Researchers at the University of Toronto engineered transfer RNA (tRNA) molecules to ignore premature stop signals in mutated genes known as nonsense mutations. Those premature stops truncate proteins and can cause a wide range of inherited disorders. The team published their results in Science and tested the approach in laboratory and preclinical models focused on cystic fibrosis (CF).
Nonsense mutations insert a stop codon into the middle of a gene's coding sequence. The engineered tRNA is designed to read through those stop signals so cellular machinery can complete a full-length protein. To make the tRNA more effective, the team added a specific chemical modification modeled on natural tRNA marks. That modification increased the engineered tRNA's activity and longevity in cells.
- Airway cell models: Human airway cells carrying two common nonsense mutations produced functional CFTR protein after treatment with the engineered tRNA. The restored protein remained detectable for more than 40 days in those cells.
- Preclinical tests: Additional preclinical experiments produced results consistent with the lab findings (details not specified in the summary).
The organoid experiment showed that the tRNA restored the missing portion of the CFTR protein, creating a target that the approved drug Trikafta could then modulate. That sequence — restore protein, then apply a modulator drug — produced a measurable response even when each intervention alone was ineffective.
Nonsense mutations are estimated to cause roughly 11% of inherited genetic disorders. Because the mutation type (a premature stop codon) is shared across many genes and conditions, a single engineered-tRNA strategy could potentially address multiple diseases without designing a unique gene therapy for each individual mutation.
Technical hurdles the team addressed
The team aims to refine delivery methods and advance preclinical development so the approach can move toward therapies that target nonsense mutations across different genes and tissues. The ultimate goal is a broadly applicable treatment strategy for subsets of cystic fibrosis, muscular and neurological diseases, and other conditions caused by premature stop codons.