Re-recognition of pseudogenes: From molecular to clinical applications

Abstract

Pseudogenes were initially regarded as "nonfunctional" genomic elements that did not have protein-coding abilities due to several endogenous inactivating mutations. Although pseudogenes are widely expressed in prokaryotes and eukaryotes, for decades, they have been largely ignored and classified as gene "junk" or "relics". With the widespread availability of high-throughput sequencing analysis, especially omics technologies, knowledge concerning pseudogenes has substantially increased. Pseudogenes are evolutionarily conserved and derive primarily from a mutation or retrotransposon, conferring the pseudogene with a "gene repository" role to store and expand genetic information. In contrast to previous notions, pseudogenes have a variety of functions at the DNA, RNA and protein levels for broadly participating in gene regulation to influence the development and progression of certain diseases, especially cancer. Indeed, some pseudogenes have been proven to encode proteins, strongly contradicting their "trash" identification, and have been confirmed to have tissue-specific and disease subtype-specific expression, indicating their own value in disease diagnosis. Moreover, pseudogenes have been correlated with the life expectancy of patients and exhibit great potential for future use in disease treatment, suggesting that they are promising biomarkers and therapeutic targets for clinical applications. In this review, we summarize the natural properties, functions, disease involvement and clinical value of pseudogenes. Although our knowledge of pseudogenes remains nascent, this field deserves more attention and deeper exploration.

Keywords: classification; diagnosis; function; prognosis; pseudogene; therapeutics.

Figure 1

Pseudogenes are mainly generated in three forms. (A) The unitary pseudogene is derived from a coding gene with several mutations involved, leading to loss of its transcription and translation capacities, with have no fully functional counterpart in the same genome. (B) Due to unfaithful duplication, the duplicated gene generates a mutated gene copy that eventually becomes an unprocessed pseudogene; the original gene copy is fully functional. (C) A processed pseudogene derives from an mRNA that has been reverse transcribed into a cDNA and then synthesized into a host gene or parental gene via retrotransposon. Processed pseudogenes can be found far from their counterparts or on different chromosomes.

Figure 2

Pseudogenes have a series of regulatory effects at the DNA level. (A) DNA of the pseudogene can be randomly inserted into the parental gene or other host genes to regulate their transcription. By insertion into the promoter region of a target gene, a pseudogene is able to epigenetically silence its expression (a). In addition, pseudogenes can utilize the transcriptional mechanism of host genes to achieve their own transcription (b). Moreover, when the insertion site of a pseudogene is in a more downstream intron site of the host gene, a fusion gene is formed, and a chimeric RNA transcript is then produced (c). In fact, pseudogene insertion occurring in the coding region of a target gene can lead to mutagenesis and simultaneously loss of its own function (d). (B) DNA of the parental gene can also be influenced by pseudogenes via sequence exchange due to the high similarity of the sequences. Parental gene DNA can be substituted in a conversion with (a) or exchanged in a homologous recombination with (b) specific pseudogene DNA, thus finally affecting the function of the parental gene at the DNA level. Abbreviations: ORF: open reading frame.

Figure 3

Pseudogene RNA exists in various forms and plays a vital role in target gene expression. A pseudogene can be transcribed into antisense RNA that (A) interacts with or (B) recruits multiple negative epigenetic regulators, such as G9A, DNMT3A, and EZH2, to the promoter region of the parental gene to induce an inhibitory effect on its transcription. Some pseudogenes can produce endogenous siRNAs by (C) interacting with sense RNA to form a double-stranded RNA-RNA duplex or (D) being transcribed from the inverted repeat region. Both of these products may undergo Dicer splicing to produce siRNAs, which mediate an RNA interference effect to reduce sense RNA. (E) By containing similar miRNA response elements (MREs) with the miRNA target gene, including the parental gene, pseudogene RNA is capable of competing for miRNAs by serving as a miRNA decoy to enhance expression of miRNA target genes at the posttranscriptional level. (F) Pseudogenes can also generate long noncoding RNAs (lncRNAs) to trigger epigenetic regulations of parental genes; other functions of pseudogene-derived lncRNAs still need to be investigated. (G) Pseudogene RNA is able to compete for RNA-binding proteins (RBPs) with the RNA transcripts of the parental gene. The comprehensive effect on the transcription of the parental gene mainly relies on the subtype of RBP: RNA-stabilizing RBPs and RNA-destabilizing RBPs. Abbreviations: DNMT3A: DNA methyltransferase 3 alpha; EZH2: enhancer of zeste 2 polycomb repressive complex 2 subunit; G9A: euchromatic histone lysine methyltransferase 2; H3K9me3: histone trimethylated at lysine 9; HP1a: Heterochromatin Protein 1A; IRR: inverted repeat region; RBP: RNA binding protein; SUV39H1: suppressor of variegation 3-9 homolog 1.

Figure 4

A pseudogene should no longer be treated as a “nonfunctional” element. The critical criterion for judging whether a gene is “functional” or not is predominantly according to its encoding-protein ability. In fact, some pseudogenes harbor a complete open reading frame (ORF) to produce mRNAs. Therefore, these pseudogenes can produce proteins that exert parental gene-like or parental gene-unlike functions. In addition, a small number of pseudogenes can be transcribed as fragments of entire mRNAs, generating different peptides that can induce immune responses or cooperate with parental genes. Because pseudogenes have the potential to produce proteins, as opposed to the traditional opinions that pseudogenes are “nonfunctional”, a reasonable nomenclature is required to reidentify these special types of sequences.