1. Introduction
Translation of mRNA is critical yet highly energy-intensive, necessitating its stringent regulation [
1]. Moreover, dysregulation of translation causes pathophysiological disorders, such as cancer [
2]. Eukaryotic translation is regulated primarily at the initiation stage, involving more than a dozen eukaryotic initiation factors (eIFs) [
3]. Physiological stress conditions lead to modifications of key eIFs, attenuating global mRNA translation. For example, phosphorylation of eIF2α is a well-characterized mechanism for preventing the translation of most mRNAs. However, non-canonical translation initiation mechanisms allow for the selective translation of a subset of mRNAs under such conditions [
1,
3,
4].
eIF2 is required to form the “ternary complex”, which delivers the initiator Met-tRNA
i to the 40S ribosomal subunit and is essential for translation initiation [
3]. eIF2 exists in either a GDP- or GTP-bound state. Hydrolysis of eIF2-bound GTP is required for the transfer of Met-tRNA
i to the 40S ribosomal subunit, releasing GDP. The exchange of GDP for GTP is catalyzed by the guanine exchange factor, eIF2B, and is necessary for the regeneration of active ternary complex [
3]. In response to a wide variety of stresses, such as viral infection, osmotic shock, or hypoxia, the alpha subunit of eIF2 is phosphorylated at serine 51, increasing its binding affinity for eIF2B and sequestering both proteins in an inactive complex (reviewed in [
5]). The cellular concentration of eIF2B is limiting, such that even a low proportion of eIF2α phosphorylation results in inhibition of ternary complex re-formation [
6]. Consequently, translation initiation is attenuated for most mRNAs. There are four kinases that act to phosphorylate eIF2α in response to stress: haem-regulated inhibitor (HRI), protein kinase activated by double-stranded RNA (PKR), general control non-derepressible-2 (GCN2), and PKR-like endoplasmic reticulum kinase (PERK); collectively, the down-regulation of global translation mediated by these proteins and eIF2 is known as the integrated stress response (ISR) (reviewed in reference [
5]).
Although global translation is inhibited during stress conditions, the translation of many mRNAs is unaffected by phosphorylation of eIF2α. In fact, the translation of some mRNAs is increased under conditions of eIF2α phosphorylation, such as activating transcription factor 4 (ATF4). The
ATF4 mRNA encodes two short upstream open reading frames (uORFs) in its 5′ untranslated region (5′ UTR). uORFs are mRNA elements in the 5′ UTR of a protein-coding gene with a start codon that is out of frame with the main coding sequence [
7]. As ribosomes load onto the 5′ cap of mRNA transcripts and scan for the first start codon, uORFs typically disrupt the translation of the downstream coding sequence. In the case of the ATF4 transcript, the 5′-most uORF (uORF1) encodes just 3 codons, while uORF2 encodes 59 codons and overlaps the start codon of the main ATF4 ORF [
8]. Under normal conditions—when the ternary complex is relatively abundant—these uORFs engage the ribosome and initiation at uORF2 prevents initiation at the main coding sequence [
9], resulting in low levels of ATF4 translation initiation (reviewed in reference [
5]). However, during stress conditions, the availability of ternary complex becomes limited, which increases the probability that ribosomes will skip uORF2 without initiating. Therefore, when ternary complex concentration is low, more ribosomes will bypass uORF2 and initiate translation of the main coding sequence [
9].
ATF4 regulates the transcription of many stress-response genes and is a master regulator of cellular adaptation to stress [
10]. ATF4 binds to C/EBP-ATF response element (CARE) sequences of its target genes, including C/EBP homologous protein (CHOP), which is also a transcription factor that increases expression of a set of stress-response genes [
10,
11]. Another downstream target of ATF4 is growth arrest and DNA damage-inducible protein 34 (GADD34), which acts as a point of negative feedback in the ISR: when activated, GADD34 binds and activates protein phosphatase 1 (PP1), thus reversing the phosphorylation of eIF2α and inactivating the ISR [
11,
12].
