“…The steps downstream of ZNF598 are incompletely understood and appear to involve nuclease ( D'Orazio et al, 2019 ), a helicase complex ( Hashimoto et al, 2020 ; Matsuo et al, 2017 ; Sitron et al, 2017 ), and possibly ribosome rescue factors ( Tsuboi et al, 2012 ). Although the roles and order of action of these factors is only partially resolved ( Juszkiewicz et al, 2020 ; Matsuo et al, 2020 ), the requirement for ZNF598-mediated 40S ubiquitination ( Garzia et al, 2017 ; Juszkiewicz and Hegde, 2017 ; Matsuo et al, 2017 ; Sundaramoorthy et al, 2017 ) together with the specificity of ZNF598 for ribosome collisions ( Juszkiewicz et al, 2018 ) strongly argues that the collided ribosome is a key proxy of aberrant translation.…”