illustrating the state of the art in translational control, a three -level hierarchical regulatory system governing protein synthesis through two interdependent frameworks: I) regulome -mediated translational control (RMTC), in which the translational regulome is defined as the system of shared cis-acting RNA structures that enable coordinated translation of mRNA cohorts (regulons), and II) epitranscriptome -mediated translational control (EMTRAC), where the epitranscriptome comprises chemical RNA modifications that program translational competence across mRNA, rRNA, tRNA, and regulatory non-coding RNAs. Both frameworks operate via 1) structural (cis-acting) and 2) functional (trans-acting) subsystems organized across a) global, b) intermediate, and c) local levels.
At the global RMTC level, translation is gated by ternary complex availability, with overlapping uORF architectures enabling selective translation of low–TC-activated mRNAs such as ATF4 and DDIT3, while global EMTRAC establishes translational competence through m⁷G-cap–dependent initiation, modulated by mTOR–4E-BP–eIF4E signaling.
At the intermediate level, RMTC defines translational regulons via shared 5′UTR cis-elements, including secondary structures, IRESs, TOP/TISU motifs, RNA G-quadruplexes, and m⁶A sites, decoded by specialized ribosomes and trans-acting factors, whereas EMTRAC programs ribosome function through snoRNA-guided rRNA and tRNA 2′-O-methylation, enabling preferential translation of structurally complex regulon transcripts such as MYC, VEGFA, TP53, TGFB1, CCND1.
At the local level, transcript-specific RMTC integrates with sequence- and context-dependent EMTRAC modifications (m⁶A, m¹A, m⁶Am, m⁵C) to fine-tune translation efficiency and isoform-specific protein output, exemplified by DNMT3. Other RNA modifications—including pseudouridylation (Ψ), acetylation (ac⁴C), and RNA editing (A-to-I, C-to-U)—operate within this framework in a structure- and sequence-dependent manner.
SELECTED GENES BY HIERARCHICAL LEVEL: GLOBAL – ATF4, ATF3, DDIT3, GADD34, GCN4, GLOBAL EMTRAC, INTERMEDIATE TRANSLATIONAL REGULONS – MYC, MDM2, VEGFA, FGF2, EGFR, HIF1A, JUN, SOX2, TP53, RB1, NF1, STK11, BRCA1, CHEK1, CHEK2, APC, CCND1, CCNB1, CDK1, CDK4, CDK6, E2F1, BCL2, MCL1, BIRC5, TGFB1, PDGFA, RPS6, EIF3B, EEF2, LOCAL: DNMT3, DNMT3, TET3, SLC2A1, PDP1, ADAR1, METTL3, YTHDF2, NF1, RB1, APC.
Together, these layered regulatory mechanisms enable translational reprogramming and the translatomic paradox, whereby selective protein synthesis is maintained or enhanced despite global translational repression in stress, differentiation, mitosis, or cancer. Although this project focuses on EMTRAC, the presented hierarchical structural–functional stratification enables rational experimental design to dissect causal mechanisms of civilization-related disease–associated translatome reprogramming through a multiomics dissection of hierarchical translational control in epitranscriptome-mediated translatome reprogramming, while supporting RMTC- and EMTRAC-wide association studies and atlas generation, thereby facilitating the discovery of clinically relevant biomarkers and therapeutic targets.
