Proceedings of the National Academy of Sciences of the United States of America

Codon optimization reduces stop signals in alternate reading frames of gene-based therapies

Updated

Abstract

Natural coding sequences maintain a median stop codon spacing of approximately 20 amino acids in alternative reading frames.

  • Out-of-frame translation can result from ribosomal shifts or noncanonical initiation, affecting how translation terminates.
  • Stop codons act as checkpoints that can terminate out-of-frame translation depending on their distribution.
  • Codon optimization, used to enhance translation, reduces the availability of stop codons in alternative frames.
  • In codon-optimized sequences, stop codons in the -1 reading frame become structurally impossible due to specific nucleotide exclusions.
  • Analysis of 120 therapeutic sequences, including mRNA vaccines, shows that out-of-frame products average 164 amino acids, which is sixfold longer than in natural human genes.
  • Restoration of stop codons via synonymous substitutions can prevent the production of out-of-frame products while maintaining the desired protein.

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