Data availability
The analyses described in this work use sequencing and proteomic data from previously published datasets deposited in public data repositories. CPTAC raw MS proteomic data were downloaded from the CPTAC Data Portal with the following PDC study IDs: PDC000120 (BRCA), PDC000127 (CCRCC), PDC000234 (LSCC), PDC000153 (LUAD), PDC000270 (PDAC) and PDC000125 (UCEC). CPTAC genomic and transcriptomic sequencing reads were accessed through the GDC Data Portal with the following dbGaP study accessions: phs000892 (CPTAC-2) and phs001287 (CPTAC-3). Whole exome sequencing data from the following PDC studies were analysed: PDC000127, PDC000446, PDC000204, PDC000221, PDC000234, PDC000153, PDC000489, PDC000270, PDC000393, PDC000125, PDC000439, and PDC000464. Access to controlled data was granted after application to NCBI (project no. 24007: Investigation of Mistranslation Rates in Cancer). RNA-seq data for healthy human tissues17 were downloaded from ArrayExpress with the identifier E-MTAB-2836, and corresponding raw MS data were downloaded from PRIDE with project accession PXD010154. Mouse transcriptome sequence data were downloaded from ArrayExpress under the identifier E-MTAB-10276. The mouse MS proteomic data were downloaded from PRIDE with the dataset identifier PXD030983. Primary cell MS data were downloaded from PRIDE with the following accession numbers: PXD008511 (B cells), PXD008512 (hepatocytes), PXD008513 (monocytes) and PXD008515 (natural killer cells). Immunoprecipitation–MS proteomic data were downloaded from MassIVE with accession MSV000088555. Supporting information, data and documentation are available at decode.slavovlab.net.
Code availability
Software, data-analysis pipelines and other supporting documentation are available at decode.slavovlab.net. The code for reproducing all the analyses and figures presented is freely available at GitHub (github.com/SlavovLab/decode).
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Acknowledgements
We thank M. Collins for help with analysis; N. Bandeira, A. Raj, Z. Ignatova and B. Karger for detailed feedback; O. Kok and S. Zheng for help with revisions; and members of the Slavov laboratory for discussions and suggestions.
Funding
The work was funded by an Allen Distinguished Investigator award through The Paul G. Allen Frontiers Group to N.S., an NIGMS award (R01GM144967) to N.S., NCI awards UG3CA268117 and UH3CA268117 to N.S., an NIGMS award (R35GM148218) to N.S., an NIA award (R01AG092460) to N.S., and a Bits to Bytes award from MLSC to N.S.
Author information
Authors and Affiliations
Departments of Bioengineering, Biology, Chemistry and Chemical Biology, Single Cell Proteomics Center, Northeastern University, Boston, MA, USA
Shira Tsour, Rainer Machné, Andrew Leduc, Simon Widmer, Eunice Koo & Nikolai Slavov
Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA
Jeremy Guez & Konrad J. Karczewski
Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA, USA
Jeremy Guez & Konrad J. Karczewski
Parallel Squared Technology Institute, Watertown, MA, USA
Nikolai Slavov
Authors
Shira Tsour
Rainer Machné
Andrew Leduc
Simon Widmer
Eunice Koo
Jeremy Guez
Konrad J. Karczewski
Nikolai Slavov
Contributions
Study design, supervision and raising funding: N.S. Data analyses: S.T., R.M., A.L., S.W., E.K. and N.S. gnomAD analyses: J.G., S.T. and K.J.K. Initial draft: S.T. and N.S. Writing: all authors approved the final manuscript.
Corresponding author
Correspondence to
Nikolai Slavov.
Ethics declarations
Competing interests
N.S. is a founding director and CEO of Parallel Squared Technology Institute, which is a non-profit research institute. S.T. is an employee of Alnylam Pharmaceuticals. All other authors declare no competing interests.
Peer review
Peer review information
Nature thanks Yitzhak Pilpel, Mikhail Savitski and the other, anonymous, reviewer(s) for their contribution to the peer review of this work. Peer reviewer reports are available.
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Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Extended data figures and tables
Extended Data Fig. 1 Systematic identification and validation of amino acid substitutions.
