Abstract
Cystic fibrosis (CF) is caused by mutations in the gene encoding the CF transmembrane conductance regulator (CFTR). A single recessive mutation, the deletion of phenylalanine 508 (ΔF508), causes severe CF and resides on 70% of mutant chromosomes. Severe CF is also caused by premature stop mutations, which are found on 5% of CF chromosomes. Here we report that two common, disease–associated stop mutations can be suppressed by treating cells with low doses of the aminoglycoside antibiotic G–418. Aminoglycoside treatment resulted in the expression of full–length CFTR and restored its cyclic AMP–activated chloride channel activity. Another aminoglycoside, gentamicin, also promoted the expression of full–length CFTR. These results suggest that treatment with aminoglycosides may provide a means of restoring CFTR function in CF patients with this class of mutation.
References
Skuzeski, J.M., Nichols, L.M., Gesteland, R.F. & Atkins, J.F. The signal for a leaky UAG stop codon in several plant viruses includes the two downstream codons. J. Mol Biol 218, 365–373 (1991).
Poole, E.S., Brown, C.M. & Tate, W.P. The identity of the base following the stop codon determines the efficiency of in vivo translation termination in Escherichia coll EMBOJ. 14, 151–158 (1995).
McCaughan, K.K., Brown, C.M., Dalphin, M.E., Berry, M.J. & Tate, W.P. Translational termination efficiency in mammals is influenced by the base following the stop codon. Proc. Natl. Acad. Sci. USA 92, 5431–5435 (1995).
Bonetti, B., Fu, L., Moon, J. & Bedwell, D.M. The efficiency of translation termination is determined by a synergistic interplay between upstream and downstream sequences in Saccharomyces cerevisiae. J. Mol. Biol. 251, 334–345 (1995).
Cutting, G.R. et al. A cluster of cystic fibrosis mutations in the first nucleotide-binding fold of the cystic fibrosis conductance regulator protein. Nature 346, 366–369 (1990).
Kerem, B.-S. et al. Identification of mutations in regions corresponding to the two putative nucleotide (ATP)-binding folds of the cystic fibrosis gene. Proc. Natl. Acad. Sci. USA 87, 8447–8451 (1990).
Fuerst, T.R., Niles, E.G., Studier, F.W. & Moss, B. Eukaryotic transient-expression system based on recombinant vaccinia virus that synthesizes bacteriophage T7 RNA polymerase. Proc. Natl. Acad. Sci. USA 83, 8122–8126 (1986).
Howard, M. et al. Epitope tagging permits cell surface detection of functional CFTR. Am. J. Physiol. 38, C1565C1576 (1995).
Yang, Y. et al. Molecular basis of defective anion transport in L cells. Hum. Mol. Genet. 2, 1253–1261 (1993).
Davies, J., Gorini, L. & Davis, B.D. Misreading of RNA codewords induced by aminoglycoside antibiotics. Mol Pharmacol 1, 93–106 (1965).
Singh, A., Ursic, D. & Davies, J. Phenotypic suppression and misreading in Saccharomyces cerevisiae. Nature 277, 146–148 (1979).
Palmer, E., Wilhelm, J.M. & Sherman, F. Phenotypic suppression of nonsense mutants in yeast by aminoglycoside antibiotics. Nature 277, 148–150 (1979).
Martin, R., Mogg, A.E., Heywood, L.A., Nitschke, L. & Burke, J.F. Aminoglycoside suppression at UAG, UAA and UGA codons in Escherichia coli and human tissue culture cells. Mol. Gen. Genet. 217, 411–418 (1989).
Cutting, G.R. Spectrum of mutations in cystic fibrosis. J. Bioenerg. Biomembr. 25, 7–10 (1993).
Cystic Fibrosis Geneti analysis Consortium Population variation of common cystic fibrosis mutations. Hum. Mutat. 4, 167–177 (1994).
Fearon, K., McClendon, V., Bonetti, B. & Bedwell, D.M. Premature translation termination mutations are efficiently suppressed in a highly conserved region of yeast Ste6p, a member of the ATP-binding cassette (ABC) transporter family. J. Biol. Chem. 269, 17802–17808 (1994).
Eggertsson, G. & Soil, D. Transfer ribonucleic acid-mediated suppression of termination codons in Escherichia coli. Microbiol Rev. 52, 354–374 (1988).
Sherman, F. Suppression in the yeast Saccharomyces cerevisiae. in The Molecular Biology of the Yeast Saccharomyces: Metabolism and Gene Expression, (eds. Strathern, J.N., Jones, E.W. & Broach, J.R.) 463–486 (Cold Spring Harbor Laboratory Press, Cold Spring Harbor, New York, 1982).
Hatfield, D.L., Smith, D.W.E., Lee, B.J., Worland, P.J. & Oroszlan, S. Structure and function of suppressor tRNAs in higher eukaryotes. Crit. Rev. Biochem. Mol. Biol. 25, 71–96 (1990).
Shoshani, T. et al. Association of a nonsense mutation (W1282×), the most common mutation in the Ashkenazi Jewish cystic fibrosis patients in Israel, with presentation of severe disease. Am. J. Hum. Genet. 50, 222–228 (1992).
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Howard, M., Frizzell, R. & Bedwell, D. Aminoglycoside antibiotics restore CFTR function by overcoming premature stop mutations. Nat Med 2, 467–469 (1996). https://doi.org/10.1038/nm0496-467
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DOI: https://doi.org/10.1038/nm0496-467
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