​Translation is initiated when the small ribosomal subunit, which scans from the 5’ end of the mRNA, recognises a start codon. Identifying sites of translation initiation is desirable for uncovering alternatively translated reading frames. When ribosomes initiate at noncanonical start codons of open reading frames (ORF), this creates a more diversified proteome without expansion of genome size, where polypeptides whose sequences deviates from that encoded in their corresponding main ORFs are created, allowing the expression of several protein isoforms from individual transcripts, as seen in the figure above.

Ribosome profiling is a powerful tool for detecting translation start sites and can be adapted for this use with inhibitors that preferentially block the translocation of initiating ribosomes. Harringtonine, for example, captures initiating ribosomes, while depleting other ribosomes by run-off elongation. Lactimidomycin acts more gradually to trap initiating ribosomes. Initiation sites can also be defined by depleting most elongating ribosomes using the drug puromycin or by sequential treatment with lactimidomycin to stabilise initiating ribosomes, followed by puromycin to destabilise elongating and terminating ribosomes.

Below are a series of five papers that exemplify the use of ribosome profiling in determining unique TISs and the impact this may have on alternative gene expression.

Ribosome Profiling of Mouse Embryonic Stem Cells Reveals the Complexity and Dynamics of Mammalian Proteomes

Cell, 2011; 147(4), pp.789-802.
Ingolia, N.T., Lareau, L.F. and Weissman, J.S.

Global mapping of translation initiation sites in mammalian cells at single-nucleotide resolution

Proceedings of the National Academy of Sciences, 2012; 109(37), pp.E2424-E2432.
Lee, S., Liu, B., Lee, S., Huang, S.X., Shen, B. and Qian, S.B.

Retapamulin-Assisted Ribosome Profiling Reveals the Alternative Bacterial Proteome

Molecular Cell, 2019; 74(3), pp.481-493.
Meydan, S., Marks, J., Klepacki, D., Sharma, V., Baranov, P.V., Firth, A.E., Margus, T., Kefi, A., Vázquez-Laslop, N. and Mankin, A.S.

Ribosome profiling in archaea reveals leaderless translation, novel translational initiation sites, and ribosome pausing at single codon resolution

Nucleic Acids Research, 2020; 48(10), pp.5201-5216.
Gelsinger, D.R., Dallon, E., Reddy, R., Mohammad, F., Buskirk, A.R. and DiRuggiero, J.

Combinatorial analysis of translation dynamics reveals eIF2 dependence of translation initiation at near-cognate codons

Nucleic Acids Research, 2021; 49(13), pp.7298-7317
Ichihara, K., Matsumoto, A., Nishida, H., Kito, Y., Shimizu, H., Shichino, Y., Iwasaki, S., Imami, K., Ishihama, Y. and Nakayama, K.I.,