Evidence map›Paper›PMID 34750347›Full record

ArticleNature communications2021

Nascent chains can form co-translational folding intermediates that promote post-translational folding outcomes in a disease-causing protein.

Elena Plessa, Lien P Chu, Sammy H S Chan, Oliver L Thomas, Anaïs M E Cassaignau, Christopher A Waudby, John Christodoulou, Lisa D Cabrita

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
  2. Structures of protein folding intermediates on the ribosome.Nature structural & molecular biology · 2026
    Article
  3. Article
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  6. The mechanism of pathogenic αProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  7. Article
  8. Article
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  11. Article
  12. Making Proteins with Electricity.Reviews of physiology, biochemistry and pharmacology · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. How the ribosome shapes cotranslational protein folding.Current opinion in structural biology · 2024
    Review
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Elena Plessa *Institute of Structural and Molecular Biology, University College London, Gower Street, London, WC1E 6BT, UK.ORCID 0000-0003-3079-5062
Lien P Chu *Institute of Structural and Molecular Biology, University College London, Gower Street, London, WC1E 6BT, UK.
Sammy H S ChanInstitute of Structural and Molecular Biology, University College London, Gower Street, London, WC1E 6BT, UK.ORCID 0000-0003-1156-1818
Oliver L ThomasInstitute of Structural and Molecular Biology, University College London, Gower Street, London, WC1E 6BT, UK.
Anaïs M E CassaignauInstitute of Structural and Molecular Biology, University College London, Gower Street, London, WC1E 6BT, UK.ORCID 0000-0003-3963-082X
Christopher A WaudbyInstitute of Structural and Molecular Biology, University College London, Gower Street, London, WC1E 6BT, UK.ORCID 0000-0001-7810-3753
John ChristodoulouInstitute of Structural and Molecular Biology, University College London, Gower Street, London, WC1E 6BT, UK. j.christodoulou@ucl.ac.uk.ORCID 0000-0002-6710-3843
Lisa D CabritaInstitute of Structural and Molecular Biology, University College London, Gower Street, London, WC1E 6BT, UK. l.cabrita@ucl.ac.uk.ORCID 0000-0003-2963-8078
Institute of Structural and Molecular Biology · GB

Funding

Biotechnology and Biological Sciences Research Council BB/M012573/1Cancer Research UK FC001029Medical Research Council MC_U117533887Wellcome Trust 097806/Z/11/ZWellcome Trust 206409/Z/17/ZWellcome Trust FC001029
6 · The paper itself

Abstract

During biosynthesis, proteins can begin folding co-translationally to acquire their biologically-active structures. Folding, however, is an imperfect process and in many cases misfolding results in disease. Less is understood of how misfolding begins during biosynthesis. The human protein, alpha-1-antitrypsin (AAT) folds under kinetic control via a folding intermediate; its pathological variants readily form self-associated polymers at the site of synthesis, leading to alpha-1-antitrypsin deficiency. We observe that AAT nascent polypeptides stall during their biosynthesis, resulting in full-length nascent chains that remain bound to ribosome, forming a persistent ribosome-nascent chain complex (RNC) prior to release. We analyse the structure of these RNCs, which reveals compacted, partially-folded co-translational folding intermediates possessing molten-globule characteristics. We find that the highly-polymerogenic mutant, Z AAT, forms a distinct co-translational folding intermediate relative to wild-type. Its very modest structural differences suggests that the ribosome uniquely tempers the impact of deleterious mutations during nascent chain emergence. Following nascent chain release however, these co-translational folding intermediates guide post-translational folding outcomes thus suggesting that Z's misfolding is initiated from co-translational structure. Our findings demonstrate that co-translational folding intermediates drive how some proteins fold under kinetic control, and may thus also serve as tractable therapeutic targets for human disease.

Indexed as

Protein BiosynthesisProtein FoldingAlgorithmsalpha 1-Antitrypsinalpha 1-Antitrypsin DeficiencyAmino Acid SequenceAnimalsBlotting, WesternCircular DichroismEndopeptidase KHumansKineticsPeptidesProtein Processing, Post-TranslationalRabbitsReticulocytesalpha 1-AntitrypsinEndopeptidase KPeptidesSERPINA1 protein, human

Identifiers

PMID34750347
PMCPMC8576036
OpenAlexW3212859555

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.