a nonaminoglycoside nonsense mutation suppressor, following single- and multiple-dose administration to healthy male and female adult volunteers. J Clin Pharmacol. 47: 430–444. https://doi.org/10.1177/009127....
Hoffmann H, Kogler H, Heyse W, Matter H, Caspers M, Schummer D, Klemke-Jahn C, Bauer A, Penarier G, Debussche L, Brönstrup M. 2015. Discovery, structure elucidation, and biological characterization of nannocystin A, a macrocyclic myxobacterial metabolite with potent antiproliferative properties. Angew Chem Int Ed Engl. 54: 10145–10148. https://doi.org/10.1002/anie.2....
Hong SA, Kim SE, Lee AY, Hwang GH, Kim JH, Iwata H, Kim SC, Bae S, Lee SE. 2022. Therapeutic base editing and prime editing of COL7A1 mutations in recessive dystrophic epidermolysis bullosa. Mol Ther J Am Soc Gene Ther. 30: 2664–2679. https://doi.org/10.1016/j.ymth....
Hou Y, Liu R, Xia M, Sun C, Zhong B, Yu J, Ai N, Lu JJ, Ge W, Liu B, Chen X. 2021. Nannocystin ax, an eEF1A inhibitor, induces G1 cell cycle arrest and caspase-independent apoptosis through cyclin D1 downregulation in colon cancer in vivo. Pharmacol Res. 173: 105870. https://doi.org/10.1016/j.phrs....
Hu X, Jiang S, Xu F, Zeng C, Wang X, Liu W, Cheng A, Ma C, Gao N, Zhao Y, Dai J, Zhao G. 2022. Engineering and functional analysis of yeast with a monotypic 40S ribosome subunit. Proc Natl Acad Sci. 119: e2114445119. https://doi.org/10.1073/pnas.2....
Joshi K, Cao L, Farabaugh PJ. 2019. The problem of genetic code misreading during protein synthesis. Yeast Chichester Engl. 36: 35–42. https://doi.org/10.1002/yea.33....
Kentsis A, Topisirovic I, Culjkovic B, Shao L, Borden KLB. 2004. Ribavirin suppresses eIF4E-mediated oncogenic transformation by physical mimicry of the 7-methyl guanosine mRNA cap. Proc Natl Acad Sci U S A. 101: 18105–18110. https://doi.org/10.1073/pnas.0....
Krause KM, Serio AW, Kane TR, Connolly LE. 2016. Aminoglycosides: an overview. Cold Spring Harb Perspect Med. 6: a027029. https://doi.org/10.1101/cshper....
Kwong A, Cogan J, Hou Y, Antaya R, Hao M, Kim G, Lincoln V, Chen Q, Woodley DT, Chen M. 2020. Gentamicin induces laminin 332 and Improves wound healing in junctional epidermolysis bullosa patients with nonsense mutations. Mol Ther J Am Soc Gene Ther. 28: 1327–1338. https://doi.org/10.1016/j.ymth....
Lee SE, Lee SJ, Kim SE, Kim K, Cho B, Roh K, Kim S.C. 2021. Intravenous allogeneic umbilical cord blood-derived mesenchymal stem cell therapy in recessive dystrophic epidermolysis bullosa patients. JCI Insight. 6: e143606. https://doi.org/10.1172/jci.in....
Li K, Turner AN, Chen M, Brosius SN, Schoeb TR, Messiaen LM, Bedwell DM, Zinn KR, Anastasaki C, Gutmann DH, et al. 2016. Mice with missense and nonsense NF1 mutations display divergent phenotypes compared with human neurofibromatosis type I. Dis Model Mech. 9: 759–767. https://doi.org/10.1242/dmm.02....
Li N, Wang L, Sun X, Lu Z, Suo X, Li J, Peng J, Peng R. 2019. A novel mutation in VRK1 associated with distal spinal muscular atrophy. J Hum Genet. 64: 215–219. https://doi.org/10.1038/s10038....
