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Defective splicing of the RB1 transcript is the dominant cause of retinoblastomas

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Abstract

Defective splicing is a common cause of genetic diseases. On average, 13.4% of all hereditary disease alleles are classified as splicing mutations with most mapping to the critical GT or AG nucleotides within the 5′ and 3′ splice sites. However, splicing mutations are underreported and the fraction of splicing mutations that compose all disease alleles varies greatly across disease gene. For example, there is a great excess (46%; ~threefold) of hereditary disease alleles that map to splice sites in RB1 that cause retinoblastoma. Furthermore, mutations in the exons and deeper intronic position may also affect splicing. We recently developed a high-throughput method that assays reported disease mutations for their ability to disrupt pre-mRNA splicing. Surprisingly, 27% of RB1-coding mutations tested also disrupt splicing. High-throughput in vitro spliceosomal assembly assay reveals heterogeneity in which stage of spliceosomal assembly is affected by splicing mutations. 58% of exonic splicing mutations were primarily blocked at the A complex in transition to the B complex and 33% were blocked at the B complex. Several mutants appear to reduce more than one step in the assembly. As RB1 splicing mutants are enriched in retinoblastoma disease alleles, additional priority should be allocated to this class of allele while interpreting clinical sequencing experiments. Analysis of the spectrum of RB1 variants observed in 60,706 exomes identifies 197 variants that have enough potential to disrupt splicing to warrant further consideration.

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Acknowledgements

R.S. was supported by Postdoctoral Fellowship from Center for Computational Molecular Biology (CCMB), Brown University. C.L.R. was supported by Graduate Research Fellowship from National Science Foundation (NSF). This work was supported by the National Institutes of Health (NIH) Grants R01GM095612 (to W.G.F.), R01GM105681 (to W.G.F.) and R21HG007905 (to W.G.F.) and by SFARI award 342705 (to W.G.F.).

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Correspondence to William G. Fairbrother.

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The authors declare that they have no conflict of interest.

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Kamil J. Cygan and Rachel Soemedi contributed equally to this work.

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Cygan, K.J., Soemedi, R., Rhine, C.L. et al. Defective splicing of the RB1 transcript is the dominant cause of retinoblastomas. Hum Genet 136, 1303–1312 (2017). https://doi.org/10.1007/s00439-017-1833-4

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  • DOI: https://doi.org/10.1007/s00439-017-1833-4

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