(a) Number of tumor and normal samples analyzed from each CPTAC dataset. (b) Number of samples analyzed for each healthy tissue from the label-free dataset. (c) Distribution of the percentage of each transcript with a read that is included in the patient-specific databases. (d) Distribution of the number of transcripts with 100% sequence coverage included in each patient-specific protein database. (e) Non-substitution modifications identified in the dependent peptide search are majorly comprised of post-translational modifications, and include artifacts and chemical derivatives from MS analysis. (f)–(k) (Continued on the next page) (f) The number of modified peptides identified as having an amino acid substitution or other type of post-translational or chemical modification. (g) Mass error distributions for SAAP and all peptides identified in the database search show no significant differences. The lower, middle, and upper lines of the boxplots correspond to the first quartile, median, and third quartiles, respectively. The upper whisker extends from the third quartile to the largest value and the lower whisker extends from the first quartile to the smallest value, each at most 1.5XIQR of the hinge. Data beyond the whiskers are outliers that are plotted as individual data points. (h) Butterfly plots showing a systematic mass shift in MS2 spectra between SAAP and BP for a representative SAAP with median RAAS = 1.2 in ribosome-binding protein 1 isoform 1 (RRBP1). The fragmentation spectra were predicted by the Prosit TMT model26. (i) Cumulative density distributions of p-values (MaxQuant) and FDR-controlled q-values computed using only SAAP. Red dashed line indicates confidence threshold for SAAP inclusion in further analysis. (j) Over 80% of substitutions identified from lysine (K) or arginine (R) are at sites of missed cleavage or are substitutions between K and R. (k) Observed and predicted (DeepRT+,20) retention times show strong agreement for all main peptides identified in standard database search and for SAAP. (l) TMT and label-free spectra for the same SAAP provide complementary evidence fragments and are in strong agreement with Prosit predictions25,26. (m) Observed spectra for SAAP quantified in both TMT and label-free datasets are in stronger agreement with the correctly matched prosit model, i.e. TMT spectra with Prosit TMT26 and label-free spectra with Prosit HCD25 than with the mismatched Prosit model.
Extended Data Fig. 2 Establishing confidence in AAS abundance.
(a) SAAP with high RAAS ≥ 1 are identified with the same FDR-controlled confidence as SAAP with low RAAS < 1. (b) SAAP with high RAAS ≥ 1 are identified with as many fragment ions providing evidence at the site of alternate translation as SAAP with low RAAS < 1. (c) SAAP with high RAAS ≥ 1 have similar mass error distributions as SAAP with low RAAS < 1. The lower, middle, and upper lines of the boxplots correspond to the first quartile, median, and third quartiles, respectively. The upper whisker extends from the third quartile to the largest value and the lower whisker extends from the first quartile to the smallest value, each at most 1.5 X IQR of the hinge. Data beyond the whiskers are outliers that are plotted as individual data points. (d-f) SAAP abundance estimates are unlikely to be affected by differences in ionization efficiency between base peptides and alternatively translated peptides. The ionization efficiency distributions for SAAP and BP are indistinguishable (d), correlate strongly (e), and there is negligible fold change between them (f). (g-i) SAAP abundance estimates are unlikely to be affected by differences in peptide detectability between base peptides and alternatively translated peptides. The peptide detectability distributions for SAAP and BP are indistinguishable (g), correlate strongly (h), and there is negligible fold change between them (i). (j) Fourth-root spectral angle for SAAP-predicted vs. BP-predicted spectra. N = 12,124 spectra from 1,891 unique SAAPs. The x-axis shows the spectral angle between the observed spectrum and the Prosit-predicted spectrum for the SAAP; the y-axis shows the same for the BP. Pearson r = 0.72, p = 0.0002, computed by permutation. (k) Scatter plot of median spectral angle vs. median RAAS shows that the fourth-root spectral angles are independent of the substitution ratios. Pearson r = 0.016, two-sided correlation p = 0.45, computed against a non-correlating beta distribution. (l) Substitution ratios (RAAS) computed for the same site of alternate translation from peptides in different enzymatic digests of tonsil are consistent for peptides across the range of peptide abundances. Pearson r = 0.77 and two-sided correlation p-value computed against a non-correlating beta distribution = 2.5e-12. (m) Base peptides with missed cleavages are generally an order of magnitude more lowly abundant than their fully cleaved counterparts. (n) Correlation of BP (top panel) or SAAP (middle panel) abundance with shared peptide abundance across samples. Shared peptides are peptides found in both the encoded and alternatively translated proteoforms. BP correlation to shared peptides decreases with increasing RAAS, while SAAP correlation to shared peptides tends to increase, especially at RAAS > 1, as indicated by the difference in these correlations (bottom panel), and in support of the hypothesis presented in Fig. 2a. Abundances are computed with MS2-level intensities.
