Abstract
A critical step in the cellular stress response is transient activation of the RNA-dependent protein kinase PKR by double-helical RNA, resulting in down-regulation of protein synthesis through phosphorylation of the α chain of translation initiation factor eIF2, a major PKR substrate. However, intragenic elements of 100–200 nucleotides in length within primary transcripts of cellular genes, exemplified by the tumor necrosis factor (TNF)-α gene and fetal and adult globin genes, are capable of forming RNA structures that potently activate PKR and thereby strongly enhance mRNA splicing efficiency. By inducing nuclear eIF2α phosphorylation, these PKR activator elements enable highly efficient early spliceosome assembly yet do not impair translation of the mature spliced mRNA. The TNF-α RNA activator of PKR folds into a compact pseudoknot that is highly conserved within the phylogeny. Upon excision of β-globin first intron, the RNA activator of PKR, located in exon 1, is silenced through strand displacement by a short sequence within exon 2, restricting thereby the ability to activate PKR to the splicing process without impeding subsequent synthesis of β-globin essential for survival. This activator/silencer mechanism likewise controls splicing of α-globin pre-mRNA, but the exonic locations of PKR activator and silencer sequences are reversed, demonstrating evolutionary flexibility. Impaired splicing efficiency may underlie numerous human β-thalassemia mutations that map to the β-globin RNA activator of PKR or its silencer. Even where such mutations change the encoded amino acid sequence during subsequent translation, they carry the potential of first impairing PKR-dependent mRNA splicing or shutoff of PKR activation needed for optimal translation.
Introduction
Phosphorylation of the α-chain of eukaryotic translation initiation factor 2 (eIF2α) is critical for mounting the integrated cellular stress response (; ). Transient phosphorylation of eIF2α blocks GDP/GTP exchange needed for recycling of eIF2 between rounds of protein synthesis, inducing translational repression (). The RNA-dependent protein kinase PKR is a prominent eIF2α kinase having a major role in the IFN-mediated antiviral response. IFNs, including IFN-γ, induce high levels of PKR gene transcription in the cell (). To become activated, PKR must undergo ATP-dependent trans-autophosphorylation upon engaging, through its tandem RNA binding motifs, double-stranded RNA generated during virus replication (). Highly ordered double-stranded RNA structures rather than specific sequences are needed to activate PKR (). Once activated by double-stranded RNA, PKR will phosphorylate eIF2α, blocking translation and virus spread from infected cells ().
We review here the discovery and mode of action of a novel class of regulatory RNA elements inside cellular genes that activate PKR to control thereby not only their translation but in particular, enhance their mRNA splicing. Once transcribed into single-stranded RNA, these short non-coding elements fold into structures that act in cis to potently activate PKR, rendering splicing highly efficient (; ; ) or repressing translation of the encoded mRNA (; ), in each case by inducing eIF2α phosphorylation. We address potential implications of these RNA elements for human disease.
Regulation of Gene Expression by Intragenic Elements That Activate PKR
Linear double-stranded RNA, generated in the course of virus infection, was considered to be the classical activator of PKR. That notion was shattered by the discovery of short elements within cellular genes that once transcribed, fold into RNA structures capable of activating PKR even more effectively and use this property to control gene expression. Thus, human IFN-γ mRNA contains a 5′-terminal 203-nt element that folds into a pseudoknot that potently activates PKR, inducing thereby eIF2α phosphorylation and attenuating its own translation by an order of magnitude (; ). This negative feedback loop prevents induction of pathological hyper-inflammation by limiting production of IFN-γ, a prominent inflammatory cytokine (). This intragenic element also couples IFN-γ mRNA translation to the level of PKR in the cell (). Extensive mutational analysis combined with structure probing showed that the RNA activator of PKR is denatured by ribosome passage and undergoes dynamic refolding to allow PKR activation in the course of translation (). Because both activation of PKR and phosphorylation of eIF2α substrate are transient events, followed promptly by dephosphorylation that inactivates PKR while restoring eIF2α activity, intragenic RNA activators of PKR function locally as cis-acting control elements (; ; ).