ABBREVIATIONS: TCtrl – Translational Control, PS – Protein Synthesis, RMTC – Regulome Mediated Translational Control, EMTRAC – Epitranscriptome Mediated Translational Control, TR – Translational Regulon, TC – Ternary Complex eIF2 GTP Met tRNAi, CAE – Cis Acting Element, pTAF – Protein based Trans Acting Factor, naTAF – Nucleic Acid based Trans Acting Factor, RBP – RNA Binding Protein, RMP – RNA-modifying proteins, ncRNA – Non coding RNA, lncRNA – Long Non coding RNA, sncRNA – Small Non coding RNA, snoRNA – Small Nucleolar RNA, miRNA – microRNA, 5UTR – 5 prime Untranslated Region, uORF – Upstream Open Reading Frame, uAUG – Upstream AUG codon, IRES – Internal Ribosome Entry Site, TOP – Terminal Oligopyrimidine motif, TISU – Translation Initiator of Short 5UTR, rG4 – RNA G quadruplex, Kozak – Translation initiation consensus sequence, m7G – N7 methylguanosine cap, m⁶A – N6 methyladenosine, m¹A – N1 methyladenosine, m⁶Am – N6 2 prime O dimethyladenosine, m⁵C – 5 methylcytidine, Ψ – Pseudouridine, ac⁴C – N4 acetylcytidine, A/I – Adenosine to Inosine RNA editing, C/U – Cytidine to Uridine RNA editing, 2'-O-Me – 2 prime O methylation, eIF – Eukaryotic Initiation Factor, eIF2α – Alpha subunit of eIF2, eIF4E – Cap binding initiation factor, 4E-BP – eIF4E Binding Protein, mTOR – Mechanistic Target of Rapamycin, S6K – Ribosomal Protein S6 Kinase, RPS6 – Ribosomal Protein S6, EEF2 – Eukaryotic Elongation Factor 2, EEF2K – EEF2 kinase.
BASIC INFORMATION:
TRANSREP is a basic research project aimed at advancing fundamental mechanistic understanding of the interplay between reactome-mediated translational control (RMTC) and epitranscriptome-mediated translational control (EMTRAC) in driving translatome reprogramming, with direct relevance to biomedical innovation.
KEYWORDS: Transcriptome, epitranscriptome, epitranscriptomics, RNA methylation, regulome, translational control, translatome, translatome reprogramming, translatomic paradox, proteome, metabolome, cancer translatome, cis-acting elements, trans-acting factors, cap-dependent, cap-independent translation, 5’UTR, integrated stress response (ISR), 2′-O-methylation, m6A, m6Am, m1A, m5C, m7G, snoRNA, ribosome profiling, single-cell multi-omics, tumor microenvironment, metabolic reprogramming, EMT, tumor-educated cells, TEPs, biomarkers, molecular targets, systems biology, precision medicine, molecular diagnostics, pharmacogenomics, gene therapy, medical biotechnology, FBL, METTL3, FTO, THRB, SAM/SAH.
Disease models: cancer and other non-communicable diseases within the human diseasome.
Key Biological Pathways: and programs critically dependent on translational control include: integrated stress response (ISR)–driven epithelial–mesenchymal transition (EMT) programs, cellular plasticity and stemness programs, vascular remodeling, thyroid hormone–mediated metabolic differentiation, Warburg-like metabolic reprogramming, translation-dependent tumor-educated cells (TECs), including tumor-educated platelets (TEPs), as well as exosome-mediated intercellular communication.
Selected technologies: Ribosome profiling (Ribo-seq), RNA-seq, single-cell multiomics, quantitative proteomics, RNA modification profiling (m⁶A-seq / MeRIP-seq or direct RNA sequencing), polysome profiling / TRAP-seq, and proprietary author-developed technology dGoligo/eRNA for regulome-level interrogation of translational control.
BACKROUND
Translational control (TC) is a post-transcriptional regulatory mechanism of gene expression that enables the fastest cellular and subcellular responses to environmental cues. Its dysregulation is linked to major civilization diseases, including cancer, neurodegenerative and cardiovascular diseases, as well as aging. Accumulating evidence demonstrates that transcriptomic changes alone fail to explain disease-associated proteomic states, particularly in stress-adapted cells, thereby identifying translation as a critical yet underexplored regulatory layer. Acting downstream of transcription, TC directly shapes the set of actively translated proteins (the translatome), enabling rapid and selective protein synthesis independently of mRNA abundance. This gives rise to a translatomic paradox, whereby global protein synthesis can be suppressed while selected transcripts or transcript cohorts remain efficiently translated, leading to profound changes in cellular proteome composition. Carcinogenesis represents a paradigmatic pathological process characterized by extensive translatome reprogramming that favors oncogenic drivers over tumour suppressors.