Extended Data Fig. 3 Quantification of substituted amino acid peptides (SAAP).
(a) Distributions of substitution ratios for all SAAP identified in each dataset computed for each experiment (TMT set, CPTAC data) or sample (label-free data), using MS1 precursor ion intensities. N indicates the number of RAAS computed at the MS1 level in each dataset. (b) Median RAAS were computed for each unique SAAP-BP pair using reporter ion intensities (MS2, CPTAC data) or precursor ion intensities (MS1, label-free data). Distributions of median RAAS across all SAAP in a dataset are shown. N indicates number of unique SAAP-BP pairs identified in each dataset. (c) Median RAAS across all SAAP identified in each sample were computed using reporter ion intensities (MS2, CPTAC data) or precursor ion intensities (MS1, label-free data). Distributions shown are of these medians across all samples in a dataset. N indicates the number of samples in each dataset. (d) Substitution ratio distributions shown in (a), (b), (c) have consistent medians, highlighting variability in RAAS across datasets. (e) Upset plot showing overlap in unique SAAP identified across all datasets. Dataset combinations require at least 10 shared SAAP to be included in visualization. (f) Heatmap displaying the percentage of samples in each dataset in which SAAP identified in 6+ datasets are found. Hierarchical clustering shows a cluster of shared SAAP that are commonly identified across majority of samples in addition to 6+ datasets. (g) To confirm variability in RAAS across datasets, we looked at the subset of SAAP that were identified in at least 1 sample in at least 6 datasets. LUAD and LSCC substitutions consistently have the lowest RAAS, while PDAC substitutions have the highest RAAS. N indicated the number of RAAS computed for shared SAAP in each dataset. (h) Boxplots highlighting the difference between RAAS in CPTAC datasets relative to RAAS computed in LUAD. Only SAAP shared between LUAD and the compared dataset are used. Each data point is a log10(RAAS) difference computed for a unique SAAP-BP pair. (i) RAAS as a function of the minimum number of codon-anticodon mismatches needed for incorporating the detected amino acid across all datasets. (j) An example of a substitution that can be partially explained by synthesis errors arising from significantly (t-test) higher abundance of the amino acyl-tRNA ligase supplying the alternatively translated amino acid relative to the abundance of the amino acyl-tRNA ligase supplying the encoded amino acid. *: q-value < 10−3, **: q-value < 10−5, ***: q-value < 10−20. (k) RAAS negatively correlates to the codon stability coefficient, an empirical measure of codon usage. n denotes number of codons, r is Pearson correlation, p is two-sided correlation p-value computed against a non-correlating beta distribution, and the red line is the ordinary least squares fit. (l) RAAS distributions for SAAP identified and validated in human hepatocytes. (m) The stability of SAAP relative to BP in primary human B cells is inversely proportional to their RAAS. r is Pearson correlation, p is two-sided correlation p-value computed against a non-correlating beta distribution. (n) Same as (m) but in NK cells. The lower, middle, and upper lines of the boxplots in panels h-j correspond to the first quartile, median, and third quartiles, respectively. The upper whisker extends from the third quartile to the largest value and the lower whisker extends from the first quartile to the smallest value, each at most 1.5XIQR of the hinge. Data beyond the whiskers are outliers that are plotted as individual data points.
Extended Data Fig. 4 Associations between codons, incorporated amino acids and RAAS.
(a) Relative codon frequencies in the full transcripts of the set of all proteins with identified substitution sites. The total count for each codon was divided by the total count of all codons for the same amino acid. Codon groups (per amino acid, separated by vertical lines) were sorted by amino acid property groups. Within each codon group, codons were sorted by their relative frequencies. All other panels are aligned with this sorting, see (e) for x-axis labels. These relative frequencies (bar heights) were also used in Fig. 3b (x axis). (b) RAAS dotplot for codons (columns) and incorporated amino acids (rows), sorted and color-coded by amino acid property groups. (c) RAAS dotplot for codons by datasets, i.e., cancer types and healthy tissues. (d) RAAS dotplot for all codons without further subsetting. Note, that the median RAAS values (colors) correspond to the y-axis values in Fig. 3b. (e) RAAS distributions for each codon. The lower, middle, and upper lines of the boxplots in e correspond to the first quartile, median, and third quartiles, respectively. The upper whisker extends from the third quartile to the largest value and the lower whisker extends from the first quartile to the smallest value, each at most 1.5XIQR of the hinge. Data beyond the whiskers are outliers that are plotted as individual data points.
