Trends in Genetics
Volume 28, Issue 4, April 2012, Pages 147-154
Journal home page for Trends in Genetics

Review
New connections between splicing and human disease

https://doi.org/10.1016/j.tig.2012.01.001Get rights and content

The removal by splicing of introns from the primary transcripts of most mammalian genes is an essential step in gene expression. Splicing is performed by large, complex ribonucleoprotein particles termed spliceosomes. Mammals contain two types that splice out mutually exclusive types of introns. However, the role of the minor spliceosome has been poorly studied. Recent reports have now shown that mutations in one minor spliceosomal snRNA, U4atac, are linked to a rare autosomal recessive developmental defect. In addition, very exciting recent results of exome deep-sequencing have found that recurrent, somatic, heterozygous mutations of other splicing factors occur at high frequencies in particular cancers and pre-cancerous conditions, suggesting that alterations in the core splicing machinery can contribute to tumorigenesis. Mis-splicing of crucial genes may underlie the pathologies of all of these diseases. Identifying these genes and understanding the mechanisms involved in their mis-splicing may lead to advancements in diagnosis and treatment.

Section snippets

Intron removal by the spliceosomes

The removal of introns from pre-messenger RNAs by RNA splicing is an essential function in virtually all eukaryotic organisms. In vertebrates, including humans, most genes have multiple introns and most such genes are spliced in more than one pattern to give rise to considerable numbers of alternative mRNA isoforms. These isoforms can have altered protein-coding potential and/or altered regulatory regions and are thought to help generate organism-level complexity from a limited number of genes.

RNA splicing and disease

The fact that genes are composed of multiple segments has a variety of functional consequences, some positive and some negative. On the positive side, it is clear that the vast majority of mammalian genes are spliced and otherwise processed in different ways, thereby allowing the expression of many different mRNA isoforms and protein products from a relatively small number of nuclear genes [20]. This diversity of gene products is central to the complex processes of growth, development and

Mutations in a spliceosomal RNA cause disease

Microcephalic osteodysplastic primordial dwarfism type I (MOPD I, also known as Taybi–Linder Syndrome) is an autosomal recessive genetic disorder that is rare in most populations but is fairly common among the Amish in Ohio [28]. This condition is diagnosed on the basis of characteristic neurological and skeletal abnormalities as well as slow intra-uterine growth and greatly reduced size at term. Lifespans of MOPD I patients are somewhat variable – from only a few months to close to 13 years

Current questions raised by the MOPD I mutations

Among the immediate questions raised by these findings are: first, what is the molecular defect in the mutant U4atac snRNAs? – in other words at what point in the assembly of the snRNP complexes or their function in splicing do they fail? This problem could be investigated using in vitro biochemical studies of NHP2L1 and PRP31 protein binding to the mutant snRNA to assay for defects in direct binding. Because MOPD I patient-derived cell lines are available, the ability of the mutant U4atac

Splicing-factor mutations in myeloid neoplasms and leukemias

All the above examples are linked to inherited mutations in splicing components. Recently, a striking example of the effects of acquired somatic mutations in splicing factors has been described. The sequencing of the DNA from abnormal blood cells from patients with several types of leukemia and pre-leukemic syndromes has shown that a high proportion of these cases are associated with somatic mutations in spliceosomal proteins 44, 45, 46, 47. These diseases include myelodysplastic syndrome

Concluding remarks

These recent results emphasize the role of mutations in the essential machinery of pre-mRNA splicing in the realm of human health and disease. Although the minor U12-dependent spliceosome has been relatively poorly studied, it is now clear that defects in this machine can have substantial effects on growth and development. Future studies that identify the target genes have the potential to uncover important pathways in the various cell types affected in MOPD I. Furthermore, the linkage of

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      Citation Excerpt :

      The degree of complexity due to AS of pre-mRNA in target genes is increased because components of the splicing machinery and regulatory proteins involved in exon-recognition can themselves undergo AS, generating different isoforms (Table 1), which can modify the overall result of the splicing process. Since splicing dysregulation is a hallmark of cancer, it is not surprising that there are more than 15,000 tumor-associated SVs described in a wide variety of malignancies [40,41]. For instance, in a cell model of breast cancer, 1723 splicing alterations in target genes and changes in the expression of 41 splicing factors have been reported [42].

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