Li Y, Shen J, Liang J, Zheng L, Chen F, Yao Z, Li M. 2020. Gentamicin induces COL17A1 nonsense mutation readthrough in junctional epidermolysis bullosa. J Dermatol. 47: e82–e83. https://doi.org/10.1111/1346-8....
Lincoln V, Cogan J, Hou Y, Hirsch M, Hao M, Alexeev V, De Luca M, De Rosa L, Bauer JW, Woodley DT, Chen M. 2018. Gentamicin induces LAMB3 nonsense mutation readthrough and restores functional laminin 332 in junctional epidermolysis bullosa. Proc Natl Acad Sci U S A. 115: E6536–E6545. https://doi.org/10.1073/pnas.1....
Lindqvist L, Oberer M, Reibarkh M, Cencic R, Bordeleau ME, Vogt E, Marintchev A, Tanaka J, Fagotto F, Altmann M, et al. 2008. Selective pharmacological targeting of a DEAD box RNA helicase. PLoS One. 3: e1583. https://doi.org/10.1371/journa....
Low WK, Dang Y, Schneider-Poetsch T, Shi Z, Choi NS, Merrick WC, Romo D, Liu JO. 2005. Inhibition of eukaryotic translation initiation by the marine natural product pateamine A. Mol Cell. 20: 709–722. https://doi.org/10.1016/j.molc....
Lwin SM, Syed F, Di WL, Kadiyirire T, Liu L, Guy A, Petrova A, Abdul-Wahab A, Reid F, Phillips R, et al. 2019. Safety and early efficacy outcomes for lentiviral fibroblast gene therapy in recessive dystrophic epidermolysis bullosa. JCI Insight. 4: e126243. https://doi.org/10.1172/jci.in....
Manickam N, Nag N, Abbasi A, Patel K, Farabaugh PJ. 2014. Studies of translational misreading in vivo show that the ribosome very efficiently discriminates against most potential errors. RNA 20: 9–15. https://doi.org/10.1261/rna.03....
Maruyama K, Imai, H, Kawamura M, Ishino S, Ishino Y, Ito K, Uchiumi T. 2019. Switch of the interactions between the ribosomal stalk and EF1A in the GTP- and GDP-bound conformations. Sci Rep. 9: 14761. https://doi.org/10.1038/s41598....
McHugh DR, Cotton CU, Hodges CA. 2020. Synergy between readthrough and nonsense mediated decay inhibition in a murine model of cystic fibrosis nonsense mutations. Int J Mol Sci. 22: 344. https://doi.org/10.3390/ijms22....
Mikolajczak KL, Smith CR, Weisleder D. 1977. Synthesis of cephalotaxine esters and correlation of their structures with antitumor activity. J Med Chem. 20: 328–332. https://doi.org/10.1021/jm0021....
Namy O, Hatin I, Rousset JP. 2001. Impact of the six nucleotides downstream of the stop codon on translation termination. EMBO Rep. 2: 787–793. https://doi.org/10.1093/embo-r....
Ng MY, Zhang H, Weil A, Singh V, Jamiolkowski R, Baradaran-Heravi A, Roberge M, Jacobson A, Friesen W, Welch E, et al. 2018. New in vitro assay measuring direct interaction of nonsense suppressors with the eukaryotic protein synthesis machinery. ACS Med Chem Lett. 9: 1285–1291. https://doi.org/10.1021/acsmed....
Nudelman I, Glikin D, Smolkin B, Hainrichson M, Belakhov V, Baasov T. 2010. Repairing faulty genes by aminoglycosides: development of new derivatives of geneticin (G418) with enhanced suppression of diseases-causing nonsense mutations. Bioorg Med Chem. 18: 3735–3746. https://doi.org/10.1016/j.bmc.....