TNF-α mRNA Splicing Depends on Activation of PKR and Phosphorylation of Its EIF2α Substrate
The inflammatory cytokine TNF-α is not only critical for protective immunity and the anti-tumor response but also a major mediator of inflammatory diseases. TNF-α is expressed promptly during the immune response, TNF-α mRNA levels becoming maximal within 3 h in stimulated human PBMC (). To achieve such efficient expression, splicing of TNF-α mRNA uses activation of PKR. The adenine analog 2-aminopurine, a competitive inhibitor of ATP in binding kinases, especially PKR, blocks splicing of all three TNF-α introns (). Splicing of TNF-α pre-mRNA is controlled by the 104-nt 2-APRE located within the 3′-UTR (Figure 1A; ). This cis-acting RNA element activates PKR more potently than does double-stranded RNA and enhances TNF-α mRNA splicing by over an order of magnitude when PKR expression is increased (). Mutational analysis, including compensatory mutations that restore base pairing and secondary structure of RNA, showed that the 2-APRE renders nuclear splicing of TNF-α pre-mRNA not only strictly dependent on PKR activation but also highly efficient, yet does not cause translational repression (; ). In contrast to TNF-α, the closely related TNF-β (lymphotoxin) gene does not harbor an intragenic activator of PKR and its mRNA is spliced sluggishly; yet, upon transposition of the TNF-α element into the TNF-β 3′-UTR, splicing of TNF-β pre-mRNA became as efficient as that of TNF-α, showing that the 2-APRE functions as an autonomous splicing control element (; ).
FIGURE 1
Protein kinase RNA-activated activation requires its homodimerization on the activating RNA to permit trans-autophosphorylation leading to kinase activation (
Local activation of PKR not only enhances TNF-α mRNA splicing but also increases protein yield correspondingly, without repressing translation (
Intragenic RNA Activators of PKR Control Globin Gene Expression at mRNA Splicing
To analyze the molecular mechanism underlying highly efficient splicing of TNF-α mRNA induced by its intragenic RNA activator of PKR and mediated by eIF2α phosphorylation, we offered in vitro transcribed TNF-α precursor RNA as substrate for splicing in HeLa cell nuclear extract. That attempt failed, owing to prompt and complete degradation of TNF-α pre-mRNA. However, it led to our discovery that splicing of β-globin exon1-intron1-exon2 template, serving as positive control for splicing (
The β-globin RNA activator of PKR maps into the first exon (Figure 1B, step 1); mutation of short helix a–b in the β-globin activator severely impairs both PKR activation and mRNA splicing. Efficient splicing of each of α-, β- and γ-globin pre-mRNA species depends strictly on activation of PKR and nuclear eIF2α phosphorylation and is inhibited by non-phosphorylatable mutant eIF2α or anti-phospho-eIF2α antibodies (
Intragenic RNA-Mediated Silencing of PKR Activators Upon Splicing
The RNA activator of PKR is contained within β-globin exon 1 and thus maintained in spliced mRNA, where it could strongly down-regulate translation as shown for IFN-γ mRNA (
Intragenic RNA Elements That Activate PKR or Silence PKR Activators are Potential Sources of Human Disease
Protein kinase RNA-activated activator and silencer RNA structures were defined for the human β-globin gene (HBB) by truncation, mutational analysis, and in-line probing of the RNA (Figure 1B;
FIGURE 2

Mutations in human β-globin RNA activator of PKR and silencer of PKR activation are associated with β-thalassemia. Structure of the RNA activator of PKR (nucleotides 1–124), determined by in-line probing and mutagenesis, with a key role for helix strands a (green) and b (cyan). Strand a includes the AUG start codon. Position of first splice junction is shown, as is start of exon 2 containing PKR silencer c (red), upon excision of intron 1 but before displacement of strand b by sequence c validated by in-line probing and mutagenesis (see Figure 1B). Nucleotide mutations associated with β-thalassemia in the human gene mutation database (http://www.hgmd.org), are marked by shading in various colors, see text. HBB, human β-globin gene.
