The genetic information encoded by DNA is ultimately ex-pressed into specific polypeptides by way of transcriptionand translation. Transcription is the process whereby thecoding gene sequence is transferred into a messengerRNA (mRNA). Through translation, polypeptides aresynthesized at the ribosomes, collinearly with the sequenceof codons in mRNA. Codons are sets of three ribonucleo-tides in mRNA that signal the initiation, elongation and ter-mination stages of translation. With the exception of thenonsense codons (UAG, UAA and UGA), all codons havecorrespondingcomplementaryanti-codonsintransferRNA(tRNA) molecules. Each tRNA carries a specific aminoacid, which is incorporated into the elongating polypeptideaccording to the codon sequence in mRNA. The correctmRNA reading frame is defined at the start of translationbythestartcodon(AUG),whichcodesfor methionine.Ter-mination of translation is normally signalled by the occur-rence of any of the three codons for which no tRNA isavailable, hence named stop codons. Protein release factorsspecificallybindtostopcodons,mediatingthereleaseofthenewly synthesized polypeptide from the ribosome. How-ever, the stop codons are not equally effective in determin-ing the efficiency of translation termination, with therelative rank order of efficiency being UAA>UAG>UGA[1].Whentranslationalreadingthroughstopcodonsoccurs,UAAandUAGusuallydirecttheadditionofglutamineintothenascentpolypeptide,whereastryptophanisincorporatedin response to UGA in bacteria [2].Nonsense mutations are single-nucleotide alterations inthe DNA that directly change sense to nonsense codons,causing a premature stop of the mRNA translation process.Stop codons may also be generated by mutations that alterthe reading frame of mRNA, either as a result of insertionand/or deletion of a number of nucleotides not evenlydivisiblebythree,orofanabnormallysplicedRNA.Prema-tureterminationcodons(PTC)leadtotheformationoftrun-cated proteins that do not function properly. The frequencyof PTCs is rather variable, ranging from 5% to 70% ofreported mutations for different diseases [3–5]. Cellulardefence mechanisms against the potential deleteriousconsequences of PTCs involve the degradation of thetruncated proteins, and the detection and degradationof mRNAs containing these codons through nonsense-mediated mRNA decay (NMD) (Figure 1). NMD is aribosomal function that scans newly synthesizedmRNAs for the presence of PTCs in a pioneer roundof translation [6,7].Normal stop codons are surrounded by upstream anddownstream sequences, which enhance the efficiency oftranslation termination [8,9]. As PTCs lack these surround-ing complementary signals, pharmacological approachesmay be devised that allow translational read-through ofin-frame PTCs, whilekeepingthe physiological stop codonactive, thus potentially yielding a full-length normal orfunctional protein (Figure 1) [10].
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