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Publication : NanoLuc reporters identify COL4A5 nonsense mutations susceptible to drug-induced stop codon readthrough.

First Author  Omachi K Year  2022
Journal  iScience Volume  25
Issue  3 Pages  103891
PubMed ID  35243249 Mgi Jnum  J:347543
Mgi Id  MGI:6887193 Doi  10.1016/j.isci.2022.103891
Citation  Omachi K, et al. (2022) NanoLuc reporters identify COL4A5 nonsense mutations susceptible to drug-induced stop codon readthrough. iScience 25(3):103891
abstractText  Alport syndrome, a disease of kidney, ear, and eye, is caused by pathogenic variants in the COL4A3, COL4A4, or COL4A5 genes encoding collagen alpha3alpha4alpha5(IV) of basement membranes. Collagen IV chains that are truncated due to nonsense variants/premature termination codons (PTCs) cannot assemble into heterotrimers or incorporate into basement membranes. To investigate the feasibility of PTC readthrough therapy for Alport syndrome, we utilized two NanoLuc reporters in transfected cells: full-length for monitoring translation, and a split version for assessing readthrough product function. Full-length assays of 49 COL4A5 nonsense variants identified eleven as susceptible to PTC readthrough using various readthrough drugs. In split-NanoLuc assays, the predicted missense alpha5(IV) readthrough products of five nonsense mutations could heterotrimerize with alpha3(IV) and alpha4(IV). Readthrough was also observed in kidney cells from an engineered Col4a5 PTC mouse model. These results suggest that readthrough therapy is a feasible approach for a fraction of patients with Alport syndrome.
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