A recent body of evidence suggests that another initiation factor, eIF5B, is able to substitute for eIF2 functionality in at least some contexts. For instance, under standard growth conditions, X-linked inhibitor of apoptosis (XIAP) is produced via canonical eIF2-dependent translation initiation. However, under conditions of cellular stress and eIF2α phosphorylation, IRES-dependent translation of XIAP mRNA relies on eIF5B [
13]. eIF5B is homologous to bacterial and archaeal IF2, which delivers Met-tRNA
fMet to bacterial/archaeal ribosomes [
14,
15]. Under standard conditions, eIF5B is responsible for assisting in the joining of the 40S and 60S ribosomal subunits, as well as playing a role in stabilizing Met-tRNA
i binding [
16]. eIF5B was also shown to deliver Met-tRNA
i into the P-site of the ribosome in an eIF2-independent translation initiation mechanism utilized by the CSFV and HCV IRESs [
17,
18,
19]. Thus, eIF5B appears to be capable of substituting for eIF2 in Met-tRNA
i-delivery to the ribosome. Additionally, eIF5B was shown to act as an essential translation factor during hypoxia by facilitating Met-tRNA
i delivery to ribosomes for efficient cap-dependent translation of hypoxia-response proteins in glioblastoma cells [
20]. We have recently demonstrated a role for eIF5B in the non-canonical translation of several anti-apoptotic and pro-survival proteins involved in glioblastoma progression and resistance to therapeutic agents [
21]. In yeast cells, eIF5B has been shown to regulate translation of upstream open reading frame (uORF)-containing mRNAs involved in amino acid biosynthesis [
22]. In mammalian cells, eIF5B has been shown to regulate cell cycle progression via regulating uORF-containing mRNAs such as p27 and p21 [
6].
These findings suggest a role for eIF5B in non-canonical mechanisms of translation initiation under cellular stress conditions. As eIF5B can apparently substitute for eIF2α in delivering Met-tRNA
i during translation initiation [
17,
18,
19,
20], we hypothesized that eIF5B might play a role in the uORF-mediated regulation of ATF4 translation. We show here that depletion of eIF5B by RNAi leads to increased levels of ATF4 protein in two cell lines (HEK293T and U20S), which is not due to a general phosphorylation of eIF2α under conditions of eIF5B depletion. Depletion of eIF5B also leads to increased mRNA and protein levels of a downstream member of the ATF4 regulon, GADD34. Although eIF5B depletion leads to a modest increase in the steady-state levels of
ATF4 mRNA, a robust increase in ATF4 translation is observed by polysome profiling analysis, suggesting that eIF5B represses ATF4 expression primarily at the level of translation. Moreover, eIF5B depletion leads to increased expression of an
ATF4-luciferase translational reporter, and this de-repression requires intact uORF2. Finally, depletion of eIF1A or eIF5 causes increased expression of ATF4, which is not synergistic with that caused by eIF5B depletion, suggesting that eIF5B cooperates with each of these factors in order to repress ATF4 translation. Together, our data suggest that eIF5B facilitates the uORF2-mediated repression of ATF4 translation.
3. Discussion
In this work, we identify a role for eIF5B in uORF-mediated repression of ATF4 translation initiation. Depletion of eIF5B leads to increased translation of the
ATF4 transcript, and eIF5B-imposed repression of an
ATF4-luciferase translational reporter fusion requires the repressive uORF2 to be intact (
Figure 1,
Figure 2 and
Figure 3). Although we observed a modest increase in steady-state levels of the
ATF4 mRNA (
Figure 1), polysome profiling analysis (
Figure 2) and translational reporter assays (
Figure 3) demonstrate that eIF5B represses ATF4 expression mainly at the level of translation. Although stress, such as endoplasmic reticulum (ER) stress, leads to transcriptional activation of ATF4 [
28], we observed no increase in eIF2α phosphorylation upon eIF5B depletion (
Figure 1), suggesting that eIF5B depletion leads to increased levels of
ATF4 mRNA by an alternative mechanism. For instance, the effect of eIF5B on steady-state levels of the
ATF4 mRNA might reflect an indirect effect of eIF5B on transcription (e.g., via regulation of a transcription factor) or be a consequence of mRNA stabilization due to increased ribosomal transit.