TC is executed through multiple mechanistically distinct but interacting layers, including RNA methylation–dependent mechanisms that define Epitranscriptome-Mediated Translational Control (EMTRAC), as well as cis-regulatory logic decoded by dedicated trans-acting machineries, collectively referred to here as Regulome-Mediated Translational Control (RMTC). Increasing evidence indicates that translational control is hierarchically organized across three interconnected levels—global, intermediate, and local—at which EMTRAC and RMTC operate in complementary but non-redundant roles.
Three interacting levels of CT across the EMTRAC and RMTC layers
At the global level, EMTRAC defines the dominant mode of translation initiation across the translatome through m⁷G-cap–dependent and cap-independent mechanisms, thereby setting overall initiation logic and translational permissiveness. This layer is regulated by trans-acting signaling pathways, including the mTORC1–4E-BP–eIF4E axis, and does not confer sequence-based selectivity. Superimposed on this regime, RMTC introduces a global kinetic constraint through regulation of ternary complex availability via stress-induced phosphorylation of eIF2α, selectively permitting translation of transcripts encoding intrinsic uORF-based initiation sensors without invoking regulon logic.
At the intermediate level, EMTRAC operates through ribosome programming driven by small nucleolar RNA (snoRNA)–guided ribosomal RNA (rRNA) modifications, including 2′-O-methylation (2′-O-Me) and pseudouridylation (Ψ), which generate functionally specialized ribosomes. These programmed ribosomes do not alter global protein synthesis rates but bias translational competence toward transcripts with defined architectural features, such as long, highly structured 5′ untranslated regions (5′UTRs). At the same depth, RMTC organizes translation into translational regulons (TRs)—cohorts of mRNAs sharing common cis-acting elements that are coordinately decoded by compatible ribosomes and shared protein trans-acting factors. Together, EMTRAC-driven ribosome specialization and RMTC-defined regulons reshape pathway-level protein output independently of transcript abundance.
At the local level, translational regulation becomes transcript-specific and sequence-encoded. Local EMTRAC is mediated by position- and context-dependent RNA modifications, including N6-methyladenosine (m⁶A), N6,2′-O-dimethyladenosine (m⁶Am), N1-methyladenosine (m¹A), and 5-methylcytosine (m⁵C), which fine-tune translation efficiency, elongation dynamics, and isoform-specific protein output. In parallel, local RMTC decodes cis-acting RNA elements through recruitment of dedicated trans-acting factors, including RNA-binding proteins, microRNAs, and regulatory long non-coding RNAs. This level integrates EMTRAC-imposed RNA modification states with regulon-encoded cis logic to achieve precise, context-dependent control of individual proteins.
Major knowledge gaps
Major knowledge gaps: Although comprehensive epitranscriptome databases for model organisms and reference physiological conditions exist—such as RMBase v3.0, which catalogs RNA modification sites across species and healthy reference models—there is currently no integrated resource capturing cell state– or disease-driven EMTRAC- and RMTC-mediated translatome reprogramming. This gap precludes systematic identification of functional, targetable translational vulnerabilities.
Most mRNAs harbor regulatory sequences within their 5′UTRs, coding sequences (CDSs), and 3′UTRs, collectively referred to as cis-acting elements. These elements encode translational logic that is decoded by RMTC through shared trans-acting factors, while RNA methylation within these regions modulates ribosome engagement and translational efficiency via EMTRAC. In parallel, a large diversity of non-coding RNAs—including long non-coding RNAs, pseudogene-derived transcripts, snoRNAs, small non-coding RNAs, and microRNAs—actively participate in translational regulation, forming a multilayered regulatory architecture that governs protein synthesis in a context-dependent manner.
It is well established that transcripts characterized by short, m⁷G-capped, weakly structured, and AT-rich 5′UTRs are efficiently translated under basal conditions and are preferentially suppressed during mitosis or cellular stress. In contrast, the expression dynamics, regulatory mechanisms, and functional relevance of long, GC-rich, highly structured mRNA isoforms that are inefficiently translated under basal conditions remain poorly understood. This knowledge gap underscores the need for systematic, multi-omics approaches to dissect how epitranscriptome-mediated (EMTRAC) and reactome-mediated translational control (RMTC) hierarchically cooperate to reprogram the translatome in health and disease.