Extended Data Fig. 5 Substitution ratios depend on substitution and tissue types.
(a) RAAS dotplot for all encoded and incorporated amino acids. p-values were computed by two-sided Student’s t-test. See Methods: RAAS dotplots for more details. (b) Violin plots of RAAS medians for each substitution type in every dataset. N indicates number of substitution identified in each dataset. (c) RAAS dotplot as in (a) but by chemical properties of the encoded and incorporated amino acids. (d) Heatmap of median RAAS by substitution type for substitution types with variance <10% across datasets. (e) Heatmap of median RAAS by substitution type for substitution types with variance >50% across datasets. (f) RAAS dotplots for encoded (left panel) and incorporated (right panel) amino acids. (g) Median RAAS values for SAAP grouped based on the encoded amino acid (left panel) or incorporated amino acid (right panel) correlate strongly and significantly across all datasets (Pearson correlation). (h) Substitution types with significantly higher RAAS in a given tissue type (cancer and healthy samples) relative to all other tissues analyzed (t-test, Benjamini-Hochberg FDR-corrected). (i) RAAS distributions (boxplots) and number of SAAP identified (barplot) for substitution types that are significantly higher in a given tissue (colored) relative to all other tissues (gray) analyzed. Colors indicate the same tissue types as in (h). The lower, middle, and upper lines of the boxplots correspond to the first quartile, median, and third quartiles, respectively. The upper whisker extends from the third quartile to the largest value and the lower whisker extends from the first quartile to the smallest value, each at most 1.5 X IQR of the hinge. Data beyond the whiskers are outliers that are plotted as individual data points.
Extended Data Fig. 6 Associations of substitutions with cancer.
(a) RAAS fold change between tumor and patient-matched normal adjacent tissue samples with median of distribution shown in red. N indicates the number of patient-specific RAAS values compared. (b) Patient-level RAAS distributions stratified by clinical tumor stage. No significant associations were measured between RAAS and tumor stage. The lower, middle, and upper lines of the boxplot correspond to the first quartile, median, and third quartiles, respectively. The upper whisker extends from the third quartile to the largest value and the lower whisker extends from the first quartile to the smallest value, each at most 1.5 X IQR of the hinge. Data beyond the whiskers are outliers that are plotted as individual data points. (c) RAAS for the N → G substitution in serine/threonine-protein phosphatase PP1-beta catalytic subunit (PP1CB) is significantly higher in tumor samples than in patient-matched normal adjacent tissue, for the majority of patients in LUAD and LSCC. q-values are derived from two-sided Student’s t-test p-values that were adjusted for multiple testing with the Benjamini-Hochberg method.
Extended Data Fig. 7 Proteins with high RAAS organized by functional groups.
RAAS dotplots for all proteins with significantly high median RAAS (p < 10−5) from each functional category shown in Fig. 5c.
Extended Data Fig. 8 Amino acid sequence context around substitution sites.
(a) Counts (text) and enrichments (gray scale: p-values of cumulative hypergeometric distribution tests) of amino acids surrounding the amino acid substitution sites. Lysine (K) and arginine (R) are enriched directly upstream of the substitution sites. Tryptophan (W), methionine (M), glycine (G) and cysteine (C) are enriched directly adjacent to substitution sites. (b) As (a) but for substitution types (encoded:incorporated) vs. their position in identified peptides. Substitutions by glycine (→ G) or alanine (→ A) are enriched within the 3 N-terminal amino acids of base peptides (N1 to N3), i.e., directly after the trypsin cleavage sites (K or R). Various substitutions involving arginine (N), methionine (M) or glutamate (E) as either the encoded or the incorporated amino acid are enriched distant from the N- and C-termini (>9). Only substitution types with at least one significant enrichment (p < 10−10) are shown in (b). (c) Sequence difference logos were calculated for all unique sequences surrounding substitution sites, subset for all observed substitution types (encoded→incorporated amino acids), and plots were only generated if any of the positions −3 to +3 around a substitution site showed a significant enrichment with p < 10−10 (*: p < 10−3, **: p < 10−5, ***: p < 10−10), (computed with R package DiffLogo57, see Methods: Sequence Difference Logos for details) and all resulting logos are shown. The logos were grouped by common patterns (rows from top to bottom): (i) Substitutions by glycine or alanine (Q → A, Q → G, M → G, L → G) are enriched directly upstream with lysine (K) or arginine (R), i.e. they are preferentially observed at the N-terminus of base peptides, next to the trypsin cleavage sites (K or R). (ii) Substitutions of glutamine (Q → A) or arginine (N → G) are flanked by cysteine (C) enrichments. (iii) substitutions E → N, T → V and N → M are flanked by methionine (M) enrichments. (iv) Substitutions E → C, I → Q, L → Q and P → T are flanked by tryptophan (W) enrichments. (d) Sequence difference logos of selected subsets of substitution sites. AAS denotes the site of the substitution and numbers refer to adjacent positions in the protein sequence. The y-axis shows the Jensen-Shannon divergence of the selected set of sequences (number n of sequences is indicated) compared to all other sequences in our data; *** indicates enrichment significance p < 10−10, computed with R package DiffLogo57, see Methods: Sequence Difference Logos for details.