Thus far, uORFs have been found in approximately half of human and mouse transcripts, with varied effects on protein expression—typically, uORFs reduce expression by 30–80% [
29]. Interestingly, uORFs are common to certain classes of mRNAs. For instance, they are present in two-thirds of oncogenes and in many genes encoding proteins involved in cell differentiation, cell cycle regulation, and the integrated stress response [
29]. Reports have shown that ribosomes encountering uORFs either (1) translate the uORF and stall, causing mRNA decay, (2) translate the uORF and, with some probability, reinitiate at the coding sequence, or (3) scan over the uORF [
7,
9]. uORFs are known to show varying levels of translational regulation based on the nucleotide sequence surrounding the uORF, the distance of the uORF from the CDS, and the number of uORFs present [
9]. Importantly, as uORFs can cause a high reduction of protein expression (30–80%), they often affect phenotype. Calvo et al. identified uORFs created or deleted by a polymorphism in 509 genes correlating to at least 24 human diseases, including Alzheimer’s disease, and several tumor types [
30]. To date, three rare uORF-altering mutations have been reported to alter levels of essential proteins and cause human diseases: a hereditary form of thrombocythaemia caused by a mutation which eliminates a uORF, a familial predisposition to melanoma caused by the introduction of a uORF, and a hereditary hypotrichosis caused by disruption of a uORF [
30,
31,
32]. Notably, 8–12% of melanoma is linked to mutations in CDKN2A of the chromosome 9 p21 locus, in which an alternative start codon is formed which leads to decreased levels of the functional protein [
32]. Thus, understanding the mechanisms by which uORFs regulate gene expression has the potential to affect human phenotype and disease [
30].
We show in this work that repression of ATF4 translation by eIF5B is unaffected by mutation of uORF1, but requires uORF2 to be intact (
Figure 3B). The existing literature indicates that uORF1 promotes ATF4 translation, as disruption of uORF1 causes decreased expression of
ATF4-luc [
24]. Moreover, translation of this uORF1 mutant still increases in the presence of thapsigargin, indicating that upregulation of ATF4 translation under conditions of eIF2α phosphorylation does not depend on this uORF [
24]. Conversely, disruption of uORF2 causes increased expression of
ATF4-luc, which becomes insensitive to thapsigargin, indicating that uORF2 is responsible for inhibiting ATF4 translation initiation when the ternary complex is abundant [
24]. Thus, eIF5B appears to play a role in facilitating translation initiation at uORF2 instead of the main ATF4-coding ORF, similar to the situation when the ternary complex is abundant. We also observed increased expression of the WT
ATF4-luc construct upon treating the cells with tunicamycin (
Figure 3C). Similar to thapsigargin, tunicamycin leads to phosphorylation of eIF2α [
25] and thus limits ternary complex re-formation. Strikingly, the effects of tunicamycin treatment and eIF5B depletion were not additive (
Figure 3C), suggesting that both eIF5B and eIF2 converge on a single point of regulation, such as the delivery of Met-tRNA
i during translation initiation. If eIF5B is capable of delivering Met-tRNA
i to uORF2, then depletion of eIF5B might decrease the probability of translation initiation at uORF2 and increase the probability of initiation at the ATF4 main coding ORF, similar to the situation when eIF2α is phosphorylated (
Figure 5A). This could explain why no additive increase in ATF4 translation was observed when eIF5B depletion was combined with tunicamycin treatment.
Notably, an alternatively spliced variant of the human ATF4 mRNA can be translated from an IRES [
38]. However, this does not represent the majority of human ATF4 transcripts. Moreover, the
ATF4-luc reporter used in this work does not represent the IRES-encoding splice variant [
24]. While it is possible that eIF5B regulates the IRES element present in the ATF4 splice variant, we observe an increase in ATF4 translation upon eIF5B depletion (
Figure 1,
Figure 2 and
Figure 3), which is in direct opposition to the established role of eIF5B in positively regulating IRES-dependent translation [
13,
17,
18,
19]. Moreover, no change (in either direction) was observed upon eIF5B depletion when uORF2 was mutated (
Figure 3B), confirming that eIF5B-mediated repression of ATF4 involves this uORF. Together, these observations suggest that eIF5B represses translation of human ATF4 by a uORF- rather than IRES-mediated mechanism, although we cannot rule out the possibility that eIF5B plays an additional role in IRES-mediated translation in the case of the splice variant.
