Splice site mutation
Splice site mutation refers to a type of genetic mutation that occurs at the specific sites within a gene where splicing takes place. Splicing is a critical process in the gene expression pathway, where introns (non-coding regions) are removed from the pre-messenger RNA (pre-mRNA) and exons (coding regions) are joined together to form a mature messenger RNA (mRNA) molecule. This mRNA is then translated into a protein. Splice site mutations can disrupt the normal splicing process, leading to the production of abnormal proteins, which can cause various genetic disorders and diseases.
Overview
Splice site mutations occur in the DNA sequences that signal the cellular machinery where to start and stop the splicing process. These sequences are located at the boundaries between introns and exons. The most common splice site sequences are the donor site (at the 5' end of the intron) and the acceptor site (at the 3' end of the intron). A mutation in these consensus sequences can lead to improper splicing, including the skipping of exons, retention of introns, or the use of cryptic splice sites, resulting in an altered mRNA product.
Types of Splice Site Mutations
There are several types of splice site mutations, including:
- Donor site mutations: Changes in the GT dinucleotide at the 5' end of the intron, which is crucial for the recognition and binding of splicing machinery.
- Acceptor site mutations: Alterations in the AG dinucleotide at the 3' end of the intron, also essential for the splicing process.
- Cryptic splice site activation: Mutations that create new splice sites within exons or introns, leading to abnormal splicing patterns.
Consequences of Splice Site Mutations
The consequences of splice site mutations can vary widely, depending on the function of the affected gene, the nature of the mutation, and the importance of the disrupted exon or intron in the final protein product. Some possible outcomes include:
- Loss of function: The protein produced is non-functional or less functional than the wild-type protein.
- Gain of function: The mutation results in a protein with new or enhanced functions, which can be detrimental.
- Misfolding and degradation: The altered protein may be misfolded and targeted for degradation, reducing the amount of functional protein.
- Disease: Many genetic diseases are caused or influenced by splice site mutations, including certain forms of cancer, cystic fibrosis, and spinal muscular atrophy.
Detection and Analysis
Splice site mutations can be detected through various genetic testing and analysis methods, including DNA sequencing and RNA analysis. Predictive software tools also exist that can analyze DNA sequences for potential splice site mutations and predict their effects on splicing.
Treatment and Management
The treatment of conditions caused by splice site mutations depends on the specific disease and its severity. Approaches may include gene therapy, which aims to correct or compensate for the defective gene, and the use of drugs that can modulate splicing patterns. In some cases, management focuses on treating the symptoms and improving the quality of life for affected individuals.
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Contributors: Prab R. Tumpati, MD