Extended Data Fig. 9 Substitution proximity in domains, 1D and 3D protein structures.
(a) Pfam domains significantly enriched in substituted peptides (FDR-adjusted p-values < 0.05, see Methods for details). (b) The number of base peptides decreases exponentially with the number of distinct SAAP detected per base peptide. This reflects the abundance bias of AAS detectability, such that many distinct SAAPs can be detected for highly abundant peptides. (c) Clusters of substitutions in the 1D sequence of a thioredoxin domain. Pfam annotations are shown as black lines, and predicted secondary structures (S4pred), α-helices and β-sheets, are shown with gray bars. (d) Clusters of substitutions in the 1D sequence of an actin ATPase domain. Pfam annotations are shown as black lines, and predicted secondary structures (S4pred), α-helices and β-sheets, are shown with gray bars. (e) High density region of substitutions in marginal zone B- and B1-cell specific protein (MZB1). A high RAAS substitutions cluster in β-sheet and unstructured regions is immediately followed by a lower RAAS cluster in an α-helix region. (f) Three 1D clusters of substitutions are found in the glycolytic region of aldolase B (ALDOB). (g) A set of three substitutions distant in the 1D sequences but clustered together in the 3D structure of the Ras-related protein, RAP1A. The substitutions have high RAAS, reflected in their color-coding (as in the legend in (c)). (h) Many substitutions are identified in the ribosome complex, some of which cluster across complex subunits in the 3D protein structure. (i) High and low RAAS substitutions cluster in the 3D protein structure of the proteasome complex.
Extended Data Fig. 10 Associations of substitutions with protein properties.
(a) Protein RAAS is negatively correlated to protein abundance with Spearman r = −0.57 and two-sided correlation p-value = 5.9e-153. The intensity was calculated as the median over all “leading razor protein” intensities of all data sets (CPTAC and tissues) where a given base peptide was identified. (b) RAAS is positively correlated to the disordered score (IUPred3 prediction) with Spearman r = 0.17 and two-sided correlation p-value = 5.2e-15. RAAS was computed as the median RAAS for each unique BP/SAAP pair across all datasets (CPTAC and tissues) and the disordered score is the score of the protein at the AAS site. (c) as (b) but for the mean conservation score (MMseqs2 score via the DescribePROT database). Spearman r = −0.15 and two-sided correlation p-value = 2.5e-39. (d) Allele frequency in the gnomAD database for all possible missense variants in alternatively translated codons. (e) Allele frequency in the gnomAD database for missense variants coding for identified substitution in alternatively translated codons. Sites with allele variation frequency ≥10−3 correspond to 131 SAAPs. (f) Observed / expected ratios for missense variants coding for identified substitution in alternatively translated codons, determined from analysis of gnomAD database (see Methods). Missense variants are less constrained with increasing RAAS (Holm-adjusted two-sample exact Poisson rate-ratio test between hightest and lowest quartiles=3.3e-7). Data point colors correspond to RAAS quartiles as in (d) or low or high AlphaMissense (AM) controls. Error bars represent 95% Poisson confidence intervals on the obs/exp ratio. N = 7,069 substitutions with 1/4 in each RAAS quartile. (g) Upset plot showing overlap in unique SAAP identified between human and mouse tissues.
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Tsour, S., Machné, R., Leduc, A. et al. Alternate RNA decoding results in stable and abundant proteins in mammals.
Nature (2026). https://doi.org/10.1038/s41586-026-10678-2
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Received: 03 October 2024
Accepted: 18 May 2026
Published: 24 June 2026
Version of record: 24 June 2026
DOI: https://doi.org/10.1038/s41586-026-10678-2
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