11 Abbreviations: ASF, alternative splicing factor; 5-BrU, 5-bromouridine; Cy5, cyanine 5; DM1, Myotonic Dystrophy Type 1; DMEM, Dulbecco's modification of Eagle's medium; DMPK, dystrophia myotonica protein kinase; DRB 5,6--Dichloro--1--β--D--ribofuranosylbenzimidazole; FISH, fluorescent in situ hybridization; HLE, human lens epithelial; LEC, lens epithelial cell; MBNL1, muscleblind-like protein 1; PAGFP, photoactivatable GFP; PFA, paraformaldehyde; SC35, splicing component 35kDa; snoRNP, small nucleolar ribonucleoprotein; snRNP, small nuclear ribonucleoprotein; SSA, spliceostatin A; SSC, saline sodium citrate.2 Abstract Myotonic Dystrophy Type 1 (DM1) is caused by elongation of a CTG repeat in the dystrophia myotonica protein kinase (DMPK) gene. mRNA transcripts containing the resulting CUG exp repeats form accumulations, or foci, in the nucleus of the cell. The pathogenesis of Myotonic dystrophy type 1 (DM1) is proposed to result from inappropriate patterns of alternative splicing caused by sequestration of the developmentally regulated alternative splicing factor muscleblind--like 1 (MBNL1), by these foci. Since eye lens cataract is a common feature of DM1 we have examined the distribution and dynamics of MBNL1 in lens epithelial cell lines derived from DM1 patients. The results demonstrate that only a small proportion of nuclear MBNL1 accumulates in CUG exp pre--mRNA foci. MBNL1 is, however, highly mobile and changes sub--cellular localization in response to altered transcription and splicing activity. Moreover, immunolocalization studies in lens sections suggest that a change in MBNL1 distribution is important during lens growth and differentiation. While these data suggest that loss of MBNL1 function due to accumulation in foci is an unlikely explanation for DM1 symptoms in the lens, they do demonstrate a strong relationship between sub--cellular MBNL1 localisation and pathways of cellular differentiation, providing an insight into the sensitivity of the lens to changes in MBNL1 distribution.Short title: MBNL1 dynamics in lens epithelial cells from myotonic dystrophy patients Summary Statement: In eye lens cells from DM1 patients MBNL1 sequestration to RNA foci appears not to be a major pathological event. MBNL1 does, however, show clear changes in sub--cellular distribution related to transcriptional activity and cellular differentiation.