Ohguchi Y, Nomura T, Suzuki S, Takeda M, Miyauchi T, Mizuno O, Shinkuma S, Fujita Y, Nemoto O, Ono K, et al. 2018. Gentamicin-induced readthrough and nonsense-mediated mRNA decay of SERPINB7 nonsense mutant transcripts. J Invest Dermatol. 138: 836–843. https://doi.org/10.1016/j.jid.....
Osipowicz K, Wychowanski P, Nieckula P, Shamsa S, Wertheim-Tysarowska K, Wozniak K, Kowalewski C. 2021. Efficacy of gentamicin 0.3% solution of oral erosions healing in patients with severe generalized recessive dystrophic epidermolysis bullosa and its impact on the expression of type VII collagen. Postepy Dermatol Alergol. 38: 979–984. https://doi.org/10.5114/ada.20....
Pelletier J, Sonenberg N. 2019. The organizing principles of eukaryotic ribosome recruitment. Annu Rev Biochem. 88: 307–335. https://doi.org/10.1146/annure...- 013118-111042.
Peltz SW, Morsy M, Welch EM, Jacobson A. 2013. Ataluren as an agent for therapeutic nonsense suppression. Annu Rev Med. 64: 407–425. https://doi.org/10.1146/annure....
Petrof G, Papanikolaou M, Martinez AE, Mellerio JE, Mc-Grath JA, Bardhan A, Harper N, Heagerty A, Ogboli M, Chiswell C, Moss C. 2022. The epidemiology of epidermolysis bullosa in England and Wales: data from the national epidermolysis bullosa database. Br J Dermatol. 186: 843–848. https://doi.org/10.1111/bjd.20....
Priuska EM, Schacht J. 1995. Formation of free radicals by gentamicin and iron and evidence for an iron/gentamicin complex. Biochem Pharmacol. 50: 1749–1752. https://doi.org/10.1016/0006-2....
Prokhorova I, Altman RB, Djumagulov M, Shrestha JP, Urzhumtsev A, Ferguson A, Chang CWT, Yusupov M, Blanchard SC, Yusupova G. 2017. Aminoglycoside interactions and impacts on the eukaryotic ribosome. Proc Natl Acad Sci. 114: E10899-E10908. https://doi.org/10.1073/pnas.1....
Rowe SM, Sloane P, Tang LP, Backer K, Mazur M, Buckley-Lanier J, Nudelman I, Belakhov V, Bebok Z, Schwiebert E, Baasov T, Bedwell DM. 2011. Suppression of CFTR premature termination codons and rescue of CFTR protein and function by the synthetic aminoglycoside NB54. J Mol Med. 89: 1149–1161. https://doi.org/10.1007/s00109....
Roy B, Friesen WJ, Tomizawa Y, Leszyk JD, Zhuo J, Johnson B, Dakka J, Trotta CR, Xue X, Mutyam V, et al. 2016. Ataluren stimulates ribosomal selection of near-cognate tRNAs to promote nonsense suppression. Proc Natl Acad Sci U S A 113: 12508–12513. https://doi.org/10.1073/pnas.1....
Sacerdot C, Fayat G, Dessen P, Springer M, Plumbridge JA, Grunberg-Manago M, Blanquet S. 1982. Sequence of a 1.26-kb DNA fragment containing the structural gene for E. coli initiation factor IF3: presence of an AUU initiator codon. EMBO J. 1: 311–315. https://doi.org/10.1002/j.1460....
Sánchez-Murcia PA, Cortés-Cabrera Á, Gago F. 2017. Structural rationale for the cross-resistance of tumor cells bearing the A399V variant of elongation factor eEF1A1 to the structurally unrelated didemnin B, ternatin, nannocystin A and ansatrienin B. J Comput Aided Mol Des. 31: 915–928. https://doi.org/10.1007/s10822....
