Institute of Human Genetics, Polish Academy of Sciences, 60-479 Poznan, Poland.
Primary Ciliary Dyskinesia Centre, NIHR Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UK.
Int J Mol Sci. 2021 May 7;22(9):4923. doi: 10.3390/ijms22094923.
Primary ciliary dyskinesia (PCD) is a rare disease with autosomal recessive inheritance, caused mostly by bi-allelic gene mutations that impair motile cilia structure and function. Currently, there are no causal treatments for PCD. In many disease models, translational readthrough of premature termination codons (PTC-readthrough) induced by aminoglycosides has been proposed as an effective way of restoring functional protein expression and reducing disease symptoms. However, variable outcomes of pre-clinical trials and toxicity associated with long-term use of aminoglycosides prompt the search for other compounds that might overcome these problems. Because a high proportion of PCD-causing variants are nonsense mutations, readthrough therapies are an attractive option. We tested a group of chemical compounds with known PTC-readthrough potential (ataluren, azithromycin, tylosin, amlexanox, and the experimental compound TC007), collectively referred to as non-aminoglycosides (NAGs). We investigated their PTC-readthrough efficiency in six PTC mutations found in Polish PCD patients, in the context of cell and cilia health, and in comparison to the previously tested aminoglycosides. The NAGs did not compromise the viability of the primary nasal respiratory epithelial cells, and the ciliary beat frequency was retained, similar to what was observed for gentamicin. In HEK293 cells transfected with six PTC-containing inserts, the tested compounds stimulated PTC-readthrough but with lower efficiency than aminoglycosides. The study allowed us to select compounds with minimal negative impact on cell viability and function but still the potential to induce PTC-readthrough.
原发性纤毛运动障碍(PCD)是一种罕见的常染色体隐性遗传病,主要由双等位基因突变引起,这些突变会损害游动纤毛的结构和功能。目前,PCD 没有因果治疗方法。在许多疾病模型中,氨基糖苷类药物诱导的提前终止密码子(PTC-readthrough)的翻译通读被提议作为一种恢复功能性蛋白表达和减轻疾病症状的有效方法。然而,临床前试验的结果不一致以及与长期使用氨基糖苷类药物相关的毒性促使人们寻找其他可能克服这些问题的化合物。由于 PCD 致病变异的很大一部分是无义突变,因此通读疗法是一种有吸引力的选择。我们测试了一组具有已知 PTC-readthrough 潜力的化学化合物(ataluren、azithromycin、tylosin、amlexanox 和实验化合物 TC007),统称为非氨基糖苷类化合物(NAGs)。我们研究了它们在波兰 PCD 患者中发现的六种 PTC 突变的 PTC-readthrough 效率,包括细胞和纤毛健康状况,并与之前测试的氨基糖苷类药物进行了比较。NAGs 不会影响原代鼻呼吸上皮细胞的活力,纤毛摆动频率也与庆大霉素相似。在转染了六个含 PTC 插入物的 HEK293 细胞中,测试的化合物刺激了 PTC-readthrough,但效率低于氨基糖苷类药物。该研究使我们能够选择对细胞活力和功能影响最小但仍有可能诱导 PTC-readthrough 的化合物。