Based on previous findings (see References), it can be hypothesized that, at the RMTC-defined cis-regulatory layer, transcripts characterized by long, GC-rich, and highly structured 5′UTRs containing upstream open reading frames (uORFs), internal ribosome entry sites (IRESs), and other inhibitory motifs constitute a pool of translationally inactive or weakly translated mRNAs that can be selectively mobilized for rapid protein synthesis under defined physiological or pathological conditions such as mitosis or ISR. Furthermore, it can be hypothesized that this selective recruitment can be enabled by EMTRAC-driven RNA modification states that modulate RMTC-defined cis-regulatory architectures by increasing or decreasing the extent of RNA modifications, thereby promoting context-dependent recruitment of sequence- and modification-specific trans-acting factors. This framework assigns a previously unrecognized functional role to structurally complex mRNA variants, frequently observed in oncogenes and tumor suppressor genes, whose translational potential has remained largely unexplored.
The primary aim of this project is to define the mechanistic principles by which EMTRAC and RMTC cooperatively enable selective recruitment and activation of transcripts, particularly structurally complex mRNA variants with long, regulatory-rich 5′UTRs. Specifically, the project aims to dissect how global, intermediate, and local layers of translational regulation—including ribosome programming driven by snoRNA-guided rRNA modifications, translational regulon logic, and transcript-specific RNA methylation—cooperate to reprogram the translatome independently of transcript abundance in health and disease.
The proposed hypothesis will be tested using an integrated multi-omics framework combined with targeted functional perturbations to dissect hierarchical translational control mediated by EMTRAC and RMTC. Transcriptome- and translatome-wide analyses, including alternative transcript isoforms, will integrate ribosome profiling (Ribo-seq), polysome profiling and TRAP-seq with bulk RNA-seq and single-cell multiomics to quantify global, intermediate, and transcript-specific translational outputs. Epitranscriptomic regulation will be interrogated using RNA modification profiling (m⁶A-seq / MeRIP-seq or direct RNA sequencing), complemented by metabolomic analyses as determinants of RNA methylation capacity and quantitative proteomics to validate functional protein output. Mechanistic interrogation will involve modulation of cap-dependent and cap-independent translation initiation, targeted perturbation of rRNA-specific modifications (e.g. 2′-O-methylation), and transcript- and isoform-specific modulation of RNA methylation states.
Functional mechanistic validation will be performed in vitro and in vivo. Regulome-driven translational control will be causally tested using a proprietary author-developed 5′UTR-targeted oligonucleotide-based platform (dGoligo/eRNA) enabling gene-specific modulation of translation.
The project will generate health-, disease-, and cell-type–specific libraries of (a) epitranscriptomic states, (b) cis-element–resolved transcript architectures, and (c) associated trans-acting regulatory factors, integrated into a comprehensive open-access database of EMTRAC- and RMTC-mediated translatome reprogramming across the human diseasome. Ultimately, this work will produce a unified TRANSREP Atlas enabling the identification of novel biomarkers and therapeutic targets and providing a foundation for the selective enhancement of native protein synthesis from endogenous transcripts.
This project will establish a unified conceptual and mechanistic framework positioning EMTRAC and RMTC as hierarchically organized and experimentally targetable layers of gene expression regulation. By integrating multi-omics datasets into a mechanism-aware architecture, it will address critical gaps in understanding how epitranscriptomic modifications and regulon-encoded cis-regulatory logic cooperate to reprogram the translatome independently of transcript abundance. The resulting atlas will complement existing resources, such as RMBase v3.0, and enable the discovery of disease-associated translational vulnerabilities, thereby supporting the development of precision medicine strategies targeting translational control and next-generation oligonucleotide therapeutics.
For further details of the TRANSREP concept, see Translational control in Tables.
