The programmed −1 ribosomal frameshifting element (PFSE) of SARS-CoV-2 is a well
conserved structured RNA found in all coronaviruses’ genomes. By adopting a
pseudoknot structure in the presence of the ribosome, the PFSE promotes a ribosomal
frameshifting event near the stop codon of the first open reading frame Orf1a during
translation of the polyprotein pp1a. Frameshifting results in continuation of pp1a via a
new open reading frame, Orf1b, that produces the longer pp1ab polyprotein. Polyproteins
pp1a and pp1ab produce nonstructural proteins NSPs 1–10 and NSPs 1–16,
respectively, which contribute vital functions during the viral life cycle and must be
present in the proper stoichiometry. Both drugs and sequence alterations that affect the
stability of the −1 programmed ribosomal frameshifting element disrupt the
stoichiometry of the NSPs produced, which compromise viral replication. For this reason,
the −1 programmed frameshifting element is considered a promising drug target.
Using chaperone assisted RNA crystallography, we successfully crystallized and solved
the three-dimensional structure of the PFSE. We observe a three-stem H-type pseudoknot
structure with the three stems stacked in a vertical orientation stabilized by two
triple base pairs at the stem 1/stem 2 and stem 1/stem 3 junctions. This structure
provides a new conformation of PFSE distinct from the bent conformations inferred from
midresolution cryo-EM models and provides a high-resolution framework for mechanistic
investigations and structure-based drug design.