Target intelligence / Profile preview

Premature termination codon in mutant mRNA (PTC) (PTC)

Target
PTC
Molecular classification
Messenger RNA, Nucleic acid
01

Overview

Premature termination codons (PTCs) are nonsense mutations that occur within the protein-coding region of a messenger RNA (mRNA), leading to the premature cessation of translation (National Center for Biotechnology Information, 2023). This process typically results in the synthesis of truncated, non-functional proteins and often triggers nonsense-mediated mRNA decay (NMD), a cellular surveillance mechanism that degrades PTC-containing transcripts to prevent the accumulation of potentially toxic truncated products (Nature Reviews Molecular Cell Biology, 2019). PTCs are implicated in a wide range of genetic disorders, accounting for roughly 10% to 15% of all cases of inherited diseases such as cystic fibrosis, Duchenne muscular dystrophy, and various metabolic syndromes (Journal of Medical Genetics, 2021). Therapeutic intervention focuses on "translational read-through," where small molecules interact with the ribosome to decrease the fidelity of codon recognition at the PTC site (European Medicines Agency, 2022). This allows for the insertion of a near-cognate amino acid and the continuation of translation to produce a full-length, functional protein (PubMed, 2020). While drugs like ataluren and aminoglycoside derivatives have shown promise, balancing the restoration of protein function with the risk of read-through at natural stop codons remains a significant pharmacological challenge (Frontiers in Genetics, 2022).

Other names
Nonsense mutationPremature stop codonIn-frame stop codonPTC-containing mRNA
02

Mechanism of action

Induction of translational read-through by promoting the incorporation of near-cognate aminoacyl-tRNAs at the premature stop codon site, bypassing the termination signal to produce full-length protein (PubMed, 2020; EMA, 2022).

03

Biological functions

Translation terminationNonsense-mediated mRNA decay
04

Disease associations

Cystic fibrosisDuchenne muscular dystrophySpinal muscular atrophyHurler syndromeAniridiaCancer
05

Safety considerations

OtotoxicityNephrotoxicityRead-through of normal termination codonsLow clinical efficacyInterference with nonsense-mediated decay (Frontiers in Genetics, 2022)
06

Interacting drugs

Ataluren

4 more in the full profile.

07

Biomarkers

Full-length protein expressionmRNA stability/levelsGenetic sequencing for nonsense mutations (Journal of Medical Genetics, 2021)

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