Schneider-Poetsch T, Ju J, Eyler DE, Dang Y, Bhat S, Merrick WC, Green R, Shen B, Liu JO. 2010. Inhibition of eukaryotic translation elongation by cycloheximide and lactimidomycin. Nat Chem Biol. 6: 209–217. https://doi.org/10.1038/nchemb....
Temaj G, Gashi Z. 2025. Impact of Ribosomal Protein Mutations on Inflammation, Metastasis, and Therapeutic Resistance in Cancer and Ribosomopathies [Internet]. Genetics. IntechOpen. https://doi.org/10.5772/intech....
Temaj G, Telkoparan-Akillilar P, Nuhii N, Chichiarelli S, Saha S, Saso L. 2023. Recoding of nonsense mutation as a pharmacological strategy. Biomedicines 11: 659. https://doi.org/10.3390/biomed....
Uitto J, Vahidnezhad H, Youssefian L. 2016. Genotypic heterogeneity and the mode of inheritance in epidermolysis bullosa. JAMA Dermatol. 152: 517–520. https://doi.org/10.1001/jamade....
Urdiales JL, Morata P, Núñez De Castro I, Sánchez-Jiménez F. 1996. Antiproliferative effect of dehydrodidemnin B (DDB), a depsipeptide isolated from Mediterranean tunicates. Cancer Lett. 102: 31–37. https://doi.org/10.1016/0304-3....
Van Goietsenoven G, Hutton J, Becker JP, Lallemand B, Robert F, Lefranc F, Pirker C, Vandenbussche G, Van Antwerpen P, Evidente A, et al. 2010. Targeting of eEF1A with Amaryllidaceae isocarbostyrils as a strategy to combat melanomas. FASEB J Off Publ Fed Am Soc Exp Biol. 24: 4575–4584. https://doi.org/10.1096/fj.10-....
Varki R, Sadowski S, Pfendner E, Uitto J. 2006. Epidermolysis bullosa. I. Molecular genetics of the junctional and hemidesmosomal variants. J Med Genet. 43: 641–652. https://doi.org/10.1136/jmg.20....
Varona JF, Landete P, Lopez-Martin JA, Estrada V, Paredes R, Guisado-Vasco P, Fernandez de Orueta L, Torralba M, Fortun J, Vates R, et al. 2022. Preclinical and randomized phase I studies of plitidepsin in adults hospitalized with COVID-19. Life Sci. Alliance 5: e202101200. https://doi.org/10.26508/lsa.2....
Wagner JE, Ishida-Yamamoto A, McGrath JA, Hordinsky M, Keene DR, Woodley DT, Chen M, Riddle MJ, Osborn MJ, Lund T, et al. 2010. Bone marrow transplantation for recessive dystrophic epidermolysis bullosa. N Engl J Med. 363: 629–639. https://doi.org/10.1056/NEJMoa....
Watson ZL, Ward FR, Méheust R, Ad O, Schepartz A, Banfield JF, Cate JH. 2020. Structure of the bacterial ribosome at 2 Å resolution. eLife 9: e60482. https://doi.org/10.7554/eLife.....
Webster CM, Shepherd M. 2022. A mini-review: environmental and metabolic factors affecting aminoglycoside efficacy. World J Microbiol Biotechnol. 39: 7. https://doi.org/10.1007/s11274....
Wimmer B, Friedrich A, Poeltner K, Edobor G, Mosshammer C, Temaj G, Rathner A, Karl T, Krauss J, Von Hagen J, et al. 2024. En route to targeted ribosome editing to replenish skin anchor protein LAMB3 in junctional epidermolysis bullosa. JID Innov. 4: 100240. https://doi.org/10.1016/j.xjid....
Yan Y, Meng Z, Hao S, Wang F, Jin X, Sun D, Gao H, Ma X. 2018. Five novel COL7A1 gene mutations in three Chinese patients with recessive dystrophic epidermolysis bullosa. Ann Clin Lab Sci. 48: 100–105.
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.