Upstream open reading frames (uORFs) are sequences with start and stop codons found upstream of the main protein coding region in an area known as the 5’ untranslated region (UTR). uORFs can vary by number per transcript, by length and by their position in relation to the 5’ cap and main start codon. uORFs act as tissue-specific cis-regulatory elements and can inhibit downstream translation in a number of ways, for example some uORFs translate small peptides which can directly inhibit translation by interacting with and stalling elongating ribosomes at or near the uORF stop codon. In some cases, simply the initiation of translation at an AUG in the uORF can inhibit translation of the downstream protein without any interaction from the translated small peptide. In other cases, termination at a uORF stop codon can trigger the nonsense-mediated decay pathway.

The development of ribosome profiling (also known as Ribo-Seq) has enabled the genome-wide characterisation of translated uORFs. In addition to canonical (AUG initiated) uORF discovery, modified ribosome profiling methods have allowed the identification of many noncanonical uORFs and has helped highlight their prevalence and potential functional importance.

The below papers exemplify the use of translatomics tools in identifying translated uORFs in the 5’ UTR of various genes.

Translation of 5′ leaders is pervasive in genes resistant to eIF2 repression

Elife, 2015. 4, p.e03971.

Andreev, D.E., O’Connor, P.B., Fahey, C., Kenny, E.M., Terenin, I.M., Dmitriev, S.E., Cormican, P., Morris, D.W., Shatsky, I.N. and Baranov, P.V.

Translation from the 5′ untranslated region shapes the integrated stress response

Science, 2016; 351(6272).

Starck, S.R., Tsai, J.C., Chen, K., Shodiya, M., Wang, L., Yahiro, K., Martins-Green, M., Shastri, N. and Walter, P.

Conservation of uORF repressiveness and sequence features in mouse, human and zebrafish

Nature communications, 2016, 7(1), pp.1-10.

Chew, G.L., Pauli, A. and Schier, A.F.,

Translation from unconventional 5′ start sites drives tumour initiation

Cancer Research, 2016; 76(10), pp.3078–3087

Wahba, A., Rath, B.H., Bisht, K., Camphausen, K. and Tofilon, P.J.,

Disrupting upstream translation in mRNAs is associated with human disease

Nature communications, 2021, 12(1), pp.1-14.–3087

Lee, D.S., Park, J., Kromer, A., Baras, A., Rader, D.J., Ritchie, M.D., Ghanem, L.R. and Barash, Y.