The molecular movie revealed something startling. “The model going in…said both eIF1 and eIF5 are bound up to the start site, and then at the start site, eIF1 releases and eIF5 does a conformational rearrangement to take its spot. What we see, in humans, is that eIF5 is not bound at first. eIF1 stays bound, and when it hits the start site, it’s ejected. But then…eIF1 starts resampling. During that resampling period is when eIF5 tries to bind.” The result is a double-check: “If eIF5 successfully binds, you make a protein. If eIF1 successfully rebinds, the complex will start scanning again. So it’s like a double-check step.”
This nuanced choreography isn’t just academic. Differences in start site choice, and thus in which and how many proteins made, are magnified under cell stress, in cancers, and in neurodegenerative diseases like amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). “That ratio is really important,” Lapointe says, “and you can get disruptive ratios…which is why we care not just about efficiency but how frequency of AUG vs. non-AUG usage can change, depending on the cell’s context.”
Looking ahead, Lapointe and colleagues are pushing beyond the foundational “double-check” mechanism, focusing on new questions at the interface of molecular choreography and translational control. One immediate direction is to decipher whether eIF5, long viewed as a commitment factor, can also participate in downstream quality control—potentially proofreading ribosomal decisions for start-site selection.
But what about how this might play a role in human disease? The lab is also interested in investigating how molecular mimics of eIF5, including oncogene-derived analogs, may modulate translation in cancer cells, shifting the balance between canonical and alternative start codons and reshaping the proteome under pathological conditions. Another branch of research tackles repeat-associated non-AUG translation events in neurodegenerative disease, where aberrant initiation dynamics fuel toxic protein generation.
Finally, Lapointe’s team aims to map the feedback and cross-regulation between initiation factors themselves—a network that, when disrupted, could drive cellular adaptation or contribute to disease. By integrating single-molecule biophysics with genetic and cellular models, the group hopes to uncover new therapeutic entry points and reveal how the translation machinery rewrites its own rules in response to cellular challenges. Who’s ready for the newest feature film?