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Updated: Oct 10, 2026

Functional Assessment of BRCA1 variants using CRISPR-Mediated Base Editors
Published on: February 28, 2021
A mechanism for exon skipping caused by nonsense or missense mutations in BRCA1 and other genes
H X Liu1, L Cartegni, M Q Zhang
1Cold Spring Harbor Laboratory, Cold Spring Harbor, New York, USA.
Abstract:
Point mutations can generate defective and sometimes harmful proteins. The nonsense-mediated mRNA decay (NMD) pathway minimizes the potential damage caused by nonsense mutations. In-frame nonsense codons located at a minimum distance upstream of the last exon-exon junction are recognized as premature termination codons (PTCs), targeting the mRNA for degradation. Some nonsense mutations cause skipping of one or more exons, presumably during pre-mRNA splicing in the nucleus; this phenomenon is termed nonsense-mediated altered splicing (NAS), and its underlying mechanism is unclear. By analyzing NAS in BRCA1, we show here that inappropriate exon skipping can be reproduced in vitro, and results from disruption of a splicing enhancer in the coding sequence. Enhancers can be disrupted by single nonsense, missense and translationally silent point mutations, without recognition of an open reading frame as such. These results argue against a nuclear reading-frame scanning mechanism for NAS. Coding-region single-nucleotide polymorphisms (cSNPs) within exonic splicing enhancers or silencers may affect the patterns or efficiency of mRNA splicing, which may in turn cause phenotypic variability and variable penetrance of mutations elsewhere in a gene.
Insights
Nonsense-mediated altered splicing (NAS) can cause exon skipping due to point mutations disrupting splicing enhancers. This mechanism, independent of reading frame, impacts gene function and disease variability.
Area of Science:
- Molecular Biology
- Genetics
- Biochemistry
Background:
- Nonsense mutations can produce harmful proteins, but the nonsense-mediated mRNA decay (NMD) pathway degrades these transcripts.
- Premature termination codons (PTCs) trigger NMD, but some nonsense mutations lead to exon skipping, termed nonsense-mediated altered splicing (NAS), with an unclear mechanism.
Purpose of the Study:
- To investigate the mechanism of nonsense-mediated altered splicing (NAS).
- To determine if point mutations can cause inappropriate exon skipping.
- To explore the role of splicing enhancers in NAS.
Main Methods:
- Analysis of NAS in the BRCA1 gene.
- In vitro reproduction of exon skipping.
- Disruption of splicing enhancers by various point mutations.
Main Results:
- Inappropriate exon skipping was reproduced in vitro, linked to the disruption of splicing enhancers within the coding sequence.
- Single point mutations (nonsense, missense, silent) can disrupt enhancers without regard to the reading frame.
- These findings challenge the nuclear reading-frame scanning model for NAS.
Conclusions:
- Point mutations in coding regions can disrupt exonic splicing enhancers or silencers, leading to altered mRNA splicing patterns.
- This alteration in splicing efficiency can contribute to phenotypic variability and variable penetrance of genetic mutations.
- Understanding NAS is crucial for interpreting genetic variations and their clinical implications.
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