Inspection of the human gene mutation data base (HBB1) shows that numerous human β-thalassemia mutations map to the β-globin RNA activator of PKR or to its silencer (Figure 2). Thus, regulatory mutations were reported within the 5′-UTR, many without mechanism. However, C33G mutation reduced the β-globin transcript level (
Splicing-defective mutations reported within the β-globin PKR activator domain (Figure 2) create aberrant splice donor sites that alter protein sequence; aberrant splice donor site mutations are lacking for downstream β-globin exons 2 and 3.
Minimal sequences encoding the α-globin RNA activator of PKR and silencer (Figure 1C) were defined thus far only by truncation analysis (
Following the pattern for adult β-globin, the RNA activator of PKR of γ-globin, the fetal form of β-globin, is located within the first exon and γ-globin mRNA splicing is strictly dependent on PKR activation and eIF2α phosphorylation (
Mutational analysis of the TNF-α RNA activator of PKR (2-APRE, Figure 1A) demonstrated its exquisite sensitivity to mutations, even to a single nucleotide change or base pair inversion, in activating PKR and rendering splicing highly efficient (
Future Perspectives
The discovery of intragenic elements that once transcribed, control splicing by activating PKR in the nucleus or by silencing the ability to activate PKR, adds a new dimension to the analysis and interpretation of human gene mutations. As shown for the RNA activators of PKR within IFN-γ mRNA and TNF-α pre-mRNA, even single-nucleotide substitutions or the inversion of a single base pair can lead to loss of the ability of the RNA element to activate PKR (
Thus, short intragenic RNA elements that activate PKR or that silence PKR activators are not only essential for controlling efficient mRNA splicing but also create potential etiology for human disease. In a broader sense, this novel perspective may account for and/or contribute to the phenotype of gene mutations analyzed hitherto primarily for their effect on protein sequence. Even where such mutations change the encoded amino acid sequence during subsequent translation in the cytoplasm, they also carry the potential of first impairing PKR-dependent mRNA splicing in the nucleus or the shutoff of PKR activation needed for optimal translation. That concept extends to silent mutations and to mutations that alter amino acid sequence without having a major effect on protein function.
Statements
Author contributions
OT searched the human gene mutation database. OT and RK analyzed the human mutation data. LI, SC-C, LN, FO, and RK designed and performed the experiments and analyzed the results. RK wrote the manuscript. All authors read and approved the final version of the manuscript for submission.
Funding
This work was supported by United States Congressionally Directed Medical Research Programs award (W81XWH-17-1-0647).
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
ABBREVIATIONS
- 2-APRE
2-aminopurine response element
- PKR
protein kinase RNA-activated
- eIF2α
eukaryotic initiation factor 2 α-chain
- TNF
tumor necrosis factor
- IFN
interferon
- nt
nucleotide
- PBMC
peripheral blood mononuclear cells
- UTR
untranslated region
Footnotes
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Summary
Keywords
mRNA splicing control, intragenic RNA activators of PKR, activation of PKR, eIF2α phosphorylation, PKR silencer elements, TNF-α gene, β-globin gene, human β-thalassemia mutations
Citation
Kaempfer R, Ilan L, Cohen-Chalamish S, Turgeman O, Namer LS and Osman F (2019) Control of mRNA Splicing by Intragenic RNA Activators of Stress Signaling: Potential Implications for Human Disease. Front. Genet. 10:464. doi: 10.3389/fgene.2019.00464
Received
28 February 2019
Accepted
30 April 2019
Published
14 May 2019
Volume
10 - 2019
Edited by
Rosanna Asselta, Humanitas University, Italy
Reviewed by
Tohru Yoshihisa, University of Hyogo, Japan; Rahul N. Kanadia, University of Connecticut, United States
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Copyright
© 2019 Kaempfer, Ilan, Cohen-Chalamish, Turgeman, Namer and Osman.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Raymond Kaempfer, kaempfer@hebrew.edu
This article was submitted to RNA, a section of the journal Frontiers in Genetics
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