Recent work has shown that eIF2A might function in a complex with eIF5B for the eIF2-independent translation of an IRES-encoding mRNA [
27]. In this model, eIF2A functions as the Met-tRNA
i carrier while eIF5B provides GTP-, mRNA- and ribosome-binding functions [
27]. However, depletion of eIF2A had no effect on ATF4 levels (
Figure 4A–D). Moreover, the combined depletion of eIF2A and eIF5B had no effect on ATF4 levels above the effect of eIF5B depletion alone (
Figure 4E–G). These data suggest that eIF2A plays no role in the repression of ATF4 by eIF5B.
In contrast, depletion of eIF1A led to a robust increase in ATF4 translation, as did eIF5-depletion (
Figure 4A–D). Moreover, depletion of eIF1A in combination with eIF5B led to no further increase than depletion of eIF1A alone, and depletion of eIF5 plus eIF5B led to no further increase than depletion of eIF5 alone (
Figure 4C,G), suggesting that eIF5B cooperates with these factors to repress ATF4 translation. An interaction between eIF1A and eIF5B is known to promote translation [
39]. In fact, eIF5B overexpression has been shown to suppress the effects of a mutation in eIF1A [
40], suggesting a certain amount of functional redundancy. Recent work shows that eIF1A and eIF5 compete for binding to eIF5B in the context of a pre-initiation complex (PIC) in canonical translation initiation [
26]. eIF5 is the GTPase-activating protein that promotes GTP hydrolysis by eIF2 upon delivery of Met-tRNA
i to the start codon, at which point eIF2 is displaced from Met-tRNA
i by eIF5B-GTP and is released as an eIF2:eIF5 complex [
33,
35,
36,
37]. Upon ribosomal subunit joining, eIF5B hydrolyzes GTP and is released along with eIF1A [
41,
42,
43,
44]. Lin et al. suggest a mechanism for coordination between the steps of start codon selection and ribosomal subunit joining: displacement of eIF2 from Met-tRNA
i by eIF5B upon subunit joining may be coupled to the eIF1A-mediated displacement of eIF5 from eIF5B, enabling the eIF2-GDP:eIF5 complex to leave the ribosome [
26].
In
Saccharomyces cerevisiae, overexpression of eIF5 mimics the effect of eIF2α phosphorylation, promoting translation of the yeast equivalent of the ATF4 protein, GCN4 [
33]. Specifically, overexpression of eIF5 in yeast increases the levels of an eIF2-eIF5 complex, which prevents eIF2B interaction and thus ternary complex re-formation [
33]. Similarly, in human cells, overexpression of eIF5 or its mimic (eIF5 mimicking protein) perturbs the function of eIF2 and induces ATF4 translation by delaying re-initiation at uORF2 [
34]. As eIF5B interacts with eIF5 [
26], it is possible that depletion of eIF5B leads to an increase in available eIF5, which would bind eIF2 and prevent ternary complex formation, leading to increased translation of ATF4 (
Figure 5B). Similarly, eIF5 depletion would prevent GTP hydrolysis by eIF2, slowing its release from the PIC and subsequent re-formation of the ternary complex (
Figure 5C). eIF1A depletion would prevent the displacement of eIF5 from eIF5B, slowing the release of eIF5:eIF2-GDP and subsequent reformation of the ternary complex (
Figure 5D). Finally, depletion of eIF5B itself could slow ternary complex re-formation by preventing the displacement of eIF2-GDP from PIC-bound Met-tRNA
i (
Figure 5E). Altogether, we suggest that any perturbation of the stoichiometry of eIF1A, eIF5, and/or eIF5B might lead to decreased translation of uORF2 and, thus, de-repression of ATF4 translation.
Overall, this work demonstrates a role for eIF5B in the uORF2-mediated repression of ATF4 translation—a role which also involves eIF1A and eIF5. Given the prevalence of uORFs in human transcripts, we suggest that eukaryotic initiation factors like eIF5B, eIF1A, and eIF5 might influence the translation of a previously unappreciated number of non-canonically translated mRNAs.