Site-specific incorporation of unnatural amino acids (UAAs) into proteins is a valuable tool for studying structure-function relationships, incorporating biophysical probes, and elucidating protein-protein interactions. In higher eukaryotic cells, the methodology is currently limited to incorporation of a single UAA in response to a stop codon, which is known as nonsense suppression. Frameshift suppression is a unique methodology for incorporating UAAs in response to quadruplet codons, but currently, it is mostly limited to in vitro protein translation systems. Here, we evaluate the viability of frameshift suppression in Xenopus oocytes. We demonstrate UAA incorporation by using yeast phenylalanine frameshift suppressor (YFFS) tRNAs that recognize two different quadruplet codons (CGGG and GGGU) in vivo. Suppression efficiency of the YFFS tRNAs increases nonlinearly with the amount of injected tRNA, suggesting a significant competition with endogenous, triplet-recognizing tRNA. Both frameshift suppressor tRNAs are less efficient than the amber suppressor tRNA THG73 (Tetrahymena thermophila G73), which has been used extensively for UAA incorporation in Xenopus oocytes. However, the two YFFS tRNAs are more ''orthogonal'' to the Xenopus system than THG73, and they offer a viable replacement when suppressing at promiscuous sites. To illustrate the potential of combining nonsense and frameshift suppression, we have site-specifically incorporated two and three UAAs simultaneously into a neuroreceptor expressed in vivo.nicotinic receptor ͉ tRNA ͉ quadruplet codon ͉ stop codon ͉ protein engineering T he site-specific incorporation of unnatural amino acids (UAAs) into proteins biosynthetically is a powerful methodology that is seeing increasing use. The primary approach has been stop codon (nonsense) suppression using a specially designed tRNA with an anticodon that recognizes the stop codon. A wide range of in vitro translation systems has been used, along with expression in Escherichia coli and, to a lesser extent, yeast. Nonsense suppression in higher eukaryotes has, for the most part, been limited to the Xenopus oocyte, where microinjection of the required mRNA and aminoacyl tRNA is straightforward and electrophysiology provides a sensitive probe of UAA incorporation (1, 2). Other experiments in higher eukaryotes have relied on the evolution of a unique tRNA and a complementary aminoacyl-tRNA synthetase (aaRS) to insert a UAA in response to the UAG or UGA stop codon, but currently, only 3-iodo-tyrosine (3), p-benzoyl-phenylalanine (4), and 5-hydroxy-tryptophan (5) have been incorporated.A remarkable variant of this approach is the use of quadruplet codons, a process that is termed frameshift suppression and was pioneered by Sisido and coworkers (6, 7). The success of this approach opens up the possibility of developing multiple additional codons, thus incorporating several different UAAs into a protein. This multiple incorporation, in turn, would enable the use of innovative biophysical approaches such as incorporatin...