Translational control (TC), a relatively underexplored mechanism of protein synthesis regulation, plays a crucial role in stress adaptation and drug metabolism. Its dysregulation is closely associated with premature aging and civilization-related diseases, including cancer and cardiovascular disorders—the leading global causes of death. By shifting between cap-dependent and cap-independent mechanisms, TC enables cells to prioritize stress-response proteins critical for survival under conditions such as hypoxia. Cancer cells exploit these switches to promote oncogenic protein synthesis, using internal ribosome entry sites (IRES) to sustain growth and resist apoptosis under hypoxia. Conversely, in cardiovascular diseases, these mechanisms facilitate rapid production of protective proteins to limit damage during ischemic events. Moreover, dysregulated TC contributes to premature aging by impairing protein homeostasis, reducing cellular resilience, and promoting the accumulation of misfolded proteins—a hallmark of neurodegenerative disorders. This thematic issue will explore the role of TC in drug metabolism and its potential as a therapeutic target for cancer, heart disease, aging, and neurodegeneration. It will also showcase cutting-edge research methodologies, including molecular modeling, advanced "omics," and integrative bioinformatics, to support the development of next-generation therapeutics that more effectively target TC.
Translational control is an underexplored yet highly actionable layer of gene expression regulation with direct relevance to human disease. By defining how reactome-mediated (RMTC) and epitranscriptome-mediated translational control (EMTRAC) cooperate to reprogram disease-specific translatomes, this project will generate a unified atlas of translational regulation across the human diseasome. This atlas will enable the identification of disease-associated translational vulnerabilities and provide a mechanistic foundation for selective, oligonucleotide-based therapeutic strategies that modulate endogenous protein synthesis with improved precision and reduced systemic toxicity.
For a detailed discussion of translational control mechanisms underlying this framework, see our related PUBLICATIONS, INVENTIONS, and RESEARCH.
NUMIEP is a related project entitled: Multiomics-guided mechanistic understanding of gut microbiome-mediated epigenome reprogramming in response to functional food–based dietary intervention. NCN OPUS-LAP project — My role: scientific concept co-author (microbiome–epigenome–transcriptome axis), USA consortium partner (in-kind contribution), scientific advisor.
RNA Modification Base (RMBase) is a comprehensive database that integrates multidimensional epitranscriptome sequencing data from healthy human samples and multiple model species to map, mechanistically characterise and functionally annotate RNA modifications. RMBase provides analytical modules for modification landscape exploration, mechanistic inference, interactome analysis, co-localisation with histone marks and regulatory protein associations; no disease-specific models are included. Xuan JJ et al. RMBase v3.0: decode the landscape, mechanisms and functions of RNA modifications. Nucleic Acids Research (2023).
UTRdb is a curated database of eukaryotic 5′ and 3′ untranslated regions (UTRs) derived from experimentally supported transcript annotations. The resource integrates sequence features, regulatory motifs and functional elements involved in post-transcriptional and translational control, including binding sites for RNA-binding proteins and regulatory sequence patterns. UTRdb can be used as a starting point for identifying translational regulons within the regulome, while not providing direct disease-specific or functional perturbation models.
Grillo G et al. UTRdb and UTRsite (RELEASE 2010): a collection of sequences and regulatory motifs of the untranslated regions of eukaryotic mRNAs. Nucleic Acids Research 38(Database issue):D75–D80 (2010).
AURA (Atlas of UTR Regulatory Activity) is a specialised database dedicated to the annotation and functional characterisation of cis-acting regulatory elements within the 5′ and 3′ untranslated regions (UTRs) and interacting with them trans-acting factors that may help in bilding the Atlas of Regulome Mediated Translational Control (RMTC).
Dassi E, Malossini A, Re A, et al. AURA: Atlas of UTR Regulatory Activity. Bioinformatics. 2012;28(1):142–143.
Proteogenomics Research: On the Frontier of Precision Medicine.
By linking genetic alterations with protein expression and modification patterns, this approach reveals functional consequences of mutations, identifies clinically relevant pathways, and supports more precise patient stratification. Such insights contribute to improved biomarker discovery and more targeted therapeutic strategies in oncology.
29 refereed publications, 30 > abstracts, 4 patents
H-Index range: 11–17 (2025), depending on bibliographic databases, as some papers or journals may not be indexed. Citation counts can vary across different databases due to their unique indexing criteria. See Bibliographic Databases